ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention by a nurse?
Correct Answer: B
Rationale: The correct answer is B because Maslow's hierarchy of needs prioritizes safety needs, which include protection from harm and violence. In this scenario, a client exhibiting aggressive behavior toward another client poses an immediate threat to safety and requires immediate intervention. Choices A, C, and D relate to psychological and emotional needs, which are important but not as urgent as ensuring physical safety. A: Complaints about visiting hours can be addressed later. C: Feeling uncared for is important but does not pose an immediate danger. D: Feelings of failure should be explored and supported but do not require immediate intervention for safety.
Question 2 of 5
OR nurses should be aware that maintaining the client's safety is the overall goal of nursing care during the intraoperative phase. As the circulating nurse, you make certain that throughout the procedure…
Correct Answer: C
Rationale: The correct answer is C because securing straps around the client's knees, ankles, and hands on an arm board is crucial for maintaining the client's safety during surgery. This helps prevent inadvertent movements that could lead to injury or interference with the surgical procedure. Straps made of strong, non-abrasive materials ensure comfort and proper positioning. A: The surgeon greeting the client before anesthesia induction is not directly related to maintaining the client's safety during surgery. B: The coordination between the surgeon and anesthesiologist is important but does not directly address the client's safety during the intraoperative phase. D: While monitoring by the assistant anesthesiologist is important, it is the responsibility of the circulating nurse to ensure physical safety measures are in place.
Question 3 of 5
Aminophylline was ordered for acute asthmatic attack. The mother asked the nurse, what is its indication, the nurse will say:
Correct Answer: A
Rationale: Rationale: Aminophylline is a bronchodilator that relaxes smooth muscles of the bronchial airway, making it easier to breathe during an acute asthmatic attack. This helps to open up the airways and improve airflow, which is crucial in managing asthma symptoms. It does not promote expectoration (B), prevent thickening of secretions (C), or suppress cough (D) in the treatment of asthma. These actions are not the primary purpose of aminophylline in managing acute asthmatic attacks.
Question 4 of 5
If you are the nurse in charge for scheduling surgical cases, what important information do you need to ask the surgeon?
Correct Answer: B
Rationale: The correct answer is B because as the nurse in charge of scheduling surgical cases, it is crucial to know the surgeon's preferred time and type of surgery, as well as the names of their assistant and anesthesiologist. Knowing this information ensures proper coordination and preparation for the surgical procedure. Choice A is incorrect because knowing the internist is not directly relevant to scheduling surgical cases. Choice C is incorrect because the question specifically asks about important information for scheduling surgical cases, not about general medical personnel involved. Choice D is also incorrect as it only focuses on the anesthesiologist and omits other essential information needed for scheduling.
Question 5 of 5
What sensation is used as a gauge so that patients with ileostomy can determine how often their pouch should be drained?
Correct Answer: B
Rationale: The correct answer is B: Sensation of pressure. Patients with ileostomy rely on the sensation of pressure to determine when to drain their pouch. As the pouch fills up with stool, they feel a sense of fullness or pressure, indicating the need for emptying. This sensation serves as a practical guide for maintaining pouch hygiene. Other choices like A (taste), C (smell), and D (urge to defecate) are not relevant in this context as they do not directly relate to the physical indication of when the pouch needs to be drained. Taste and smell are sensory perceptions, while the urge to defecate is a natural bodily function that is altered in patients with ileostomy.