ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the RN implement the evening before the scheduled ECT?
Correct Answer: B
Rationale: The correct answer is B: Keep the client NPO after midnight. This intervention is essential to prevent aspiration during ECT, as anesthesia is typically administered during the procedure. Holding all bedtime medications (choice
A) may not be necessary and can have adverse effects. Implementing elopement precautions (choice
C) is irrelevant to ECT. Giving the client an enema at bedtime (choice
D) is unnecessary and not related to ECT. Keeping the client NPO after midnight is crucial for safety and aligns with standard pre-procedure guidelines.
Question 2 of 5
A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The client’s plan of care should include what priority problem?
Correct Answer: A
Rationale: The correct answer is A: Acute confusion. This is the priority problem because the client is disoriented, disorganized, and confused, indicating altered mental status. Addressing acute confusion takes precedence to ensure the client's safety and well-being. Ineffective community coping (
B) may be a concern, but addressing the client's altered mental status is crucial. Disturbed sensory perception (
C) and self-care deficit (
D) may be secondary to the client's acute confusion.
Question 3 of 5
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
Correct Answer: D
Rationale: The correct answer is D: They are not actually ill. Patients with anosognosia lack awareness of their illness, leading them to deny their condition and refuse treatment. They genuinely believe they are not sick, making it challenging to accept medication.
Choice A is incorrect as it assumes a belief in the medication's lack of efficacy.
Choice B is incorrect because it introduces a paranoid belief about nurses.
Choice C is incorrect as it focuses on fear of side effects rather than denial of illness.
Question 4 of 5
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN withhold the clonidine (Catapres) prescription?
Correct Answer: A
Rationale: The correct answer is A. Clonidine is an antihypertensive medication that can lower blood pressure. With blood pressure readings of 90/62 mmHg to 92/58 mmHg, the client already has hypotension, which can be exacerbated by clonidine, leading to further lowering of blood pressure and potential adverse effects like dizziness, lightheadedness, or fainting.
Therefore, the RN should withhold the clonidine prescription to prevent a significant drop in blood pressure.
Option B is incorrect because a pulse rate of 68-78 BPM is within normal range and not a contraindication for clonidine administration. Option C is incorrect as a temperature of 99.5-99.7 F is also normal and not a reason to withhold clonidine. Option D is incorrect as a respiration rate of 24 breaths per minute is within normal limits and does not warrant withholding clonidine.
Question 5 of 5
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the RN implement the evening before the scheduled ECT?
Correct Answer: B
Rationale: The correct answer is B: Keep the client NPO after midnight. This intervention is essential to prevent aspiration during ECT, as anesthesia is typically administered during the procedure. Holding all bedtime medications (choice
A) may not be necessary and can have adverse effects. Implementing elopement precautions (choice
C) is irrelevant to ECT. Giving the client an enema at bedtime (choice
D) is unnecessary and not related to ECT. Keeping the client NPO after midnight is crucial for safety and aligns with standard pre-procedure guidelines.