ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include documenting which of the following information?
Correct Answer: B, C, E
Rationale: Documenting interventions (
B), patient response (
C), and site (E) ensures care continuity and accuracy (e.g., arm vs. leg affects readings). Frequency (
A) and person (
D) are useful but less critical for immediate clinical decisions. B, C, E are essential per nursing standards.
Question 2 of 5
Which of the following is an impulse control disorder?
Correct Answer: A
Rationale: Pyromania: Pyromania is an impulse control disorder characterized by the recurrent urge to set fires. 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.
Question 3 of 5
A nurse is collecting data from a client who has venous insufficiency. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pitting edema is a hallmark of venous insufficiency due to fluid leakage from high venous pressure. Thickened toenails (
A) are fungal-related, shiny skin (
B) and dusky color (
C) indicate arterial insufficiency. Edema reflects venous stasis.
Question 4 of 5
A nurse is preparing to administer digoxin to a client who has left-sided heart failure. Which of the following clinical manifestations should the nurse expect to see in this client? (Select all that apply.)
Correct Answer: A, C, D
Rationale: Left-sided heart failure causes pulmonary congestion:
A) Dyspnea from fluid in lungs;
C) Orthopnea from lying flat, worsening lung fluid;
D) Crackles from alveolar fluid.
B) Jugular vein distention is right-sided failure’s systemic congestion sign. A, C, D reflect left-sided pathology.
Question 5 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.