ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 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 2 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 3 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 4 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 5 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.