ATI RN
ATI Mental Health Proctored Exam 2019
1. A client with bipolar disorder is prescribed lithium. Which dietary instruction should the nurse provide?
- A. Avoid foods high in potassium.
- B. Increase intake of caffeinated beverages.
- C. Maintain consistent sodium intake.
- D. Follow a low-protein diet.
Correct answer: C
Rationale: The correct instruction for a client with bipolar disorder prescribed lithium is to maintain consistent sodium intake. Fluctuations in sodium levels can impact lithium levels, potentially leading to toxicity. Therefore, it is crucial to advise the client to keep their sodium intake consistent to ensure the effectiveness and safety of the lithium therapy. Choices A, B, and D are incorrect. Avoiding foods high in potassium is not directly related to lithium therapy. Increasing intake of caffeinated beverages can interfere with the action of lithium. Following a low-protein diet is not a standard recommendation for clients prescribed lithium.
2. A client in an emergency department has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
- A. Raise the foot of the bed to a 90° angle
- B. Remove the dressing to inspect the wound
- C. Prepare to insert a central line
- D. Administer oxygen via nasal cannula
Correct answer: Administer oxygen via nasal cannula
Rationale: In a client with a sucking chest wound, the priority is to administer oxygen via nasal cannula to improve oxygenation. The client's blood pressure, weak pulse rate, and elevated respiratory rate indicate hypovolemic shock, so increasing oxygen supply is crucial. Raising the foot of the bed, removing the dressing, or preparing to insert a central line are not immediate actions needed for a client with a sucking chest wound and signs of shock.
3. Which foods increase iron absorption when consumed with nonheme iron? (SATA)
- A. Kiwi
- B. Strawberries
- C. Coffee
- D. A, B
Correct answer: D
Rationale: Kiwi and strawberries are high in vitamin C, which increases iron absorption.
4. A school nurse is teaching a parent about absence seizures. What information should be included?
- A. This type of seizure lasts 30 to 60 seconds.
- B. This type of seizure can be mistaken for daydreaming.
- C. The child usually has an aura prior to onset.
- D. This type of seizure has a gradual onset.
Correct answer: B
Rationale: The correct answer is B because absence seizures are brief and can be mistaken for daydreaming. Choice A is incorrect because absence seizures typically last a few seconds, not 30 to 60 seconds. Choice C is incorrect as absence seizures usually occur suddenly without an aura. Choice D is incorrect because absence seizures have a sudden onset, not a gradual one.
5. A healthcare professional is assessing a client with obsessive-compulsive disorder (OCD). Which of the following findings shouldn't the healthcare professional expect?
- A. Recurrent, intrusive thoughts
- B. Compulsive behaviors
- C. Delusions of grandeur
- D. Avoidance of situations that trigger obsessions
Correct answer: C
Rationale: In obsessive-compulsive disorder (OCD), common findings include recurrent, intrusive thoughts (obsessions), compulsive behaviors, and avoidance of situations that trigger obsessions. Delusions of grandeur, which involve having an exaggerated sense of power, importance, or identity, are not typically associated with OCD. It is important to differentiate between the specific characteristics of OCD and other mental health conditions to provide accurate care and interventions for clients.
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