ATI RN
Growth and Development Exam
1. Which statement describes a limitation of the clinical method?
- A. It may not yield observations typical of participants’ behavior in everyday life.
- B. Researchers cannot control conditions under which participants are observed.
- C. The findings cannot be applied to individuals other than the participant.
- D. It does not usually yield rich, descriptive insights into factors that affect development. Answer: C Page Ref: 30 Skill Level: Understand Topic: Studying Development Difficulty Level: Moderate
Correct answer: C
Rationale: The statement that describes a limitation of the clinical method is that the findings cannot be applied to individuals other than the participant. The clinical method typically involves in-depth studies of individual participants, which may limit generalizability to a broader population. This means that the findings from a clinical study may not be applicable to other individuals who are not directly involved in the study.
2. A client has a new prescription for metoprolol. Which of the following client statements indicates an understanding of the teaching?
- A. I will take this medication with a glass of milk.
- B. I will take my pulse before taking this medication.
- C. I will stop taking this medication if I experience nausea.
- D. I will take an antacid with this medication.
Correct answer: B
Rationale: The correct answer is B. Clients taking metoprolol should regularly check their pulse and should not take the medication if their pulse is too low. Option A is incorrect because metoprolol should not be taken with a glass of milk. Option C is incorrect because stopping medication abruptly can be harmful. Option D is incorrect because antacids should not be taken with metoprolol as they can decrease its absorption.
3. A nurse is planning preoperative care for a client who will undergo surgery. Which of the following is the priority action by the nurse?
- A. Discuss whether family members will assist with postoperative care
- B. Review the client's current home environment
- C. Identify the client's usual coping mechanisms
- D. Determine what the client knows about the surgery
Correct answer: D
Rationale: In the preoperative phase, determining what the client knows about the surgery is the priority. This action helps address misconceptions, provide necessary information, and ensure the client's understanding and cooperation. Choices A, B, and C are important aspects of preoperative care but assessing the client's knowledge about the surgery takes precedence to alleviate fears, enhance communication, and optimize outcomes.
4. A nurse is reviewing the medical record of a client who is receiving gentamicin for a wound infection. Which of the following findings should the nurse report to the provider?
- A. Blood urea nitrogen (BUN) 25 mg/dL
- B. Serum creatinine 1.5 mg/dL
- C. Serum glucose 110 mg/dL
- D. White blood cell (WBC) count 5,000/mm3
Correct answer: A
Rationale: An elevated BUN level indicates possible nephrotoxicity, which is a side effect of gentamicin and should be reported. Elevated serum creatinine and WBC count are not specifically related to gentamicin therapy. Normal serum glucose levels are also within the expected range.
5. A client who is 12 weeks pregnant and experiencing nausea and vomiting is receiving teaching from a nurse. Which of the following statements should the nurse include in the teaching?
- A. You should eat foods high in protein before bedtime.
- B. You should avoid consuming liquids with your meals.
- C. You should eat three large meals per day.
- D. You should consume caffeine to help with nausea.
Correct answer: B
Rationale: The correct answer is B: 'You should avoid consuming liquids with your meals.' This advice is essential because avoiding drinking liquids with meals can help prevent overdistension of the stomach, which can worsen nausea. Option A is incorrect because eating foods high in protein before bedtime may not directly address the issue of nausea and vomiting. Option C is incorrect as eating three large meals a day may exacerbate nausea due to overeating or having an empty stomach for an extended period. Option D is incorrect as consuming caffeine can actually worsen nausea in pregnant clients.
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