ATI RN
Human Growth and Development Exam 1
1. Lily weighed 8 pounds and was 21 inches long at birth. She was __________ than the average baby.
- A. heavier but shorter
- B. heavier and longer
- C. lighter but longer
- D. lighter and shorter
Correct answer: B
Rationale: Lily weighed 8 pounds and was 21 inches long at birth. Being both heavier and longer than average babies typically are at birth, Lily would be considered heavier and longer compared to the average baby. This makes choice B, 'heavier and longer,' the correct answer. Choices A, C, and D are incorrect because Lily was not shorter or lighter than the average baby at birth.
2. What nursing diagnosis would be most appropriate for a patient with heart failure?
- A. risk for infection
- B. fluid volume excess
- C. impaired body temperature
- D. ineffective airway clearance
Correct answer: B
Rationale: The most appropriate nursing diagnosis for a patient with heart failure is 'fluid volume excess.' In heart failure, the heart's reduced pumping ability leads to fluid retention, causing an excess of fluid in the body. This can result in symptoms such as edema, shortness of breath, and weight gain. 'Risk for infection,' 'impaired body temperature,' and 'ineffective airway clearance' are not the most appropriate nursing diagnoses for a patient with heart failure as they do not directly relate to the pathophysiology and common issues seen in heart failure patients.
3. A nurse has just inserted a nasogastric (NG) tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement?
- A. The client reports relief of nausea.
- B. The tube aspirate has a pH less than 5.
- C. Bowel sounds are present on auscultation.
- D. An x-ray shows the end of the tube above the pylorus.
Correct answer: A
Rationale: The correct answer is A: The client reports relief of nausea. When the NG tube is correctly placed in the stomach, it can help alleviate feelings of nausea and discomfort. Choice B, a tube aspirate pH less than 5, is incorrect as it indicates gastric placement, not necessarily correct placement. Choice C, bowel sounds on auscultation, and Choice D, visualization of the tube on an x-ray above the pylorus, do not confirm correct NG tube placement; therefore, they are incorrect.
4. Which of the following is NOT a terminal learning objective for Phase I of the M6 Practical Nurse Course?
- A. Identify principles of basic-level anatomy, physiology, microbiology, and nutrition
- B. Perform basic-level pharmacological calculations
- C. Integrate the knowledge of drug therapy into nursing practice
- D. Identify basic principles of field nursing
Correct answer: C
Rationale: The correct answer is C. Integrating drug therapy knowledge is not a terminal learning objective for Phase I of the M6 Practical Nurse Course. Phase I typically focuses on foundational knowledge and skills, such as understanding basic-level anatomy, physiology, microbiology, and nutrition (Choice A), performing basic-level pharmacological calculations (Choice B), and identifying basic principles of field nursing (Choice D). While drug therapy knowledge is important in nursing practice, it is not a specific terminal learning objective for Phase I of this course.
5. What is a critical element of a community health assessment?
- A. Engaging community members in the assessment process
- B. Collecting national health statistics
- C. Reviewing health policies
- D. Analyzing laboratory results
Correct answer: A
Rationale: Engaging community members in the assessment process is crucial as it ensures that the assessment captures the diverse needs and perspectives of the community. By involving community members, the assessment becomes more comprehensive, relevant, and effective in addressing the specific health issues and priorities of the community.
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