ATI RN
Growth and Development Exam
1. People born during the baby boom between 1946 and 1964 tend to be alike in ways that set them apart from people born at other times due to __________ influences.
- A. age-graded
- B. history-graded
- C. nonnormative
- D. bio-historical Answer: B Page Ref: 9‒10 Skill Level: Remember Topic: The Lifespan Perspective: A Balanced Point of View Difficulty Level: Easy
Correct answer: B
Rationale: People born during the baby boom between 1946 and 1964 tend to be alike in ways that set them apart from people born at other times due to history-graded influences. These influences refer to the events and conditions that are common to a particular historical era and can significantly shape the development and experiences of individuals who live through them. The post-World War II era, economic prosperity, and social changes during the baby boom period are examples of historical events that have had a lasting impact on this generation.
2. What does a sample group represent?
- A. Control group C. General population
- B. Study subjects D. Universe
- C.
- D.
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
3. Which risk factors increase the risk of atherosclerosis?
- A. Exercise
- B. Excessive sun exposure
- C. Insufficient vaccinations
- D. Smoking
Correct answer: D: Smoking
Rationale: Smoking is a major risk factor for atherosclerosis. It significantly contributes to the buildup of plaque in the arteries and thereby increases the risk of cardiovascular diseases. On the other hand, exercise is generally beneficial for cardiovascular health and is not a risk factor for atherosclerosis. Excessive sun exposure and insufficient vaccinations have no established links to atherosclerosis, making them incorrect options for this question.
4. Which of the following diuretics inhibits sodium reabsorption in the kidneys while sparing K+ and hydrogen ions?
- A. Spironolactone
- B. Furosemide
- C. Hydrochlorothiazide
- D. Bumetanide
Correct answer: A
Rationale: Spironolactone is the correct answer as it is classified as a potassium-sparing diuretic. It works by inhibiting sodium reabsorption in the kidneys while promoting the retention of potassium and hydrogen ions. This mechanism of action helps in reducing fluid retention without causing excessive loss of potassium, which is a common side effect of other diuretics. Furosemide (choice B), Hydrochlorothiazide (choice C), and Bumetanide (choice D) are not correct as they are not potassium-sparing diuretics. Furosemide and Bumetanide are loop diuretics that inhibit sodium, potassium, and chloride reabsorption in the loop of Henle. Hydrochlorothiazide is a thiazide diuretic that inhibits sodium and chloride reabsorption in the distal convoluted tubule, leading to potassium loss.
5. A nurse is planning care for a school-age child who is 4 hours postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan of care?
- A. Offer small amounts of clear liquids 6 hours following surgery.
- B. Give cromolyn nebulizer solution every 6 hours.
- C. Apply a warm compress to the operative site every 4 hours.
- D. Administer analgesics on a scheduled basis for the first 24 hours.
Correct answer: D
Rationale: Administering analgesics on a scheduled basis for the first 24 hours is crucial in managing postoperative pain for the child. This helps control pain levels effectively, promoting comfort and aiding in the recovery process. Offering small amounts of clear liquids 6 hours following surgery may not be appropriate as the child may need time to recover from anesthesia. Giving cromolyn nebulizer solution every 6 hours is not indicated for postoperative care following appendicitis surgery. Applying a warm compress every 4 hours to the operative site may not be recommended as it can potentially interfere with the surgical wound healing process.
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