ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
The use of cocaine is higher in which group of people?
Correct Answer: B
Rationale: Hispanic Americans: While substance use varies among populations, Hispanic Americans do not have the highest reported rates of cocaine use. Whites: In terms of drug use by race, White Americans have the highest rates of drug use and abuse. This is likely due to a variety of factors, including socio-economic status, access to drugs, and cultural factors. Asian Americans: Asian Americans typically report lower rates of cocaine use compared to other groups. African Americans: African Americans report lower lifetime use of cocaine, at 8.5%, compared to White Americans (17.6%) and Hispanics (11.1%).
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 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 4 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 5 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.