ATI RN
Behavioral Theory of Mental Health Questions
Question 1 of 5
Patrick is treated in the emergency department for a Colles' fracture sustained during a fall. What is a Colles' fracture?
Correct Answer: A
Rationale: The correct answer is A: Fracture of the distal radius. A Colles' fracture specifically refers to a fracture of the distal end of the radius bone in the forearm, typically occurring due to a fall on an outstretched hand. This type of fracture is characterized by a specific anatomical location and mechanism of injury. The other choices, B: Fracture of the olecranon, C: Fracture of the humerus, and D: Fracture of the carpal scaphoid, do not correspond to a Colles' fracture based on the specific location and characteristics of this type of injury.
Question 2 of 5
An 18-year-old male client admitted with heat stroke begins to show signs of disseminated intravascular coagulation (DIC). Which of the following laboratory findings is most consistent with DIC?
Correct Answer: A
Rationale: The correct answer is A: Low platelet count. In DIC, there is widespread activation of coagulation leading to consumption of platelets and clotting factors. This results in a low platelet count due to their excessive use in forming microthrombi. Elevated fibrinogen levels (B) occur in response to increased clotting activity. Low levels of fibrin degradation products (C) are not consistent with DIC as there is increased fibrin breakdown in DIC. Reduced prothrombin time (D) is not indicative of DIC as it measures the extrinsic pathway of coagulation and may be normal or prolonged in DIC.
Question 3 of 5
Jose is in danger of respiratory arrest following the administration of a narcotic analgesic. An arterial blood gas value is obtained. Nurse Oliver would expect the paco2 to be which of the following values?
Correct Answer: D
Rationale: The correct answer is D (80 mm Hg). Respiratory arrest leads to inadequate ventilation, causing carbon dioxide (CO2) retention. A high PaCO2 level indicates respiratory acidosis, which is a common consequence of respiratory arrest. In this scenario, the administration of a narcotic analgesic can depress the respiratory drive, leading to hypoventilation and subsequent respiratory acidosis. Choices A, B, and C are incorrect because they represent lower PaCO2 levels, which would not be expected in a patient at risk of respiratory arrest.
Question 4 of 5
Which of the following treatment is a suitable surgical intervention for a client with unstable angina?
Correct Answer: D
Rationale: Step 1: Unstable angina indicates a serious condition requiring immediate intervention. Step 2: Percutaneous transluminal coronary angioplasty (PTCA) is a surgical procedure used to open blocked coronary arteries. Step 3: PTCA helps improve blood flow to the heart, reducing the risk of a heart attack. Step 4: Cardiac catheterization (choice A) is a diagnostic procedure, not a direct treatment. Step 5: Echocardiogram (choice B) is an imaging test, not a surgical intervention. Step 6: Nitroglycerin (choice C) is a medication used for symptom relief, not a surgical solution.
Question 5 of 5
Situation: In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse. Which of the following is the most appropriate for the nurse to ask?
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the issue of abuse by asking if the wife and child are being threatened or hurt by the partner. This question is clear, specific, and focuses on the potential abuse situation. It allows the nurse to gather crucial information to assess the safety of the family. Choice B is not as effective because it only asks if the wife is frightened, which may not necessarily reveal if abuse is present. Choice C is too vague and open-ended, not directly addressing the suspected abuse. Choice D focuses on arguments, which may not uncover the extent of abuse occurring in the household. Therefore, A is the most appropriate question in this situation.