ATI RN
Pathophysiology Practice Exam
1. The nurse is closely following a patient who began treatment with testosterone several months earlier. When assessing the patient for potential adverse effects of treatment, the nurse should prioritize which of the following assessments?
- A. Skin inspection for developing lesions
- B. Lung function testing
- C. Assessment of serum calcium levels
- D. Assessment of arterial blood gases
Correct answer: C
Rationale: In patients receiving testosterone therapy, the nurse should prioritize assessing serum calcium levels. Testosterone therapy can lead to hypercalcemia, making the evaluation of serum calcium levels crucial. Skin inspection for developing lesions, lung function testing, and arterial blood gas assessment are not the priority assessments for potential adverse effects of testosterone therapy. Skin inspection may be relevant for dermatological side effects, lung function testing and arterial blood gas assessment are not directly related to the common side effects of testosterone therapy.
2. What is the primary intervention for a client diagnosed with delirium?
- A. Provide a quiet and calm environment to minimize confusion
- B. Administer medication to reverse the symptoms of delirium
- C. Provide opportunities for social interaction to reduce isolation
- D. Encourage the client to remain physically active
Correct answer: A
Rationale: The correct answer is A: Provide a quiet and calm environment to minimize confusion. For clients diagnosed with delirium, creating a tranquil setting can help reduce agitation and disorientation. This intervention aims to decrease stimuli that may exacerbate symptoms. Administering medication (choice B) is not the primary intervention for delirium; it is usually reserved for specific underlying causes. While social interaction (choice C) and physical activity (choice D) are beneficial for overall well-being, they are not the primary interventions for managing delirium.
3. The nurse is caring for a client with rheumatoid arthritis one day after shoulder surgery. What would prompt the nurse to call the provider immediately?
- A. The client refused her pain medication this morning and is doing physical therapy.
- B. The client reports a minor headache and states she takes an over-the-counter pain pill at home.
- C. The client reports intermittent flatus and minor abdominal discomfort.
- D. The client has paresthesia in her fingers and intense increasing pain in her shoulder.
Correct answer: The client has paresthesia in her fingers and intense increasing pain in her shoulder.
Rationale: In a client with rheumatoid arthritis one day after shoulder surgery, paresthesia in the fingers and intense increasing pain in the shoulder could indicate nerve compression or damage, which are serious post-operative complications. This situation requires immediate attention from the provider to prevent further complications and ensure appropriate management. The other options, such as refusing pain medication, reporting a minor headache, or experiencing minor abdominal discomfort, are important but not as urgent or indicative of potential serious complications as paresthesia in the fingers and intense increasing pain in the shoulder.
4. You can tell her that healthy women in their thirties have __________ as those in their twenties.
- A. lower rates of miscarriage Copyright © 2018 Laura E. Berk. All Rights Reserved. 18 Test Bank for Berk, Development Through the Lifespan, 7e
- B. higher rates of pregnancy complications
- C. lower rates of pregnancy complications
- D. about the same rates of pregnancy complications Answer: D Page Ref: 89 Skill Level: Apply Topic: Prenatal Environmental Influences Difficulty Level: Moderate
Correct answer: D
Rationale: Healthy women in their thirties typically have about the same rates of pregnancy complications as those in their twenties. While it is true that the risk of fertility issues and certain pregnancy complications may increase with age, generally speaking, women in their thirties who are healthy and do not have preexisting conditions do not necessarily experience higher rates of pregnancy complications compared to women in their twenties.
5. __________ theory was the first to stress the influence of the early parent‒child relationship on development.
- A. Darwin’s
- B. Freud’s
- C. Erikson’s
- D. Watson’s Answer: B Page Ref: 15 Skill Level: Remember Topic: Mid-Twentieth-Century Theories Difficulty Level: Easy
Correct answer: B
Rationale: Freud's theory was the first to stress the influence of the early parent‒child relationship on development. Sigmund Freud's psychoanalytic theory emphasized the importance of the child's interactions with caregivers, particularly during the early stages of development, in shaping personality and behavior.
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