VATI PN
Mental Health
(Exam-style)
(NGN- STYLE QUESTIONS & CASE “SCENARIO S ”)
Answers with detailed Rationale
What You’ll Get:
➢ Exam has 50 Mental Health questions
• PN/LPN focused content
• Exam-style questions
• Answer explanations (rationales)
• Clear, organized format for easy studying
• Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,1.
A nurse is collecting data from a 5-year-old child who is brought to the
emergency department by a parent who states that the child fell out of a tree.
The child is guarding their right arm. For which of the following findings should
the nurse suspect physical maltreatment?
A. An x-ray of the right arm indicates a greenstick fracture
B. An x-ray of the right arm indicates a transverse fracture
C. An x-ray of the right arm indicates a spiral fracture
D. An x-ray of the right arm indicates a comminuted fracture
Answer: C. An x-ray of the right arm indicates a spiral fracture
The nurse should identify that an x-ray indicating a fracture can be an expected
finding for a child who fell out of a tree. However, a spiral fracture is caused by
twisting of the extremity and can be an indication of physical maltreatment. The
nurse should report the findings to the registered nurse.
2.
A nurse is caring for a client who is admitted for alcohol use disorder. The client
states, "I have not had anything to drink for 24 hours." Which of the following is
the priority nursing intervention?
A. Check the client's vital signs
B. Assess the client's liver function
C. Encourage fluid intake
D. Administer thiamine
Answer: A. Check the client's vital signs
Clients who have alcohol use disorder are at risk for the development of
abstinence syndrome. Manifestations of abstinence syndrome occur 12 to 72 hr
after the client has last consumed alcohol and can include tachycardia,
hypertension, and an elevated temperature. Therefore, the first action the nurse
, should take when using the airway, breathing, circulation (ABC) approach to client
care is to check the client's vital signs to monitor for signs of abstinence
syndrome.
3.
A nurse is reinforcing teaching with the adult child of a client who is scheduled
to have electroconvulsive therapy (ECT). Which of the following statements
should the nurse make?
A. "Your father might experience permanent memory loss after the procedure."
B. "Your father might experience short-term memory loss after the procedure."
C. "Your father will not experience any memory changes after the procedure."
D. "Your father might experience improved long-term memory after the
procedure."
Answer: B. "Your father might experience short-term memory loss after the
procedure."
The nurse should reinforce to the client's child that short-term memory loss is a
common adverse effect of ECT.
4.
A nurse is assisting with planning care for a client who is in the manic phase of
bipolar disorder. Which of the following actions is the priority for the nurse to
include in the plan?
A. Provide a quiet environment with minimal stimulation
B. Offer frequent high-calorie fluids throughout the day
C. Encourage group therapy participation
D. Limit fluid intake to prevent overhydration
Answer: B. Offer frequent high-calorie fluids throughout the day
Mental Health
(Exam-style)
(NGN- STYLE QUESTIONS & CASE “SCENARIO S ”)
Answers with detailed Rationale
What You’ll Get:
➢ Exam has 50 Mental Health questions
• PN/LPN focused content
• Exam-style questions
• Answer explanations (rationales)
• Clear, organized format for easy studying
• Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,1.
A nurse is collecting data from a 5-year-old child who is brought to the
emergency department by a parent who states that the child fell out of a tree.
The child is guarding their right arm. For which of the following findings should
the nurse suspect physical maltreatment?
A. An x-ray of the right arm indicates a greenstick fracture
B. An x-ray of the right arm indicates a transverse fracture
C. An x-ray of the right arm indicates a spiral fracture
D. An x-ray of the right arm indicates a comminuted fracture
Answer: C. An x-ray of the right arm indicates a spiral fracture
The nurse should identify that an x-ray indicating a fracture can be an expected
finding for a child who fell out of a tree. However, a spiral fracture is caused by
twisting of the extremity and can be an indication of physical maltreatment. The
nurse should report the findings to the registered nurse.
2.
A nurse is caring for a client who is admitted for alcohol use disorder. The client
states, "I have not had anything to drink for 24 hours." Which of the following is
the priority nursing intervention?
A. Check the client's vital signs
B. Assess the client's liver function
C. Encourage fluid intake
D. Administer thiamine
Answer: A. Check the client's vital signs
Clients who have alcohol use disorder are at risk for the development of
abstinence syndrome. Manifestations of abstinence syndrome occur 12 to 72 hr
after the client has last consumed alcohol and can include tachycardia,
hypertension, and an elevated temperature. Therefore, the first action the nurse
, should take when using the airway, breathing, circulation (ABC) approach to client
care is to check the client's vital signs to monitor for signs of abstinence
syndrome.
3.
A nurse is reinforcing teaching with the adult child of a client who is scheduled
to have electroconvulsive therapy (ECT). Which of the following statements
should the nurse make?
A. "Your father might experience permanent memory loss after the procedure."
B. "Your father might experience short-term memory loss after the procedure."
C. "Your father will not experience any memory changes after the procedure."
D. "Your father might experience improved long-term memory after the
procedure."
Answer: B. "Your father might experience short-term memory loss after the
procedure."
The nurse should reinforce to the client's child that short-term memory loss is a
common adverse effect of ECT.
4.
A nurse is assisting with planning care for a client who is in the manic phase of
bipolar disorder. Which of the following actions is the priority for the nurse to
include in the plan?
A. Provide a quiet environment with minimal stimulation
B. Offer frequent high-calorie fluids throughout the day
C. Encourage group therapy participation
D. Limit fluid intake to prevent overhydration
Answer: B. Offer frequent high-calorie fluids throughout the day
