NR 326 HARD ATI CMS STUDY QUESTIONS WITH
COMPLETE SOLUTIONS
a rn is observing a client w/ schizophrenia in the dayroom.
another client asks him if several items of clothing match. he
replies " a match. i like matches. they are giver of light, the light
of the world. let your light shine on" the RN should identify
these words as
associative looseness
(disordered speech that reflects haphazard and illogical
thoughts)
a rn is reviewing lab reports for a client who is taking
risperidone. the RN should identify that which of the following
results indicates a potential adverse rxn to the medication?
elevated blood glucose
2nd gen antipsychotics can cause DM, wt gain, and dyslipidemia
does not cause elevated WBC- agranulocytosis may occur, does
not cause decreased plt count, does not affect AST
a rn is caring for a clts in a community health facility. for which
of the following clts should the rn provide a tertiary care
intervention
a clt who is recovering from a crisis and asks for help in
completing the recovery process
,tertiary care is designed to provide support for mental/ phys
health after a crisis occurs - referrals to comm groups or
facilities
a rn in a cute care mental health facility
observes a client who has a bipolar disorder begin to shout and
use offensive language toward a visitor. which of the following
actions should the RN take
give the clt 2 options for ending the situation
a rn is providing teaching to a client who has a new rx for
varenicline for smoking cessation. which of the following
statements by the client indicates an understanding of the
teaching?
" i will take the rx after eatign a meal"
no wt loss, take 8-35 days before trying to quit, if it fails the pt
should try the rx again
a nurse is assessing a client who is at risk for cognitive
impairment. which of the following findings should the rn
identify as an early indication of cognitive decline?
impaired recent memory
a rn is planning an in-service session about involuntary
commitment to health facilities for a grp of newly licensed
nurses. which of the following pieces of info should the rn
include?
the client can challenge hospitalization following emergency
treatment
, a rn is caring for a client with ADHD who has recently started
taking lithium. For which of the following finding should the rn
monitor when evaluating the effectiveness of the medication
reduced aggression
a nurse is teaching a client who has seasonal affective disorder
(SAD) about the use of light therapy. which of the following
statements should the rn make
light therapy suppresses the natural nighttime release of
melatonin
a rn is assessing a client who has a panic disorder and has been
taking paroxetine. which of the following assessments should
the rn identify as an adverse effect of the medication
wt gain
(other adverse effects include N, HA, insomnia, sexual dysfxn)
a rn is assessing a clt prior to administering lithium. the clt
began taking lithium 1 wk ago for the treatment of mania. for
which of the following findings should the rn withhold the dose?
report of nausea w/ freq episodes of emesis
a rn is carign for a pt who has bipolar disorder. which of the
following manifestations is the priority finding for the rn to
identify
hyperactivity
a nurse is caring for a client who has schizophrenia. which of the
following statements by the clt indicates that the client
displaying cognitive symptoms?
COMPLETE SOLUTIONS
a rn is observing a client w/ schizophrenia in the dayroom.
another client asks him if several items of clothing match. he
replies " a match. i like matches. they are giver of light, the light
of the world. let your light shine on" the RN should identify
these words as
associative looseness
(disordered speech that reflects haphazard and illogical
thoughts)
a rn is reviewing lab reports for a client who is taking
risperidone. the RN should identify that which of the following
results indicates a potential adverse rxn to the medication?
elevated blood glucose
2nd gen antipsychotics can cause DM, wt gain, and dyslipidemia
does not cause elevated WBC- agranulocytosis may occur, does
not cause decreased plt count, does not affect AST
a rn is caring for a clts in a community health facility. for which
of the following clts should the rn provide a tertiary care
intervention
a clt who is recovering from a crisis and asks for help in
completing the recovery process
,tertiary care is designed to provide support for mental/ phys
health after a crisis occurs - referrals to comm groups or
facilities
a rn in a cute care mental health facility
observes a client who has a bipolar disorder begin to shout and
use offensive language toward a visitor. which of the following
actions should the RN take
give the clt 2 options for ending the situation
a rn is providing teaching to a client who has a new rx for
varenicline for smoking cessation. which of the following
statements by the client indicates an understanding of the
teaching?
" i will take the rx after eatign a meal"
no wt loss, take 8-35 days before trying to quit, if it fails the pt
should try the rx again
a nurse is assessing a client who is at risk for cognitive
impairment. which of the following findings should the rn
identify as an early indication of cognitive decline?
impaired recent memory
a rn is planning an in-service session about involuntary
commitment to health facilities for a grp of newly licensed
nurses. which of the following pieces of info should the rn
include?
the client can challenge hospitalization following emergency
treatment
, a rn is caring for a client with ADHD who has recently started
taking lithium. For which of the following finding should the rn
monitor when evaluating the effectiveness of the medication
reduced aggression
a nurse is teaching a client who has seasonal affective disorder
(SAD) about the use of light therapy. which of the following
statements should the rn make
light therapy suppresses the natural nighttime release of
melatonin
a rn is assessing a client who has a panic disorder and has been
taking paroxetine. which of the following assessments should
the rn identify as an adverse effect of the medication
wt gain
(other adverse effects include N, HA, insomnia, sexual dysfxn)
a rn is assessing a clt prior to administering lithium. the clt
began taking lithium 1 wk ago for the treatment of mania. for
which of the following findings should the rn withhold the dose?
report of nausea w/ freq episodes of emesis
a rn is carign for a pt who has bipolar disorder. which of the
following manifestations is the priority finding for the rn to
identify
hyperactivity
a nurse is caring for a client who has schizophrenia. which of the
following statements by the clt indicates that the client
displaying cognitive symptoms?
