ATI RN
ATI Mental Health Proctored Exam 2019
1. A healthcare provider is assessing a client who has been diagnosed with factitious disorder. Which of the following behaviors should the healthcare provider expect?
- A. Intentional production of false symptoms
- B. Lack of concern about symptoms
- C. Fear of gaining weight
- D. Unintentional production of false symptoms
Correct answer: A
Rationale: Individuals with factitious disorder deliberately fabricate or exaggerate symptoms to assume the sick role and garner attention. They may show a lack of concern about their symptoms, a phenomenon known as la belle indifférence. Fear of gaining weight is not typically associated with factitious disorder. Therefore, the correct behavior to expect in a client with factitious disorder is the intentional production of false symptoms. Choices B, C, and D are incorrect as lack of concern about symptoms and fear of gaining weight are not characteristic of factitious disorder. Additionally, factitious disorder involves the intentional, not unintentional, production of false symptoms.
2. A client with anorexia undergoing radiation therapy is being taught by a nurse. Which instruction should the nurse include in the teaching?
- A. Limit high-calorie supplements to between meals
- B. Avoid overeating during your 'good' days
- C. Eat hot foods instead of cold foods
- D. Consume nutrient-dense foods first
Correct answer: D
Rationale: The correct instruction for a client with anorexia undergoing radiation therapy is to consume nutrient-dense foods first. This ensures that the client receives the necessary calories and nutrients. Option A is incorrect because high-calorie supplements should not be limited but rather incorporated wisely into the diet. Option B is incorrect as overeating is not recommended regardless of the type of day. Option C is incorrect as there is no specific preference for hot foods over cold foods in managing anorexia during radiation therapy.
3. A nurse is caring for a client who has acute pancreatitis. Which of the following laboratory results should the nurse expect to be elevated?
- A. Serum creatinine.
- B. Amylase.
- C. Hemoglobin.
- D. Blood glucose.
Correct answer: B
Rationale: The correct answer is B: Amylase. Amylase is typically elevated in clients with acute pancreatitis due to inflammation of the pancreas. Elevated serum creatinine levels are more indicative of kidney dysfunction rather than pancreatitis. Hemoglobin levels are not directly related to pancreatitis. While blood glucose levels can be affected by pancreatitis, they are not typically the primary laboratory result expected to be elevated in this condition.
4. Britney, a 20 y.o. student is admitted with acute pancreatitis. Which laboratory findings do you expect to be abnormal for this patient?
- A. Serum creatinine and BUN
- B. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
- C. Serum amylase and lipase
- D. Cardiac enzymes
Correct answer: C
Rationale: Serum amylase and lipase levels are typically elevated in patients with acute pancreatitis.
5. What is the priority nursing intervention for a patient experiencing an acute asthma attack?
- A. Administer bronchodilators
- B. Monitor oxygen saturation
- C. Provide supplemental oxygen
- D. Start IV fluids
Correct answer: A
Rationale: The correct answer is to administer bronchodilators. In an acute asthma attack, the priority is to open the airways and improve airflow. Bronchodilators like albuterol are crucial in providing immediate relief to the patient. Monitoring oxygen saturation (choice B) is important but administering bronchodilators takes precedence in managing the acute attack. Providing supplemental oxygen (choice C) may be necessary but addressing the airway obstruction with bronchodilators is the priority. Starting IV fluids (choice D) is not the priority in an acute asthma attack unless specifically indicated for other reasons such as dehydration.
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