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ATI 133 Mental Health Final Exam Questions

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Question 1 of 5

Give Dobutamine 5.5 mcg/kg/min. The drug is available as 750 mg in 500 ml of fluid. The client weighs 220 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include the unit of measure for each answer).

Correct Answer: 22

Rationale: Dobutamine infusion Calculation(ans only):
Client weight: 220 pounds
Dobutamine dose ordered: 5.5 mcg/kg/min
Dobutamine concentration: 750 mg in 500 mL
Conversion factor: 1 mg = 1000 mcg
1 kg = 2.2 pounds
Calculations:
Convert client weight to kg: 220 lbs / 2.2 lbs/kg = 100 kg
Calculate mcg/min: 5.5 mcg/kg/min × 100 kg = 550 mcg/min
Calculate mcg/hr: 550 mcg/min × 60 min/hr = 33000 mcg/hr
Calculate mL/hr: Dobutamine concentration is 750 mg/500 mL, which equals 1500 mcg/mL.
mL/hr = 33000 mcg/hr / 1500 mcg/mL = 22 mL/hr
Answers:
mcg/min: 550 mcg/min
mcg/hr: 33000 mcg/hr
mL/hr: 22 mL/hr

Question 2 of 5

A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspects which of the following types of anemia?

Correct Answer: C

Rationale: Heavy menstrual bleeding and low hemoglobin/hematocrit suggest iron deficiency anemia.

Question 3 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: Separate bathroom use minimizes radiation exposure to others from radioiodine in bodily fluids.

Question 4 of 5

A nurse is caring for a newly admitted adolescent client. When asked to describe their social support system,the client responds My mom died last year, and I have been in foster care ever since. I don't have many friends. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Grief support groups provide peer support aiding coping and social connection for the client’s loss.

Question 5 of 5

A client has made the decision to leave her alcoholic husband and reports feeling very depressed. Which of the following is a non-therapeutic statement by the nurse that demonstrates sympathy?

Correct Answer: A

Rationale: Sharing the nurse’s experience shifts focus from the client demonstrating sympathy rather than empathy.

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A nurse is talking with a client diagnosed with schizophrenia. Suddenly the client states,I'm frightened. Do you hear that? The voices are telling me to do terrible things. Which of the following responses by the nurse is appropriate?

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