ATI RN
ATI 133 Mental Health Final Exam Questions
Extract:
Question 1 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. A history of trauma increases a client's risk of experiencing a crisis due to unresolved emotional wounds, triggering distressing memories, and impacting their ability to cope effectively. Trauma can lead to heightened stress responses and exacerbate mental health issues, making individuals more vulnerable to crises.
Incorrect choices:
A) Stable employment and
D) Strong social support system are protective factors that reduce the risk of crises.
B) Positive coping skills enhance resilience and help individuals manage stress effectively, decreasing crisis likelihood.
Question 2 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 correct answer is D. A client with a left-sided stroke reporting severe headache and confusion should be assessed first due to the potential risk of worsening neurological status. Headache and confusion could indicate a worsening condition such as hemorrhage or increased intracranial pressure, requiring immediate intervention to prevent further damage. Assessing this client first allows for prompt treatment and prevention of complications.
Choices A, B, and C involve clients with chronic conditions or stable vital signs that do not indicate immediate danger. Assessing the client with a left-sided stroke takes priority over these cases due to the acute nature of the symptoms.
Question 3 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 severe symptoms. Tachycardia is a hallmark sign due to the increased metabolic rate and sympathetic response. Coma (
A) is a severe complication but not an anticipated finding. Hypothermia (
B) is incorrect as the body temperature is typically elevated. Fruity smelling breath (
D) is more indicative of diabetic ketoacidosis, not thyroid storm.
Question 4 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: 5.5 mcg/kg/min * 220 lb * (1 kg/2.2 lb) = 1,100 mcg/min.
To convert mcg/hr: 1,100 mcg/min * 60 min/hr = 66,000 mcg/hr.
To find ml/hr: 750 mg / 500 ml = 1.5 mg/ml. 5.5 mcg/kg/min * 220 lb * (1 kg/2.2 lb) = 1,100 mcg/min. 1,100 mcg/min * 60 min/hr = 66,000 mcg/hr. 66,000 mcg/hr / 1,000 = 66 mg/hr. 66 mg/hr / 1.5 mg/ml = 44 ml/hr.
Therefore, the correct answer is 22 mcg/min, 66,000 mcg/hr, and 44 ml/hr. Other choices are
Question 5 of 5
A nurse is assessing a school-age child who recently loaded a virus onto their teacher's computer after receiving a poor grade on a science project. The child's guardian tells the nurse their child often bullies the other kids at school. Which of the following diagnoses should the nurse expect?
Correct Answer: D
Rationale:
Correct
Answer: D - Conduct disorder (C
D)
Rationale:
1. Conduct disorder involves a pattern of behavior that violates the basic rights of others or societal norms.
2. The child's actions of loading a virus onto the teacher's computer and bullying classmates indicate a disregard for rules and the well-being of others.
3. Conduct disorder commonly presents with aggression, deceitfulness, and violation of rules.
4. These behaviors are more severe than those seen in Oppositional Defiant Disorder (
A) and Attention Deficit Hyperactivity Disorder (
B).
5. Intermittent Explosive Disorder (
C) typically involves impulsive aggression, not premeditated actions like intentionally loading a virus.
6. Conduct disorder is the most appropriate diagnosis considering the child's behavior towards others.
Summary:
- A: Oppositional Defiant Disorder - less severe, lacks the pattern of aggression seen in the child's behavior.
- B: Attention Deficit Hyperactivity Disorder - does not fully capture the intentional harmful behavior