ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 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 2 of 5
A person has drunk a large amount of alcohol over a short time. Which of the following can result from ingesting a large amount of alcohol?
Correct Answer: B
Rationale: Increased body temperature: Alcohol consumption typically causes vasodilation, which can lead to a decrease in body temperature, not an increase. Cardiac dysrhythmias: Large amounts of alcohol can affect the heart's electrical system, leading to cardiac dysrhythmias. Hypotension: Alcohol is a vasodilator, which can lead to a drop in blood pressure (hypotension). Bradycardia: Alcohol typically causes tachycardia (increased heart rate), not bradycardia (decreased heart rate).
Question 3 of 5
The nurse should most suspect which of the following when presented with an older, mentally impaired woman who is depressed and underweight and has poor personal hygiene?
Correct Answer: A
Rationale: Neglect: Neglect is characterized by the failure to meet the basic needs of an individual, including food, shelter, clothing, and medical care. The signs of depression, underweight, and poor personal hygiene are consistent with neglect. Emotional abuse: Emotional abuse involves behaviors that harm an individual's self-worth or emotional well-being, such as name-calling, shaming, or isolating. While emotional abuse could be present, the physical signs of underweight and poor hygiene point more towards neglect. Physical abuse: Physical abuse involves causing physical harm through actions such as hitting, slapping, or burning. There are no direct signs of physical trauma mentioned in the scenario, making physical abuse less likely. Exploitation: Exploitation involves taking advantage of an individual for personal gain, often financially. The scenario does not provide information about financial or other forms of exploitation.
Question 4 of 5
A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Prescribed dose: 0.25 mg; available: 0.125 mg/tablet. Calculation: 0.25 ÷ 0.125 = 2 tablets. Digoxin treats heart failure; accurate dosing prevents toxicity (therapeutic range 0.5–2 ng/mL). Rounded to whole number as instructed.
Question 5 of 5
A nurse on a telemetry unit is reviewing the laboratory results for a client who has atrial fibrillation and is taking warfarin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: B
Rationale: PT of 45 seconds (normal 11–13.5 seconds) indicates excessive anticoagulation (therapeutic 1.5–2 times normal), risking bleeding on warfarin. Hgb (16 g/dL, 13.8–17.2 g/dL), aPTT (36 seconds, 21–35 seconds), and platelets (190,000/mm, 150,000–450,000/mm) are normal. PT requires urgent reporting.