ATI RN
Human Growth and Development Exam 1
1. Konrad Lorenz and Niko Tinbergen laid the modern foundations for __________.
- A. ethology
- B. social learning theory
- C. psychoanalytic theory
- D. cognitive-developmental theory
Correct answer: A
Rationale: Konrad Lorenz and Niko Tinbergen are considered the founders of ethology, a branch of biology and psychology that focuses on the study of animal behavior in natural environments. Their work laid the modern foundations for ethology, which examines the behavior of animals in relation to their natural habitats and evolutionary history. Choice B, social learning theory, is incorrect as it pertains to a different area of psychology that focuses on how people learn through observing others. Choice C, psychoanalytic theory, is also incorrect as it is a psychological theory developed by Sigmund Freud that emphasizes the role of unconscious conflicts in determining behavior. Choice D, cognitive-developmental theory, is incorrect as it refers to the work of Jean Piaget in understanding the development of human cognition in children.
2. A nurse is preparing to administer an intramuscular injection to an adult client. At what angle should the nurse administer the medication using the ventrogluteal site?
- A. a 45-degree angle
- B. a 60-degree angle
- C. a 75-degree angle
- D. a 90-degree angle
Correct answer: D
Rationale: Intramuscular injections in the ventrogluteal site should be administered at a 90-degree angle. This angle ensures that the medication reaches the muscle tissue effectively. Angles less than 90 degrees can cause subcutaneous injection instead of intramuscular, leading to slower absorption of the medication. Angles greater than 90 degrees risk hitting bone or nerves, causing unnecessary pain or injury. Therefore, the correct angle for administering intramuscular injections in the ventrogluteal site is 90 degrees.
3. A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?
- A. ''I think I should take my pain medication more often, since it is not controlling my pain.''
- B. ''Breathing faster will help me keep my mind off of the pain.''
- C. ''It might help me to listen to music while I'm lying in bed.''
- D. ''I don't want to walk today because I have some pain.''
Correct answer: D
Rationale: The correct answer is D because the client is demonstrating an understanding of the preoperative teaching by acknowledging the pain and relating it to the need to rest. Walking may exacerbate the pain, and the client's decision not to walk shows an awareness of their body's signals. Choices A, B, and C are incorrect as they do not reflect a good understanding of pain management. Choice A suggests self-medicating without consulting healthcare providers, choice B focuses on distraction rather than addressing the pain, and choice C offers a coping mechanism but does not address the pain directly.
4. Which lab value should be monitored in patients receiving heparin therapy?
- A. Monitor aPTT
- B. Monitor INR
- C. Monitor platelet count
- D. Monitor sodium levels
Correct answer: A
Rationale: The correct answer is to monitor aPTT in patients receiving heparin therapy. Activated Partial Thromboplastin Time (aPTT) is crucial to assess the therapeutic effectiveness of heparin and to prevent bleeding complications. Monitoring INR (Choice B) is more relevant for patients on warfarin therapy, not heparin. Platelet count (Choice C) monitoring is essential for detecting heparin-induced thrombocytopenia rather than assessing heparin therapy itself. Monitoring sodium levels (Choice D) is not directly related to heparin therapy monitoring.
5. All of the following are warning signs of cancer except:
- A. Patient palpates a bump on the side of the breast
- B. Bruises are found on the body that the client cannot explain
- C. Patient often complains of impaired digestion
- D. Patient has blood-tinged sputum
Correct answer: D
Rationale: The correct answer is D. Blood-tinged sputum is not a typical warning sign of cancer but rather a symptom that can indicate other serious conditions like respiratory issues or infections. Choices A, B, and C are common warning signs of cancer: palpable lumps or bumps, unexplained bruises, and persistent digestive issues are often associated with cancer and should be evaluated by a healthcare professional for further assessment and diagnosis.
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