ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
Marco falls off his bicycle and injuries his ankle. Which of the following actions shows the initial response to the injury in the extrinsic pathway?
Correct Answer: B
Rationale: The correct answer is B: Release of tissue thromboplastin. In the extrinsic pathway of blood coagulation, tissue thromboplastin (also known as tissue factor) is released in response to tissue injury, initiating the clotting cascade. This leads to the activation of factor VII and subsequent steps in the coagulation process. A: Release of Calcium is not specific to the extrinsic pathway and does not directly initiate the clotting cascade. C: Conversion of factors XII to factor XIIa is part of the intrinsic pathway, not the extrinsic pathway. D: Conversion of factor VIII to factor VIIIa is part of the intrinsic pathway, not the extrinsic pathway.
Question 2 of 5
For a client with Graves' disease, which nursing intervention promotes comfort?
Correct Answer: D
Rationale: The correct answer is D: Maintaining room temperature in the low-normal range. For a client with Graves' disease, they may experience heat intolerance due to increased metabolism. Maintaining a cooler room temperature can help alleviate discomfort. Choice A is incorrect as restricting oral fluids can lead to dehydration, worsening symptoms. Choice B is incorrect as adding extra blankets can increase heat retention, exacerbating discomfort. Choice C is incorrect as limiting high-carbohydrate foods is not directly related to promoting comfort in Graves' disease.
Question 3 of 5
Aldo with a massive pulmonary embolism will have an arterial blood gas analysis performed to determine the extent of hypoxia. The acid-base disorder that may be present is?
Correct Answer: D
Rationale: The correct answer is D: Respiratory alkalosis. In massive pulmonary embolism, there is decreased oxygen exchange in the lungs leading to hypoxia. This causes hyperventilation, leading to a decrease in carbon dioxide levels in the blood, resulting in respiratory alkalosis. Metabolic acidosis (A) and alkalosis (B) are not directly related to pulmonary embolism. Respiratory acidosis (C) would result from hypoventilation, which is not typically seen in pulmonary embolism.
Question 4 of 5
Nurse Patricia is aware that the average length of time from human immunodeficiency virus (HIV) infection to the development of acquired immunodeficiency syndrome (AIDS)?
Correct Answer: D
Rationale: The correct answer is D because, on average, it takes more than 10 years for HIV infection to progress to AIDS without treatment. The latency period can vary, but with advancements in treatment, people can live longer without developing AIDS. Choice A is incorrect because 5 years is too short for HIV to progress to AIDS on average. Choice B is also incorrect as it falls within the same timeframe as choice A. Choice C is incorrect as although 10 years is closer to the average, it is still not long enough for the majority of individuals.
Question 5 of 5
The term "pink puffer" refers to the female client with which of the following conditions?
Correct Answer: D
Rationale: The term "pink puffer" refers to a female client with emphysema. Emphysema is characterized by hyperinflation of the lungs leading to a pink or flushed complexion due to increased breathing efforts. This presentation contrasts with the "blue bloater" appearance seen in chronic obstructive bronchitis, which is characterized by cyanosis and edema. ARDS is a different condition marked by severe respiratory distress and not associated with the "pink puffer" presentation. Asthma typically presents with wheezing and bronchoconstriction, not the specific characteristics of a "pink puffer."