ATI RN
ATI Mental Health 2023 II Questions
Extract:
Diagnostic Results
Day 1 at 1530:
WBC count 7,700/mm3 (5,000 to 10,000/mm3)
Indicates Potential Improvement
Indicates Potential
Worsening
Hgb 14% (12% to 16%)
Hct 42% (37% to 47%)
Day 2 at 0600:
Lithium level 1.9 mEq/L (less than 1.5 mEq/L) Glucose level 90 mg/dL (74 to 106 mg/dL)
Vital Signs
Day 1 at 1600:
Temperature 37° C (98.6° F) Respiratory rate 18/min
Pulse rate 84/min
Blood pressure 114/64 mm Hg
Day 2 at 0800:
Temperature 36.9° C (98.4° F)
Respiratory rate 16/min
Pulse rate 88/min
Blood pressure 98/56 mm Hg
Medical History
Day 1 at 1500:
Bipolar disorder
Laparoscopic appendectomy at age 8 years old
Physical Examination
Day 1 at 1600:
Client reports mild nausea. Fine hand tremors noted. Lungs clear, bowel sounds active
Day 2 at 0630:
Client awake but appears fatigued. Movements and speech somewhat slowed. Lungs clear, abdomen soft with active bowel sounds. Client voided a large amount of dilute yellow urine. Uncoordinated gait noted when ambulating to bathroom. Client reports blurred vision and noted to frequently rub eyes. Client fell asleep prior to end of assessment.
.
Question 1 of 5
The nurse is reviewing the client’s medical record at 0830 on day 2 of admission. For each finding, click to specify whether the finding indicates a potential improvement in or a potential worsening of the client’s condition.
| Options | Indicates Potential | Indicates Potential |
|---|---|---|
| Blurred vision | ||
| Blood pressure | ||
| Urine amount and color | ||
| Lithium level | ||
| Gait when ambulating |
Correct Answer:
Rationale: Blurred vision and gait (toxicity signs) worsen with lithium 1.9 mEq/L; BP stable, urine normal improve.
Extract:
Question 2 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: B
Rationale: Chlordiazepoxide, a benzodiazepine, manages withdrawal symptoms like seizures. Disulfiram deters drinking, buprenorphine treats opioids, bupropion aids smoking cessation.
Question 3 of 5
A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client’s recovery?
Correct Answer: D
Rationale: Friend’s move causes emotional stress, hindering recovery. Walking, no coffee, and exercise aid healing.
Extract:
Physical Examination
Day 1 0900:
A client who has a urinary tract infection is admitted for treatment with IV antibiotics. The client is alert and oriented x3. Respirations are equal and unlabored bilaterally. S1 and S2 heart tones noted upon auscultation. Client has hearing loss and wears glasses. Abdomen is soft with suprapubic pain on palpation rated as a 4 on a scale of 0 to 10. Client reports three episodes of urinary incontinence. Bowel sounds active in all four quadrants. Able to move all extremities.
Vital Signs
Day 1 0915:
Temperature 37.3° C (99.1° F)
Heart rate 90/min
Respiratory rate 15/min
Blood pressure 130/76 mm Hg
Oxygen saturation 97% on room air
Day 1 1900:
Temperature 37.3° C (99.1° F)
Heart rate 99/min
Respiratory rate 16/min
Blood pressure 136/88 mm Hg
Oxygen saturation 98% on room air
Nurses' Notes
Day 1 1900:
The client is alert and is oriented to person, with confusion about time and place. Client is unable to focus. The client exhibits agitation upon assessment. Client states they do not remember coming to the facility, and they are late for a provider's appointment. Reorientation to environment initiates anxiety and worsens the agitation.
Question 4 of 5
Upon assessment, the nurse should recognize that the client is at risk for developing ___ as evidenced by the client’s ___
Correct Answer: A,B
Rationale: UTI and disorientation (alert x3) increase delirium risk in older adults.
Extract:
Nurses' Notes
1100:
Client is alert and oriented x 4. The client exhibits positive self- esteem. No negativity noted during conversation. Preparing client for discharge to partial-hospitalization program.
1230:
Client requests smoked turkey club sandwich for lunch. Education regarding medications provided. Exhibit 2
Patient Data
Medications
Phenelzine
Ibuprofen
Acetaminophen
Patient Data
Question 5 of 5
When educating the client about their medication, the nurse should teach the client that there is risk for ___ due to ___
Correct Answer: A,B
Rationale: MAOIs (implied by turkey sandwich) risk hypertensive crisis with tyramine-rich foods like smoked meats.