ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
The most therapeutic caregiver intervention for a client with anger and aggression is which of the following?
Correct Answer: C
Rationale: Share findings with other caregivers. Sharing information with other caregivers is important for continuity of care but is not a direct intervention for managing anger and aggression. Set limits on client behaviors. Setting limits on behavior is necessary, but it should be done within the context of a trusting relationship. Establish and maintain a trusting relationship: Building a trusting relationship is the foundation for effective therapeutic interventions, including managing anger and aggression. Offer prn medication: Offering prn medication can help manage symptoms but should be part of a broader therapeutic strategy.
Question 2 of 5
A nurse is assisting in the plan of care for a client who has dehydration and hypotension. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Increasing fluid intake corrects dehydration and hypotension by restoring blood volume (normal BP 90/60–120/80 mmHg). Imagery (
A) reduces stress, not volume; elevating the head (
B) may worsen hypotension; Valsalva (D, E) treats arrhythmias, not this condition. Fluids are primary.
Question 3 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.
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 caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Prescribed dose: 0.25 mg; available: 0.125 mg/tablet. Calculation: 0.25 ÷ 0.125 = 2 tablets. Digoxin treats heart failure; accurate dosing prevents toxicity (therapeutic range 0.5–2 ng/mL). Rounded to whole number as instructed.