ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has deep vein thrombosis (DVT). The client has received intravenous (IV) heparin for the past 5 days and now has a new prescription for oral warfarin in addition to the heparin. The client asks the nurse if both medications are necessary. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Heparin acts quickly to prevent clot growth, while warfarin takes days to reach therapeutic INR (2.0–3.0). Overlap ensures anticoagulation continuity. Neither dissolves clots (
A), heparin doesn’t enhance warfarin (
B), and deferring explanation (
C) avoids education. D reflects standard DVT protocol.
Question 2 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 3 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 4 of 5
A nurse is collecting data on a client to check for orthostatic hypotension. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Checking BP supine first establishes a baseline for orthostatic hypotension (drop >20/10 mmHg on position change). Standing (
A) and sitting (
C) follow, with measurements (
B) after each. Supine BP is the initial step per protocol.
Question 5 of 5
A nurse is preparing to perform a 12-lead electrocardiogram (ECG). Which of the following instructions should the nurse provide to the client?
Correct Answer: A
Rationale: A 12-lead ECG requires electrode placement on the chest and limbs to record heart activity, making this the key instruction. Remaining still (
B) and short duration (
D) are true but secondary. Slight pressure (
C) may occur, but it’s not the primary focus. Electrode placement is procedural core.