ATI RN
ATI Psychiatric Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was hospitalized with a high blood alcohol content level. The provider fears the client may go into withdrawal and require medical supervision. The client's manifestations included anxiety, tremors, BP 166/100 mm Hg, and tachypnea about 1 hr ago. Now the client begins yelling out that they are seeing spiders crawling all over the walls. They believe they are at home and begin calling for their mother. The nurse should recognize that the client is experiencing which of the following stages of alcohol withdrawal?
Correct Answer: B
Rationale: Stage 3 (severe) alcohol withdrawal, also known as delirium tremens, includes severe symptoms like hallucinations (e.g., seeing spiders), confusion (believing they are at home), and disorientation (calling for their mother). Earlier symptoms like anxiety, tremors, and elevated vital signs align with progressing withdrawal. Stage 1 is mild (e.g., anxiety), Stage 2 is moderate (e.g., seizures), and these symptoms are not indicative of a primary psychotic disorder.
Question 2 of 5
A nurse is caring for a 50-year-old client who is being evaluated for late-onset schizophrenia. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Late-onset schizophrenia is defined as schizophrenia diagnosed after the age of 40, with symptoms persisting and intensifying as the client ages. The client’s age of 50 years aligns with this definition, making it an expected finding. Personality changes, past cannabis use, or family members mirroring behaviors are not specific indicators of late-onset schizophrenia.
Question 3 of 5
A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?
Correct Answer: A
Rationale: Cockroach allergens, from droppings or body parts, are potent triggers for asthma and allergies, causing respiratory symptoms. Mold is a less significant trigger, and hepatitis B and radon are unrelated to asthma/allergy exacerbations.
Question 4 of 5
A nurse is caring for a client who has ADHD. Which of the following findings should the nurse expect to observe?
Correct Answer: D
Rationale: Hyperactivity is a hallmark symptom of ADHD, manifesting as excessive fidgeting, restlessness, or difficulty remaining seated. Hypoactivity (reduced activity), hypohidrosis (decreased sweating), and hyperhidrosis (excessive sweating) are not characteristic of ADHD, which primarily involves inattention, impulsivity, and hyperactivity.
Question 5 of 5
A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Panic-level anxiety is characterized by intense fear and physical symptoms like shakiness or tremors due to heightened physiological arousal. Voice tremors, depersonalization, and poor concentration may occur but are less specific or more cognitive than the physical manifestation of shakiness.