ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is conducting an in-service for a group of newly licensed nurses about the interventions used for clients experiencing non-suicidal self-harm (NSSH). Which of the following should the nurse include?
Correct Answer: B
Rationale: Early recognition facilitates timely intervention for NSSH. Discouraging discussion (
A), labeling as attention-seeking (
C), and immediate questioning (
D) are unhelpful.
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 taking haloperidol. The nurse should monitor for which of the following adverse effects of haloperidol?
Correct Answer: A
Rationale: Extrapyramidal symptoms are common with haloperidol. Hiccups (
B), fever (C, though linked to rare conditions like NMS), and excessive salivation (
D) are not typical.
Question 4 of 5
A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?
Correct Answer: B
Rationale: Neuroleptic malignant syndrome causes hyperpyrexia, unstable blood pressure, and diaphoresis. Pseudoparkinsonism (
A), acute dystonia (
C), and tardive dyskinesia (
D) do not typically include these symptoms.
Question 5 of 5
A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Weight gain is a common side effect of risperidone. Bradycardia (
B), nightmares (
C), and edema (
D) are not typical.