ATI RN
Growth and Development Exam
1. Which expectant mother has the greatest risk of a baby born with fetal alcohol syndrome?
- A. Chloe, a Caucasian American
- B. Latima, an African American
- C. Yvonne, a Native American
- D. Ming, an Asian American Answer: C Page Ref: 85 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Moderate
Correct answer: C
Rationale: According to research, Native American populations have the highest prevalence of fetal alcohol syndrome (FAS) in the United States. This increased risk is due to various social, cultural, and environmental factors within Native American communities.
2. A client has a new prescription for Nitrofurantoin. Which of the following instructions should be included?
- A. Take this medication with food.
- B. Avoid dairy products while taking this medication.
- C. Take this medication at bedtime.
- D. Increase your intake of vitamin C.
Correct answer: A
Rationale: Nitrofurantoin should be taken with food to enhance absorption and reduce gastrointestinal side effects. Taking it with a meal or a snack can help minimize stomach upset. Instructing the client to take the medication with food ensures optimal effectiveness and tolerability of the drug. Choice B is incorrect because there is no specific interaction between Nitrofurantoin and dairy products. Choice C is incorrect as there is no requirement to take Nitrofurantoin at bedtime. Choice D is also incorrect as increasing vitamin C intake is not necessary or relevant to taking Nitrofurantoin.
3. After a right hemicolectomy for treatment of colon cancer, a 57-year old client is reluctant to turn while on bed rest. Which action by the nurse would be appropriate?
- A. Asking a co-worker to help turn the client
- B. Explaining to the client why turning is important.
- C. Allowing the client to turn when he’s ready to do so
- D. Telling the client that the physician’s order states he must turn every 2 hours
Correct answer: B
Rationale: Educating the client about the importance of turning can encourage compliance and promote understanding of the necessity to prevent complications such as pressure ulcers and pneumonia.
4. Which statement best reflects the role of the therapeutic relationship in fostering positive behaviors in children?
- A. It may be used as an intervention strategy to help a child with positive behaviors
- B. The relationship with parents or teachers is more important
- C. It is not essential for the child's behaviors
- D. Children will not pay attention to the therapist
Correct answer: A
Rationale: A strong therapeutic relationship can significantly influence the development of positive behaviors in children. When a child feels connected, understood, and supported by a therapist, it can lead to better outcomes in promoting positive behaviors and emotional well-being.
5. An individual with which of the following blood type can receive only blood of that same type?
- A. Type O
- B. Type A
- C. Type B
- D. Type AB
Correct answer: Type O
Rationale: The correct answer is Type O. Individuals with blood type O can only receive blood from donors with blood type O. This is because type O blood lacks both A and B antigens, so if a person with type O blood receives blood with A, B, or AB antigens, their immune system will recognize these as foreign substances and attack them. Choices B, C, and D are incorrect because individuals with type A can receive blood from A or O donors, individuals with type B can receive blood from B or O donors, and individuals with type AB can receive blood from A, B, AB, or O donors.
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