ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Nurse John is caring for clients in the outpatient clinic. Which of the following phone calls should the nurse return first?
Correct Answer: B
Rationale: The correct answer is B because a client with a cast on the right leg reporting a "funny feeling" could indicate a potential circulation or nerve issue, which requires immediate attention to prevent complications. It is important to prioritize urgent physical concerns over other symptoms like itching, nausea, or trouble sleeping. The other options, A, C, and D, are important but not as urgent as the potential complications associated with impaired circulation or nerve function in a client with a leg cast.
Question 3 of 5
A male client with emphysema becomes restless and confused. What step should nurse Jasmine take next?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to perform pursed lip breathing. This is the appropriate step because the client with emphysema showing restlessness and confusion may be experiencing hypoxia. Pursed lip breathing helps improve oxygenation by slowing down breathing and facilitating better gas exchange. Checking the client's temperature (B) is not the priority in this situation. Assessing the client's potassium level (C) may be important but not the immediate step for a client showing signs of hypoxia. Increasing the client's oxygen flow rate (D) can be considered after assessing the client's response to pursed lip breathing.
Question 4 of 5
Mario has burn injury. After Forty48 hours, the physician orders for Mario 2 liters of IV fluid to be administered q12 h. The drop factor of the tubing is 10 gtt/ml. The nurse should set the flow to provide:
Correct Answer: B
Rationale: The correct answer is B (28 gtt/min). To calculate the flow rate in drops per minute (gtt/min), we use the formula: Flow rate (gtt/min) = Volume to be infused (ml) x Drop factor / Time (minutes). In this case, Mario needs 2 liters of IV fluid over 48 hours, which is 2000 ml over 2880 minutes. Using the given drop factor of 10 gtt/ml, we have: 2000 ml x 10 gtt/ml / 2880 min = 20,000 gtt / 2880 min = 6.94 gtt/min. To administer the 2 liters of fluid over 48 hours q12 h, we divide 6.94 gtt/min by 2 (since it's given q12 h) to get 3.47 gtt/min. Rounding up gives us 4 gtt/min for each 12-hour interval. Therefore
Question 5 of 5
Maritess was recently diagnosed with a genitourinary problem and is being examined in the emergency department. When palpating the her kidneys, the nurse should keep which anatomical fact in mind?
Correct Answer: A
Rationale: The correct answer is A because the left kidney is typically positioned slightly higher than the right one due to the space occupied by the liver on the right side. This anatomical fact is crucial for accurate palpation. Choice B is incorrect because the kidneys are actually located above the waist, not just above the adrenal glands. Choice C is incorrect as the average kidney size is around 11-14 cm long and 5-7.5 cm wide. Choice D is incorrect as the kidneys are located lower, between the 12th thoracic and the 3rd lumbar vertebrae.