ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 5
A client undergone ileostomy, when should the drainage appliance be applied to the stoma?
Correct Answer: B
Rationale: The correct answer is B, "In the operating room." This is because applying the drainage appliance to the stoma immediately after the ileostomy creation in the operating room allows for immediate containment of effluent and reduces the risk of skin irritation or infection. Choice A is incorrect as immediate application is necessary to prevent skin damage. Choice C is incorrect because waiting for the ileostomy to begin functioning can lead to effluent coming into contact with the skin. Choice D is incorrect as self-care procedures should be initiated after application of the drainage appliance to ensure proper stoma care.
Question 2 of 5
A male client undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. Nurse Trish first response is to:
Correct Answer: B
Rationale: The correct response is to place a saline-soaked sterile dressing on the wound. This step helps to prevent infection, maintain moisture, and protect the exposed tissues. Calling the physician is important, but immediate action to cover the wound is crucial. Taking blood pressure and pulse can wait until the wound is stabilized. Pulling the dehiscence closed can cause further damage and should not be done by the nurse.
Question 3 of 5
A 77-year-old male client is admitted with a diagnosis of dehydration and change in mental status. He's being hydrated with L.V. fluids. When the nurse takes his vital signs, she notes he has a fever of 103°F (39.4°C) a cough producing yellow sputum and pleuritic chest pain. The nurse suspects this client may have which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C: Pneumonia. Given the client's symptoms of fever, cough with yellow sputum, pleuritic chest pain, and dehydration, pneumonia is the most likely diagnosis. Fever, productive cough, and chest pain are common symptoms of pneumonia. The presence of pleuritic chest pain indicates an inflammation of the pleura, which is a common feature of pneumonia. Dehydration can also contribute to the development of pneumonia. ARDS (choice A) typically presents with acute respiratory distress and is not supported by the client's symptoms. MI (choice B) presents with chest pain but typically not associated with fever, cough, or sputum production. Tuberculosis (choice D) can present with cough and sputum production but is less likely given the client's age and acute presentation.
Question 4 of 5
Robert, a 57-year-old client with acute arterial occlusion of the left leg undergoes an emergency embolectomy. Six hours later, the nurse isn't able to obtain pulses in his left foot using Doppler ultrasound. The nurse immediately notifies the physician, and asks her to prepare the client for surgery. As the nurse enters the client's room to prepare him, he states that he won't have any more surgery. Which of the following is the best initial response by the nurse?
Correct Answer: A
Rationale: The correct initial response by the nurse in this scenario is A: Explain the risks of not having the surgery. This is the best initial response because the nurse needs to ensure the client fully understands the consequences of refusing the surgery. By explaining the risks, the nurse can provide the client with necessary information to make an informed decision about their healthcare. Notifying the physician immediately (choice B) is important, but the immediate concern is addressing the client's refusal. Notifying the nursing supervisor (choice C) is not as crucial as addressing the client directly. Recording the client's refusal in the nurses' notes (choice D) should be done after addressing the client's concerns and providing necessary information.
Question 5 of 5
Vic asks the nurse what PSA is. The nurse should reply that it stands for:
Correct Answer: A
Rationale: The correct answer is A: prostate-specific antigen, which is used to screen for prostate cancer. PSA is a protein produced by the prostate gland. It is primarily used as a screening test for prostate cancer. Elevated levels of PSA can indicate prostate cancer, although further testing is needed to confirm the diagnosis. Choice B is incorrect because there is no such thing as "protein serum antigen." Choice C is incorrect because pneumococcal strep antigen is not related to PSA or prostate cancer. Choice D is incorrect because Papanicolaou-specific antigen is not a valid term and is not used for screening cervical cancer.