ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I can visit my nephew who has chickenpox 5 days after the sores have crusted." This statement indicates understanding of infection prevention as chickenpox is contagious until the sores crust over, which typically takes about 5 days. Visiting after this period reduces the risk of transmission.
Choice B is incorrect because antibiotics are ineffective against viruses.
Choice C is incorrect because pregnant individuals should avoid cleaning cat litter due to the risk of toxoplasmosis.
Choice D is incorrect as handwashing should last at least 20 seconds with soap and warm water for effective prevention of infection.
Question 2 of 5
A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?
Correct Answer: A
Rationale: The correct answer is A: Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease. Tertiary prevention aims to prevent complications and further deterioration in individuals already diagnosed with a disease. In Parkinson's disease, exercise is crucial to maintain mobility and function. Regular exercise helps improve balance, strength, and coordination, which can slow down the progression of the disease and enhance quality of life. Providing daily exercise classes specifically tailored to individuals with Parkinson's disease aligns with tertiary prevention goals by promoting physical activity and independence.
Choice B is incorrect as it focuses on early identification rather than intervention for those already diagnosed.
Choice C is incorrect as educating about diagnostic techniques is more aligned with secondary prevention.
Choice D is incorrect as maintaining a low-cholesterol diet is not a specific tertiary prevention strategy for Parkinson's disease.
Question 3 of 5
A nurse in a family practice clinic is screening an adolescent client for idiopathic scoliosis. Which of the following assessments should the nurse perform as part of this screening?
Correct Answer: A
Rationale: The correct answer is A: Measure the truncal rotation. When screening for idiopathic scoliosis, assessing truncal rotation is essential as it helps in detecting the presence of spinal curvature. Truncal rotation is a key indicator of scoliosis as the spine rotates along with the curvature. This assessment involves observing the symmetry of the shoulders and scapulae, which can indicate spinal rotation.
Therefore, measuring truncal rotation is a crucial step in identifying potential scoliosis in adolescents.
Summary:
B: Administered 8 u regular insulin sq - Irrelevant to scoliosis screening, this is related to diabetes management.
C: Determine if the stockings are binding - Irrelevant to scoliosis screening, this is related to circulation issues.
D: Arrange for an ethics committee meeting - Irrelevant to scoliosis screening, this is related to ethical considerations in healthcare.
Question 4 of 5
A nurse manager is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it reflects proper documentation format, including the medication name, dose, route, and frequency. It demonstrates the nurse understands how to document medication administration accurately.
Choice B is incorrect as it lacks specific details on the action to be taken.
Choice C is incorrect as it does not imply any action related to medication safety.
Choice D is incorrect as it does not specify the reason for measuring urine output.
Question 5 of 5
The nurse is discussing the importance of evidence-based decision-making (EBDM) with a group of students. Which statement by a student indicates understanding of this process?
Correct Answer: C
Rationale: The correct answer is C: "EBDM uses interventions with replicable results." This statement indicates an understanding of evidence-based decision-making (EBDM) because it highlights the key principle of using interventions that have been proven to produce consistent and replicable results through research and evidence. By basing decisions on interventions with replicable results, healthcare professionals can ensure that their clinical decisions are informed by reliable evidence rather than personal bias or subjective opinions.
Choice A is incorrect because EBDM is a multi-step process that involves gathering evidence, critically appraising it, and applying it to make decisions.
Choice B is incorrect as EBDM focuses on objective evidence rather than subjective decision-making.
Choice D is incorrect because while past nursing experiences may inform decision-making, EBDM emphasizes the use of current research and evidence to guide practice.