ATI RN
Psychological Exam
1. Which term refers to events that typically happen to everyone at certain times of life?
- A. Normative age-graded influence
- B. Social clock
- C. Sensitive period
- D. Normative history-graded influences
Correct answer: A
Rationale: The correct answer is A: Normative age-graded influence. Normative age-graded influences are events that typically happen to everyone at certain life stages, such as marriage, parenthood, puberty, and menopause. Choice B, 'Social clock,' refers to the culturally preferred timing of social events. Choice C, 'Sensitive period,' represents a time when a particular development occurs most easily. Choice D, 'Normative history-graded influences,' are common to people of a particular generation due to historical circumstances.
2. Which of the following describes the type of incontinence due to an increase in intraabdominal pressure such as coughing, sneezing, and laughing?
- A. Overflow
- B. Stress
- C. Mixed
- D. Functional
Correct answer: B
Rationale: The correct answer is B: Stress. Stress incontinence occurs when there is an increase in intraabdominal pressure, for example, during activities like coughing, sneezing, or laughing, leading to urine leakage. This type of incontinence is specifically triggered by physical movements or activities that put pressure on the bladder. Choices A, C, and D are incorrect because overflow incontinence is characterized by the bladder not emptying properly, mixed incontinence is a combination of stress and urge incontinence, and functional incontinence is typically due to physical or cognitive impairments.
3. A nurse is planning care for a client who is receiving hemodialysis. What action should the nurse include in the plan?
- A. Withhold all medications until after dialysis.
- B. Rehydrate with dextrose 5% in water for orthostatic hypotension.
- C. Check the vascular access site for bleeding after dialysis.
- D. Give an antibiotic 30 minutes before dialysis.
Correct answer: C
Rationale: The correct action that the nurse should include in the plan for a client receiving hemodialysis is to check the vascular access site for bleeding after dialysis. This is important to prevent complications such as infection or excessive bleeding. Withholding all medications until after dialysis (Choice A) is not necessary unless specific medications need to be avoided due to the dialysis process. Rehydrating with dextrose 5% in water for orthostatic hypotension (Choice B) is not directly related to post-dialysis care. Giving an antibiotic 30 minutes before dialysis (Choice D) is not a standard practice unless there is a specific clinical indication.
4. A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following statements should the nurse include?
- A. You should avoid drinking alcohol while taking this medication.
- B. You should monitor for signs of infection.
- C. Take this medication with food to prevent gastrointestinal upset.
- D. Take this medication with a full glass of water.
Correct answer: B
Rationale: The correct statement the nurse should include when teaching a client taking clopidogrel is to monitor for signs of infection. Clopidogrel affects platelet levels and can increase the risk of bleeding. Monitoring for signs of infection is crucial because a compromised immune system can make the client more susceptible to infections. Choices A, C, and D are incorrect because clopidogrel is not directly linked to alcohol restrictions, food requirements, or specific water intake instructions.
5. A nurse is providing teaching about digoxin administration to the parents of a toddler with heart failure. Which of the following statements should the nurse include?
- A. Limit your child's potassium intake while taking this medication.
- B. You can mix the medication with a half-cup of your child's favorite juice.
- C. Do not repeat the dose if your child vomits within one hour after taking the medication.
- D. Have your child drink a small glass of water after swallowing the medication.
Correct answer: D
Rationale: The correct statement to include in the teaching about digoxin administration is to have the child drink a small glass of water after swallowing the medication. Water helps flush down the medication, preventing irritation in the esophagus. Choice A is incorrect because digoxin may interact with potassium levels, but strict restriction is not necessary. Choice B is incorrect as medications should not be mixed with juices unless specified by the healthcare provider due to possible interactions. Choice C is incorrect because if a child vomits after taking digoxin, the dose should not be repeated to avoid double dosing.
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