ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is preparing to administer digoxin to a client who has left-sided heart failure. Which of the following clinical manifestations should the nurse expect to see in this client? (Select all that apply.)
Correct Answer: A, C, D
Rationale: Left-sided heart failure causes pulmonary congestion:
A) Dyspnea from fluid in lungs;
C) Orthopnea from lying flat, worsening lung fluid;
D) Crackles from alveolar fluid.
B) Jugular vein distention is right-sided failure’s systemic congestion sign. A, C, D reflect left-sided pathology.
Question 2 of 5
A person yells, curses, and strikes a bank teller for making her wait in line too long. This behavior is consistent with which of the following?
Correct Answer: B
Rationale: Adjustment disorder: Adjustment disorder involves emotional or behavioral symptoms in response to a stressor, but not typically to the extent of physical aggression. Intermittent explosive disorder: Intermittent explosive disorder is characterized by sudden episodes of unwarranted anger and impulsive, aggressive behavior that are grossly out of proportion to the provocation or stressor present is consistent with the described actions. Conduct disorder: Conduct disorder typically involves a pattern of behavior that violates societal norms and the rights of others, more commonly diagnosed in children and adolescents. Oppositional defiant disorder: Oppositional defiant disorder involves a pattern of angry, defiant behavior towards authority, but does not typically include physical aggression towards non-family members.
Question 3 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.
Question 4 of 5
A nurse is collecting data on a patient who is postoperative following aortic valve replacement. Which of the following tasks should the nurse prioritize during data collection?
Correct Answer: A
Rationale: Pain assessment is the priority post-aortic valve replacement because it affects patient comfort, vital signs, and recovery. Unmanaged pain can increase heart rate and blood pressure, stressing the surgical site. Blood pressure, bowel sounds, and catheter site checks are important but secondary, as pain directly impacts immediate well-being and can signal complications like bleeding or infection.
Question 5 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.