ATI RN
Psychotropic Medications Medcomm Quiz Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse knows that determining whether a person is oriented to his or her surroundings will test the functioning of which structure(s)?
Correct Answer: A
Rationale: The correct answer is A: Cerebrum. The cerebrum is responsible for higher brain functions, including cognition, perception, and awareness of surroundings. Orientation to surroundings involves awareness of time, place, and person, which are cognitive functions controlled by the cerebrum. The cerebellum (B) controls coordination and balance, not orientation. The CNS (C) includes the brain and spinal cord, but specifically, the cerebrum is responsible for orientation. The medulla oblongata (D) regulates vital functions like breathing and heart rate, not orientation. Thus, choice A is correct as it directly relates to cognitive functions necessary for orientation.
Question 5 of 5
The nurse is caring for a 65-year-old woman who is undergoing diagnostic tests for a suspected stroke. When asked about her family medical history, the patient states that her father had a stroke. The nurse should:
Correct Answer: C
Rationale: The correct answer is C because discussing the potential impact of the patient's family history of stroke is crucial in understanding her risk factors. By encouraging lifestyle changes, such as maintaining a healthy diet and regular exercise, the nurse can help reduce the patient's risk of stroke. This approach aligns with preventive care and empowers the patient to take control of her health. Choices A and D are incorrect because stopping medications or recommending immediate surgery without proper assessment and consultation with healthcare providers could be harmful and unnecessary. Choice B is incorrect as family history is a known risk factor for stroke, and it is essential to address this risk factor and educate the patient on how it may impact her health.