ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is administering a continuous enteral feeding to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Check gastric residuals every 4 hours. This is essential when administering enteral feeding to prevent complications such as aspiration or feeding intolerance. By monitoring residuals, the nurse can assess the client's tolerance to the feeding regimen and adjust accordingly. Option B is incorrect as it is unrelated to enteral feeding. Option C is also incorrect as it pertains to community health, not individual client care. Option D is irrelevant and invasive to the client's privacy. Monitoring sexual activity of adolescents is outside the scope of enteral feeding administration.
Question 2 of 5
A nurse on a medical surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because medication reconciliation involves comparing the client's list of home medications with the admission prescriptions to ensure accuracy and prevent medication errors. This step is crucial in identifying any discrepancies or omissions in the client's medication regimen.
Choice B is incorrect as it pertains to community policy development, unrelated to medication reconciliation.
Choice C is incorrect as it focuses on health promotion activities, not medication reconciliation.
Choice D is incorrect as it involves seeking community leaders' input, not relevant to medication reconciliation.
Question 3 of 5
A community health nurse is reviewing the reports for a group of clients. The nurse should identify that which of the following disorders is on the CDC's national notifiable conditions list?
Correct Answer: A
Rationale: The correct answer is A: Lyme disease. The CDC's national notifiable conditions list includes diseases that are required to be reported to the CDC for public health monitoring and control. Lyme disease is on this list due to its potential for widespread transmission and public health impact. The other choices are incorrect as they do not relate to the concept of notifiable conditions or public health surveillance. Providing care with a focus on aggregate needs, having goals of health promotion, and addressing health disparities are important aspects of community health nursing but are not directly related to notifiable conditions.
Question 4 of 5
A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Palpate the distal pulse to the cast. This is the first action the nurse should take as it assesses the circulation to the extremity. Checking the distal pulse ensures that there is no compromise to blood flow post-casting, which is crucial in preventing complications like compartment syndrome. Engaging employers (
B), ensuring community medical interventions (
C), and donating clothes (
D) are unrelated and not urgent in this scenario. It is important to prioritize patient safety and monitor for any potential complications following cast application.
Question 5 of 5
A staff nurse is observing a newly licensed nurse suction a client’s tracheostomy. Which of the following actions by the newly-licensed nurse requires intervention by the staff nurse?
Correct Answer: A
Rationale: The correct answer is A because waiting for 2 minutes between suctions is not recommended practice for tracheostomy care. Suctioning should be performed as needed based on the patient's clinical presentation, not on a fixed time interval. Waiting too long between suctions can lead to ineffective removal of secretions, compromising the patient's airway.
Choice B, C, and D are incorrect because they are unrelated to the scenario of suctioning a tracheostomy.
Choice B refers to policy development and communication skills,
Choice C mentions giving a presentation, and
Choice D involves planning for high-risk populations. These choices do not pertain to the immediate nursing intervention needed during tracheostomy care.