ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 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 2 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 3 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.
Question 4 of 5
In the assessment of a 1-month-old infant, the nurse notices a lack of response to noise or stimulation. The mother reports that in the last week he has been sleeping all of the time, and when he is awake all he does is cry... The nurse hears that the infant's cries are very high pitched and shrill. What should be the nurse's appropriate response to these findings?
Correct Answer: A
Rationale: The correct answer is A: Refer the infant for further testing. The nurse should be concerned about the lack of response to noise or stimulation, excessive sleeping, constant crying, and high-pitched cries in a 1-month-old infant. These signs could indicate potential issues such as hearing problems, developmental delays, or other health concerns. Referring the infant for further testing is crucial to rule out any underlying medical conditions and ensure appropriate intervention if needed. Talking about eating habits (B) or doing nothing (C) are not appropriate responses given the concerning symptoms. Asking the mother to bring the baby back in 1 week for a recheck (D) delays necessary evaluation and intervention.
Question 5 of 5
During an assessment of a 22-year-old woman who sustained a head injury from an automobile accident 4 hours earlier, the nurse notices the following changes: pupils were equal, but now the right pupil is fully dilated and nonreactive, and the left pupil is 4 mm and reacts to light. What do these findings suggest?
Correct Answer: B
Rationale: The correct answer is B: Increased intracranial pressure. The sudden change in pupil size and reactivity indicates a neurological emergency, likely due to increased pressure within the skull. The dilated and nonreactive pupil on the right side (anisocoria) is a sign of uncal herniation, a life-threatening condition where brain structures shift and compress the third cranial nerve. The left pupil's normal size and reaction indicate that it is still functioning properly. This asymmetrical pupil response is a classic sign of elevated intracranial pressure. Choices A, C, and D are incorrect because they do not account for the specific neurological findings observed in this scenario.