ATI RN
Psychotropic Medications 101 Quiz Questions
Question 1 of 5
A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The nurse examines her hand and would expect a fracture if the girl complains of a:
Correct Answer: C
Rationale: Rationale: The correct answer is C: Sharp pain that increases with movement. This is indicative of a possible fracture as movement aggravates the pain due to the bones rubbing against each other. A dull ache (A) is less likely to indicate a fracture. Deep pain in the wrist (B) is vague and does not specifically suggest a fracture. Dull throbbing pain that increases with rest (D) is not typical of a fracture, as rest typically alleviates pain in fractures.
Question 2 of 5
A patient who has had rheumatoid arthritis for years comes to the clinic to ask about changes in her fingers. The nurse will assess for signs of what problems?
Correct Answer: C
Rationale: The correct answer is C: Swan-neck deformities. In rheumatoid arthritis, Swan-neck deformities are commonly seen due to chronic inflammation causing joint damage. This deformity involves hyperextension of the proximal interphalangeal joint and flexion of the distal interphalangeal joint. Assessing for Swan-neck deformities helps in monitoring disease progression. Incorrect choices: A: Heberden nodes - These are seen in osteoarthritis, not rheumatoid arthritis. B: Bouchard nodules - Also seen in osteoarthritis, not rheumatoid arthritis. D: Dupuytren contractures - These are associated with Dupuytren's disease, not rheumatoid arthritis.
Question 3 of 5
A patient tells the nurse that, 'All my life I've been called 'knock knees.'' The nurse knows that another term for knock knees is:
Correct Answer: B
Rationale: 1. Genu valgum is the medical term for knock knees, where the knees angle inward and touch when standing straight. 2. Genu varum (Choice A) is the opposite condition, where the knees angle outward. 3. Pes planus (Choice C) refers to flat feet, not related to knee alignment. 4. Metatarsus adductus (Choice D) is a foot deformity, not associated with knee alignment.
Question 4 of 5
While gathering equipment after an injection, a nurse accidentally received a prick from an improperly capped needle. To interpret this sensation, which of these areas must be intact?
Correct Answer: C
Rationale: The correct answer is C: Lateral spinothalamic tract, thalamus, and sensory cortex. When a nurse receives a prick from a needle, the sensation is transmitted through the peripheral nerves to the lateral spinothalamic tract, which carries pain and temperature sensation to the thalamus. The thalamus then relays this information to the sensory cortex for interpretation. Choice A is incorrect because the corticospinal tract is responsible for voluntary motor movements, not sensory perception. Choice B is incorrect as the hypothalamus is involved in regulating bodily functions, not sensory perception. Choice D is incorrect as the anterior spinothalamic tract carries crude touch and pressure sensation, not pain sensation.
Question 5 of 5
During an assessment of an 80-year-old patient, the nurse notices the following: an inability to identify vibrations at her ankle and to identify the position of her big toe, a slower and more deliberate gait, and a slightly impaired tactile sensation. All other neurologic findings are normal. The nurse should interpret that these findings indicate:
Correct Answer: C
Rationale: Rationale for Choice C (Correct Answer - Normal changes attributable to aging): 1. As people age, it is common to experience a decrease in sensory perception and motor function due to changes in the nervous system. 2. The inability to identify vibrations and position of the big toe, slower gait, and impaired tactile sensation are typical age-related changes. 3. Since all other neurologic findings are normal, it suggests these findings are likely due to normal aging processes. 4. There are no signs of acute dysfunction or specific lesions, supporting the interpretation that these findings are part of the natural aging process. Summary of other choices: A: CN dysfunction - Not supported as there are no findings indicative of cranial nerve dysfunction. B: Lesion in the cerebral cortex - Not supported as there are no signs of a specific lesion in the cerebral cortex. D: Demyelination of nerves attributable to a lesion - Not supported as there is no evidence of demyelination or lesion causing nerve damage.