ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Warfarin prevents strokes in atrial fibrillation by reducing clot formation (via vitamin K inhibition), not dissolving clots (
A), slowing ventricles (B, antiarrhythmic role), or restoring rhythm (
D). Stroke prevention is its primary role due to atrial clot risk.
Question 2 of 5
A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking pedal pulses every 15 minutes monitors perfusion post-femoral catheterization, detecting occlusion or bleeding. High-Fowler’s (
A) risks bleeding, ambulation (
B) is premature, and ROM (
D) disrupts site stability. Pulses ensure vascular integrity.
Question 3 of 5
A husband is yelling and swearing at his wife during an argument. He also is pacing and pounding his fist. This pattern of behavior is consistent with which stage in the assault cycle?
Correct Answer: C
Rationale: Recovery stage: The recovery stage occurs after the crisis has passed and the individual begins to calm down and return to baseline behavior. Crisis stage: The crisis stage involves the peak of aggression, often resulting in physical violence. Escalation stage: The escalation stage involves increasing agitation and aggressive behaviors, such as yelling, swearing, pacing, and fist-pounding, before reaching a crisis. Trigger stage: The trigger stage involves the initial event or situation that provokes the individual's anger or aggression.
Question 4 of 5
A nurse is collecting data on a client to check for orthostatic hypotension. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Checking BP supine first establishes a baseline for orthostatic hypotension (drop >20/10 mmHg on position change). Standing (
A) and sitting (
C) follow, with measurements (
B) after each. Supine BP is the initial step per protocol.
Question 5 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.