ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 of 5
A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasms. The nurse should suspect:
Correct Answer: B
Rationale: The correct answer is B: Rotator cuff lesions. The patient's ability to flex the arm without difficulty indicates intact muscles involved in flexion, ruling out crepitation. Inability to abduct due to pain and spasms points to rotator cuff involvement, not shoulder dislocation. Rheumatoid arthritis typically presents with symmetrical joint involvement, unlike the unilateral symptoms described.
Question 2 of 5
When assessing muscle strength, the nurse observes that a patient has complete range of motion against gravity with full resistance... What grade of muscle strength should the nurse record using a 0- to 5-point scale?
Correct Answer: D
Rationale: The correct answer is D (5) because the patient demonstrates normal muscle strength with complete range of motion against gravity and full resistance. A grade of 5 signifies normal strength. Choice A (2) indicates poor muscle strength with partial range of motion, B (3) indicates fair strength against gravity but not resistance, and C (4) indicates good strength against some resistance but not full resistance.
Question 3 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 4 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 5 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.