ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
The following are appropriate nursing interventions during colostomy irrigation EXCEPT:
Correct Answer: A
Rationale: Correct Answer: A Rationale: A) Increasing the flow rate when abdominal cramps occur can lead to discomfort and potential injury to the stoma. Instead, the flow rate should be adjusted to a comfortable level. B) Inserting 2-4 inches of lubricated catheter helps ensure proper irrigation without causing trauma to the stoma. C) Positioning the client in semi-Fowler aids in comfort and proper visualization during the procedure. D) Hanging the solution 18 inches above the stoma creates the appropriate pressure for effective irrigation without causing discomfort or excessive pressure on the stoma.
Question 2 of 5
A male client has active tuberculosis (TB). Which of the following symptoms will be exhibit?
Correct Answer: B
Rationale: The correct answer is B: Chills, fever, night sweats, and hemoptysis. In active TB, the bacteria cause symptoms such as chills, fever, night sweats, and coughing up blood (hemoptysis). These symptoms are characteristic of TB infection. Chest and lower back pain (choice A) are not typical symptoms of active TB. Fever of more than 104°F and nausea (choice C) are not specific to TB and can occur in various illnesses. Headache and photophobia (choice D) are not commonly associated with active TB. Therefore, choice B is the most appropriate due to its alignment with classic TB symptoms.
Question 3 of 5
When caring for a female client who is being treated for hyperthyroidism, it is important to:
Correct Answer: B
Rationale: The correct answer is B because monitoring for signs of restlessness, sweating, and excessive weight loss is crucial during thyroid replacement therapy for a female client with hyperthyroidism. Restlessness and sweating can indicate hyperthyroidism symptoms worsening, while excessive weight loss may suggest overmedication. Providing extra blankets (A) is unnecessary as hyperthyroidism typically causes heat intolerance. Balancing activity and rest (C) is important but not as critical as monitoring for specific symptoms. Encouraging activity (D) may exacerbate symptoms like fatigue and muscle weakness in hyperthyroidism.
Question 4 of 5
Mike with epilepsy is having a seizure. During the active seizure phase, the nurse should:
Correct Answer: D
Rationale: The correct answer is D because placing the client on his side helps prevent aspiration and ensures an open airway. Removing dangerous objects prevents injury, and protecting the head prevents head injury. Placing the client on his back (A, C) can lead to aspiration, and holding down his arms (C) can cause injury.
Question 5 of 5
Mr. Vasquez 56-year-old client with a 40-year history of smoking one to two packs of cigarettes per day has a chronic cough producing thick sputum, peripheral edema and cyanotic nail beds. Based on this information, he most likely has which of the following conditions?
Correct Answer: C
Rationale: Step 1: Mr. Vasquez has a chronic cough producing thick sputum, which is a common symptom of chronic bronchitis. Step 2: Peripheral edema and cyanotic nail beds indicate poor oxygenation, a characteristic of chronic bronchitis. Step 3: Chronic bronchitis is characterized by inflammation of the bronchial tubes, leading to excessive mucus production. Step 4: Chronic bronchitis is often caused by long-term smoking, which Mr. Vasquez has a 40-year history of. Step 5: Therefore, the most likely condition Mr. Vasquez has is chronic obstructive bronchitis (Choice C). Summary: A: ARDS is an acute condition usually caused by severe injury or illness, not chronic smoking. B: Asthma typically presents with wheezing and shortness of breath, not chronic cough with sputum. D: Emphysema is characterized by damage to the air sacs in the lungs