ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Medication Administration Record
• Naltrexone 50 mg PO once daily.
• Fluoxetine 20 mg PO every morning.
Diagnostic Results
• Hepatitis Viral Study (HAA): Positive (Expected Reference Range: Negative)
• Sodium Level: 131 mEq/L (Expected Reference Range: 136 to 145 mEq/L)
• Calcium Level: 9.5 mg/dL (Expected Reference Range: 9 to 10.5 mg/dL)
• BUN (Blood Urea Nitrogen): 11 mg/dL (Expected Reference Range: 10 to 20 mg/dL)
• Fasting Blood Glucose Level: 82 mg/dL (Expected Reference Range: 74 to 106 mg/dL)
• Hematocrit (Hct): 44% (Expected Reference Range: 37 to 52%)
• Hemoglobin (Hgb): 14 g/dL (Expected Reference Range: 12 to 18 g/dL)
History and Assessment
• Client has been admitted to the facility three times within the last 12 months.
• Client shows marked emotional lability and difficulty controlling their impulses.
• Client reports having multiple sexual partners and denies use of condoms.
• Client also acknowledges spending "a lot of money lately" and is not sure how they will pay for their current bills.
• Client admits to participating in self-harming behaviors (cutting) in the past to soothe themselves when feeling anxious.
• No evidence of recent self-harm.
• Client has recently experienced the loss of their remaining living parent and has reported an increased use of alcohol and recreational intravenous drugs to "numb the pain.”. Nurses Notes: Skin is warm and dry.
• Sclera are bloodshot.
• Client is unsteady on their feet, restless, and tense.
• Client reports drinking "a lot of whiskey" within the last 24 hrs.
• Presence of alcohol noted on the client's breath.
• Client is asking for "my nerve" pill.
• Evidence of old healed scratches/cuts noted on the arms and legs.
• States, "I don't have any money to pay for this!" When asked about living family members, states, "everyone is dead, life stinks.”.
Question 1 of 5
A nurse is caring for a client who has borderline personality disorder (BPD). Check the 6 assessment findings that require immediate follow-up:
Correct Answer: A,B,C,E,G
Rationale: Increased substances (
B), risky sexual behaviors (
C), positive hepatitis (
D), low sodium (G), frequent admissions (H), and loss of parent (I) require follow-up. Financial situation (
A), normal BUN (E), and Hgb (F) do not.
Extract:
Question 2 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 3 of 5
A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder. (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Lithium (
A), valproate (
B), carbamazepine (
C), and paroxetine (E) are used for bipolar disorder. Donepezil (
D) is for Alzheimer's disease and not typically used.
Extract:
Medication Administration Record
• Naltrexone 50 mg PO once daily.
• Fluoxetine 20 mg PO every morning.
Diagnostic Results
• Hepatitis Viral Study (HAA): Positive (Expected Reference Range: Negative)
• Sodium Level: 131 mEq/L (Expected Reference Range: 136 to 145 mEq/L)
• Calcium Level: 9.5 mg/dL (Expected Reference Range: 9 to 10.5 mg/dL)
• BUN (Blood Urea Nitrogen): 11 mg/dL (Expected Reference Range: 10 to 20 mg/dL)
• Fasting Blood Glucose Level: 82 mg/dL (Expected Reference Range: 74 to 106 mg/dL)
• Hematocrit (Hct): 44% (Expected Reference Range: 37 to 52%)
• Hemoglobin (Hgb): 14 g/dL (Expected Reference Range: 12 to 18 g/dL)
History and Assessment
• Client has been admitted to the facility three times within the last 12 months.
• Client shows marked emotional lability and difficulty controlling their impulses.
• Client reports having multiple sexual partners and denies use of condoms.
• Client also acknowledges spending "a lot of money lately" and is not sure how they will pay for their current bills.
• Client admits to participating in self-harming behaviors (cutting) in the past to soothe themselves when feeling anxious.
• No evidence of recent self-harm.
• Client has recently experienced the loss of their remaining living parent and has reported an increased use of alcohol and recreational intravenous drugs to "numb the pain.”. Nurses Notes: Skin is warm and dry.
• Sclera are bloodshot.
• Client is unsteady on their feet, restless, and tense.
• Client reports drinking "a lot of whiskey" within the last 24 hrs.
• Presence of alcohol noted on the client's breath.
• Client is asking for "my nerve" pill.
• Evidence of old healed scratches/cuts noted on the arms and legs.
• States, "I don't have any money to pay for this!" When asked about living family members, states, "everyone is dead, life stinks.”.
Question 4 of 5
A nurse is caring for a client who has borderline personality disorder (BPD). Check the 6 assessment findings that require immediate follow-up:
Correct Answer: A,B,C,E,G
Rationale: Increased substances (
B), risky sexual behaviors (
C), positive hepatitis (
D), low sodium (G), frequent admissions (H), and loss of parent (I) require follow-up. Financial situation (
A), normal BUN (E), and Hgb (F) do not.
Extract:
Question 5 of 5
A nurse is discussing schizophrenia spectrum disorders with a client. The client states, 'My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Isolation in the prodromal phase is an early schizophrenia warning. General uncertainty (
A), introversion (
B), and avoiding friends for voices (
D) are less accurate.