ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?
Correct Answer: B
Rationale: Atenolol, a beta-blocker, slows heart rate by blocking beta-1 receptors, making bradycardia a key adverse effect to monitor (normal adult heart rate: 60–100 BPM; bradycardia <60 BPM). Cough is linked to ACE inhibitors, not beta-blockers. Constipation and headaches are not typical atenolol side effects; gastrointestinal and neurological effects are less common.
Question 2 of 5
A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?
Correct Answer: A
Rationale: Inspect the client's personal belongings. Inspecting the client's personal belongings helps to ensure that the client does not have access to items that could be used for self-harm, such as sharp objects or medications. Assign the client to a private room. Assigning a client who has attempted suicide to a private room can increase isolation and the risk of self-harm, as they are not easily observed. Tuck bedcovers over client's hands and arms. This intervention is not effective and could potentially restrict the client's movement, increasing feelings of distress. Remove utensils from the client's meal trays. Removing utensils, especially sharp ones, from meal trays helps to prevent the client from using them to harm themselves.
Question 3 of 5
A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?
Correct Answer: B
Rationale: Atenolol, a beta-blocker, slows heart rate by blocking beta-1 receptors, making bradycardia a key adverse effect to monitor (normal adult heart rate: 60–100 BPM; bradycardia <60 BPM). Cough is linked to ACE inhibitors, not beta-blockers. Constipation and headaches are not typical atenolol side effects; gastrointestinal and neurological effects are less common.
Question 4 of 5
A nurse is caring for a client who recently had surgery for the insertion of a permanent pacemaker. Which of the following prescriptions should the nurse question?
Correct Answer: C
Rationale: MRI’s magnetic fields can interfere with pacemakers unless MRI-safe, making it questionable post-insertion. Low sodium (
A) manages fluid, enzyme levels (
B) check heart damage, and PT (
D) aids recovery—all appropriate. MRI poses a safety risk.
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.