ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
Julius is admitted with complaints of severe pain in the lower right quadrant of the abdomen. To assist with pain relief, the nurse should take which of the following actions?
Correct Answer: D
Rationale: The correct answer is D because positioning the client with comfort measures and pillows can help alleviate pain by reducing pressure on the affected area. Changing positions frequently (Choice A) may exacerbate the pain. Administering Demerol (Choice B) without proper assessment and physician's order is not recommended. Applying warmth with a heating pad (Choice C) can worsen conditions like appendicitis.
Question 2 of 5
Nurse Sherry is teaching male client regarding his permanent artificial pacemaker. Which information given by the nurse shows her knowledge deficit about the artificial cardiac pacemaker?
Correct Answer: D
Rationale: The correct answer is D because engaging in contact sports is not recommended for individuals with a permanent artificial pacemaker, as it can increase the risk of damage to the device or harm to the individual. Taking the pulse rate daily, using electrical appliances, and having regular follow-up care are all appropriate and necessary for managing a permanent artificial pacemaker. It is important for the nurse to provide accurate information to ensure the client's safety and well-being.
Question 3 of 5
During a routine checkup, Nurse Mariane assesses a male client with acquired immunodeficiency syndrome (AIDS) for signs and symptoms of cancer. What is the most common AIDS-related cancer?
Correct Answer: D
Rationale: The correct answer is D: Kaposi's sarcoma. This is the most common AIDS-related cancer, caused by human herpesvirus 8. It presents as reddish-purple skin lesions and can also involve internal organs. It is more prevalent in individuals with weakened immune systems, such as those with AIDS. Squamous cell carcinoma (A) is a type of skin cancer not directly linked to AIDS. Multiple myeloma (B) is a cancer of plasma cells, not commonly associated with AIDS. Leukemia (C) is a cancer of blood cells and is not the most common cancer seen in AIDS patients.
Question 4 of 5
Nurse Kate is aware that one of the following classes of medication protect the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation is:
Correct Answer: A
Rationale: The correct answer is A: Beta-adrenergic blockers. These medications protect the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation, reducing the workload of the heart and oxygen demand. Beta blockers slow heart rate, decrease blood pressure, and improve coronary blood flow. Calcium channel blockers (B) primarily work by relaxing blood vessels and reducing the heart's workload. Narcotics (C) are pain-relieving medications and do not directly protect the ischemic myocardium. Nitrates (D) dilate blood vessels to improve blood flow but do not specifically block catecholamines and sympathetic nerve stimulation.
Question 5 of 5
Which of the following drugs would be ordered by the physician to improve the platelet count in a male client with idiopathic thrombocytopenic purpura (ITP)?
Correct Answer: B
Rationale: The correct answer is B: Corticosteroids. Corticosteroids are commonly prescribed to increase platelet count in ITP by suppressing the immune system's attack on platelets. ASA (choice A) can actually worsen bleeding in ITP. Methotrexate (choice C) is used for other autoimmune conditions, not ITP. Vitamin K (choice D) is not effective in treating ITP as it is involved in the clotting process, not platelet production.