ATI LPN
ATI Mental Health Practice A 2023
1. Which of the following medications is commonly used to treat panic disorder?
- A. Lithium
- B. Diazepam
- C. Haloperidol
- D. Clozapine
Correct answer: B
Rationale: Diazepam, a benzodiazepine, is commonly used to treat panic disorder due to its anxiolytic effects. It helps reduce feelings of anxiety and panic by acting on the central nervous system. Lithium is primarily used for bipolar disorder, while Haloperidol and Clozapine are antipsychotic medications used for conditions like schizophrenia. Therefore, the correct choice for treating panic disorder among the options provided is Diazepam.
2. A client with heart failure is prescribed an angiotensin-converting enzyme (ACE) inhibitor. What instruction should the nurse reinforce to the client?
- A. Take the medication at bedtime.
- B. Report a persistent dry cough.
- C. Increase potassium-rich foods in the diet.
- D. Avoid taking the medication with meals.
Correct answer: B
Rationale: The correct answer is B. A persistent dry cough is a common side effect of ACE inhibitors and should be reported to the healthcare provider. This symptom can indicate a potential issue with the medication that may require adjustment or discontinuation. Choices A, C, and D are incorrect. Taking the medication at bedtime or with meals is not a specific instruction for ACE inhibitors. Increasing potassium-rich foods in the diet is not directly related to ACE inhibitor therapy and may not be suitable for all patients.
3. Four clients present to the emergency department. The nurse should plan to see which of the following clients first?
- A. A 6-year-old client with a dislocated shoulder
- B. A 26-year-old client with sickle cell disease and severe joint pain
- C. A 76-year-old client who is confused, febrile, and has foul-smelling urine
- D. A 50-year-old client who has slurred speech and reports a headache
Correct answer: D
Rationale: The correct answer is D. The client with slurred speech and a headache may be experiencing a stroke, which is a medical emergency that requires immediate attention to prevent irreversible brain damage. While each client requires prompt assessment and care, the priority is to address potentially life-threatening conditions first. Choices A, B, and C, although important, do not present with symptoms as critical as those of a possible stroke, which necessitates urgent intervention.
4. What is the main function of the uterus?
- A. Dilate and expel the baby from the cervix.
- B. House the fetus as it grows for 40 weeks.
- C. Provide a cushion and protect the fetus from infection.
- D. Provide oxygen and other nutrients to the fetus.
Correct answer: B
Rationale: The main function of the uterus is to house and nurture the growing fetus for approximately 40 weeks during pregnancy. It provides the necessary environment for the fetus to develop and grow until it is ready for birth. Choice A is incorrect as the cervix, not the uterus, dilates during labor to allow the baby to pass through. Choice C is incorrect as while the uterus does provide a protective environment, its primary function is not to act as a cushion. Choice D is incorrect as the placenta, not the uterus, is responsible for providing oxygen and nutrients to the fetus.
5. How should a healthcare professional assess a patient with potential pneumonia?
- A. Assess lung sounds and monitor oxygen saturation
- B. Monitor for fever and sputum production
- C. Auscultate heart sounds and check for cyanosis
- D. Monitor for chest pain and administer oxygen
Correct answer: A
Rationale: Correctly assessing a patient with potential pneumonia involves listening to lung sounds and monitoring oxygen saturation. Lung sounds can reveal abnormal breath sounds associated with pneumonia, such as crackles or diminished breath sounds. Oxygen saturation monitoring helps in detecting respiratory distress, a common complication of pneumonia. Monitoring for fever and sputum production (Choice B) is important but not as specific as assessing lung sounds and oxygen saturation. Auscultating heart sounds and checking for cyanosis (Choice C) are not primary assessments for pneumonia. Monitoring for chest pain and administering oxygen (Choice D) are relevant interventions but do not address the initial assessment of pneumonia.
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