ATI RN
Cardiovascular Drugs NCLEX Practice Questions Quizlet Questions
Question 1 of 5
Which of the following client symptoms would most likely decrease because of the therapeutic effect of this medication? (Select the one tha does not apply.)
Correct Answer: A
Rationale: The correct answer is A: Somatic delusions. Somatic delusions are false beliefs about one's body, which can be reduced by medication targeting delusions. Social isolation (B) and flat affect (D) are not directly related to somatic delusions and would not be affected by medication for delusions. Gustatory hallucinations (C) are related to taste perceptions, not somatic delusions. Therefore, A is the most likely symptom to decrease due to the therapeutic effect of the medication.
Question 2 of 5
Ant has just turned 18, is in his first year at uni, and has been taking advantage of the cheap alcohol available at the uni bar. As a result of this he has missed several classes, the deadlines on 5 assignments, and may fail some of his units. Which of the following DSM-IV diagnoses is most correct for him?
Correct Answer: A
Rationale: The correct answer is A: Substance Abuse. Ant's behavior of missing classes, deadlines, and risking academic failure due to alcohol use aligns with the criteria for Substance Abuse in the DSM-IV. This diagnosis indicates a pattern of harmful use despite negative consequences. Substance Dependence (Choice B) would require more severe criteria like tolerance and withdrawal symptoms, which are not evident here. Choice C is incorrect as Substance Dependence is not met. Choice D is incorrect as it dismisses the seriousness of Ant's behavior and the potential impact on his academic success.
Question 3 of 5
While completing the history portion of an admission assessment of a client with schizophrenia, the nurse notices that the client is continually moving in the chair and frequently stands, then sits back down. The nurse knows that this client most likely is experiencing the side effect of:
Correct Answer: C
Rationale: The correct answer is C: Akathisia. Akathisia is characterized by restlessness, inability to sit still, and a constant need to move. In this scenario, the client's continual movement and inability to sit still indicate symptoms of akathisia. This side effect is commonly seen with antipsychotic medications. Explanation: 1. Drug-induced parkinsonism (Choice A) presents with symptoms similar to Parkinson's disease, such as tremors, stiffness, and shuffling gait. The client's symptoms do not align with these characteristics. 2. Dystonia (Choice B) is characterized by involuntary muscle contractions causing abnormal movements or postures. The client's symptoms do not match the sudden, sustained muscle contractions seen in dystonia. 3. Akinesia (Choice D) refers to a lack of movement or difficulty initiating movement, which is not consistent with the client's behavior of constant movement and inability to sit still.
Question 4 of 5
A patient demonstrates disoriented thinking and irrational ideas. A nurse can anticipate that a PET scan would most likely show dysfunction in the brain’s:
Correct Answer: A
Rationale: The correct answer is A: frontal lobe. Disoriented thinking and irrational ideas are associated with dysfunction in the frontal lobe, responsible for decision-making, problem-solving, and emotional regulation. A PET scan would likely show decreased activity in this region. The parietal lobe (B) is primarily involved in sensory processing, the occipital lobe (C) in visual processing, and the temporal lobe (D) in memory and language functions, not directly linked to disoriented thinking.
Question 5 of 5
A patient has been taking temazepam (Restoril) for intermittent insomnia. She calls the nurse to say that when she takes it, she sleeps well, but the next day she feels 'so tired.' Which explanation by the nurse is correct?
Correct Answer: C
Rationale: The correct answer is C: “These drugs affect the sleep cycle, resulting in daytime sleepiness.” Temazepam is a benzodiazepine used for insomnia by enhancing the effects of GABA neurotransmitter, which can disrupt the sleep cycle. This disruption can lead to next-day drowsiness. Choice A is incorrect as long-term use does not increase sedative effects. Choice B is incorrect as taking the drug regularly may not reduce the hangover effect. Choice D is incorrect as benzodiazepines like temazepam actually have a sedative effect and do not increase CNS activity.