ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
The nurse has been reading extensively on a particular clinical problem, using both the closest medical library and the Internet. Which of the following would be the most helpful source?
Correct Answer: D
Rationale: The correct answer is D: A systematic review related to the clinical problem. This is because a systematic review provides a comprehensive summary of all available evidence on a specific topic, including individual studies such as randomized controlled trials. It helps to synthesize and critically appraise the existing research, offering a high level of evidence to guide clinical practice.
Choice A may provide in-depth research but may not cover all relevant studies.
Choice B is a single study and may not offer a broad perspective.
Choice C focuses on a single researcher and may not encompass the full spectrum of evidence.
Question 4 of 5
A school health nurse plans to use evidence-based practice (EBP) to guide the development of health education programs most likely to increase retention of learning in elementary schoolchildren. Which of the following would be the best way to use EBP in this situation?
Correct Answer: B
Rationale: The correct answer is B because comparing and contrasting randomized controlled trials related to learning in elementary schoolchildren is the best way to use evidence-based practice (EBP). This method involves systematically reviewing existing research studies to determine the most effective health education programs. Randomized controlled trials are considered the gold standard in research, providing the highest level of evidence. By analyzing these trials, the nurse can identify interventions that have been proven to be successful in increasing retention of learning in elementary schoolchildren.
Choice A is incorrect because relying solely on anecdotal evidence from other school health nurses does not constitute evidence-based practice.
Choice C is incorrect as developing games may be a creative approach, but it does not ensure the effectiveness of the health education programs.
Choice D is also incorrect as the internet may not always provide reliable or evidence-based information.
Question 5 of 5
A nurse is familiar with evidence-based practice (EBP) and wants to implement it into the care of clients. Which of the following would present the biggest challenge?
Correct Answer: D
Rationale: The correct answer is D because showing clients that EBP will improve their health outcomes presents the biggest challenge. This is because clients may be resistant to change or skeptical about new approaches. It requires effective communication and education to convince clients of the benefits of EBP. Assessing current practice (
A) and accessing resources, convincing administration (
B), and distinguishing EBP from old standards (
C) are challenges that can be addressed through education and training. In contrast, clients' attitudes and beliefs are harder to change, making option D the most challenging aspect of implementing EBP.