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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.

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