ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
History and Physical
Week 1:
• Bipolar disorder.
• Type 2 diabetes mellitus.
• Depression.
• Hyperlipidemia.
• Family history of alcohol use disorder.
Nurses' Notes.
Week 1: Client reports feelings of anxiety about a new diagnosis of type 2 diabetes mellitus.
Client states, "This can lead to heart disease, having to learn how to self-administer insulin, not to mention that I could even die from this.”. Week 4: Client visits outpatient clinic once a month and continues to have concerns about the dangers of diabetes mellitus and other concerns of "not feeling well.”. Month 6: Client seen for feelings of increased anxiety and excessive thoughts of recent diagnosis of type 2 diabetes mellitus.
"I can't sleep and now I have pain all over my body all the time.
I have diarrhea every day and my stomach hurts when I eat.”. A nurse is assessing a client who has been coming to an outpatient clinic for the last 6 months.
Question 1 of 5
A nurse is caring for a client in an outpatient clinic. The nurse should identify which of the following findings as manifestations of somatic symptom disorder? (Select all that apply.)
Correct Answer: A,B,C,E,F
Rationale: Anxiety (
A), GI distress (
B), pain (
C), health fixation (E), and depression (F) are somatic symptom disorder manifestations. Bipolar disorder (
D) and amnesia (G) are separate.
Extract:
A nursing student is looking at a telemetry screen with multiple rhythms. The unit is a step-down cardiac unit with delicate patients. Patients on Census. The unit has:
1. 84-year-old male with AFib, diaphoretic, and complaining of fatigue.
2. 45-year-old female with SVT not responding to adenosine.
3. 78-year-old female with bradycardia who was given atropine and epinephrine, yet unresolved.
4. 80-year-old male in pulseless Ventricular fibrillation being coded and transferred to Intensive Care Unit.
5. 69-year-old female who arrived at the unit symptomatic and currently being coded is pulseless with Ventricular Tachycardia.
Question 2 of 5
The nurse on the step-down unit explains to the nursing student the electricity to be used for each dysrhythmia. Select the correct electricity to be used to manage the dysrhythmias listed:Transcutaneous Pacing, Defibrillation, or Synchronized cardioversion?Dysrhythmias:
| Options | Transcutaneous Pacing | Defibrillation | Synchronized cardioversion |
|---|---|---|---|
| Ventricular fibrillation | |||
| PVC-run ventricular tachycardia with a pulse | |||
| Atrial Flutter | |||
| Bradycardia |
Correct Answer:
Rationale: Ventricular fibrillation: The correct electricity is Defibrillation. Ventricular fibrillation is a life-threatening condition that requires immediate medical attention. Defibrillation is the process of delivering an electric shock to the heart to stop the fibrillation and allow the heart’s normal rhythm to resume4.
PVC-run ventricular tachycardia with a pulse: The correct electricity is Synchronized Cardioversion. This is used when the patient is hemodynamically stable. It involves the delivery of a therapeutic dose of electrical current to the heart at a specific moment in the cardiac cycle5.
Atrial Flutter: The correct electricity is Synchronized Cardioversion. Atrial flutter is a type of abnormal heart rhythm, or arrhythmia. It can be treated with synchronized cardioversion, in which a controlled electric shock is delivered to the heart to restore normal rhythm5.
Bradycardia: The correct electricity is Transcutaneous Pacing. This is a temporary means of pacing a patient’s heart during a medical emergency. It should be undertaken by healthcare providers who are trained in the procedure5.
So, the correct answer is Defibrillation for Ventricular fibrillation, Synchronized Cardioversion for PVC-run ventricular tachycardia with a pulse and Atrial Flutter, and Transcutaneous Pacing for Bradycardia, after analyzing all choices.
Extract:
Question 3 of 5
A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
Correct Answer: D
Rationale: Asking what the voices say assesses for command hallucinations, prioritizing safety. Acknowledging voices (
A), linking to illness (
B), and frequency (
C) are less urgent.
Question 4 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 5 of 5
A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?
Correct Answer: C
Rationale: Providing reassurance and safety addresses immediate needs in confusion and distorted thinking. Group activities (
A), distraction (
B), and PRN medications (
D) are secondary.