ATI RN
Theories of Health Behavior Change Questions
Question 1 of 5
When surgery is on-going, who coordinates the activities outside, including the family?
Correct Answer: C
Rationale: The correct answer is C: Circulating Nurse. During surgery, the circulating nurse is responsible for coordinating activities outside the operating room, including communicating with the family. They ensure the smooth flow of the surgical procedure, handle documentation, equipment, and communication. The other choices are incorrect because: A: Orderly/clerk is not typically involved in coordinating activities outside the operating room. B: Nurse Supervisor focuses on managing the nursing staff and overseeing patient care within the unit, not specifically coordinating activities outside during surgery. D: Anesthesiologist is primarily responsible for administering anesthesia and monitoring the patient's vital signs during surgery, not coordinating activities with the family.
Question 2 of 5
A male client was on warfarin (Coumadin) before admission, and has been receiving heparin I.V. for 2 days. The partial thromboplastin time (PTT) is 68 seconds. What should Nurse Carla do?
Correct Answer: A
Rationale: The correct answer is A: Stop the I.V. infusion of heparin and notify the physician. Heparin is an anticoagulant that prolongs the PTT. A PTT of 68 seconds indicates that the client may be at risk for bleeding due to excessive anticoagulation. Stopping the heparin infusion is crucial to prevent further complications. Notifying the physician is essential for further management. B: Continuing treatment as ordered would pose a risk of potential bleeding complications due to excessive anticoagulation. C: Warfarin affects the INR, not the PTT. Expecting warfarin to increase the PTT is incorrect. D: Increasing the dosage of heparin is contraindicated as the PTT is already elevated, indicating a risk of bleeding.
Question 3 of 5
Nurse John is caring for a male client receiving lidocaine I.V. Which factor is the most relevant to administration of this medication?
Correct Answer: C
Rationale: The correct answer is C: Presence of premature ventricular contractions (PVCs) on a cardiac monitor. Lidocaine is commonly used to treat PVCs and ventricular arrhythmias. Monitoring for PVCs is crucial to assess the effectiveness of the medication. A decrease in arterial oxygen saturation (A) is not directly related to lidocaine administration. An increase in systemic blood pressure (B) is not a primary concern with lidocaine. Increase in intracranial pressure (ICP) (D) is not directly affected by lidocaine administration.
Question 4 of 5
George should be taught about testicular examinations during:
Correct Answer: D
Rationale: The correct answer is D because testicular examinations are most effective when started before age 20 to detect any abnormalities early. This is crucial for early detection of testicular cancer, which is more common in younger men. Teaching about testicular examinations after age 40 or after sexual activity starts is not ideal as it may delay the detection of potential issues. Waiting until after age 69 is too late for proactive prevention. Starting before age 20 ensures that individuals are informed and proactive about their testicular health from a young age.
Question 5 of 5
When performing oral care on a comatose client, Nurse Krina should:
Correct Answer: C
Rationale: Rationale for Choice C: 1. Placing the client in a side-lying position prevents aspiration. 2. Lowering the head of the bed helps with drainage and reduces the risk of choking. 3. This position also allows for better access to perform oral care safely. Summary of other choices: A. Applying lemon glycerin frequently can be drying and irritating to the lips. B. Brushing teeth with the client lying supine can increase the risk of aspiration. D. Cleaning the client's mouth with hydrogen peroxide can be harmful if ingested and is not recommended for routine oral care.