ATI RN
Theoretical Basis for Behavior Modification Questions
Question 1 of 5
Which of the following nursing actions should be initiated first?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 6L/min. This should be initiated first because it addresses the client's immediate physiological need for oxygenation, ensuring adequate oxygen supply to vital organs. Providing oxygen takes precedence over emotional support (A), suctioning (C), and administering bronchodilators (D). Emotional support is important but not as urgent as oxygenation. Suctioning and administering bronchodilators are secondary interventions once oxygenation is optimized. Administering oxygen first is essential in managing respiratory distress and ensuring the client's safety and stability.
Question 2 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 3 of 5
A male client is admitted to the emergency department following an accident. What are the first nursing actions of the nurse?
Correct Answer: C
Rationale: The correct answer is C because checking respirations first ensures airway patency and oxygenation. Stabilizing the spine prevents further injury, and checking circulation assesses perfusion. Option A misses spine stabilization, B focuses on spine alignment before airway, and D does not address spine stability promptly. Prioritizing airway, breathing, and circulation is crucial in emergency care to ensure client safety and prevent complications.
Question 4 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 5 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.