ATI RN
ATI Mental Health Proctored Exam 2023
1. When should healthcare professionals be most alert to the possibility of communication errors resulting in harm to the patient?
- A. Change of shift reports
- B. Admission interviews
- C. One-to-one conversations with patients
- D. Conversations with patient families
Correct answer: A
Rationale: Healthcare professionals should be most alert to the possibility of communication errors resulting in harm to the patient during change of shift reports. This is a critical time when information is transferred between healthcare providers, and any errors in communication during this handover can lead to adverse outcomes for the patient.
2. One of the most important driving forces behind health care policy changes is which of the following?
- A. New technology
- B. Outsourcing of services
- C. Emerging role of nurse practitioners
- D. Ability to pay for health care
Correct answer: D
Rationale: The correct answer is D, 'Ability to pay for health care.' One of the primary factors influencing health care policy changes is the financial aspect, as the ability to afford healthcare services affects access, quality, and equity. While new technology, outsourcing of services, and the emerging role of nurse practitioners may also impact health care policies, the fundamental driver often revolves around individuals' and societies' financial capacity to pay for healthcare.
3. The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statements would the nurse use to best describe a sentinel event?
- A. Operating room event involving the use of unsafe equipments
- B. Specific events that enable a hospital to maximize reimbursement
- C. An unexpected event involving death or serious physical or psychological injury
- D. An event that can cause serious injury to a client that should never happen in a hospital
Correct answer: An unexpected event involving death or serious physical or psychological injury
Rationale:
4. Paired organs, such as the kidneys or lungs, are said to be
- A. bisexual.
- B. bilingual.
- C. bilateral.
- D. bivalent.
Correct answer: C
Rationale: The correct answer is C: 'bilateral.' Paired organs like the kidneys or lungs are described as bilateral because they occur in pairs on both sides of the body. Option A 'bisexual' refers to having both male and female reproductive organs, which is not the correct term for paired organs. Option B 'bilingual' refers to being able to speak two languages, which is not related to the description of paired organs. Option D 'bivalent' means having two valences, which is also unrelated to the context of paired organs.
5. A client has a new prescription for methotrexate to treat Rheumatoid Arthritis. The nurse should expect to monitor the client for which of the following adverse effects?
- A. Insomnia
- B. Hypertension
- C. Bone marrow suppression
- D. Constipation
Correct answer: C
Rationale: The correct answer is bone marrow suppression. Methotrexate can lead to bone marrow suppression, resulting in anemia, leukopenia, and thrombocytopenia. Monitoring for signs of decreased blood cell counts is crucial to prevent complications. Insomnia (choice A), hypertension (choice B), and constipation (choice D) are not typically associated with methotrexate use for Rheumatoid Arthritis.
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