ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril. Which of the following instructions should the nurse plan to include? (Select all that apply)
Correct Answer: B, D, E
Rationale: Lisinopril, an ACE inhibitor, requires specific instructions:
B) Pregnancy is a contraindication due to fetal harm risk, necessitating immediate notification.
D) A persistent dry cough is a common side effect due to bradykinin buildup, requiring reporting. E) Blood pressure monitoring is essential to assess efficacy.
A) Cholesterol monitoring isn’t directly tied to lisinopril, which targets blood pressure, not lipids.
C) Potassium-rich foods should be moderated, not increased, due to hyperkalemia risk with ACE inhibitors.
Question 2 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 3 of 5
A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?
Correct Answer: A
Rationale: Inspect the client's personal belongings. Inspecting the client's personal belongings helps to ensure that the client does not have access to items that could be used for self-harm, such as sharp objects or medications. Assign the client to a private room. Assigning a client who has attempted suicide to a private room can increase isolation and the risk of self-harm, as they are not easily observed. Tuck bedcovers over client's hands and arms. This intervention is not effective and could potentially restrict the client's movement, increasing feelings of distress. Remove utensils from the client's meal trays. Removing utensils, especially sharp ones, from meal trays helps to prevent the client from using them to harm themselves.
Question 4 of 5
A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?
Correct Answer: B
Rationale: Atenolol, a beta-blocker, slows heart rate by blocking beta-1 receptors, making bradycardia a key adverse effect to monitor (normal adult heart rate: 60–100 BPM; bradycardia <60 BPM). Cough is linked to ACE inhibitors, not beta-blockers. Constipation and headaches are not typical atenolol side effects; gastrointestinal and neurological effects are less common.
Question 5 of 5
A 46-year-old African American man is in an outpatient clinic for a physical examination. His blood pressure (BP) is 126 mm Hg, his body mass index (BMI) is 24, and he reports no previous medical problems. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: African American men have a higher prostate cancer risk, with screening (PSA test) recommended from age 45. BP of 126 mm Hg is normal (<120/80 mm Hg), and BMI 24 is healthy (18.5–24.9), so annual visits, weight loss, or hypertension advice aren’t urgent. PSA screening aligns with age and risk profile.