ATI RN
ATI 133 Mental Health Final Exam Questions
Extract:
Question 1 of 5
The nurse in the emergency room is reviewing the health record of a client who is being evaluated for Graves' disease. Which of the following laboratory results is an expected finding?
Correct Answer: D
Rationale: The correct answer is D: Decreased thyroid-stimulating hormone (TSH). In Graves' disease, there is excessive production of thyroid hormones, leading to negative feedback on the pituitary gland, resulting in decreased TSH levels. This is because the elevated thyroid hormone levels signal the pituitary gland to decrease TSH production.
A: Decreased thyrotropin receptor antibodies - This is incorrect as Graves' disease is associated with increased levels of these antibodies.
B: Decreased free thyroxine index - This is incorrect as Graves' disease typically presents with elevated levels of free thyroxine.
C: Decreased triiodothyronine - This is incorrect as Graves' disease is characterized by elevated levels of triiodothyronine due to increased thyroid hormone production.
In summary, the expected finding in Graves' disease is a decreased TSH level due to the negative feedback mechanism, making option D the correct choice.
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: The correct answer is C: Iron deficiency anemia. The client's low hemoglobin and hematocrit levels indicate a decrease in red blood cells, which is characteristic of anemia. Iron deficiency anemia is the most common type of anemia, typically caused by inadequate iron intake or absorption, leading to decreased production of hemoglobin. This results in symptoms like weakness, fatigue, and heavy menstrual periods, as seen in the client. Pernicious anemia (
A) is due to vitamin B12 deficiency, not iron. Folic acid deficiency anemia (
B) presents with similar symptoms but typically has normal iron levels. Sickle cell anemia (
D) is a genetic disorder causing abnormal hemoglobin production, not related to iron deficiency.
Question 3 of 5
A nurse is caring for a client who is newly diagnosed with hyperthyroidism and reports dry eyes and sensitivity to light. The nurse notes that the client's eyes have a bulging appearance. Which of the following should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: The correct answer is C: Eye drops and dim lighting can improve your symptoms. In hyperthyroidism, the bulging appearance of the eyes, known as exophthalmos, can lead to dry eyes and sensitivity to light. Eye drops can help alleviate dryness, and dim lighting can reduce discomfort from light sensitivity. This intervention addresses the client's specific symptoms and promotes comfort.
Choice A is incorrect because sunlight exposure can exacerbate light sensitivity in clients with hyperthyroidism.
Choice B is incorrect as it does not provide a direct intervention for the client's symptoms and delays addressing the discomfort.
Choice D is incorrect because surgery is not typically the first-line treatment for eye symptoms in hyperthyroidism; conservative measures are usually tried first.
Question 4 of 5
The nurse is assessing a client and suspects the client is experiencing DIC. Which of the following physical findings should the nurse anticipate?
Correct Answer: C
Rationale: The correct answer is C: Epistaxis. Disseminated Intravascular Coagulation (DI
C) is a condition where the body's clotting system is overactive, leading to both excessive clot formation and clot breakdown. Epistaxis, or nosebleeds, is a common physical finding in DIC due to the depletion of clotting factors and platelets. Xerostomia (
A) is dry mouth and not typically associated with DIC. Bradycardia (
B) is a slow heart rate, which is not a common finding in DIC as it usually presents with tachycardia. Hypertension (
D) is increased blood pressure, which is not a typical physical finding in DIC.
Question 5 of 5
Which of the following factors increases a client's risk of experiencing a crisis?
Correct Answer: C
Rationale: The correct answer is C: History of trauma. A history of trauma increases a client's risk of experiencing a crisis due to unresolved emotional wounds, triggering distressing memories, and impacting their ability to cope effectively. Trauma can lead to heightened stress responses and exacerbate mental health issues, making individuals more vulnerable to crises.
Incorrect choices:
A) Stable employment and
D) Strong social support system are protective factors that reduce the risk of crises.
B) Positive coping skills enhance resilience and help individuals manage stress effectively, decreasing crisis likelihood.