ATI RN
Human Growth and Development Final Exam
1. Recent evidence suggests that paternal alcohol use around the time of conception __________.
- A. can alter gene expression
- B. can cause fetal alcohol syndrome
- C. is linked to blood vessel abnormalities
- D. has no negative effect on the developing organism
Correct answer: A
Rationale: Recent evidence suggests that paternal alcohol use around the time of conception can alter gene expression. This means that paternal alcohol consumption can potentially impact the genes and genetic materials passed on to offspring, affecting their development and health. Choice B is incorrect because fetal alcohol syndrome is typically associated with maternal alcohol consumption during pregnancy, not paternal alcohol use around conception. Choice C is incorrect as there is no direct link between paternal alcohol use and blood vessel abnormalities. Choice D is incorrect as paternal alcohol use can indeed have negative effects on the developing organism, particularly through altering gene expression.
2. For patients with hypertension, which dietary change is most recommended?
- A. Increase salt intake
- B. Reduce fiber intake
- C. Increase potassium intake
- D. Reduce sugar intake
Correct answer: C
Rationale: Increasing potassium intake can help reduce blood pressure in hypertensive patients.
3. In schizophrenia, what is the term used to describe the symptom where individuals exhibit peculiar hand and limb movements or adopt unusual postures for long periods of time?
- A. Catatonia
- B. Loose association
- C. Disorganized speech
- D. Blunted affect
Correct answer: A
Rationale: The correct answer is A: Catatonia. Catatonia is a symptom seen in some cases of schizophrenia, characterized by motor abnormalities such as peculiar hand and limb movements or adopting unusual postures for extended periods. Choice B, Loose association, refers to a thought disorder where ideas shift from one subject to another in an unrelated way. Choice C, Disorganized speech, is characterized by incoherent or incomprehensible speech patterns. Choice D, Blunted affect, describes a reduction in the intensity of emotional expression.
4. A nurse is providing teaching to a client who has been prescribed digoxin for heart failure. Which of the following instructions should the nurse include?
- A. Take this medication with meals.
- B. Check your pulse before taking this medication.
- C. Take this medication with an antacid to reduce stomach upset.
- D. Increase your potassium intake while taking this medication.
Correct answer: B
Rationale: The correct answer is B: 'Check your pulse before taking this medication.' When a patient is prescribed digoxin, it is crucial to monitor their pulse rate because digoxin can cause bradycardia (slow heart rate) as a side effect. In contrast, choices A, C, and D are incorrect. Taking digoxin with meals is not necessary; it should be taken consistently at the same time every day. Taking digoxin with an antacid is not recommended as it can interfere with the absorption of the medication. While digoxin can cause hypokalemia (low potassium levels), patients should not increase their potassium intake without healthcare provider guidance to avoid potential complications.
5. What is the term for a barrier that prevents the normal emptying of stomach contents into the duodenum?
- A. Dumping syndrome
- B. Gastritis
- C. Gastric outlet obstruction
- D. Hypochlorhydria
Correct answer: C: Gastric outlet obstruction
Rationale: Gastric outlet obstruction refers to a condition where the opening between the stomach and the duodenum is blocked, preventing the normal passage of food. This is why choice 'C' is correct. 'A: Dumping syndrome' is incorrect because it is a condition where stomach contents move too quickly through the small intestine, not a barrier preventing emptying. 'B: Gastritis' is inflammation of the stomach lining, not a blockage of the outlet. 'D: Hypochlorhydria' refers to low stomach acid, which may affect digestion but does not create a physical barrier blocking the outlet of the stomach.
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