ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 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 2 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Walking improves circulation and promotes collateral vessel growth in peripheral vascular disease (PV
D), reducing claudication. While compression stockings, leg elevation, and morning shoe shopping are beneficial, the document specifies A as correct, emphasizing walking’s direct circulatory benefit. Stockings reduce edema, elevation aids venous return, and morning shopping prevents fit issues from swelling, but walking is foundational.
Question 3 of 5
A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client’s pulse, which of the following terms should the nurse use?
Correct Answer: A
Rationale: Atrial fibrillation causes an irregular pulse due to chaotic atrial impulses, disrupting ventricular rhythm. Not palpable (
B) implies no pulse, bounding (
C) suggests strength, and regular (
D) contradicts AF’s irregularity. “Irregular” accurately describes AF’s pulse quality.
Question 4 of 5
The use of cocaine is higher in which group of people?
Correct Answer: B
Rationale: Hispanic Americans: While substance use varies among populations, Hispanic Americans do not have the highest reported rates of cocaine use. Whites: In terms of drug use by race, White Americans have the highest rates of drug use and abuse. This is likely due to a variety of factors, including socio-economic status, access to drugs, and cultural factors. Asian Americans: Asian Americans typically report lower rates of cocaine use compared to other groups. African Americans: African Americans report lower lifetime use of cocaine, at 8.5%, compared to White Americans (17.6%) and Hispanics (11.1%).
Question 5 of 5
An elderly male client is hospitalized immediately after attempting suicide. Which of the following is implemented as a suicide precaution?
Correct Answer: B
Rationale: Facilitate time alone for the client. Allowing time alone is not appropriate for a suicidal client as it increases the risk of self-harm. Make a no self-harm contract. A no self-harm contract can be part of a suicide prevention plan, where the client agrees to not harm themselves and to seek help if they feel the urge to do so. Administer antianxiety medication: While medication can help with anxiety, it is not a primary intervention for immediate suicide prevention. Prevent family/friend visitation for 48 hours: Preventing visitation can increase feelings of isolation and is not an appropriate intervention for suicide prevention.