ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
Which laboratory test indicates liver cirrhosis?
Correct Answer: D
Rationale: The correct answer is D: Elevated serum aminotransferase. In liver cirrhosis, liver cells are damaged, causing release of aminotransferase enzymes into the bloodstream. Elevated levels of serum aminotransferase, such as ALT and AST, indicate liver damage. Decreased red blood cell count (A) is not specific to liver cirrhosis. Decreased serum acid phosphate level (B) is not a typical indicator of liver cirrhosis. Elevated white blood cell count (C) is more commonly associated with infection or inflammation, not liver cirrhosis.
Question 2 of 5
Which comment about a 3-year-old child if made by the parent may indicate child abuse?
Correct Answer: B
Rationale: The correct answer is B because the statement implies unrealistic expectations and a lack of understanding of a 3-year-old's developmental stage. At this age, children often require repeated instructions and reminders due to their cognitive and behavioral development. This expectation of immediate compliance could lead to frustration and potentially abusive behavior if the child does not meet these unreasonable demands. Choice A is incorrect because it refers to normal toddler behavior of occasional accidents even after toilet training. Choice C is incorrect as it highlights age-appropriate expectations for a 3-year-old to attempt dressing and feeding independently. Choice D is incorrect as saying "NO" is a common behavior in toddlers as they assert their independence and test boundaries.
Question 3 of 5
Ritalin is the drug of choice for children with ADHD. The side effects of the following may be noted:
Correct Answer: A
Rationale: The correct answer is A because Ritalin is a stimulant that helps improve attention span and concentration in children with ADHD by increasing dopamine levels in the brain. This is the desired effect of the medication. Choices B, C, and D are incorrect because Ritalin commonly causes decreased appetite, insomnia, and increased heart rate as side effects, rather than increased appetite, sleepiness, lethargy, bradycardia, or diarrhea. These side effects are typically temporary and can be managed with dosage adjustments.
Question 4 of 5
The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension, and fever. The nurse should be alert for impending:
Correct Answer: A
Rationale: The correct answer is A: Delirium tremens. These symptoms are characteristic of delirium tremens, a severe form of alcohol withdrawal. Increased tremors, irritability, hypertension, and fever are signs of worsening withdrawal symptoms that can progress to delirium tremens, a life-threatening condition. Delirium tremens is a medical emergency that requires immediate intervention to prevent complications such as seizures and cardiovascular collapse. Korsakoff's syndrome (B), Esophageal varices (C), and Wernicke's syndrome (D) are all associated with chronic alcohol use, but they do not present with the acute symptoms described in the scenario.
Question 5 of 5
Situation: A 17-year-old gymnast is admitted to the hospital due to weight loss and dehydration secondary to starvation. Which of the following nursing diagnoses will be given priority for the client?
Correct Answer: B
Rationale: The correct answer is B: Fluid volume deficit. Priority is given to addressing physiological needs first. In this case, the client is experiencing dehydration, which can lead to serious complications. Replenishing fluids is crucial to stabilize the client's condition. Altered self-image (A), altered nutrition less than body requirements (C), and altered family process (D) are important but addressing the fluid volume deficit takes precedence due to its immediate life-threatening potential.