ATI LPN
ATI LPN Mental Health 2023 III Questions
Question 1 of 5
A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the client's care?
Correct Answer: B
Rationale: Diazepam belongs to the benzodiazepine class of medications and is commonly used during alcohol detoxification. Benzodiazepines help manage symptoms of alcohol withdrawal, including anxiety, tremors, agitation, and seizures. They work by enhancing the effects of gamma-aminobutyric acid (GAB
A), an inhibitory neurotransmitter in the brain. Buprenorphine is used for opioid dependence, Varenicline for smoking cessation, and Rimonabant, withdrawn from the market, was for weight loss, none of which are appropriate for alcohol detox.
Question 2 of 5
A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,B,C,D,E
Rationale: Lanugo (
A) is fine hair that develops due to malnutrition in anorexia to regulate body temperature. Cold extremities (
B) result from reduced body fat and poor circulation. Hypotension (
C) occurs due to dehydration and electrolyte imbalances from malnutrition.
Tooth erosion (
D) is common in purging subtypes from stomach acid exposure during vomiting. Diarrhea (E) can occasionally occur due to malnutrition-related bowel changes, though constipation is more typical.
Question 3 of 5
A client is becoming increasingly agitated, anxious, and tense. The nurse notes a clenched jaw and a change in the pitch of the client's voice. Which of the following interventions should the nurse implement first?
Correct Answer: A
Rationale: Verbal de-escalation is the first-line intervention for managing escalating behavior. It uses calm, non-confrontational communication to reduce agitation without resorting to physical or chemical restraints, which should be last resorts only if safety is imminently threatened and de-escalation fails.
Question 4 of 5
A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium?
Correct Answer: B
Rationale: Fluctuating orientation, where alertness and confusion vary rapidly, is a hallmark of delirium, unlike the steady decline in dementia or consistent mood in depression. Obsessive behaviors may occur but aren’t specific to delirium.
Question 5 of 5
A nurse is collecting data from a client who has bulimia nervosa. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypokalemia (low potassium) is common in bulimia nervosa due to purging behaviors like vomiting, which depletes electrolytes. Lanugo is more associated with anorexia, and muscle wasting or hypomagnesemia are less characteristic.