ATI RN
ATI Mental Health Exam IV Questions
Extract:
Question 1 of 5
Charles, the nurse, is working in an emergency department and is assessing a preschool-age child who reports abdominal pain. Which of the following findings should alert the nurse to possible abuse (select all that apply)
Correct Answer: A,E
Rationale: The correct answers are A and E. Ecchymosis on the torso (
A) can indicate physical abuse, as it suggests blunt force trauma. Round burn marks on forearms (E) may indicate abuse, as they could be from cigarettes or other objects. Mismatched clothing (
B) and abrasions on knees (
C) are less indicative of abuse and could be common in children. Abdominal rebound tenderness (
D) is a clinical sign of peritonitis, not abuse.
Question 2 of 5
Claudette, the nurse, is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication
Correct Answer: D
Rationale:
Correct
Answer: D. "You'd better listen to me."
Rationale: This statement is an example of aggressive communication because it is demanding, threatening, and lacks respect for the other person's autonomy. It implies a power dynamic and coercion, which is characteristic of aggressive behavior. The client is attempting to control the situation through fear and intimidation rather than expressing their feelings or needs assertively. This type of communication can create tension and hinder effective communication within the group therapy session.
Summary of other choices:
A: Expresses feelings without aggression.
B: Expresses a wish without aggression.
C: Expresses feelings without aggression.
E, F, G: Not provided, but likely do not exhibit the same level of aggression as choice D.
Question 3 of 5
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia?
Correct Answer: B,C,D,E
Rationale: The correct answer includes choices B, C, D, and E. Gastric bypass surgery can lead to malabsorption of nutrients, increasing the risk of iron deficiency anemia. Treatment for gastrointestinal cancer can affect the body's ability to absorb iron. Consuming mostly prepackaged, processed foods may lack sufficient iron. Ulcerative colitis can cause chronic inflammation in the intestines, leading to poor iron absorption.
Choice A, eating red meat daily, is not a risk factor for iron deficiency anemia as red meat is a good source of iron.
Question 4 of 5
Administer heparin 1000 units per hour IV. The pharmacy supplies the heparin infusion as 25.000 units in 500 mL DSW. What will the IV pump be set to? (Include unit of measure with answer).
Correct Answer: 20
Rationale: The correct answer is 20 mL/hour.
To calculate, divide the total units by the desired rate: 25,000 units / 1000 units per hour = 25 hours. Next, divide the total volume by the total time in hours: 500 mL / 25 hours = 20 mL/hour. This ensures the patient receives the correct dosage over the specified time. Other choices are incorrect as they do not follow the correct calculation method or provide the accurate infusion rate.
Question 5 of 5
A nurse is planning care for a client who has hyperthyroidism and is receiving radioactive iodine (radioiodine). Which of the following statements by the nurse regarding special precautions is appropriate?
Correct Answer: A
Rationale: The correct answer is A: You will need to use a bathroom separate from other household members. This is because radioactive iodine is excreted through bodily fluids, including urine and feces.
Therefore, using a separate bathroom will help prevent the spread of radiation to others.
Choice B is incorrect as hospitalization is not typically required for radioiodine treatment.
Choice C is incorrect as a low fiber diet is not specifically related to radioiodine treatment.
Choice D is incorrect as additional immunizations are not directly related to radioactive iodine treatment.