ATI RN
Growth and Development Exam
1. In a historic experiment with 11-month-old Albert, John Watson demonstrated that __________.
- A. children cannot be conditioned to fear a formerly neutral stimulus
- B. infants as young as a few months old will repeat a behavior to obtain a desirable reward
- C. children can be conditioned to fear a formerly neutral stimulus
- D. children have an innate, inborn fear of rats Answer: C Page Ref: 16 Skill Level: Understand Topic: Mid-Twentieth-Century Theories Difficulty Level: Moderate
Correct answer: C
Rationale: In the historic experiment with 11-month-old Albert conducted by John Watson, it was demonstrated that children can be conditioned to fear a formerly neutral stimulus. This is known as classical conditioning, where a neutral stimulus is repeatedly paired with an unconditioned stimulus to create a conditioned response. In this case, Albert was conditioned to fear a white rat by pairing the rat with a loud noise. This experiment showcased the power of conditioning in shaping behavior and emotional responses in children.
2. When administering enoxaparin (Lovenox) to a client for DVT prophylaxis, what is the most important lab value to monitor?
- A. Platelet count
- B. PT/INR
- C. aPTT
- D. Hemoglobin
Correct answer: A
Rationale: The correct answer is A: Platelet count. When administering enoxaparin (Lovenox) for DVT prophylaxis, it is crucial to monitor the platelet count as enoxaparin can lead to thrombocytopenia, a decrease in platelet levels. Monitoring the platelet count helps in early detection of this potential adverse effect. Choices B, C, and D are incorrect because PT/INR, aPTT, and hemoglobin levels are not the most important lab values to monitor specifically for enoxaparin administration and DVT prophylaxis.
3. A nearby community provides blood pressure screening, height and weight measurement, smoking cessation classes and aerobics class services. This type of program is referred to as
- A. outreach program
- B. hospital extension program
- C. barangay health program
- D. wellness program
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
4. A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?
- A. Deficits in the right visual field
- B. Unable to discriminate words and letters
- C. Motor retardation
- D. Poor impulse control
Correct answer: D
Rationale: The correct answer is D, poor impulse control. Right hemisphere strokes commonly affect judgment and safety awareness, leading to poor impulse control. Choices A, B, and C are incorrect for this scenario. Deficits in the right visual field are associated with left hemisphere strokes, while the inability to discriminate words and letters is typically seen with left hemisphere damage. Motor retardation is more common in strokes affecting the motor areas of the brain, not specifically related to right hemisphere strokes.
5. A nurse is providing care to a client who is in active labor. The nurse observes variable decelerations in the fetal heart rate. Which of the following actions should the nurse take first?
- A. Administer oxygen at 10 L/min via face mask
- B. Reposition the client from side to side
- C. Increase the rate of the IV infusion
- D. Notify the provider
Correct answer: B
Rationale: The correct action the nurse should take first when observing variable decelerations in the fetal heart rate is to reposition the client from side to side. Variable decelerations are often caused by umbilical cord compression, and repositioning the client can relieve pressure on the cord. Administering oxygen, increasing the IV infusion rate, and notifying the provider can be appropriate actions but repositioning the client takes priority in addressing variable decelerations.
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