ATI RN
Biological Basis of Behavior Questions
Question 1 of 5
JCAHOs universal protocol for surgical and invasive procedures to prevent wrong site, wrong person, and wrong procedure/surgery includes the following, EXCEPT:
Correct Answer: C
Rationale: The correct answer is C: Take a video of the entire intra-operative procedure. This is not part of JCAHO's universal protocol for surgical and invasive procedures. The other choices are correct as they are essential components of the protocol to prevent wrong site, wrong person, and wrong procedure/surgery. A: Marking the operative site helps ensure the correct site is operated on. B: Conducting pre-procedure verification process ensures all necessary steps are taken before the procedure. D: Conducting a 'time out' immediately before starting the procedure allows the surgical team to confirm key details before proceeding.
Question 2 of 5
Nurse Michelle should know that the drainage is normal 4 days after a sigmoid colostomy when the stool is:
Correct Answer: D
Rationale: The correct answer is D: Semiformed. This indicates proper colostomy function. Green liquid (A) suggests rapid transit time. Solid formed (B) can indicate constipation. Loose, bloody (C) indicates inflammation or infection. Semiformed (D) is the ideal consistency for colostomy drainage, indicating proper digestion and absorption.
Question 3 of 5
While monitoring a male client several hours after a motor vehicle accident, which assessment data suggest increasing intracranial pressure?
Correct Answer: A
Rationale: The correct answer is A because a decreased blood pressure from 160/90 to 110/70 may indicate increasing intracranial pressure. This is due to the body's compensatory mechanism to decrease blood flow to the brain, resulting in a lower blood pressure. Choices B, C, and D do not directly correlate with increasing intracranial pressure. Choice B may indicate some cardiac dysfunction, C indicates sleepiness which could be due to fatigue or pain, and D is related to loss of appetite which is not specific to intracranial pressure.
Question 4 of 5
Nurse Michelle is caring for an elderly female with osteoporosis. When teaching the client, the nurse should include information about which major complication:
Correct Answer: A
Rationale: The correct answer is A: Bone fracture. Osteoporosis is a condition characterized by weakened bones, making the individual more susceptible to fractures. Teaching the client about this major complication is crucial for prevention and management. Fractures are a significant concern due to the increased risk of falls and fragility of the bones. Loss of estrogen (choice B) is a contributing factor to osteoporosis but not a major complication. Negative calcium balance (choice C) is a consequence of osteoporosis but not the primary major complication. Dowager's hump (choice D) is a visible sign of advanced osteoporosis but not the major complication. Overall, educating the client about bone fractures is essential for their understanding and proactive measures to prevent further complications.
Question 5 of 5
Nurse Bea is assessing a male client with heart failure. The breath sounds commonly auscultated in clients with heart failure are:
Correct Answer: B
Rationale: The correct answer is B: Fine crackles. In heart failure, fluid accumulates in the lungs, causing fine crackles on auscultation. Tracheal breath sounds (A) are normal and heard over the trachea. Coarse crackles (C) are associated with conditions like pneumonia, not heart failure. Friction rubs (D) are typically heard in conditions like pericarditis, not heart failure. Therefore, the presence of fine crackles is a key indicator of fluid overload in the lungs, which is common in heart failure.