ATI RN
Psychological Exam
1. During which span of months or years is a child particularly responsive to specific forms of experience or influenced by their absence?
- A. Nonnormative influences
- B. Normative age-graded influence
- C. Normative history-graded influence
- D. Sensitive period
Correct answer: D
Rationale: The correct answer is 'Sensitive period.' A sensitive period refers to a specific span of time during development when a child is especially responsive to certain experiences. This period allows for optimal development in specific areas. Nonnormative influences (Choice A) are events that are irregular and unpredictable, while normative age-graded influences (Choice B) are typical events that occur in a similar manner for most people in a specific age group. Normative history-graded influences (Choice C) are events that most people in a specific culture or cohort experience at the same time.
2. Thrombocytopenia is which disorder below?
- A. Increased blood coagulation
- B. Increased platelet production
- C. Increased number of infections
- D. Decreased platelet production
Correct answer: D
Rationale: Thrombocytopenia is a disorder characterized by a decreased platelet count or decreased platelet production, which affects blood clotting. Choice A, 'Increased blood coagulation,' is incorrect as thrombocytopenia is associated with decreased platelets, leading to impaired clotting. Choice B, 'Increased platelet production,' is incorrect as thrombocytopenia is characterized by a decrease in platelet production. Choice C, 'Increased number of infections,' is unrelated to thrombocytopenia, which primarily involves low platelet levels.
3. Each of the following is a function of the liver except one. Which one is the exception?
- A. Regulatory control of nutrients in the bloodstream
- B. Conversion of monosaccharides to triglycerides
- C. Breakdown of polysaccharide glycogen into glucose
- D. Oxidation of digestive end products to provide energy
Correct answer: B
Rationale: The correct answer is B. The liver does not convert monosaccharides to triglycerides; instead, it converts monosaccharides to glucose or glycogen. Choice A is correct because the liver plays a role in regulating the levels of various nutrients in the bloodstream. Choice C is correct as the liver breaks down stored glycogen into glucose to maintain blood sugar levels. Choice D is correct as the liver oxidizes digestive end products to provide energy. Therefore, only choice B is incorrect as the liver does not convert monosaccharides to triglycerides.
4. A client is admitted with superior vena cava syndrome. What action by the nurse is most appropriate?
- A. Administer a dose of allopurinol.
- B. Assess the client’s serum potassium level.
- C. Gently inquire about advance directives.
- D. Prepare the client for emergency surgery.
Correct answer: C
Rationale: The correct answer is to gently inquire about advance directives. Superior vena cava syndrome is often a late-stage manifestation, indicating a serious condition. Discussing advance directives with the client is crucial to ensure their wishes are known in case of deterioration. Administering allopurinol (Choice A) is not indicated for superior vena cava syndrome. Assessing the client’s serum potassium level (Choice B) is not the priority when managing this syndrome. Emergency surgery (Choice D) is not typically the initial treatment for superior vena cava syndrome.
5. A client with peripheral arterial disease (PAD) is experiencing muscle pain or cramping during physical activity that resolves with rest. Which of the following symptoms is typically the initial reason clients with PAD seek medical attention?
- A. Intermittent claudication
- B. Dependent rubor
- C. Rest pain
- D. Foot ulcers
Correct answer: Intermittent claudication
Rationale: The correct answer is Intermittent claudication. Intermittent claudication, which manifests as muscle pain or cramping during physical activity that improves with rest, is typically the initial reason clients with PAD seek medical attention. Dependent rubor, rest pain, and foot ulcers are more advanced symptoms of PAD and are not usually the initial reasons for seeking medical care.
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