ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 5
Ms. X has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): 1. Condylomata acuminata is caused by HPV, which is a risk factor for cervical cancer. 2. Regular Pap smears are essential for early detection of cervical cancer. 3. Annual Pap smears can help monitor any abnormal changes in the cervix. 4. Providing this information empowers the client to take proactive steps for their health. Summary of Incorrect Choices: B. Metronidazole is not the standard treatment for genital warts; it is used for bacterial infections. C. Condoms reduce but do not eliminate the risk of transmission of HPV. D. HPV can be transmitted through oral sex, so this statement is incorrect.
Question 2 of 5
A male client arriving in the emergency department is receiving cardiopulmonary resuscitation from paramedics who are giving ventilations through an endotracheal (ET) tube that they placed in the client's home. During a pause in compressions, the cardiac monitor shows narrow QRS complexes and a heart rate of beats/minute with a palpable pulse. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Check endotracheal tube placement. The first step should be to ensure the proper placement of the endotracheal tube to confirm adequate ventilation and oxygenation. This is crucial in maintaining the client's airway and preventing complications. Checking the ET tube placement takes priority over other actions as ineffective ventilation can lead to further deterioration. A: Starting an L.V. line and administering amiodarone is not the priority in this scenario as the client has a palpable pulse and narrow QRS complexes, indicating a perfusing rhythm. C: Obtaining an arterial blood gas sample is important but not the immediate priority compared to verifying the ET tube placement. D: Administering atropine is not indicated in this case because the client has a perfusing rhythm. In summary, checking the endotracheal tube placement is the priority to ensure proper ventilation and oxygenation, while the other options are not immediately necessary in this situation.
Question 3 of 5
When prioritizing care, which of the following clients should the nurse Olivia assess first?
Correct Answer: B
Rationale: The correct answer is B because Guillain-Barre syndrome is a rapidly progressive neurological disorder that can lead to life-threatening complications like respiratory failure. Assessing this client first is crucial to monitor for any signs of respiratory distress or deterioration. The other options are not immediate priorities as they are either stable post-surgery (A), post-myocardial infarction for 3 days (C), or with diverticulitis (D) which does not pose an immediate life-threatening risk compared to Guillain-Barre syndrome.
Question 4 of 5
Which of the following laboratory test results would suggest to the nurse Len that a client has a corticotropin-secreting pituitary adenoma?
Correct Answer: C
Rationale: Rationale: 1. Corticotropin-secreting pituitary adenoma causes excess ACTH production. 2. High ACTH stimulates adrenal glands to produce high cortisol levels. 3. Therefore, high corticotropin (ACTH) and high cortisol levels indicate corticotropin-secreting pituitary adenoma. Summary of Other Choices: A: High corticotropin and low cortisol levels suggest primary adrenal insufficiency (Addison's disease). B: Low corticotropin and high cortisol levels indicate adrenal tumor or exogenous steroid use. D: Low corticotropin and low cortisol levels indicate secondary adrenal insufficiency.
Question 5 of 5
Johnny a firefighter was involved in extinguishing a house fire and is being treated to smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. He most likely has developed which of the following conditions?
Correct Answer: A
Rationale: The correct answer is A: Adult respiratory distress syndrome (ARDS). ARDS is a severe lung condition characterized by rapid onset of widespread inflammation in the lungs. In this case, Johnny's severe hypoxia 48 hours after the fire indicates a severe respiratory issue. ARDS is a common complication of smoke inhalation due to the inflammatory response in the lungs. The other choices are incorrect because: B: Atelectasis is the collapse of lung tissue, typically due to blockages or pressure, which would not explain the severe hypoxia in this scenario. C: Bronchitis is an inflammation of the bronchial tubes, which would not lead to the rapid onset of severe hypoxia seen in ARDS. D: Pneumonia is an infection in the lungs, but it would not typically present with such rapid and severe hypoxia as seen in ARDS.