ATI RN
ATI RN Custom Exams Set 3
1. Protecting the rights and privacy of the patient and their family is a part of which of the following steps for determining and fulfilling the nursing care needs of the patient?
- A. Evaluation
- B. Planning
- C. Implementation
- D. Assessment
Correct answer: C
Rationale: In nursing care, implementation involves putting the nursing care plan into action. This step includes safeguarding the rights and privacy of the patient and their family by providing care in a respectful and confidential manner. Evaluation (A) is about assessing the effectiveness of the care provided. Planning (B) is the stage where specific interventions are designed. Assessment (D) is the initial step where data is collected to identify the patient's needs.
2. A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The client's contractions are occurring every 45 seconds with a nine-second duration, and the fetal heart rate is 170 to 180 beats per minute. Which of the following actions should the nurse take?
- A. Discontinue oxytocin infusion
- B. Increase oxytocin infusion
- C. Decrease oxytocin infusion
- D. Maintain oxytocin infusion
Correct answer: A
Rationale: In this scenario, the client is experiencing frequent contractions with a short duration and an elevated fetal heart rate, indicating potential fetal distress. Discontinuing the oxytocin infusion is crucial to prevent further complications and restore normal fetal parameters. Increasing or maintaining the oxytocin infusion could exacerbate the situation, leading to more distress for the fetus. Decreasing the oxytocin infusion may not be sufficient to address the current issue and could delay the improvement of fetal well-being.
3. What impact do parenting styles have on child development?
- A. Authoritarian parenting leads to positive developmental outcomes.
- B. Permissive parenting is associated with positive developmental outcomes.
- C. Neglectful parenting is associated with positive developmental outcomes.
- D. All parenting styles produce similar developmental outcomes.
Correct answer: B
Rationale: Permissive parenting is associated with positive developmental outcomes because it involves warmth and a lack of strict control. Authoritarian parenting, as mentioned in choice A, is characterized by strict rules and harsh discipline, which may not lead to the best developmental outcomes. Neglectful parenting, as in choice C, involves a lack of responsiveness and support, which can have detrimental effects on a child's development. Choice D is incorrect because different parenting styles can have varying impacts on child development.
4. Which of the following is an example of telegraphic speech?
- A. A child pointed to his father's shoe and said 'daddy,' as if to convey 'daddy's shoe.'
- B. A thirsty toddler said, 'mama water.'
- C. A newborn infant asked, 'Can I have some coffee?'
- D. A baby communicated to her parents using her brain.
Correct answer: B
Rationale: The correct answer is B. Telegraphic speech is when a child uses a two-word phrase to convey a larger meaning, such as 'mama water.' Choice A is incorrect as it does not demonstrate telegraphic speech but rather a simple labeling. Choice C is incorrect as it is a complete sentence and not a two-word phrase. Choice D is also incorrect as it does not describe telegraphic speech but rather a vague statement about communication.
5. How does tamsulosin (Flomax) primarily benefit male patients with benign prostatic hyperplasia (BPH)?
- A. Relaxation of the muscles in the prostate and bladder neck, leading to improved urinary flow.
- B. Reduction in prostate size and improvement in urinary symptoms.
- C. Increase in urine flow and relief of urinary obstruction.
- D. Improvement in erectile function.
Correct answer: A
Rationale: The correct answer is A: Tamsulosin works by relaxing the muscles in the prostate and bladder neck, which helps improve urinary flow in patients with BPH. This relaxation reduces the symptoms associated with BPH, such as urinary hesitancy, urgency, and frequency. Choice B is incorrect because tamsulosin does not directly reduce the size of the prostate gland. Choice C is incorrect as while tamsulosin does improve urine flow, its primary mechanism of action is through muscle relaxation rather than directly relieving obstruction. Choice D is incorrect as tamsulosin is not indicated for improving erectile function; its main therapeutic effect is targeted towards urinary symptoms related to BPH.