ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is assisting with teaching a newly licensed nurse about heart sounds. Which of the following sounds is heard when the aortic and pulmonic valves close?
Correct Answer: B
Rationale: S2, the “dub” sound, occurs when the aortic and pulmonic (semilunar) valves close at the end of systole. S1 is mitral and tricuspid closure. S3 indicates rapid ventricular filling (e.g., heart failure). S4 reflects atrial contraction against a stiff ventricle. S2 directly correlates with semilunar valve closure.
Question 2 of 5
A husband is yelling and swearing at his wife during an argument. He also is pacing and pounding his fist. This pattern of behavior is consistent with which stage in the assault cycle?
Correct Answer: C
Rationale: Recovery stage: The recovery stage occurs after the crisis has passed and the individual begins to calm down and return to baseline behavior. Crisis stage: The crisis stage involves the peak of aggression, often resulting in physical violence. Escalation stage: The escalation stage involves increasing agitation and aggressive behaviors, such as yelling, swearing, pacing, and fist-pounding, before reaching a crisis. Trigger stage: The trigger stage involves the initial event or situation that provokes the individual's anger or aggression.
Question 3 of 5
A 46-year-old African American man is in an outpatient clinic for a physical examination. His blood pressure (BP) is 126 mm Hg, his body mass index (BMI) is 24, and he reports no previous medical problems. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: African American men have a higher prostate cancer risk, with screening (PSA test) recommended from age 45. BP of 126 mm Hg is normal (<120/80 mm Hg), and BMI 24 is healthy (18.5–24.9), so annual visits, weight loss, or hypertension advice aren’t urgent. PSA screening aligns with age and risk profile.
Question 4 of 5
A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?
Correct Answer: D
Rationale: What will you accomplish by taking your life?' This question is not therapeutic and may be perceived as judgmental or dismissive. 'What happened to you in the past to make you so desperate?' This question focuses on past events and may not address the immediate crisis. 'Why do you feel depressed enough to end your life?' This question is less direct and may not elicit a specific plan, which is crucial for assessing risk. 'How will you carry out your plan?' This question is direct and helps to determine if the client has a specific plan, which is a key factor in assessing the immediacy and severity of the suicide risk.
Question 5 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.