ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
In the OR, the nursing tandem for every surgery is:
Correct Answer: D
Rationale: Step 1: In the operating room (OR), the two main roles are scrub nurse and circulating nurse. Step 2: Scrub nurse assists the surgeon directly during the procedure. Step 3: Circulating nurse manages the overall OR environment and patient safety. Step 4: Together, they form a complete nursing tandem for every surgery. Step 5: Option D includes both roles, making it the correct answer. Summary: - Option A includes only the instrument technician and circulating nurse, missing the scrub nurse. - Option B includes additional roles like nurse anesthetist and nurse assistant, which are not part of the essential nursing tandem. - Option C includes scrub nurse and nurse anesthetist, missing the circulating nurse role essential for patient safety.
Question 2 of 5
Nurse Patricia finds a female client who is post-myocardial infarction (MI) slumped on the side rails of the bed and unresponsive to shaking or shouting. Which is the nurse next action?
Correct Answer: A
Rationale: The correct answer is A: Call for help and note the time. In this scenario, the nurse should first ensure the client's safety by calling for assistance to manage the situation effectively. This step is crucial to provide timely and appropriate care for the unresponsive post-MI client. Clearing the airway (B) and administering physical interventions (C, D) should only be done after calling for help to ensure that the client receives necessary support and interventions promptly.
Question 3 of 5
Marichu was given morphine sulfate for pain. She is sleeping and her respiratory rate is 4 breaths/minute. If action isn't taken quickly, she might have which of the following reactions?
Correct Answer: B
Rationale: The correct answer is B: Respiratory arrest. Morphine sulfate is a potent opioid that can depress the central nervous system, including the respiratory system. A respiratory rate of 4 breaths/minute is dangerously low and can lead to respiratory arrest if not addressed promptly. This can result in a complete cessation of breathing, leading to serious consequences like hypoxia and potentially death. Choice A: Asthma attack is incorrect because morphine sulfate does not typically cause asthma attacks. Choice C: Seizure is incorrect as respiratory depression is more likely to occur before a seizure in this scenario. Choice D: Wake up on his own is incorrect because the dangerously low respiratory rate indicates a serious medical emergency requiring immediate intervention.
Question 4 of 5
Nurse Greta is working on a surgical floor. Nurse Greta must logroll a client following a:
Correct Answer: A
Rationale: Correct Answer: A (Laminectomy) Rationale: 1. Laminectomy involves surgical removal of a portion of the vertebral bone to relieve pressure on the spinal cord or nerves. 2. Logrolling is necessary post-laminectomy to prevent injury to the surgical site and maintain spinal alignment. 3. Clients post-laminectomy are at risk for spinal cord damage if not logrolled properly. Summary: B: Thoracotomy involves accessing the chest cavity, not the spine. C: Hemorrhoidectomy involves removal of hemorrhoids, not spinal surgery. D: Cystectomy involves removal of the bladder, not the spine.
Question 5 of 5
Nurse Maureen is talking to a male client, the client begins choking on his lunch. He's coughing forcefully. The nurse should:
Correct Answer: D
Rationale: The correct answer is D because the client is coughing forcefully, which indicates that he is still able to clear his airway on his own. By staying with him but not intervening at this time, the nurse can monitor his condition and be ready to intervene if the choking worsens. Standing him up or laying him down to perform the abdominal thrust maneuver can potentially make the situation worse if the client is still able to cough and clear his airway. Leaving him to get assistance is not appropriate as the nurse should stay with the client to provide support and monitor the situation. Straddling him to perform the maneuver is also not recommended as it can be intimidating and may not be necessary if the client is managing to cough.