ATI RN
Psychotropic Medications 101 Quiz Questions
Question 1 of 5
To palpate the temporomandibular joint, the nurse's fingers should be placed in the depression ________ of the ear.
Correct Answer: C
Rationale: The correct answer is C: Anterior to the tragus. To palpate the temporomandibular joint, the nurse's fingers should be placed in front of the tragus, as it marks the location of the joint. Placing the fingers anterior to the tragus allows for accurate assessment of the joint's movement and tenderness. Explanation for other choices: A: Distal to the helix - Incorrect, as the tragus is not distal to the helix. B: Proximal to the helix - Incorrect, as the tragus is not proximal to the helix. D: Posterior to the tragus - Incorrect, as placing the fingers posterior to the tragus would not allow for proper palpation of the temporomandibular joint.
Question 2 of 5
During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects:
Correct Answer: C
Rationale: The correct answer is C: Herniated nucleus pulposus. When the patient bends forward and experiences pain going down the buttock into the leg, it suggests sciatic nerve irritation. This is a classic sign of a herniated nucleus pulposus, where the disc material impinges on the nerve root. Other choices are incorrect because scoliosis (A) refers to a lateral curvature of the spine, not associated with leg pain. Meniscus tear (B) is a knee joint injury, not related to the described symptoms. Spasm of paravertebral muscles (D) may cause back pain but not radiating pain down the leg.
Question 3 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 4 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 5 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.