ATI RN
Growth and Development Exam
1. Certified nurse-midwives __________.
- A. cannot legally deliver babies at home in most states
- B. have degrees in nursing and additional training in childbirth management
- C. can perform cesarean deliveries and administer medication to control pain
- D. are not medical professionals, but are trained in labor and delivery support Answer: B Page Ref: 96 Skill Level: Understand with each. Topic: Approaches to Childbirth Difficulty Level: Moderate
Correct answer: B
Rationale: Certified nurse-midwives have degrees in nursing and additional training in childbirth management. They are qualified to provide prenatal care, support during labor and delivery, as well as postpartum care. They are licensed medical professionals who can assist with normal childbirth, but they do not perform surgical procedures like cesarean deliveries. They also focus on providing holistic and personalized care to women throughout the childbirth process.
2. What is a chronic condition where the airways in the lungs become damaged and widened, leading to mucus buildup and frequent infections?
- A. Bronchiectasis
- B. Chronic bronchitis
- C. Pneumoconiosis
- D. Asthma
Correct answer: A
Rationale: Bronchiectasis is a chronic condition characterized by the damage and widening of the airways in the lungs, resulting in mucus accumulation and recurrent lung infections. Choice B, chronic bronchitis, involves inflammation of the bronchial tubes and excessive mucus production but does not specifically mention airway damage and widening. Choice C, pneumoconiosis, refers to lung diseases caused by inhalation of mineral dust particles, not airway damage and mucus buildup. Choice D, asthma, is a chronic condition characterized by airway inflammation and narrowing, leading to breathing difficulties, but it does not involve the widening and damage of the airways as seen in bronchiectasis.
3. A nurse teaches a client with tuberculosis (TB) who is being discharged. Which statement by the client indicates a need for further teaching?
- A. I will take my medication as prescribed.
- B. I will need to have regular follow-up chest x-rays.
- C. I will be able to return to work immediately.
- D. I will use tissues to cover my mouth when I cough.
Correct answer: C
Rationale: Clients with tuberculosis should not return to work until they are no longer contagious and have been cleared by their healthcare provider. This usually requires several weeks of treatment. The other statements are correct and indicate understanding.
4. A client is 1 day postoperative following abdominal surgery. Which of the following actions should the nurse take to prevent respiratory complications?
- A. Instruct the client to avoid deep breathing exercises
- B. Encourage the use of an incentive spirometer
- C. Assist the client with ambulation every 2 hours
- D. Apply sequential compression devices (SCDs)
Correct answer: B
Rationale: Encouraging the use of an incentive spirometer is crucial for preventing respiratory complications postoperatively, such as atelectasis. Instructing the client to avoid deep breathing exercises (choice A) is incorrect as deep breathing exercises help prevent respiratory complications. Assisting with ambulation every 2 hours (choice C) is important for preventing other postoperative complications but not specifically respiratory ones. Applying sequential compression devices (SCDs) (choice D) is beneficial for preventing deep vein thrombosis but not directly related to respiratory complications.
5. A patient taking oral contraceptives reports breakthrough bleeding. What should the nurse assess in this patient?
- A. Adherence to the medication schedule
- B. The possibility of pregnancy
- C. The need for an increased dosage
- D. The effectiveness of the current oral contraceptive
Correct answer: A
Rationale: When a patient on oral contraceptives experiences breakthrough bleeding, the nurse should assess the patient's adherence to the medication schedule. Breakthrough bleeding can be a sign of missed doses or inconsistent timing, which can decrease the effectiveness of oral contraceptives. Assessing the patient's adherence helps in ensuring proper use of the medication. Choices B, C, and D are incorrect because breakthrough bleeding is more likely related to adherence issues rather than pregnancy, the need for increased dosage, or the effectiveness of the current oral contraceptive.
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