ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 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.
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 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 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
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.