ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is assisting in the plan of care for a client who has a suspected myocardial infarction. Which of the following medications should the nurse plan to administer first?
Correct Answer: D
Rationale: Oxygen addresses hypoxia in suspected MI, increasing myocardial oxygen supply to limit damage (normal SpO2 95–100%). Morphine relieves pain, nitroglycerin dilates vessels, and aspirin prevents clotting, but oxygen is the priority per MONA protocol (Morphine, Oxygen, Nitroglycerin, Aspirin) when hypoxia is possible.
Question 2 of 5
A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?
Correct Answer: A
Rationale: Aspirin’s antiplatelet effect prevents clotting post-MI, reducing further coronary occlusion risk. Analgesia (
B), fever reduction (
C), and inflammation control (
D) are secondary; clot prevention is primary for CAD management per guidelines.
Question 3 of 5
A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease due to atherosclerosis. The nurse should identify which of the following results places the client at risk?
Correct Answer: D
Rationale: High LDL (172 mg/dL, optimal <100 mg/dL) promotes atherosclerosis, increasing PAD risk by depositing cholesterol in arteries. Triglycerides (130 mg/dL, <150 mg/dL), HDL (84 mg/dL, >40 mg/dL), and glucose (92 mg/dL, 70–99 mg/dL) are normal, not risk factors. LDL drives plaque buildup.
Question 4 of 5
Which of the following is an impulse control disorder?
Correct Answer: D
Rationale: Deceitfulness: Deceitfulness is more associated with antisocial personality disorder rather than impulse control disorders. Aggressive conduct: Aggressive conduct is associated with conduct disorder, not specifically with impulse control disorders. Serious rule violations: Serious rule violations are characteristic of conduct disorder. Pyromania: Pyromania is an impulse control disorder characterized by the recurrent urge to set fires.
Question 5 of 5
A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client’s pulse, which of the following terms should the nurse use?
Correct Answer: A
Rationale: Atrial fibrillation causes an irregular pulse due to chaotic atrial impulses, disrupting ventricular rhythm. Not palpable (
B) implies no pulse, bounding (
C) suggests strength, and regular (
D) contradicts AF’s irregularity. “Irregular” accurately describes AF’s pulse quality.