ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 5
Anthony suffers burns on the legs, which nursing intervention helps prevent contractures?
Correct Answer: A
Rationale: The correct answer is A: Applying knee splints. This intervention helps prevent contractures by maintaining the proper alignment of the joints and preventing the shortening of muscles and connective tissues. Elevating the foot of the bed may help with swelling but does not directly prevent contractures. Hyperextending the client's palms and performing shoulder range-of-motion exercises are not relevant to preventing contractures in burned legs.
Question 2 of 5
When prioritizing care, which of the following clients should the nurse Olivia assess first?
Correct Answer: B
Rationale: The correct answer is B because Guillain-Barre syndrome is a rapidly progressive neurological disorder that can lead to life-threatening complications like respiratory failure. Assessing this client first is crucial to monitor for any signs of respiratory distress or deterioration. The other options are not immediate priorities as they are either stable post-surgery (A), post-myocardial infarction for 3 days (C), or with diverticulitis (D) which does not pose an immediate life-threatening risk compared to Guillain-Barre syndrome.
Question 3 of 5
Which of the following laboratory test results would suggest to the nurse Len that a client has a corticotropin-secreting pituitary adenoma?
Correct Answer: C
Rationale: Rationale: 1. Corticotropin-secreting pituitary adenoma causes excess ACTH production. 2. High ACTH stimulates adrenal glands to produce high cortisol levels. 3. Therefore, high corticotropin (ACTH) and high cortisol levels indicate corticotropin-secreting pituitary adenoma. Summary of Other Choices: A: High corticotropin and low cortisol levels suggest primary adrenal insufficiency (Addison's disease). B: Low corticotropin and high cortisol levels indicate adrenal tumor or exogenous steroid use. D: Low corticotropin and low cortisol levels indicate secondary adrenal insufficiency.
Question 4 of 5
Johnny a firefighter was involved in extinguishing a house fire and is being treated to smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. He most likely has developed which of the following conditions?
Correct Answer: A
Rationale: The correct answer is A: Adult respiratory distress syndrome (ARDS). ARDS is a severe lung condition characterized by rapid onset of widespread inflammation in the lungs. In this case, Johnny's severe hypoxia 48 hours after the fire indicates a severe respiratory issue. ARDS is a common complication of smoke inhalation due to the inflammatory response in the lungs. The other choices are incorrect because: B: Atelectasis is the collapse of lung tissue, typically due to blockages or pressure, which would not explain the severe hypoxia in this scenario. C: Bronchitis is an inflammation of the bronchial tubes, which would not lead to the rapid onset of severe hypoxia seen in ARDS. D: Pneumonia is an infection in the lungs, but it would not typically present with such rapid and severe hypoxia as seen in ARDS.
Question 5 of 5
Mickey, a 6-year-old child with a congenital heart disorder is admitted with congestive heart failure. Digoxin (lanoxin) 0.12 mg is ordered for the child. The bottle of Lanoxin contains .05 mg of Lanoxin in 1 ml of solution. What amount should the nurse administer to the child?
Correct Answer: B
Rationale: To calculate the amount of Digoxin to administer, we use the formula: Dose ordered (0.12 mg) / Dose on hand (0.05 mg) x Volume on hand (1 ml) = Volume to administer 0.12 / 0.05 x 1 = 2.4 ml Therefore, the nurse should administer 2.4 ml of Digoxin to the child. Choice B is correct because it accurately calculates the correct volume based on the dosage ordered and the concentration of the solution. Choice A, C, and D are incorrect as they do not calculate the correct volume based on the dosage and concentration provided in the question.