ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 of 5
A mother brings her newborn baby boy in for a checkup; she tells the nurse that he does not seem to be moving his right arm as much as his left and that he seems to have pain when she lifts him up under the arms. The nurse suspects a fractured clavicle and would observe for:
Correct Answer: C
Rationale: The correct answer is C: Limited range of motion during the Moro reflex. This reflex involves the baby's response to a sudden loss of support or a loud noise, where they spread their arms and then bring them back in. In a newborn with a fractured clavicle, limited range of motion during the Moro reflex may indicate pain or discomfort in the affected arm, leading to decreased movement. Choice A, Negative Allis test, is not relevant to assessing a fractured clavicle in a newborn. Choice B, Positive Ortolani sign, is related to hip dislocation, not a fractured clavicle. Choice D, Limited range of motion during Lasègue test, is used to assess for sciatic nerve irritation in adults and is not applicable to a newborn with a suspected fractured clavicle.
Question 2 of 5
The nurse is assessing the joints of a woman who has stated, 'I have a long family history of arthritis, and my joints hurt.' The nurse suspects that she has osteoarthritis. Which of these are symptoms of osteoarthritis? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Asymmetric joint involvement. Osteoarthritis commonly presents with asymmetric joint involvement, unlike rheumatoid arthritis which typically affects joints symmetrically. This pattern of joint involvement aligns with the woman's complaint of joint pain rather than a broader systemic issue. Additionally, osteoarthritis is characterized by pain with motion of affected joints due to cartilage degeneration, supporting choice C. Swelling with hard, bony protuberances (choice D) is more indicative of osteophyte formation in osteoarthritis. In summary, the correct answer (B) aligns with the typical presentation of osteoarthritis, while choices A and D are more characteristic of other types of arthritis, and choice C is a common symptom shared with osteoarthritis.
Question 3 of 5
A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain that is related to these findings would concern the nurse?
Correct Answer: C
Rationale: The correct answer is C: Cerebellum. The cerebellum is responsible for coordinating voluntary movements, balance, and posture. Dysfunction in the cerebellum can lead to symptoms like unsteadiness and difficulty in maintaining balance. The thalamus (A) is involved in relaying sensory and motor signals, not specifically related to balance. The brainstem (B) is important for basic involuntary functions like breathing and heart rate, not specifically balance. The extrapyramidal tract (D) is involved in motor control but not directly related to balance and coordination.
Question 4 of 5
When taking the health history on a patient with a seizure disorder, the nurse assesses whether the patient has an aura. Which of these would be the best question for obtaining this information?
Correct Answer: C
Rationale: The correct answer is C: "Do you have any warning sign before your seizure starts?" This question is the best choice because an aura is a warning sign that some individuals with seizure disorders experience before the onset of a seizure. By asking about any warning signs, the nurse can gather valuable information about the patient's seizure pattern and potential triggers. Choice A is incorrect because asking about muscle tone does not directly relate to identifying an aura. Choice B is incorrect as it focuses on post-seizure behavior rather than pre-seizure warning signs. Choice D is incorrect as it inquires about specific symptoms during a seizure rather than focusing on pre-seizure indicators like an aura.
Question 5 of 5
The nurse is performing an assessment on a 29-year-old woman who visits the clinic complaining of 'always dropping things and falling down.' While testing rapid alternating movements, the nurse notices that the woman is unable to pat both of her knees. Her response is extremely slow and she frequently misses. What should the nurse suspect?
Correct Answer: C
Rationale: The correct answer is C: Dysfunction of the cerebellum. The cerebellum is responsible for coordinating voluntary movements, including rapid alternating movements. In this case, the woman's inability to pat both of her knees rapidly and accurately suggests a dysfunction in her cerebellum. Vestibular disease (A) would present with issues related to balance and coordination, not specifically rapid alternating movements. Lesion of CN IX (B) would affect the glossopharyngeal nerve, which is not directly related to motor coordination. Inability to understand directions (D) would not explain the physical difficulty observed during the assessment.