ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
The nurse working in an outpatient clinic is performing an intake assessment for a female client. Which priority question will the nurse ask the client as part of the initial assessment?
Correct Answer: B
Rationale: Assessing safety identifies risks like domestic violence a critical priority. Financial substance use and medical care questions are secondary to immediate safety concerns.
Question 2 of 5
A nurse is assessing several clients who have experienced loss. Which client will the nurse identify as experiencing complicated grieving?
Correct Answer: B,C
Rationale: Unresolved conflicts and guilt complicate grief for the adult hating their parent and the parent responsible for a child’s death. Annual visits are normal drunk driving loss lacks grief specifics and frequent grave visits may reflect cultural coping.
Question 3 of 5
A nurse auscultates a client's lung sounds and identifies crackles in the left lower lobe. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Crackles are abnormal lung sounds that may indicate the presence of fluid or mucus in the lungs. Placing the client on bed rest in a semi-Fowler position helps to improve lung expansion and oxygenation by reducing the pressure on the diaphragm promoting optimal lung ventilation and facilitating drainage of fluid from the affected area of the lung. Fluid restriction is typically for conditions like heart failure not crackles. Antibiotics require evidence of infection and repeating auscultation does not immediately improve oxygenation.
Question 4 of 5
The nurse is working with an adolescent client that is argumentative with staff and peers on the behavioral health unit. Which therapeutic response will be most beneficial for the client to decrease acting out behavior?
Correct Answer: D
Rationale: This response demonstrates the use of therapeutic communication specifically offering the client an opportunity to express their feelings and concerns in a non-confrontational manner. By suggesting a private and quiet area to talk to the nurse provides a safe and supportive environment for the client to explore and process their emotions. This approach can help the client feel heard validated and understood which may reduce their need to act out or engage in argumentative behaviors to express their feelings. Threats medication demands or dismissive comments may escalate behavior.
Question 5 of 5
A nurse is caring for a child who is on a clear liquid diet. At lunch the child consumed 1/2 cup of juice 3 oz gelatin 1 oz of an ice pop and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?
Correct Answer: 260 mL
Rationale:
Step 1: Convert 1/2 cup of juice to mL: 1 cup = 240 mL so 1/2 cup = 120 mL.
Step 2: Convert 3 oz of gelatin to mL: 1 oz = 30 mL so 3 oz = 90 mL.
Step 3: Convert 1 oz of ice pop to mL: 1 oz = 30 mL.
Step 4: Ginger ale is 20 mL.
Step 5: Sum: 120 mL + 90 mL + 30 mL + 20 mL = 260 mL. The nurse should record 260 mL.