ATI RN
Human Growth and Development Exam 1
1. Newborn infants who are brain damaged or who have experienced birth trauma often __________.
- A. display disturbed REM-NREM sleep cycles
- B. cry less than those with no brain functioning problems
- C. spend about 20 percent of their total sleep time in REM sleep
- D. have very low or inaudible cries
Correct answer: A
Rationale: Newborn infants who are brain damaged or who have experienced birth trauma often display disturbed REM-NREM sleep cycles. This disruption in the sleep cycle can be a sign of neurological issues and can impact the newborn's overall health and development. Choice B is incorrect because infants with brain damage or birth trauma may actually cry more due to their discomfort or neurological issues. Choice C is incorrect because spending about 20 percent of total sleep time in REM sleep is not necessarily specific to brain-damaged or birth-traumatized infants. Choice D is incorrect because having very low or inaudible cries is not a common characteristic associated with brain damage or birth trauma in infants.
2. When surgery is on-going, who coordinates the activities outside, including the family?
- A. Orderly/clerk C. Circulating Nurse
- B. Nurse Supervisor D. Anesthesiologist
- C.
- D.
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.
3. The client asks the nurse what nonpharmacological intervention can be used to reduce pain and swelling in her joints affected by rheumatoid arthritis. What is the most appropriate response by the nurse?
- A. “Ice packs can be used to reduce swelling but should be removed after 20 minutes.”
- B. “Heat always makes the swelling go down. You do not need any other interventions.”
- C. “Try high impact exercise exercise like running to loosen up your joints and reduce pain.”
- D. “Apply ice packs. It is generally okay to keep them on for up to one hour at a time.”
Correct answer: “Ice packs can be used to reduce swelling but should be removed after 20 minutes.”
Rationale:
4. A nurse is caring for a client who is hyperventilating and has the following ABG results: pH 7.50, PaCO2 29 mm Hg, and HCO3- 25 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances?
- A. Respiratory acidosis
- B. Respiratory alkalosis
- C. Metabolic acidosis
- D. Metabolic alkalosis
Correct answer: B
Rationale: The correct answer is B: Respiratory alkalosis. In this scenario, the client is experiencing respiratory alkalosis due to hyperventilation. Hyperventilation leads to excessive loss of carbon dioxide, causing a decrease in hydrogen ion concentration and an increase in pH levels. Choices A, C, and D are incorrect. Respiratory acidosis is characterized by high PaCO2 and low pH. Metabolic acidosis is associated with low HCO3- levels and low pH. Metabolic alkalosis is marked by high HCO3- levels and high pH. In this case, the ABG results indicate respiratory alkalosis.
5. What is the intended outcome for the treatment of glaucoma?
- A. Improve the vision of the eye
- B. Strengthen the muscles of the eye
- C. Lower the intraocular pressure
- D. Dry up excess secretions
Correct answer: C
Rationale: The correct answer is C: Lower the intraocular pressure. The primary objective of treating glaucoma is to reduce intraocular pressure to prevent further vision loss. Choice A, 'Improve the vision of the eye,' is incorrect because while treatment may prevent vision loss, it does not necessarily improve vision. Choice B, 'Strengthen the muscles of the eye,' is incorrect as glaucoma primarily involves the optic nerve and not muscle weakness. Choice D, 'Dry up excess secretions,' is not related to the treatment goal of glaucoma which is focused on managing intraocular pressure.
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