ATI RN
ATI Mental Health Practice B
1. A client has been diagnosed with obsessive-compulsive personality disorder. Which of the following behaviors should the nurse expect?
- A. Perfectionism
- B. Flexibility
- C. Generosity
- D. Spontaneity
Correct answer: A
Rationale: Individuals with obsessive-compulsive personality disorder commonly exhibit perfectionism, a need for orderliness, and a preoccupation with details. This behavior often interferes with task completion and can impact interpersonal relationships. Choice A is correct because perfectionism is a key characteristic of this disorder. Choices B, C, and D are incorrect because individuals with obsessive-compulsive personality disorder typically lack flexibility, may not display generosity, and tend to avoid spontaneity.
2. The nurse is assessing the colostomy of a client who has had an abdominal perineal resection for a bowel tumor. Which assessment finding indicates that the colostomy is beginning to function?
- A. The passage of flatus
- B. Absent bowel sounds
- C. The client’s ability to tolerate food
- D. Bloody drainage from the colostomy
Correct answer: A
Rationale: The passage of flatus (gas) from the colostomy is an early sign that the bowel is beginning to function after surgery. This indicates that peristalsis, or the movement of the intestines, has resumed and that the digestive system is actively moving gas and eventually stool through the bowel and out of the colostomy. It’s a positive sign that the bowel is recovering from the surgery and starting to work as intended.
3. What are the key nursing interventions for a patient experiencing acute respiratory distress syndrome (ARDS)?
- A. Positioning the patient in a prone position
- B. Monitoring vital signs and lung sounds
- C. Preparing for mechanical ventilation
- D. Administering supplemental oxygen
Correct answer: A
Rationale: The correct answer is A: Positioning the patient in a prone position. Prone positioning is a key nursing intervention for patients with acute respiratory distress syndrome (ARDS) as it helps improve oxygenation by allowing better lung ventilation. Choice B, monitoring vital signs and lung sounds, is important but not a key intervention specific to ARDS. Choice C, preparing for mechanical ventilation, may be necessary in severe cases of ARDS but is not a primary nursing intervention. Choice D, administering supplemental oxygen, is a common supportive measure but is not specific to ARDS interventions.
4. What type of stroke is caused by a blockage in an artery supplying blood to the brain?
- A. Ischemic stroke
- B. Hemorrhagic stroke
- C. Transient ischemic attack
- D. Embolism
Correct answer: A
Rationale: The correct answer is A: Ischemic stroke. Ischemic stroke occurs when a blood clot blocks an artery supplying blood to the brain, leading to brain damage. Choice B, Hemorrhagic stroke, is caused by bleeding in the brain, not a blockage. Choice C, Transient ischemic attack, is a temporary blockage of blood flow to the brain with symptoms similar to a stroke but typically lasting only a few minutes. Choice D, Embolism, refers to a blood clot or other particle that travels through the bloodstream and blocks a blood vessel.
5. Which of the following assessments is found in neurovascular compromise?
- A. Tingling
- B. Strong pulses
- C. Warm skin
- D. Full range motion
Correct answer: A
Rationale: Tingling is a common sign of neurovascular compromise.
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