ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a community health nurse is providing teaching to a group of clients who have alcohol use disorder. which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
Correct Answer: B
Rationale: The correct answer is B: hypothermia. Alcohol withdrawal can lead to a decrease in the body's ability to regulate temperature, resulting in hypothermia. This is due to alcohol's impact on the central nervous system's ability to regulate body temperature. Bradycardia (
A) is not typically associated with alcohol withdrawal; increased appetite (
C) is more commonly seen during the acute intoxication phase; insomnia (
D) is a symptom of alcohol withdrawal, but it is not a manifestation related to temperature regulation.
Question 2 of 5
a nurse is caring for a client who is homeless. which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: discuss the risks of being homeless with the client. This is the first action the nurse should take because it addresses the immediate health and safety concerns of the client. By discussing the risks associated with homelessness, the nurse can help the client understand the potential dangers and motivate them to seek assistance. Option A focuses on assessing the client's understanding, which can come later once immediate risks are addressed. Option B involves future planning and is not the most urgent priority. Option D involves teaching strategies, which may not be effective if the client is not aware of the risks.
Therefore, option C is the most appropriate initial action to ensure the client's immediate well-being.
Question 3 of 5
a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a clean and safe environment?
Correct Answer: D
Rationale: The correct answer is D because engaging neighborhood families to monitor the playground for further trash buildup addresses the immediate issue effectively. By involving the community directly, the nurse empowers residents to take ownership of the problem and fosters a sense of responsibility for maintaining a clean environment. This approach promotes sustainable change by creating a culture of vigilance and accountability among families. Other choices such as A, B, and C involve external parties and may not address the root cause or build community capacity for long-term solutions.
Therefore, D is the most proactive and community-centered option to promote a clean and safe environment.
Question 4 of 5
a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. The nurse should have the client's daughter communicate information about the procedure since she is accompanying the client and can facilitate effective communication. This option ensures that the client receives accurate information and instructions regarding the tetanus immunization.
Choice B introduces a potential bias or misunderstanding if the community member is not trained in healthcare terminology.
Choice C may delay the communication process unnecessarily.
Choice D may confuse the client further due to the language barrier. It is essential to involve a trusted family member or caregiver for accurate and clear communication.
Question 5 of 5
a nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department?
Correct Answer: B
Rationale: The correct answer is B: herpes simplex virus. The nurse should report herpes simplex virus to the state health department because it is a notifiable infectious disease that requires monitoring for public health purposes. Herpes simplex virus can be transmitted through various means, including sexual contact, and can cause recurrent outbreaks and complications. Reporting to the state health department allows for tracking of the infection, implementing control measures, and preventing further spread. Other choices (A, C,
D) are also important infections but may not require immediate reporting to the state health department as they are not typically considered notifiable diseases.