ATI LPN
ATI Mental Health Proctored Exam 2023 Quizlet
1. A patient is being discharged with a prescription for an antidepressant for their depression. Which instruction is most important?
- A. Take the medication with food to prevent stomach upset.
- B. Refrain from driving until you understand the effects of the medication.
- C. Do not discontinue the medication suddenly.
- D. Avoid alcohol consumption while taking this medication.
Correct answer: C
Rationale: The most critical instruction is to not discontinue the antidepressant medication suddenly. Abrupt discontinuation can lead to withdrawal symptoms and potentially trigger a relapse of depression. Options A, B, and D are important but not as crucial as ensuring the patient follows the prescribed regimen and consults with a healthcare provider before making any changes to the medication routine.
2. Beta-adrenergic agonists such as Salbutamol are given to Reggie, a child with asthma. Such drugs are administered primarily to do which of the following?
- A. Dilate the bronchioles
- B. Reduce secondary infections
- C. Decrease postnasal drip
- D. Reduce airway inflammation
Correct answer: A
Rationale: Beta-adrenergic agonists like Salbutamol are used to dilate the bronchioles in asthma patients. This action helps in relieving bronchospasms and improving airflow to the lungs, making breathing easier for the individual. While reducing inflammation is an essential part of asthma management, beta-adrenergic agonists primarily work by relaxing the smooth muscles around the airways, leading to bronchodilation. Choices B, C, and D are incorrect because beta-adrenergic agonists are not primarily used to reduce secondary infections, decrease postnasal drip, or directly reduce airway inflammation in asthma patients.
3. A healthcare provider is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads 'Infuse over one hour by port-a-cath.' When the healthcare provider assesses the personal digital assistant that lists the steps to access a port-a-cath, which type of computer software is being used?
- A. Data management
- B. Electronic health records
- C. Point-of-care technology
- D. Telehealth
Correct answer: C
Rationale: Point-of-care technology refers to the use of devices like personal digital assistants that allow healthcare providers to access and input data directly at the patient's bedside. It aids in providing timely and accurate information for patient care management. In this scenario, the healthcare provider is using the personal digital assistant for immediate access to information on accessing a port-a-cath, demonstrating the use of point-of-care technology. Choices A, B, and D are incorrect because data management typically involves organizing and storing data, electronic health records focus on patient health information management, and telehealth involves providing healthcare services remotely, none of which directly apply to the situation described.
4. The LPN/LVN is collecting data on a client with a diagnosis of angina pectoris who takes nitroglycerin for chest pain. During the admission, the client reports chest pain. The nurse should immediately ask the client which question?
- A. Are you having any nausea?
- B. Where is the pain located?
- C. Are you allergic to any medications?
- D. Do you have your nitroglycerin with you?
Correct answer: B
Rationale: In a client with angina pectoris, determining the location of chest pain is crucial for assessing the potential severity and cause. This information helps the nurse to further evaluate the nature of the pain and its probable origin, aiding in timely and appropriate interventions. Choices A, C, and D are not as immediately relevant as determining the location of the chest pain when assessing a client with angina pectoris.
5. In which of the following situations would the EMT MOST likely deliver a baby at the scene?
- A. A tornado has struck and blocked the only route to the hospital.
- B. Contractions are 8 to 10 minutes apart and irregular.
- C. The amniotic sac has ruptured, and contractions occur regularly.
- D. The hospital is 15 miles away, and crowning is not present.
Correct answer: A
Rationale: The EMT may be required to deliver a baby at the scene when external factors like a tornado have blocked the only route to the hospital, making it impossible to reach the medical facility in time for delivery. In such emergencies, the EMT must be prepared to manage the childbirth process until further medical assistance can be obtained.
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