ATI RN
Human Growth and Development Exam 1
1. Nonnormative influences are irregular and do not follow a predictable timetable.
- A. Nonnormative
- B. History-graded
- C. Age-graded
- D. Bio-historical
Correct answer: A
Rationale: The correct answer is A: Nonnormative. Nonnormative influences are events or experiences that are irregular and unique to the individual, so they do not follow a predictable timetable. These influences can include major life events like winning the lottery or experiencing a natural disaster, and they have a significant impact on a person's development. Choice B, History-graded influences, are events that are common to people of a particular generation due to historical circumstances. Choice C, Age-graded influences, are events that are typical for people of a certain age group. Choice D, Bio-historical, is not a recognized term in developmental psychology.
2. A client is receiving continuous IV nitroprusside for severe hypertension. Which action should the nurse take?
- A. Keep calcium gluconate at the bedside.
- B. Monitor blood pressure every 2 hours.
- C. Limit IV exposure to light.
- D. Attach an inline filter to the IV tubing.
Correct answer: C
Rationale: The correct action for the nurse to take is to limit IV exposure to light. Nitroprusside is light-sensitive, and exposure to light can lead to its degradation, potentially reducing its efficacy in treating severe hypertension. Keeping calcium gluconate at the bedside (Choice A) is not directly related to managing nitroprusside infusion. While monitoring blood pressure every 2 hours (Choice B) is important in managing hypertension, it is not the immediate action required to ensure medication efficacy. Attaching an inline filter to the IV tubing (Choice D) may help filter particles but does not address the critical concern of light sensitivity associated with nitroprusside administration.
3. A nurse is providing discharge teaching to a patient who will be taking sildenafil (Viagra). Which of the following should the nurse include in the instructions?
- A. Take this medication 1 hour before sexual activity.
- B. Do not take more than one dose in a 24-hour period.
- C. Seek immediate medical attention if you experience vision or hearing loss.
- D. Take this medication on an empty stomach.
Correct answer: B
Rationale: The correct answer is B: 'Do not take more than one dose in a 24-hour period.' It is essential for the nurse to emphasize this instruction to prevent potential adverse effects from taking multiple doses of sildenafil. Choice A is incorrect because sildenafil should be taken approximately 30 minutes to 4 hours before sexual activity, not specifically 1 hour before. Choice C is important but not the priority; while vision or hearing loss are potential serious side effects of sildenafil, the immediate concern should be focused on dose frequency. Choice D is incorrect as sildenafil can be taken with or without food.
4. A nurse is caring for a client who has a small-bore jejunostomy and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?
- A. Replace the bag and tubing every 24 hr
- B. Flush the tubing with 10 mL water every 6 hr
- C. Admin the feeding by gravity drip
- D. Heat the formula prior to infusion
Correct answer: B
Rationale: Flushing the tubing with 10 mL of water every 6 hours helps prevent clogging when using high-viscosity formulas.
5. In which type of shock does the patient experience a mismatch of blood flow to the cells?
- A. Distributive
- B. Cardiogenic
- C. Hypovolemic
- D. Septic
Correct answer: A
Rationale: The correct answer is A: Distributive shock. Distributive shock is characterized by a widespread increase in vascular permeability leading to a relative hypovolemia and a mismatch of blood flow to the cells. Choice B, Cardiogenic shock, is due to the heart's inability to pump effectively. Choice C, Hypovolemic shock, results from a decrease in intravascular volume. Choice D, Septic shock, is caused by a systemic response to infection.
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