ATI RN
Human Growth and Development Final Exam Answers
1. According to psychosexual theory, what is crucial for healthy personality development?
- A. Children actively construct knowledge as they manipulate and explore the world.
- B. Directly observable events are the appropriate focus of psychological study.
- C. How parents manage their child's sexual and aggressive drives in the first few years.
- D. The ego makes a positive contribution to development, acquiring attitudes and skills.
Correct answer: C
Rationale: According to psychosexual theory, developed by Sigmund Freud, how parents manage their child's sexual and aggressive drives in the first few years is crucial for healthy personality development. This theory suggests that personality development is heavily influenced by a child's experiences during early stages of development, particularly related to handling sexual and aggressive impulses. Choices A, B, and D are incorrect as they do not align with the core principles of psychosexual theory, which focuses on the importance of early childhood experiences, especially in the context of sexual and aggressive drives.
2. A healthcare professional is about to administer Propranolol to a patient. The healthcare professional takes the patient's apical pulse and documents it as 58 bpm. How should the healthcare professional proceed?
- A. Administer the medication as prescribed
- B. Administer half of the normal dose
- C. Consider the extended-release form of the medication
- D. Withhold administration of the medication and notify the healthcare provider
Correct answer: D
Rationale: When a patient's apical pulse is 58 bpm, it is below the normal range. Propranolol is a beta-blocker that can further lower the heart rate. Therefore, it is crucial to withhold the medication and notify the healthcare provider to evaluate the patient's condition. Administering Propranolol in this situation can exacerbate bradycardia, leading to serious complications. Choosing to administer the medication as prescribed (Choice A) can put the patient at risk. Administering half of the normal dose (Choice B) without healthcare provider guidance is not appropriate in this case. Considering the extended-release form of the medication (Choice C) does not address the immediate concern of bradycardia and is not the best course of action.
3. A nurse is reviewing the lab results of a client who has bulimia nervosa. The nurse should notify the provider of which of the following results?
- A. White Blood Cells 5,200/mm3
- B. Hemoglobin 14
- C. Magnesium 1.6
- D. Potassium 3.2
Correct answer: D
Rationale: A potassium level of 3.2 is below normal and requires provider notification, especially in clients with bulimia nervosa who may have electrolyte imbalances.
4. What are the clinical manifestations of hypovolemic shock, and how should a nurse respond?
- A. Hypertension, bradycardia, and oliguria
- B. Bradycardia, hypertension, and peripheral edema
- C. Tachypnea, cool skin, and confusion
- D. Tachycardia, hypotension, and decreased urine output
Correct answer: D
Rationale: The correct answer is D: Tachycardia, hypotension, and decreased urine output are classic clinical manifestations of hypovolemic shock. In hypovolemic shock, the body tries to compensate for low blood volume by increasing the heart rate (tachycardia) to maintain cardiac output, leading to hypotension and decreased urine output. Prompt fluid replacement is necessary to restore intravascular volume. Choices A, B, and C are incorrect because they do not represent the typical manifestations of hypovolemic shock.
5. What is the first-line treatment for a patient experiencing wheezing and coughing due to an allergic reaction?
- A. Albuterol via nebulizer
- B. Methylprednisolone 100 mg IV
- C. Cromolyn 20 mg via nebulizer
- D. Aminophylline 500 mg IV
Correct answer: A
Rationale: The correct answer is A: Albuterol via nebulizer. Albuterol is the first-line treatment for wheezing caused by an allergic reaction as it quickly opens the airways, providing rapid relief. Choice B, Methylprednisolone 100 mg IV, is a systemic corticosteroid that may be used in severe cases to reduce inflammation but is not the initial treatment for acute wheezing. Choice C, Cromolyn 20 mg via nebulizer, is a mast cell stabilizer that is more commonly used for prophylaxis rather than acute relief in allergic conditions. Choice D, Aminophylline 500 mg IV, is a bronchodilator that is less commonly used now due to its narrow therapeutic window and potential for toxicity, making it less preferred than Albuterol for initial treatment of wheezing.
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