ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief form pharmacological measures. which of the following interventions should the nurse initiate (select all that apply)?
Correct Answer: D
Rationale: The correct answer is D: offer 120 ml (4 oz.) of cold 2% milk as a meal replacement. Cold milk can help soothe the stomach and provide some relief from nausea. It is important to offer a small amount like 120 ml to prevent overwhelming the digestive system.
A: Using seasonings may worsen nausea due to strong flavors.
B: Ginger ale can contain carbonation which may exacerbate nausea.
C: Elevating the head of the bed is more beneficial for GERD, not chemotherapy-induced nausea.
E: Guided imagery may be helpful for relaxation but may not directly address the nausea.
In summary, offering a small amount of cold milk is the most appropriate intervention as it can help provide relief without exacerbating the nausea.
Question 2 of 5
a nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster preparedness efforts when performing which of the following actions
Correct Answer: A
Rationale: The correct answer is A: implementing a disaster triage plan with a local medical facility. This action aligns directly with disaster preparedness efforts by ensuring that the necessary protocols and procedures are in place to effectively manage and prioritize care during a disaster. Triage is crucial in allocating resources efficiently and saving lives.
Choice B: functioning as a manager at a temporary shelter, while important for disaster response, does not specifically focus on disaster preparedness efforts like implementing a triage plan.
Choice C: assisting with the identification of a biological agent is more related to responding to a specific disaster situation rather than overall disaster preparedness efforts.
Choice D: organizing a mass casualty drill for community members is beneficial for preparedness but does not involve directly implementing a disaster triage plan.
In summary, implementing a disaster triage plan is the most relevant action for disaster preparedness efforts as it ensures readiness and effective response in managing casualties during a disaster.
Question 3 of 5
a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: the test measures antibodies to the virus. In enzyme linked immunosorbent assay (ELIS
A) testing for HIV, antibodies produced by the body in response to the virus are detected. This helps in diagnosing HIV infection. Monitoring disease progression (choice
A) requires other tests like viral load testing. Test results are not accurate within 24 hours of exposure (choice
C) as it takes time for antibodies to develop. Initiating immunoglobulin administration (choice
D) is not necessary for all positive results and depends on the individual's condition.
Question 4 of 5
a faith based organization asks a community health nurse to develop a mobile meal program for older................................... the following actions should the nurse plan to take
Correct Answer: C
Rationale: The correct answer is C: inquire about the availability of volunteers. This is the first step the nurse should take because volunteers are essential for the successful implementation of the mobile meal program. Without a sufficient number of volunteers, the program may not be sustainable. Additionally, volunteers can provide valuable support in meal preparation, delivery, and interacting with older adults.
Other choices are incorrect because:
A: Planning the program first without considering the availability of volunteers may lead to difficulties in execution.
B: Determining funding sources is important but should come after ensuring there are enough volunteers to support the program.
D: Identifying alternative solutions is premature without first establishing the foundation of volunteer support.
E: Performing a needs assessment is important but should come after securing volunteer assistance to ensure feasibility.
Question 5 of 5
several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should the nurses plan to provide to the congregation?
Correct Answer: D
Rationale: The correct answer is D: facilitate discharge from the facility to the home. This service is essential for ensuring a smooth transition for patients returning home from a healthcare facility. Nurses can coordinate care, medication management, and follow-up appointments to prevent readmissions.
Choice A is incorrect as the organization of an influenza immunization clinic is not directly related to facilitating patient discharge.
Choice B is incorrect as performing wound care at home may not be within the scope of parish nursing and could risk infection control.
Choice C is incorrect as providing end-of-life care is crucial but may not be the primary focus of a parish nurse group.