ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?
Correct Answer: C
Rationale: A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can emerge in advanced stages of dementia related to traumatic brain injury, indicating disease progression. Visual field cuts, decreased CD4 counts, and chorea are not typically linked to worsening TBI-related dementia.
Question 2 of 5
A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?
Correct Answer: D
Rationale: Alcohol withdrawal is characterized by symptoms such as increased heart rate (tachycardia), sweating, tremors, anxiety, nausea, vomiting, and agitation. These symptoms result from the autonomic nervous system’s response to the sudden cessation of alcohol. Decreased blood pressure, constipation, pupil constriction, and bone/muscle aches are more associated with other conditions, such as opioid withdrawal, and are not typical of alcohol withdrawal.
Question 3 of 5
A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?
Correct Answer: B
Rationale: Fentanyl toxicity, like other opioid overdoses, can cause an irregular rapid heart rate in some cases, though it more commonly leads to respiratory depression, hypotension, and pupillary constriction. Tachypnea and hypertension are not typical, and pupillary dilation is associated with stimulants, not opioids.
Question 4 of 5
A nurse is caring for a client who has been diagnosed with bipolar disorder and is experiencing a manic episode. Which of the following behaviors should the nurse expect?
Correct Answer: B
Rationale: During a manic episode in bipolar disorder, clients often exhibit rapid speech and flight of ideas due to elevated mood and energy. Increased sleep, loss of interest, and sadness are more characteristic of depressive episodes, not mania.
Question 5 of 5
A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?
Correct Answer: C
Rationale: Delusions, hallucinations, and alterations in speech are characteristic symptoms of psychosis, commonly seen in disorders like schizophrenia. Dopamine antagonists, also known as antipsychotic medications, are the primary pharmacological treatment for psychosis as they block dopamine receptors in the brain, reducing psychotic symptoms. Mood stabilizers, SSRIs, and benzodiazepines are used for other conditions like bipolar disorder, depression, or anxiety, respectively, and are not first-line treatments for psychosis.