ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is requesting a prescription for a new medication. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Informing the client that their request will be discussed with their provider acknowledges the request while ensuring medication decisions are made collaboratively within a comprehensive care plan. Dismissing the request, questioning motives, or suggesting unrelated alternatives may undermine trust or fail to address the client’s needs.
Question 2 of 5
A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?
Correct Answer: B
Rationale: Fentanyl toxicity, like other opioid overdoses, can cause an irregular rapid heart rate in some cases, though it more commonly leads to respiratory depression, hypotension, and pupillary constriction. Tachypnea and hypertension are not typical, and pupillary dilation is associated with stimulants, not opioids.
Question 3 of 5
A nurse is reviewing the medical record of a client who reports severe pain in their head and abdomen. The client's blood toxicology test reveals ingestion of a common insect poison. The client states, 'I like to feel like I am the center of a TV show medical drama. That is why I took the poison.' The client denies suicidal intent or ideation. Which of the following disorders best describes the client's condition?
Correct Answer: B
Rationale: Factitious disorder involves intentionally inducing symptoms (e.g., ingesting poison) to assume the sick role and gain medical attention, as indicated by the client’s desire to feel like the center of a medical drama. Functional neurological symptom disorder, illness anxiety disorder, and somatic symptom disorder involve neurological symptoms, fear of illness, or distress over physical symptoms, respectively, which do not align with the client’s motives.
Question 4 of 5
A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?
Correct Answer: A
Rationale: A serum lithium level of 1.6 mEq/L indicates lithium toxicity, as the therapeutic range is typically 0.6-1.2 mEq/L. Neurological symptoms like blurred vision and jerking motor movements are common in lithium toxicity due to its effects on the central nervous system. Fever, fluctuating blood pressure, lip smacking, or tongue thrusting are not typical, and while GI discomfort and poor coordination may occur, they are less specific.
Question 5 of 5
A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?
Correct Answer: C
Rationale: A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can emerge in advanced stages of dementia related to traumatic brain injury, indicating disease progression. Visual field cuts, decreased CD4 counts, and chorea are not typically linked to worsening TBI-related dementia.