ATI RN
Exam 4 Psychology
1. A psychologist who is interested in the psychological effect of aging would most likely specialize in?
- A. Developmental psychology.
- B. Experimental psychology.
- C. Cognitive psychology.
- D. Psychometrics.
Correct answer: A
Rationale: A psychologist interested in the psychological effect of aging would most likely specialize in developmental psychology. Developmental psychology focuses on studying the psychological changes that occur throughout a person's lifespan, including the effects of aging. Experimental psychology primarily deals with conducting experiments to study behavior and cognitive processes. Cognitive psychology focuses on mental processes like perception, memory, and problem-solving. Psychometrics involves the measurement of psychological variables such as intelligence, aptitude, and personality traits, but it does not specifically address the psychological effects of aging as in developmental psychology.
2. A nurse is caring for a client with a newly inserted pacemaker. What is the most important nursing action post-procedure?
- A. Monitor the insertion site for signs of infection.
- B. Educate the client about activity restrictions.
- C. Monitor the client's heart rate and rhythm.
- D. Assess the client's lung sounds for signs of fluid overload.
Correct answer: A
Rationale: Post-procedure, monitoring the insertion site for signs of infection is crucial because it helps in early detection of any potential complications such as infection. While educating the client about activity restrictions, monitoring the client's heart rate and rhythm, and assessing lung sounds for signs of fluid overload are important aspects of care, the immediate priority post-procedure is to prevent infection at the insertion site, which could lead to serious complications.
3. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?
- A. Vomiting.
- B. Hypertension.
- C. Epigastric pain.
- D. Contractions.
Correct answer: D
Rationale: Following an amniocentesis at 33 weeks of gestation, the nurse should monitor the client for contractions. Contractions can indicate preterm labor, which requires immediate attention. Vomiting, hypertension, and epigastric pain are not typically associated with amniocentesis complications at this gestational age.
4. Which of the following lab values should the nurse monitor for a patient receiving heparin therapy?
- A. Monitor platelet count
- B. Monitor PT/INR
- C. Monitor aPTT
- D. Monitor CBC
Correct answer: C
Rationale: The correct answer is to monitor aPTT for a patient receiving heparin therapy. The activated partial thromboplastin time (aPTT) is used to assess and adjust heparin dosage to ensure the patient is within the therapeutic range for anticoagulation. Monitoring the aPTT helps in preventing both clotting and bleeding complications. Platelet count (Choice A) is important to monitor for patients receiving antiplatelet therapy, not heparin. PT/INR (Choice B) is typically monitored for patients on warfarin therapy, not heparin. Monitoring the complete blood count (CBC) (Choice D) is essential for various conditions but is not specific to monitoring heparin therapy.
5. A nurse is teaching a client who has a new prescription for Furosemide. Which of the following dietary instructions should the nurse provide?
- A. Increase your intake of potassium-rich foods.
- B. Limit your intake of calcium-rich foods.
- C. Avoid consuming dairy products.
- D. Increase your intake of fiber-rich foods.
Correct answer: A
Rationale: Furosemide, a loop diuretic, can cause potassium loss. Clients should increase their intake of potassium-rich foods to prevent hypokalemia.
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