ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
The treatment for patients with leukemia is bone marrow transplantation. Which statement about bone marrow transplantation is not correct?
Correct Answer: A
Rationale: Correct Answer: A Rationale: A: The patient is under general anesthesia during bone marrow transplantation to ensure no discomfort or movement during the procedure, which involves inserting a needle into the bone. B: Aspirated bone marrow is mixed with anticoagulants like heparin to prevent clotting and ensure the cells remain viable. C: The iliac crest is a common site for bone marrow aspiration due to its accessibility and abundance of marrow-producing cells. D: The recipient receives preparatory chemotherapy like cyclophosphamide to suppress the immune system and reduce the risk of rejection during transplantation.
Question 2 of 5
Nurse Mandy is preparing a client for magnetic resonance imaging (MRI) to confirm or rule out a spinal cord lesion. During the MRI scan, which of the following would pose a threat to the client?
Correct Answer: D
Rationale: Correct Answer: D (The client wears a watch and wedding band) Rationale: 1. MRI machines use strong magnetic fields, which can interact with metal objects like a watch and wedding band, causing them to move or heat up. 2. Movement of metal objects can lead to injury to the client or interfere with the imaging process. 3. It is essential for the client to remove all metal objects before entering the MRI room to ensure safety and accurate imaging. Summary: A: The client lying still is important for a successful MRI scan and does not pose a threat. B: Client asking questions does not pose a threat, as communication is normal during the procedure. C: Hearing thumping sounds is a common experience during an MRI scan and does not pose a direct threat to the client.
Question 3 of 5
A male client with type 1 diabetes is scheduled to receive 30 U of 70/30 insulin. There is no 70/30 insulin available. As a substitution, the nurse may give the client:
Correct Answer: A
Rationale: The correct answer is A (9 U regular insulin and 21 U NPH) because it closely matches the ratio of 70/30 insulin (70% NPH and 30% regular insulin). Regular insulin acts quickly to cover mealtime needs, while NPH provides intermediate-acting basal insulin. Option B has a higher proportion of regular insulin, which may lead to hypoglycemia. Option C has a lower proportion of regular insulin, which may not cover mealtime needs adequately. Option D has an equal ratio of regular and NPH insulin, not mimicking the 70/30 insulin ratio.
Question 4 of 5
On the third day after a partial thyroidectomy, Proserfina exhibits muscle twitching and hyperirritability of the nervous system. When questioned, the client reports numbness and tingling of the mouth and fingertips. Suspecting a lifethreatening electrolyte disturbance, the nurse notifies the surgeon immediately. Which electrolyte disturbance most commonly follows thyroid surgery?
Correct Answer: A
Rationale: Step 1: After thyroid surgery, there is a risk of damaging the parathyroid glands, leading to hypoparathyroidism. Step 2: Hypoparathyroidism causes decreased secretion of parathyroid hormone (PTH). Step 3: Decreased PTH leads to decreased calcium reabsorption in the kidneys and increased phosphate levels. Step 4: Low calcium levels cause muscle twitching, hyperirritability, and numbness/tingling. Step 5: Therefore, the electrolyte disturbance most commonly following thyroid surgery is hypocalcemia, making choice A correct. Summary of Incorrect Choices: B: Hyponatremia is not typically associated with thyroid surgery. C: Hyperkalemia is not a common electrolyte disturbance following thyroid surgery. D: Hypermagnesemia is not commonly seen post-thyroid surgery and would not present with the described symptoms.
Question 5 of 5
In an individual with Sjogren's syndrome, nursing care should focus on:
Correct Answer: A
Rationale: Sure! The correct answer is A: moisture replacement. In Sjogren's syndrome, there is a reduction in saliva and tear production, leading to dryness of the eyes and mouth. Moisture replacement helps alleviate symptoms, prevent complications like dental issues, and improve quality of life. Electrolyte balance (choice B) is not directly impacted by Sjogren's syndrome. Nutritional supplementation (choice C) may be helpful but is not the primary focus. Arrhythmia management (choice D) is not typically associated with Sjogren's syndrome.