ATI RN
ATI Mental Health Proctored Exam
1. The client recently survived a plane crash and is assessed by the nurse. Which client statement would cause the nurse to suspect that the client may be experiencing PTSD?
- A. I believe that I was meant to survive this accident so that I can focus on the important things in life
- B. Although I have nightmares sometimes, I have started going to church to show gratitude for surviving the crash
- C. I am so afraid that I will never be able to fly again, but I know that it will take a while
- D. I keep having these thoughts about the crash that just pop into my mind at random times
Correct answer: D: "I keep having these thoughts about the crash that just pop into my mind at random times"
Rationale: Experiencing intrusive thoughts about a traumatic event, such as a plane crash, that occur unexpectedly and repeatedly is a common symptom of Post-Traumatic Stress Disorder (PTSD). These thoughts can be distressing and are often a key indicator of PTSD. Options A, B, and C demonstrate coping mechanisms and fears related to the traumatic event but do not specifically address the hallmark symptom of intrusive thoughts. Therefore, option D is the correct choice as it aligns with a potential symptom of PTSD.
2. An intravenous line is needed in a school-age child. What medication is an appropriate analgesic for use with this patient?
- A. TAC (tetracaine, epinephrine [Adrenalin], cocaine) 15 minutes before the procedure.
- B. A transdermal fentanyl (Duragesic) patch at the site of venipuncture.
- C. EMLA (eutectic mixture of local anesthetics) immediately before the procedure.
- D. LMX (4% liposomal lidocaine cream) 30 minutes before the procedure.
Correct answer: D
Rationale: LMX is an effective analgesic agent when applied to the skin 30 minutes before a procedure. It eliminates or reduces the pain from most procedures involving skin puncture. TAC provides skin anesthesia about 15 minutes after application to nonintact skin, making it more suitable for wound suturing. Transdermal fentanyl patches are designed for continuous pain control, not rapid pain control needed for a procedure like venipuncture. EMLA, for maximum effectiveness, must be applied approximately 60 minutes before the procedure, making it less suitable for immediate pain relief required for intravenous line placement.
3. The nurse cares for a client receiving furosemide (Lasix). The nurse determines that teaching is effective if the client selects which of the following foods?
- A. One medium baked potato
- B. One slice of white bread
- C. One medium apple
- D. One scrambled egg
Correct answer: A
Rationale: The correct answer is A: One medium baked potato. Potatoes are high in potassium, which is essential for clients on Lasix to prevent hypokalemia. Furosemide is a loop diuretic that can cause potassium depletion, so consuming potassium-rich foods like baked potatoes can help maintain normal potassium levels. Choices B, C, and D do not provide a significant source of potassium, which is crucial for clients on furosemide therapy.
4. Carmen discovers that the DASH diet contains more fiber and ____ compared to that of the typical American diet.
- A. vitamin C
- B. iron
- C. potassium
- D. sodium
Correct answer: C
Rationale: The correct answer is C: 'potassium.' The DASH diet is rich in potassium, which helps lower blood pressure, making it more effective than the typical American diet, which is often low in this essential mineral. Choice A, 'vitamin C,' is incorrect as the comparison is about fiber and another nutrient, not vitamin C. Choice B, 'iron,' is incorrect as the discussion is about fiber and a mineral that helps lower blood pressure, not iron. Choice D, 'sodium,' is incorrect as the DASH diet actually focuses on reducing sodium intake for better blood pressure control, so it wouldn't be a nutrient found in higher amounts compared to the typical American diet.
5. The nurse manager compares the actual results of the budget with the projected results of the budget. What budgeting process is this?
- A. Variable budgeting
- B. Controlling
- C. Revenue sharing
- D. Incremental budgeting
Correct answer: B
Rationale: The correct answer is B: Controlling. Controlling involves comparing actual results with the projected results in the budget to assess performance and take corrective actions if necessary. Choice A, Variable budgeting, focuses on adjusting the budget based on activity levels. Choice C, Revenue sharing, refers to distributing a portion of revenue among stakeholders. Choice D, Incremental budgeting, involves making minor adjustments to the existing budget for the next period based on previous budgets.
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