ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
As a nurse, you know you can improve on accuracy of patient's identification by 2 patient identifiers, EXCEPT:
Correct Answer: C
Rationale: The correct answer is C. Calling the client by their case and bed number is not considered an effective way to improve accuracy of patient identification. Here's the rationale: 1. Patient identifiers should be unique to the individual, so using case and bed number are not specific enough. 2. Wrist tags are a common and reliable method for patient identification. 3. Verifying with family members or calling the patient by their name ensures accuracy. 4. Using both wrist tags and calling the patient by name reinforces identification. In summary, choice C lacks specificity and does not provide a direct link to the patient, unlike the other options provided.
Question 2 of 5
A male client is admitted to the emergency department following an accident. What are the first nursing actions of the nurse?
Correct Answer: C
Rationale: The correct answer is C because checking respirations first ensures airway patency and oxygenation. Stabilizing the spine prevents further injury, and checking circulation assesses perfusion. Option A misses spine stabilization, B focuses on spine alignment before airway, and D does not address spine stability promptly. Prioritizing airway, breathing, and circulation is crucial in emergency care to ensure client safety and prevent complications.
Question 3 of 5
A male client has active tuberculosis (TB). Which of the following symptoms will be exhibit?
Correct Answer: B
Rationale: The correct answer is B: Chills, fever, night sweats, and hemoptysis. In active TB, the bacteria cause symptoms such as chills, fever, night sweats, and coughing up blood (hemoptysis). These symptoms are characteristic of TB infection. Chest and lower back pain (choice A) are not typical symptoms of active TB. Fever of more than 104°F and nausea (choice C) are not specific to TB and can occur in various illnesses. Headache and photophobia (choice D) are not commonly associated with active TB. Therefore, choice B is the most appropriate due to its alignment with classic TB symptoms.
Question 4 of 5
When caring for a female client who is being treated for hyperthyroidism, it is important to:
Correct Answer: B
Rationale: The correct answer is B because monitoring for signs of restlessness, sweating, and excessive weight loss is crucial during thyroid replacement therapy for a female client with hyperthyroidism. Restlessness and sweating can indicate hyperthyroidism symptoms worsening, while excessive weight loss may suggest overmedication. Providing extra blankets (A) is unnecessary as hyperthyroidism typically causes heat intolerance. Balancing activity and rest (C) is important but not as critical as monitoring for specific symptoms. Encouraging activity (D) may exacerbate symptoms like fatigue and muscle weakness in hyperthyroidism.
Question 5 of 5
Mike with epilepsy is having a seizure. During the active seizure phase, the nurse should:
Correct Answer: D
Rationale: The correct answer is D because placing the client on his side helps prevent aspiration and ensures an open airway. Removing dangerous objects prevents injury, and protecting the head prevents head injury. Placing the client on his back (A, C) can lead to aspiration, and holding down his arms (C) can cause injury.