ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 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 2 of 5
A nurse on a telemetry unit is reviewing the laboratory results for a client who has atrial fibrillation and is taking warfarin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: B
Rationale: PT of 45 seconds (normal 11–13.5 seconds) indicates excessive anticoagulation (therapeutic 1.5–2 times normal), risking bleeding on warfarin. Hgb (16 g/dL, 13.8–17.2 g/dL), aPTT (36 seconds, 21–35 seconds), and platelets (190,000/mm, 150,000–450,000/mm) are normal. PT requires urgent reporting.
Question 3 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 4 of 5
A nurse is discussing with a client who knows someone taking metoprolol for blood pressure management. The client inquires whether metoprolol would be suitable for her as well. Based on the client's medical record, which of the following should the nurse recognize as a contraindication to metoprolol?
Correct Answer: D
Rationale: Metoprolol, a beta-blocker, lowers heart rate, making sinus bradycardia (<60 BPM) a contraindication due to risk of severe bradycardia or heart block. Pneumonia and diabetes aren’t direct contraindications; tadalafil requires caution but isn’t absolute. Bradycardia poses the greatest risk.
Question 5 of 5
A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: Disulfiram will prevent my cravings for alcohol.' Disulfiram (Antabuse) is a medication that causes a severe adverse reaction when alcohol is consumed, acting as a deterrent. It does not prevent cravings for alcohol. 'One should expect hand tremors to start less than 24 hours after I stop drinking.' Hand tremors are one of the early signs of alcohol withdrawal and typically begin within 6 to 12 hours after the last drink. 'Withdrawal symptoms should last about 5 to 7 days once they begin.' Alcohol withdrawal symptoms usually peak within 24 to 48 hours and can last up to 72 hours, though some symptoms may persist longer in severe cases. 'It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage.' While vitamin supplementation is important for overall health, taking Vitamin C does not specifically prevent liver cirrhosis or other liver damage.