ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who was admitted to the telemetry unit after experiencing chest pain, dyspnea, and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
Correct Answer: D
Rationale: ST segment elevation is a key diagnostic sign of acute myocardial infarction (STEMI), indicating myocardial injury due to blocked coronary blood flow. A PR interval of 0.15 seconds is normal (0.12–0.20 seconds), as is a QRS interval of 0.08 seconds (0.06–0.10 seconds). A QT interval equal to the R-R interval is abnormal but not specific to myocardial infarction; it suggests prolonged repolarization, possibly from other causes.
Question 2 of 5
The most therapeutic caregiver intervention for a client with anger and aggression is which of the following?
Correct Answer: C
Rationale: Share findings with other caregivers. Sharing information with other caregivers is important for continuity of care but is not a direct intervention for managing anger and aggression. Set limits on client behaviors. Setting limits on behavior is necessary, but it should be done within the context of a trusting relationship. Establish and maintain a trusting relationship: Building a trusting relationship is the foundation for effective therapeutic interventions, including managing anger and aggression. Offer prn medication: Offering prn medication can help manage symptoms but should be part of a broader therapeutic strategy.
Question 3 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Elastic-top stockings (
C) constrict blood flow in PVD, worsening circulation—indicating misunderstanding. Not going barefoot (
A), checking water temp (
B), and avoiding leg crossing (
D) are correct, protecting feet and circulation. C requires correction.
Question 4 of 5
A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Correct Answer: A
Rationale: Planning to give his CD collection to his girlfriend: Giving away prized possessions is a common warning sign of suicidal intent, indicating that the person is preparing for their absence. Preferring to eat his meals while watching TV: This behavior is relatively normal and does not necessarily indicate suicidal intent. Stating that he wants to be with his peers more than with his parents: Wanting to spend time with peers is typical for adolescents and does not specifically indicate suicidal intent. Telling his parents that he doesn't want to talk about the attempt: Not wanting to discuss the attempt could be due to embarrassment, guilt, or other reasons, but it is not as direct an indicator of ongoing suicidal intent as giving away possessions.
Question 5 of 5
A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking pedal pulses every 15 minutes monitors perfusion post-femoral catheterization, detecting occlusion or bleeding. High-Fowler’s (
A) risks bleeding, ambulation (
B) is premature, and ROM (
D) disrupts site stability. Pulses ensure vascular integrity.