ATI RN
Growth and Development Exam
1. A 20-week-old fetus can __________.
- A. be stimulated as well as irritated by sounds
- B. survive, if born early
- C. breathe without oxygen assistance, if born early
- D. control its own body temperature Answer: A Page Ref: 80 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate
Correct answer: A
Rationale: A 20-week-old fetus is able to be stimulated as well as irritated by sounds because by this stage of prenatal development, the fetus's auditory system is already well-developed. It can respond to external sounds and may even startle or move in reaction to loud noises.
2. A client with major depressive disorder is prescribed an antidepressant. Which of the following instructions should the nurse exclude from the teaching?
- A. It may take several weeks for the medication to take effect
- B. Avoid alcohol while taking this medication
- C. Discourage the client from washing her hands
- D. You may experience an increase in energy before your mood improves
Correct answer: C
Rationale: The nurse should not include the instruction to discourage the client from washing her hands in the teaching for a client prescribed an antidepressant. This instruction is not relevant to the medication regimen. Instead, the nurse should educate the client that it may take several weeks for the medication to take effect, to avoid alcohol, not to discontinue the medication abruptly, and that there may be an increase in energy before mood improves. Regular blood tests are not typically required for most antidepressants.
3. A nurse is assessing a client who is at 35 weeks of gestation and has suspected placenta previa. Which of the following findings should the nurse expect?
- A. Painless vaginal bleeding
- B. Severe abdominal pain
- C. Uterine contractions
- D. Increased fetal movement
Correct answer: A
Rationale: Correct. Placenta previa typically presents with painless vaginal bleeding as the placenta is located over or near the cervical opening. This bleeding occurs because the placental vessels are stretched and bleed easily. Severe abdominal pain (choice B) is not a typical finding in placenta previa. Uterine contractions (choice C) are more characteristic of preterm labor rather than placenta previa. Increased fetal movement (choice D) is not a specific finding associated with placenta previa.
4. The ability to adapt successfully to even very difficult circumstances is called ________.
- A. resilience
- B. hardiness
- C. perseverance
- D. a challenge orientation
Correct answer: A
Rationale: Resilience is indeed the correct term for the ability to adapt successfully to difficult circumstances. Resilience involves bouncing back from setbacks, handling stress, and persevering in the face of adversity. Choice B, 'hardiness,' refers more to toughness or durability rather than adapting to difficult circumstances. Choice C, 'perseverance,' is about persistence and determination rather than adaptability. Choice D, 'a challenge orientation,' does not directly relate to the ability to adapt to difficult circumstances, making it an incorrect choice.
5. A client is being treated for inhalational anthrax following bioterrorism exposure. Which of the following medications should NOT be expected as a common treatment for anthrax?
- A. Ciprofloxacin
- B. Doxycycline
- C. Amoxicillin
- D. Penicillin G
Correct answer: D: Penicillin G
Rationale: Penicillin G is NOT commonly used to treat anthrax. Anthrax is typically treated with antibiotics such as ciprofloxacin and doxycycline due to penicillin's limited efficacy against anthrax bacteria. Amoxicillin is also not a preferred choice for anthrax treatment. Therefore, penicillin G would not be expected as a primary medication for anthrax treatment following bioterrorism exposure.
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