ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has venous insufficiency. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pitting edema is a hallmark of venous insufficiency due to fluid leakage from high venous pressure. Thickened toenails (
A) are fungal-related, shiny skin (
B) and dusky color (
C) indicate arterial insufficiency. Edema reflects venous stasis.
Question 2 of 5
A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease due to atherosclerosis. The nurse should identify which of the following results places the client at risk?
Correct Answer: D
Rationale: High LDL (172 mg/dL, optimal <100 mg/dL) promotes atherosclerosis, increasing PAD risk by depositing cholesterol in arteries. Triglycerides (130 mg/dL, <150 mg/dL), HDL (84 mg/dL, >40 mg/dL), and glucose (92 mg/dL, 70–99 mg/dL) are normal, not risk factors. LDL drives plaque buildup.
Question 3 of 5
A nurse is assisting with the care of a client who was admitted to the telemetry unit after experiencing chest pain, dyspnea, and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
Correct Answer: D
Rationale: ST segment elevation is a key diagnostic sign of acute myocardial infarction (STEMI), indicating myocardial injury due to blocked coronary blood flow. A PR interval of 0.15 seconds is normal (0.12–0.20 seconds), as is a QRS interval of 0.08 seconds (0.06–0.10 seconds). A QT interval equal to the R-R interval is abnormal but not specific to myocardial infarction; it suggests prolonged repolarization, possibly from other causes.
Question 4 of 5
A nurse is contributing to the plan of care for a client who is admitted with deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Monitoring platelet levels ensures safety during anticoagulant therapy for DVT (e.g., heparin-induced thrombocytopenia risk). Ice (
A) isn’t standard (warmth is used), vasodilators (
B) don’t treat clots, and fluids (
C) prevent thickening, not restricted. Platelets are key for bleeding risk.
Question 5 of 5
A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 mEq/L. The nurse notifies the provider and anticipates that the provider will provide which of the following instructions?
Correct Answer: B
Rationale: Hyperkalemia (6.8 mEq/L, normal 3.5–5.0 mEq/L) from spironolactone (a potassium-sparing diuretic) risks cardiac arrhythmias. A 12-lead ECG detects changes (e.g., peaked T waves). ESR is unrelated, more potassium worsens hyperkalemia, and fluid restriction doesn’t address potassium levels. ECG is urgent for cardiac monitoring.