ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?
Correct Answer: B
Rationale: Fluctuating cognition and visual hallucinations are hallmark features of Lewy body dementia, caused by Lewy body protein deposits. Prion diseases cause rapid decline, HIV-related dementia presents differently, and TBI-related dementia depends on injury location, none of which typically feature these symptoms.
Question 2 of 5
A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?
Correct Answer: A
Rationale: Caregivers with higher education levels often have better access to resources, knowledge, and support networks, creating a more stable environment that can mitigate adverse childhood experiences. Lack of closeness, social isolation, or young/single caregivers are risk factors, not protective, as they may increase stress or limit support.
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: C
Rationale: Agranulocytosis, a severe side effect of clozapine, involves a significant reduction in white blood cells, increasing infection risk. Symptoms like sore throat, fever, and muscle aches indicate possible infection due to neutropenia, requiring immediate monitoring. Restlessness, respiratory depression, and anxiety/suicidal ideations are not characteristic of agranulocytosis.
Question 4 of 5
A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?
Correct Answer: D
Rationale: Tardive dyskinesia is characterized by involuntary, repetitive movements, particularly around the mouth (e.g., lip smacking, tongue protrusion), as a side effect of long-term antipsychotic use. Hallucinations/delusions are symptoms of the treated condition, nausea/vomiting are early side effects, and seizures/tremors are unrelated to tardive dyskinesia.
Question 5 of 5
A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?
Correct Answer: A
Rationale: When a nurse observes illegal or unethical behavior, such as stealing narcotics, it is their ethical and legal responsibility to report the incident promptly to the appropriate authorities. This ensures patient safety, maintains professional standards, and adheres to organizational policies. Failing to report or making agreements to withhold reporting could compromise patient care and violate legal obligations.