ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Anxiety and diaphoresis: Anxiety and diaphoresis (excessive sweating) are common symptoms of alcohol withdrawal, along with tremors, agitation, and insomnia. Muscle aches and chills: Muscle aches and chills are not typical symptoms of alcohol withdrawal. They are more associated with other conditions, such as infections. Arrhythmia and respiratory depression: While severe alcohol withdrawal can lead to arrhythmias, respiratory depression is not a common symptom of alcohol withdrawal. Fatigue and depression: Fatigue and depression may occur after the acute withdrawal phase but are not primary symptoms of initial alcohol withdrawal.
Question 2 of 5
A 46-year-old African American man is in an outpatient clinic for a physical examination. His blood pressure (BP) is 126 mm Hg, his body mass index (BMI) is 24, and he reports no previous medical problems. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: African American men have a higher prostate cancer risk, with screening (PSA test) recommended from age 45. BP of 126 mm Hg is normal (<120/80 mm Hg), and BMI 24 is healthy (18.5–24.9), so annual visits, weight loss, or hypertension advice aren’t urgent. PSA screening aligns with age and risk profile.
Question 3 of 5
A nurse is collecting data on a patient who has mitral valve stenosis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: A heart murmur, specifically a diastolic murmur, is a classic finding in mitral valve stenosis due to the obstruction of blood flow from the left atrium to the left ventricle, creating a pressure gradient and turbulent flow audible upon auscultation. Barrel chest is associated with lung conditions like COPD, not mitral valve stenosis. Clubbing of the fingers relates to chronic hypoxia, not specific to this condition. Bradycardia is not typical, as mitral valve stenosis may cause arrhythmias like atrial fibrillation instead.
Question 4 of 5
A nurse is reinforcing teaching with a middle-aged client about hypertension. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Reducing sodium to <2,300 mg/day lowers blood pressure by decreasing fluid retention, a key hypertension management strategy. Weight goals use BMI (18.5–24.9), not a vague 25% range. Alcohol limits are stricter for hypertension, and potassium checks apply to diuretics, not general teaching. Sodium reduction is broadly applicable.
Question 5 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.