ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Muscle spasms (
B), tremors (
C), and fidgeting (D, akathisia) are EPS. Sexual dysfunction (
A) and blurred vision (E) are unrelated to EPS.
Question 2 of 5
A nurse on an inpatient mental health unit is caring for a client who was admitted for suicidal ideation. Which of the following statements by the client should the nurse identify as a continuation of suicidal ideation?
Correct Answer: D
Rationale: Giving away possessions suggests putting affairs in order, indicating suicidal ideation. Abstaining from alcohol (
A), walking (
B), and looking forward to family (
C) are positive.
Question 3 of 5
A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
Correct Answer: B
Rationale: Agranulocytosis, a clozapine side effect, causes sore throat and muscle aches due to reduced infection-fighting ability. Respiratory depression (
A), anxiety (
C), and restlessness (
D) are unrelated.
Question 4 of 5
A nurse is caring for a client who is experiencing suicidal thoughts. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Removing harmful objects minimizes self-harm risk. Twelve-hour observation (
A) may be insufficient, and unregulated visitors (C,
D) risk bringing harmful items.
Question 5 of 5
A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse should monitor for which of the following adverse effects of haloperidol?
Correct Answer: A
Rationale: Extrapyramidal symptoms are common with haloperidol. Hiccups (
B), fever (C, though linked to rare conditions like NMS), and excessive salivation (
D) are not typical.