ATI LPN
ATI PN Mental Health 2023 Questions
Extract:
Vital Signs
• Heart rate 115/min
• Respiratory rate 20/min
• BP 90/65 mm Hg
• Temperature 38.6°C (101.5°F)
Nurses’ Notes
0800:
Client is 3 days postoperative. Currently disoriented to time and place, oriented to self. Client is displaying disorganized thinking, a lack of attention when spoken to, and rambling speech that is incoherent at times. Client attempts to get out of bed without assistance. Changes in client’s behavior began the prior evening and client has been awake most of the night. Client has refused to eat or drink since the previous day.
Intake and output from previous day: 250 mL intake, 2,500 mL output.
Call placed to provider to report findings.
0830:
IV fluids initiated by RN. Urine and blood samples collected per provider’s prescription. Client continues to be restless.
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to collect data about the client’s progress.
Correct Answer:
Rationale: Delirium (
A) fits postoperative symptoms. Monitor fluids (
A) addresses dehydration, family stay (E) aids orientation. Fall risk (
A) and sleep-wake (E) track progress.
Extract:
Question 2 of 5
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Explaining response prevention, part of ERP therapy, targets OCD directly and is a priority. Medication (
B) and relaxation (
C) are secondary, and assessment (
D) follows intervention planning.
Question 3 of 5
A nurse is collecting data from a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Diarrhea is typical in opioid withdrawal due to GI hyperactivity. Meiosis (
A) should be mydriasis (dilated pupils), hypokinesis (
B) contrasts with restlessness, and bradycardia (
C) contrasts with tachycardia.
Question 4 of 5
A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,B,C,E
Rationale: Lack of empathy (
A), manipulative behaviors (
B), splitting (
C), and impulsiveness (E) align with antisocial personality disorder traits like disregard for others and impulsivity. Preoccupation with details (
D) is more typical of obsessive-compulsive personality disorder.
Question 5 of 5
A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?
Correct Answer: A
Rationale: Normal weight in bulimia makes it less obvious. B excludes other purging methods, C misstates binge eating, and D lacks evidence for diabetes risk.