ATI RN
ATI Mental Health Exam IV Questions
Extract:
Question 1 of 5
Which of the following factors may contribute to an increased risk of suicide?
Correct Answer: D
Rationale: The correct answer is D: Experiencing a history of trauma or abuse. Trauma and abuse can lead to mental health issues such as depression and PTSD, increasing suicide risk. This is supported by research showing a strong correlation between trauma history and suicide. Other choices are incorrect because regular physical exercise (
A), positive self-esteem (
B), and strong social support system (
C) are typically protective factors against suicide, not risk factors. In contrast, a history of trauma or abuse (
D) is a well-established risk factor.
Question 2 of 5
A nurse is caring for a client who reports increased anxiety and nervousness,heat intolerance,and unintentional weight loss. Blood testing reveals decreased thyroid-stimulating hormone (TSH),elevated thyroxine (T4) and elevated triiodothyronine (T3) levels. Which of the following vital sign abnormalities does the nurse anticipate?
Correct Answer: B
Rationale: The correct answer is B: Tachycardia. In this scenario, the client is exhibiting symptoms of hyperthyroidism, including weight loss, heat intolerance, and anxiety. Elevated T4 and T3 levels are indicative of hyperthyroidism. Thyroid hormones directly affect the heart, leading to increased heart rate (tachycardia). Hypotension (
A) would be unlikely as hyperthyroidism typically causes hypertension. Slow respiratory rate (
C) and decreased body temperature (
D) are not characteristic of hyperthyroidism.
Question 3 of 5
A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?
Correct Answer: A
Rationale:
Step 1: Levothyroxine should be taken on an empty stomach to ensure optimal absorption.
Step 2: Taking it before a meal or several hours after a meal prevents interference with food or other medications.
Step 3: Food, especially high-fiber foods or calcium supplements, can decrease absorption of levothyroxine.
Summary:
B: Taking it during a meal may reduce absorption due to food interference.
C: While water is fine, fruit juice may contain substances that reduce absorption.
D: High-protein foods, especially if taken close to the medication, can hinder absorption.
Question 4 of 5
A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Fatigue. In iron deficiency anemia, the body lacks enough iron to produce hemoglobin, leading to decreased oxygen delivery to tissues, resulting in fatigue. Confusion (
A), pain (
C), and slurred speech (
D) are not typical findings in iron deficiency anemia. Confusion is more common in conditions like delirium, pain is not a direct symptom of anemia, and slurred speech is typically seen in neurological conditions.
Question 5 of 5
A nurse is caring for a postoperative client following a total knee replacement. Which of the following medications should the nurse anticipate the provider to prescribe to prevent the formulation of a deep vein thrombosis (DVT)?
Correct Answer: A
Rationale: The correct answer is A: Enoxaparin. Enoxaparin is a low molecular weight heparin commonly used for DVT prophylaxis postoperatively due to its anticoagulant properties. It helps prevent the formation of blood clots by inhibiting certain clotting factors. Alteplase (tP
A) is a thrombolytic agent used to dissolve blood clots and is not typically used for DVT prevention. Warfarin is an oral anticoagulant that requires frequent monitoring and is often used for long-term management of DVT but not typically for immediate postoperative prophylaxis. Clopidogrel is an antiplatelet medication that inhibits platelet aggregation and is not commonly used for DVT prevention.