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2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions) - Document preview page 1

2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions) - Page 1

Document preview content for 2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions)

2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions)

2019 ATI Mental Health Proctored Exam with Answers provides an exam simulation experience with past test questions and expert solutions.

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2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions) - Page 1 preview imageATI FUNDAMENTALS 2019 PROCTORED EXAM|FUNDAMENTALSCOMPLETE QNS &ANS A+ GUIDE•Anurseiscaring foraclient whohasleft loweratelectasis.inwhich ofthe followingpositions shouldthenurseplacetheclient forpostural drainage?•Supineandlow-Fowler's position•RightlateralinTrendelenburgposition•Sidelyingwiththerightsideofthechestelevated•Pronewithpillowsundertheextremities•A nurse is caring for a client who is scheduled to have his alanine aminotransferase(ALT) level checked. Theclientasksthenursetoexplainthelaboratorytest.Whichofthefollowingisanappropriateresponseby thenurse?•“Thistestwill indicateifyou areat riskfordeveloping blood clots•“Thistestwilldetermineifyourheartisperforming properly”•“Thistestwillprovideinformationaboutthefunctionofyourliver”Rationale:ALTtestmeasuresamountofenzymeinblood.ALTmainlyfoundinliverRationale:Leadership7.0.ALTandASTmeasureyou liverfunction.CreatinineandBUNmeasureyourkidneyfunction•“Thistestisusedtocheckhowyourkidneysareworking”.•Anurseiscaringforaclientwho hasaprescriptionformorphine5mgIM accidentallyadministers thewhole10mgfromthesingle-dosevial. Whichofthe following actionsshouldthe nursetakefirst?•Notifytheclient‟sprovider.•Reporttheincidenttothepharmacy.•Completeanincidentreport.•Measuretheclient’srespiratoryrate.Rationale:morphineOD=pulmonary edemafillslungs w/ fluidleadingcauseofdeathforOD
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2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions) - Page 2 preview image
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2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions) - Page 3 preview imageRationale: Morphine can cause respiratory depression if given too much.Also you should ALWAYSASSESSthepatientfirstwhenamederrorisperformedtomakesuremederrordoesn‟tputtheclient‟shealthinrisk.•A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-oldchild who has difficultyswallowingpills.Availableisdiphenhydramine12.5mg/5mLoralsyrup.Whichofthefollowingimagesshowsthecorrect #of mLthenurseshouldadminister?(Round the answerto the nearest wholenumber.)Clickon thesyringethathas8 mL ofmed.20mg x(5mL/12.5mg) =8 mL•A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80mg/kg/day administeredintravenously every 6 hour. The child weighs 20 kg. Howmuch cefoxitin should the nurse administerwith eachdose?(Roundtheanswertothenearestwhole number.Usealeadingzeroifit applies.Donot useatrailingzero.)•Soit sayseach doseforthe finalanswer, butwe aregiven80 mg/kg/day.•80x 20=1600 / 4(doseis givenevery 6 hoursa day) =400mgRationale:80mg x 20 kg =1,6001,600/4x day (q6h)=400mg•Anurseispreparingtoadminister IVfluids toaclient. ThenursenotessparkswhenpluggingintheIVpump.Whichof thefollowingactions should the nurse takefirst?•Labelthepumpwithadefectiveequipmentsticker.•Unplug thepump.•Obtainareplacementpump.•Notifiedthebiomedicaldepartmentto fixthepump.Rationale:Prioritizationquestion. YOUWILLFIRST UNPLUGtheIVpumptoavoidcausingafire.•Anurseiscaring foraclientwho hasasurgicalwound. Whichofthefollowinglaboratory valuesplacestheclientatrisk for poor wound healing?•Serum albumin3g/dL
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2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions) - Page 4 preview image•Total lymphocytecount2400mm3•HCT 42%•HGB 16g/dLRationale: Albumininlow. Normalrangeis 3.5to5.5 g/dL.Lowalbuminplaces theclient atriskforpoorwoundhealing. Theother lab valuesarewithin normallimits.•Anurseispreparingtocheckaclient'sbloodpressure.Whichofthe followingactionsshouldthenursetake?Chapter27 Vitals signspage244•Applythecuffabovetheclient‟santecubitalfossa.•Use a cuff with a width that is about 60% of the client's arm circumference.-widthof the cuff should be 40 %ofarmcircumference•Howtheclientssit with his armrestingabovethelevel ofhisheart.-MUSTBEATHEARTLEVEL•Releasethepressureon theclient'sarm 5 to6 mmpersecond.-pressurereleaseshouldnot bemorethan 2to3mmhg per secondRationale: ATIFUNDAsays40% ofthearm circumferencepg. 139.Releasethepressurenofasterthan2 to3 mm Hg per second. Apply the BP cuff 2.5 cm (1 in)above the antecubital space with the brachial artery inline with the marking on thecuff.Apply the BP cuff 2.5 cm (1 in) above the antecubital space with thebrachialartery in linewith themarking on thecuff.•Anurseispreparing toperformnasal trachealsuctioningforaclient.Whichofthefollowingisan appropriateactionforthe nursetotake?Chapter53 Airwaymanagement page 563•Holdthesuctioncatheter with thecleannon-dominanthand.•Applysuctioning for20 to30 seconds.-10-15seconds isthemaximum.
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2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions) - Page 5 preview image•Place the catheter in a location that is clean and dry for later use new line.-NEVER EVER REUSE THESUCTIONCATHETER. you throw it awayafterbeing used.•Use surgical asepsis when performing the procedure.-book say medicalasepsis which is maybe thesamething.Rationale:steriletechniquefortracheaRationale: ATI FUNDA. PG. 316 Use surgical asepsis for all types ofsuctioning. No longer than 10-15seconds toavoid hypoxemia•Anurseisdocumentingclientcare. Whichofthefollowingabbreviations shouldthenurseuse?atibookwasnotthoroughso i hadtogo on different sites for charts-notconfident withthis,pleasedouble check.•“SS”forslidingscale•“BRP”forbathroomprivileges•“OJ”fororangejuice-donot•“SQ”forsubcutaneous-donot•MISSING•Anurseis collectingAbloodpressure readingfromaclientwhoissittinginachairperiodthenurse determinesthatthe clients BP is 158/96 mmhg.which ofthefollowingactions should thenursetake?•EnsurethatthewidthoftheBPcuffis50%oftheclient‟supperarmcircumference.Itsays40%•RepositiontheclientSupineandrecheckherBP.BP.→ORTHOSTATICHYPOTENSION•Recheck theclientsBP andherotherarmforcomparison.•Request thatanothernursecheckthetheclientsBPin 30minutes.→15minutes
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2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions) - Page 6 preview image•Anurseis caringforaclientwhohasleftlower atelectasis. in whichofthefollowingpositionsshouldthenurseplacetheclient forpostural drainage?Chapter53 AirwayManagement page562•Supineandlow-Fowler's position•RightlateralinTrendelenburgposition•Sidelyingwiththerightsideofthechestelevated•Pronewithpillowsundertheextremities•A nurse is receiving the prescription for a client who is experiencingdysphagiafollowing a stroke.Which of thefollowingprescriptions should the nurseclarify?•Dietitianconsult•Speechtherapyreferral•Oralsuctionatthebedside•Clearliquids-liquidsmustbeTHICK.ClearliquidscancauseaspirationRationale:ATIMS.Pg.83foodlevelsfordysphagiaincludepureed,mechanicallyaltered,advanced/mechanicallysoft, andregular.•Anurseisadministeringalargevolumeenemato aclient.Identifythesequenceofsteps thenurseshouldfollowafterpreparation andlubricating the enemaset.(ati fundsvideo enema)•Administertheenemasolution.(2)•Removetheenematubefromtheclients rectum.(4)•Wraptheendoftheenema tubewith adisposabletissue.(5)•Inserttheenematubeintotheclient'srectum.(1)•Clamptheenematube.(3)•nurseis insertingan NGtubeforaclientwho requiresgastric decompression.Whichofthefollowingactionsshouldthe nursetaketoverify properplacement ofthetube?
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2019 ATI Mental Health Proctored Exam with Answers (70 Solved Questions) - Page 7 preview image•PlacetheendoftheNGtubein waterto observeforbubbling.•Auscultate2.5cm(1in)abovetheumbilicuswhileinjecting15mLofsterilewater.AIRNOTWATERORBYASPIRATINGGASTRICFOR PH.•Assesstheclient's gagreflex.•MeasurethepHofthegastricaspirate.•Anurseis teachingagroupofnewlylicensednurses abouttheBradenScale.Which ofthefollowingresponsesbythenewlylicensed nurseindicatesanunderstandingoftheteaching?•“Theclient‟sageispartofthemeasurement.”-rationaleissameasb.•“Thescalemeasuressixelements.”Rationale:The six elements are 1. Sensory Perception, 2. Moisture, 4. activity,5. mobility ,6. nutrition , 7.friction andshear.•“Thehigherthescore, the higherthepressureulcer risk.”-thehigher thescorethe betterchancethepatienthasof NOTgettingan ulcer .scoreof 12or lessishigh risk.Anything above18 ishealthy.•“Eachelementhasarangefrom1to5points.”-eachelementsis scoredfrom1-4actually .•Anurseis caringfroma client whohasatracheostomy.Whichofthefollowingactionsshouldthenursetake?•Cleantheskinaroundthestomawithnormalsaline.•Securethetracheostomytieswithonefingertofitsnuglyunderneath.→2snugfingerswidthsunderneckstrap•Soaktheoutercannulainwarmtapwater.STERILENS•Use a cotton tip applicator to clean the inside in theinnercannula. <to cleanOUTER cannula surfaces, cllity-approvedsolution>ean theinsidewith thefaci
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