ATI RN
Psychobiological Disorder Questions
Question 1 of 5
A nurse can anticipate anticholinergic side effects are likely when a patient takes
Correct Answer: C
Rationale: The correct answer is C: imipramine. Imipramine is a tricyclic antidepressant with strong anticholinergic properties, leading to side effects such as dry mouth, constipation, blurred vision, and urinary retention. These side effects are common with medications that block the action of acetylcholine in the body. Lithium (A) is used for mood stabilization in bipolar disorder and does not typically cause anticholinergic side effects. Buspirone (B) is an anxiolytic medication that does not have significant anticholinergic effects. Risperidone (D) is an atypical antipsychotic that may cause some anticholinergic side effects but is not as strongly associated with these effects as imipramine.
Question 2 of 5
A nurse cares for four patients who are receiving clozapine, lithium, fluoxetine, and venlafaxine, respectively. With which patient should the nurse be most alert for problems associated with fluid and electrolyte imbalance? The patient receiving
Correct Answer: A
Rationale: The correct answer is A: lithium. Lithium is known to cause electrolyte imbalances, particularly affecting sodium levels. The nurse should monitor for signs of hyponatremia or hypernatremia. Clozapine (B) is more associated with metabolic side effects. Fluoxetine (C) and venlafaxine (D) are less likely to cause significant fluid and electrolyte imbalances compared to lithium. Sodium monitoring is crucial with lithium to prevent serious complications.
Question 3 of 5
A professional football player is seen in the emergency department after losing consciousness from an illegal block. Prior to discharge, the nurse assists the patient to schedule an outpatient computed tomography (CT) scan for the next day. Which strategy should the nurse use to ensure the patient remembers the appointment?
Correct Answer: B
Rationale: The correct answer is B: Log the appointment day, time, and location into the player's cell phone calendar feature. This method utilizes technology to set a reminder for the appointment, increasing the likelihood of the patient remembering. By inputting the information directly into the player's cell phone calendar, it serves as a tangible reminder that the patient will frequently access. This strategy leverages the convenience and accessibility of smartphones, enhancing the chances of successful appointment attendance. Choice A is less effective because a piece of paper can be lost or forgotten easily. Choice C is unnecessary as the patient does not require hospital admission for a routine CT scan appointment. Choice D relies solely on verbal communication which may not be as reliable as a digital reminder in a traumatic situation where the patient may be disoriented or forgetful.
Question 4 of 5
A nurse provides health education for an adult with sleep deprivation. It is most important for the nurse to encourage caution when the patient engages in
Correct Answer: C
Rationale: The correct answer is C: driving a car. Sleep deprivation impairs cognitive function and reaction time, increasing the risk of accidents while driving. It is crucial for the nurse to emphasize caution during activities requiring alertness and quick decision-making. Using a vacuum cleaner (A) and cooking a meal (B) involve less risk compared to driving. Bathing (D) is a routine task that does not pose the same level of danger as driving. Encouraging caution during driving is essential to prevent potential harm to the patient and others.
Question 5 of 5
Which person would be most likely to experience sleep fragmentation?
Correct Answer: A
Rationale: The correct answer is A - An obese adult. Obesity is a risk factor for sleep fragmentation due to conditions like sleep apnea. Excess weight can lead to airway obstruction during sleep, resulting in interrupted breathing and disrupted sleep patterns. Toddlers attending day care (choice B) may experience disruptions but not necessarily as consistently as obese adults. Mild osteoarthritis (choice C) may cause discomfort but is not directly linked to sleep fragmentation. An adolescent with anorexia nervosa (choice D) may have sleep disturbances, but obesity poses a higher risk for sleep fragmentation.