ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
Your patient is experiencing extrapyramidal symptoms (EPS) from antipsychotic therapy. You understand that the following medications are used to reverse EPS. (Select All that Apply.)
Correct Answer: A,B,D
Rationale: Benadryl (
A), Artane (
B), and Cogentin (
D) treat EPS. Flumazenil (
C) is for benzodiazepine overdose, and acetylcysteine (E) is for acetaminophen overdose.
Question 2 of 5
A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO. The client's current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value indicates which of the following?
Correct Answer: C
Rationale: A lithium level of 1.8 mEq/L is toxic (>1.5 mEq/L). Therapeutic initial levels are 0.8-1.4 mEq/L (
A), maintenance 0.4-1.3 mEq/L (
D), and it’s not below therapeutic (
B).
Extract:
Medical History: Borderline personality disorder.
Alcohol use disorder.
History of suicidal ideation.
Medication Administration Record: Fluoxetine 20 mg PO daily.
Nurses' Notes: . 1500: Client admitted for evaluation and treatment following arrest for driving while under the influence of alcohol.
Client reports recent breakup of romantic relationship and subsequent job loss.
States, "I was too upset to go to work, and then they fired me. Like I needed that stress, too.”. 1700: Noted client has multiple cuts on arms and legs and there is a broken mirror with blood on it on the floor.
Client states, "I feel so alone.
Question 3 of 5
There is no one that cares about me.”. For each potential nursing action, click to specify if the potential action is anticipated, nonessential, or contraindicated for the client.
| anticipated | nonessential | contraindicated |
|---|---|---|
| Instruct the client to avoid foods with tyramine. | ||
| Apply wrist restraints. | ||
| Offer sympathy and attention to maladaptive behavior. | ||
| Encourage the client to talk about feelings prior to maladaptive behavior. | ||
| Maintain same staff members caring for the client. |
Correct Answer:
Rationale: Encouraging feelings (
D) and consistent staff (E) are anticipated. Tyramine avoidance (
A) is for MAOIs, restraints (
B) are a last resort, and sympathy to maladaptive behavior (
C) reinforces negativity.
Extract:
Question 4 of 5
A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?
Correct Answer: B
Rationale: Clients should maintain consistent sodium intake, as low sodium can increase lithium levels, risking toxicity. Vitamin K (
A), potassium (
C), and vitamin C (
D) are not specifically related to lithium management.
Question 5 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 lithium level of 1.6 mEq/L, above therapeutic range, causes GI discomfort and poor coordination. Lip smacking (
B), jerking movements (
C), and fever (
D) are unrelated.