ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
A 35-year-old client with vaginal cancer asks the nurse, "What is the usual treatment for this type of cancer?" Which treatment should the nurse name?
Correct Answer: C
Rationale: The correct answer is C: Radiation. Vaginal cancer is commonly treated with radiation therapy because it allows for targeted treatment to the affected area. It is effective in killing cancer cells and reducing the size of tumors. Surgery (choice A) may be considered depending on the stage of cancer, but radiation is often the primary treatment. Chemotherapy (choice B) and immunotherapy (choice D) are not typically used as first-line treatments for vaginal cancer. Chemotherapy may be used in advanced stages or in combination with radiation, while immunotherapy is still being studied for its effectiveness in treating this type of cancer.
Question 2 of 5
Mrs. Cruz uses a cane for assistance in walking. Which of the following statements is true about a cane or other assistive devices?
Correct Answer: C
Rationale: The correct answer is C: The cane should be used on the unaffected side. This is because when using a cane, it should be placed on the side opposite the affected or weaker side to provide additional support and balance. Placing the cane on the unaffected side helps to reduce pressure on the affected side and provides more stability during walking. A is incorrect because the choice between a cane and a walker depends on the individual's specific needs and abilities. B is incorrect as placing the cane on the affected side would not provide optimal support and balance. D is incorrect as using a cane can help reduce stress on joints in clients with osteoarthritis, making it a helpful assistive device.
Question 3 of 5
The adrenal cortex is responsible for producing which substances?
Correct Answer: A
Rationale: The correct answer is A: Glucocorticoids and androgens. The adrenal cortex is divided into three layers, with each layer responsible for producing different hormones. The zona fasciculata produces glucocorticoids like cortisol, which regulate metabolism and immune response. The zona reticularis produces androgens, such as DHEA, which are precursors to sex hormones. Therefore, choice A is correct. Choices B, C, and D are incorrect because catecholamines like epinephrine and norepinephrine are produced in the adrenal medulla, not the adrenal cortex. Mineralocorticoids, like aldosterone, are produced in the zona glomerulosa of the adrenal cortex, not in the same layer as glucocorticoids and androgens.
Question 4 of 5
A 23-year-old client is diagnosed with human immunodeficiency virus (HIV). After recovering from the initial shock of the diagnosis, the client expresses a desire to learn as much as possible about HIV and acquired immunodeficiency syndrome (AIDS). When teaching the client about the immune system, the nurse states that adaptive immunity is provided by which type of white blood cell?
Correct Answer: D
Rationale: The correct answer is D: Lymphocyte. Lymphocytes are a type of white blood cell that plays a crucial role in adaptive immunity by recognizing and remembering specific pathogens. They include B cells, which produce antibodies, and T cells, which directly attack infected cells. Neutrophils (A), basophils (B), and monocytes (C) are all important in the immune response but primarily function in innate immunity, not adaptive immunity. Neutrophils are phagocytes that engulf and destroy pathogens, basophils release inflammatory chemicals, and monocytes differentiate into macrophages that also phagocytize pathogens.
Question 5 of 5
Julius is admitted with complaints of severe pain in the lower right quadrant of the abdomen. To assist with pain relief, the nurse should take which of the following actions?
Correct Answer: D
Rationale: The correct answer is D because positioning the client with comfort measures and pillows can help alleviate pain by reducing pressure on the affected area. Changing positions frequently (Choice A) may exacerbate the pain. Administering Demerol (Choice B) without proper assessment and physician's order is not recommended. Applying warmth with a heating pad (Choice C) can worsen conditions like appendicitis.