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 dehydration and hypotension. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Increasing fluid intake corrects dehydration and hypotension by restoring blood volume (normal BP 90/60–120/80 mmHg). Imagery (
A) reduces stress, not volume; elevating the head (
B) may worsen hypotension; Valsalva (D, E) treats arrhythmias, not this condition. Fluids are primary.
Question 2 of 5
A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: Disulfiram will prevent my cravings for alcohol.' Disulfiram (Antabuse) is a medication that causes a severe adverse reaction when alcohol is consumed, acting as a deterrent. It does not prevent cravings for alcohol. 'One should expect hand tremors to start less than 24 hours after I stop drinking.' Hand tremors are one of the early signs of alcohol withdrawal and typically begin within 6 to 12 hours after the last drink. 'Withdrawal symptoms should last about 5 to 7 days once they begin.' Alcohol withdrawal symptoms usually peak within 24 to 48 hours and can last up to 72 hours, though some symptoms may persist longer in severe cases. 'It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage.' While vitamin supplementation is important for overall health, taking Vitamin C does not specifically prevent liver cirrhosis or other liver damage.
Question 3 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Anxiety and diaphoresis: Anxiety and diaphoresis (excessive sweating) are common symptoms of alcohol withdrawal, along with tremors, agitation, and insomnia. Muscle aches and chills: Muscle aches and chills are not typical symptoms of alcohol withdrawal. They are more associated with other conditions, such as infections. Arrhythmia and respiratory depression: While severe alcohol withdrawal can lead to arrhythmias, respiratory depression is not a common symptom of alcohol withdrawal. Fatigue and depression: Fatigue and depression may occur after the acute withdrawal phase but are not primary symptoms of initial alcohol withdrawal.
Question 4 of 5
A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Intermittent claudication—exercise-induced leg pain relieved by rest—is a hallmark of PAD due to reduced arterial blood flow. Darkened skin occurs but is less specific. Warm extremities and edema suggest venous, not arterial, issues. Claudication directly reflects PAD’s ischemic nature.
Question 5 of 5
Which of the following is a common characteristic of an abuser?
Correct Answer: D
Rationale: Secure with self: Abusers are often insecure and may have low self-esteem. They may project a false sense of confidence but are not truly secure with themselves. Blames self for own problems: Abusers typically blame others for their problems and take little responsibility for their actions. Control of emotions: Abusers often have poor control of their emotions, leading to aggressive and violent behaviors. History of substance abuse: Substance abuse is commonly found in the history of abusers. It can exacerbate abusive behavior and reduce impulse control.