ATI RN
ATI Mental Health Exam IV Questions
Extract:
Question 1 of 5
The physician orders a Lidocaine drip to infuse at 2 mg/min. The drug is available as 2 gm in 500 mL of fluid. Solve for mL/hr.
Correct Answer: 3
Rationale:
To solve for mL/hr, we first need to calculate the total mL infused in 1 min. Lidocaine concentration is 4 mg/mL (2 gm/500 mL). At 2 mg/min, the rate is 0.5 mL/min (2 mg/4 mg/mL).
To convert to mL/hr, we multiply by 60, giving us 30 mL/hr (0.5 mL/min x 60 min). Thus, the correct answer is 3. Other choices are incorrect because they do not follow the correct conversion steps or misinterpret the given information.
Question 2 of 5
A nurse is interviewing a school-age child who has intermittent explosive disorder (IED). Which of the following behaviors should the nurse expect the client to exhibit?
Correct Answer: A
Rationale: The correct answer is A: Lack of remorse for behavior. Children with intermittent explosive disorder (IE
D) often exhibit impulsive aggressive behavior without feeling remorse or guilt afterward. This lack of remorse is a key characteristic of IED and distinguishes it from other behavior disorders. Mild outbursts with provocation (
B) may be seen in other disorders like oppositional defiant disorder. Blaming others for their behavior (
C) is more typical of personality disorders. Difficulty coping with stressors (
D) is a general symptom and not specific to IED.
Question 3 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 an overproduction of thyroid hormones due to autoimmune stimulation of the thyroid gland. This leads to suppression of TSH production by the pituitary gland as a feedback mechanism.
Therefore, a decreased TSH level is an expected finding in Graves' disease.
Incorrect choices: A: Decreased thyrotropin receptor antibodies - In Graves' disease, there is an increase in thyrotropin receptor antibodies. B: Decreased free thyroxine index - In Graves' disease, there is an increase in free thyroxine levels. C: Decreased triiodothyronine - In Graves' disease, there is an increase in triiodothyronine levels.
Question 4 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 deficiency in red blood cells. Iron deficiency anemia is the most common cause of anemia worldwide and is characterized by inadequate iron levels needed for red blood cell production. The symptoms of weakness, fatigue, and heavy menstrual periods are classic signs of iron deficiency anemia. Pernicious anemia (
A) is caused by a lack of intrinsic factor needed for vitamin B12 absorption. Folic acid deficiency anemia (
B) is characterized by a lack of folic acid, leading to impaired red blood cell production. Sickle cell anemia (
D) is a genetic disorder causing abnormal hemoglobin production and sickle-shaped red blood cells.
Question 5 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 eyes are caused by Graves' disease, leading to increased tissue growth behind the eyes. Eye drops can help with dryness and irritation, while dim lighting can reduce discomfort from sensitivity to light. This approach addresses the specific symptoms experienced by the client and promotes comfort.
Choice A is incorrect because sunlight exposure can worsen sensitivity to light.
Choice B is incorrect as bulging eyes are a common symptom of hyperthyroidism and do not warrant an immediate ophthalmology referral.
Choice D is incorrect because surgery is not the first-line treatment for bulging eyes in hyperthyroidism.