ATI RN
Human Growth and Development Final Exam
1. In mammals, including humans, the sense of smell __________.
- A. does not become adultlike for several years
- B. helps mothers and babies identify each other
- C. is the least developed sense at birth
- D. takes about four months to become adultlike
Correct answer: B
Rationale: The sense of smell in mammals, including humans, plays a crucial role in helping mothers and babies identify each other. This is important for initiating bonding and caregiving behaviors. Choice A is incorrect because the sense of smell is functional at birth and not entirely underdeveloped for several years. Choice C is incorrect as the sense of smell is actually well-developed at birth. Choice D is incorrect because the sense of smell is functional from birth and does not take several months to become adultlike.
2. After consuming a meal high in fat, the _____ releases _______ to aid in digestion.
- A. stomach, acid
- B. liver, bile
- C. pancreas, bicarbonate
- D. gallbladder, bile
Correct answer: D
Rationale: The gallbladder releases bile into the small intestine to help digest fats. Bile emulsifies fats, breaking them down into smaller droplets for easier digestion. The stomach primarily releases gastric acid, the liver produces bile but stores it in the gallbladder, and the pancreas secretes bicarbonate to neutralize stomach acid in the small intestine. Therefore, choices A, B, and C are incorrect.
3. A client has a new prescription for Verapamil. Which of the following instructions should the nurse include?
- A. Increase your intake of high-fiber foods.
- B. Take the medication with grapefruit juice.
- C. Expect to feel drowsy or lightheaded.
- D. Avoid dairy products while taking this medication.
Correct answer: A
Rationale: The correct instruction to include when a client is prescribed Verapamil is to increase their intake of high-fiber foods. Verapamil can cause constipation as a side effect, and increasing fiber intake can help prevent constipation. High-fiber foods promote bowel regularity and can counteract the constipating effects of Verapamil. Choices B, C, and D are incorrect because taking Verapamil with grapefruit juice can lead to adverse reactions, drowsiness or lightheadedness is not a typical side effect of Verapamil, and there is no need to avoid dairy products specifically while taking this medication.
4. When providing mouth care to an unconscious client, what is the best position for the client?
- A. Fowler’s position
- B. Side-lying
- C. Supine
- D. Trendelenburg
Correct answer: B
Rationale: The best position for an unconscious client when providing mouth care is the side-lying position. This position helps prevent aspiration by allowing fluids to drain out of the mouth easily, reducing the risk of choking or aspiration pneumonia. Placing the client in a side-lying position also promotes comfort and safety during the procedure. The other options are not ideal for mouth care in an unconscious client: Fowler’s position may increase the risk of aspiration, the supine position can lead to aspiration as well, and Trendelenburg position is not recommended due to potential adverse effects on blood circulation and increased intracranial pressure.
5. During a physical assessment of adult clients, which of the following techniques should the nurse use?
- A. Use the Face, Legs, Activity, Cry, and Consolability (FLACC) pain rating scale for a client experiencing pain.
- B. Palpate the client's abdomen before auscultating bowel sounds.
- C. Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm.
- D. Obtain an apical heart rate by auscultating at the third intercostal space to the left of the sternum.
Correct answer: B
Rationale: When performing a physical assessment, it is essential to palpate the client's abdomen before auscultating bowel sounds. This sequence helps prevent altering bowel sound results due to the pressure applied during palpation. Choice A is incorrect because the FLACC pain rating scale is typically used for nonverbal or pediatric clients, not adults. Choice C is incorrect because the bladder of the blood pressure cuff should surround about 80% of the client's arm circumference, not the bladder of the cuff itself. Choice D is incorrect because to obtain an apical heart rate, auscultation should be done at the fifth intercostal space at the midclavicular line, not at the third intercostal space to the left of the sternum.
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