ATI RN
ATI Mental Health Exam IV Questions
Extract:
Question 1 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:
Correct
Answer: C. Epistaxis
Rationale: Disseminated Intravascular Coagulation (DI
C) leads to the widespread activation of clotting factors and consumption of platelets, causing bleeding. Epistaxis (nosebleed) is a common physical finding in DIC due to the clotting abnormalities. Xerostomia (
A) is dry mouth and not typically associated with DIC. Bradycardia (
B) is a slow heart rate and not a common finding in DIC. Hypertension (
D) is high blood pressure and is not typically seen in DIC.
Question 2 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 increases a client's risk of experiencing a crisis. Trauma can lead to unresolved emotional issues, impacting the client's ability to cope with stressors. This can result in heightened vulnerability to triggers and difficulties in managing crises effectively. Stable employment (
A), positive coping skills (
B), and a strong social support system (
D) typically serve as protective factors that help mitigate the risk of crisis.
Therefore, history of trauma stands out as the most likely factor to increase the risk of crisis among the given options.
Question 3 of 5
A nurse has received a report on a group of clients. Which of the following client clients should the nurse assess first?
Correct Answer: D
Rationale: The nurse should assess the client with a left-sided stroke first (
Choice
D) due to the severe headache and confusion, indicating a potential worsening neurological status that requires immediate intervention. This client may be experiencing a stroke complication like hemorrhage or increased intracranial pressure, necessitating urgent assessment and treatment to prevent further neurological damage.
Choice A has a blood glucose level within the normal range for type 2 diabetes and can be assessed after the client with a potential neurological emergency.
Choice B's client with diabetes insipidus has a slight fluid imbalance but is stable and can be assessed after the higher priority client.
Choice C's client with Graves' disease has symptoms related to hyperthyroidism, which are concerning but not immediately life-threatening compared to a neurological emergency.
Question 4 of 5
A nurse is assessing a client who is experiencing a thyroid storm. Which of the following findings should the nurse anticipate?
Correct Answer: C
Rationale: The correct answer is C: Tachycardia. In a thyroid storm, there is an excessive release of thyroid hormones, leading to increased metabolic rate and sympathetic nervous system activity. This results in symptoms such as tachycardia, hypertension, fever, and agitation. Tachycardia is a hallmark sign of thyroid storm due to the increased demand on the cardiovascular system.
Choices A, B, and D are incorrect. Coma is a severe complication of thyroid storm but not an early finding. Hypothermia is not expected in thyroid storm due to increased metabolic rate. Fruity smelling breath is associated with diabetic ketoacidosis, not thyroid storm.
Question 5 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:
To calculate mcg/min, first convert the client's weight to kg (220 lbs / 2.2 = 100 kg).
Then, multiply the weight by the dose (100 kg * 5.5 mcg/kg/min = 550 mcg/min).
To convert mcg/min to mcg/hr, multiply by 60 (550 mcg/min * 60 = 33,000 mcg/hr).
To find ml/hr, divide the total dose (750 mg) by the concentration (500 ml) to get mg/ml (750 mg / 500 ml = 1.5 mg/ml). Lastly, divide the hourly dose in mg by mg/ml to get ml/hr (33,000 mcg/hr / 1.5 mg/ml = 22 ml/hr).
Therefore, the correct answer is 22 ml/hr. Other choices are incorrect due to miscalculations or skipping conversion steps.