ATI RN
Public Health Theories of Behavior Change Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A heparin infusion at 1,500 unit/hour is ordered for a 64-year-old client with stroke in evolution. The infusion contains 25,000 units of heparin in 500 ml of saline solution. How many milliliters per hour should be given?
Correct Answer: B
Rationale: To determine the ml/hr rate, divide the total units in the bag by the ordered rate in units/hour. 25,000 units ÷ 1,500 units/hour = 16.67 ml/hour. This rounds to 17 ml/hour, which is closest to choice B (30 ml/hour). Choices A, C, and D are incorrect as they are not the closest to the calculated rate of 17 ml/hour.
Question 5 of 5
Nurse Zeny is caring for a client in acute addisonian crisis. Which laboratory data would the nurse expect to find?
Correct Answer: A
Rationale: Correct Answer: A (Hyperkalemia) Rationale: In acute addisonian crisis, the adrenal glands fail to produce adequate cortisol and aldosterone, leading to decreased sodium and increased potassium levels. Hyperkalemia is a common finding due to aldosterone deficiency causing impaired potassium excretion. The elevated potassium levels can result in life-threatening cardiac arrhythmias. Summary: B: Reduced BUN - Not typically associated with acute addisonian crisis. C: Hypernatremia - Uncommon in addisonian crisis due to aldosterone deficiency. D: Hyperglycemia - Can occur in addisonian crisis but is not as specific as hyperkalemia.