ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
The nurse is developing a PICOT question to study methods to promote smoking cessation in high school students in a rural community. Which statement identifies the targeted population?
Correct Answer: D
Rationale: The correct answer is D because it specifically identifies the targeted population as high school students in the rural community who smoke, which aligns with the study's focus on smoking cessation in this specific group.
Choice A is too broad, choice B includes all community members who smoke, choice C includes all high school students without specifying smoking status. By choosing D, the nurse can focus on a more precise and relevant population for the study.
Question 2 of 5
A nurse is caring for a client who is wearing anti-embolic stockings. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Determine if the stockings are binding. This is important because anti-embolic stockings should not be too tight as it can impede circulation, leading to complications. Palpating the distal pulse to the cast (
B) is unrelated to anti-embolic stockings. Waiting for 2 minutes between suctions (
C) is not relevant to the care of a client wearing anti-embolic stockings. Asking security to detain the client until the provider is notified (
D) is inappropriate and violates the client's rights.
Question 3 of 5
A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life sustaining measures. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Arrange for an ethics committee meeting. In this scenario, the client has clear advance directives that they do not want life-sustaining measures. The nurse's primary responsibility is to advocate for the client's wishes, as outlined in their advance directives. By arranging an ethics committee meeting, the nurse can facilitate a discussion involving healthcare professionals, the client's family, and possibly legal experts to ensure that the client's wishes are respected while also addressing the concerns of the family. This process allows for a thorough review of the situation and consideration of all perspectives before making a final decision.
Choice B is incorrect because it is unrelated to the client's care preferences.
Choice C is irrelevant as the client's anxiety level does not impact the decision about life-sustaining measures.
Choice D is also unrelated to the client's advance directives and is not a priority in this situation.
Question 4 of 5
A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse breaks in surgical aseptic technique?
Correct Answer: A
Rationale: The correct answer is A because balancing the bottle on the sterile basin contaminates the sterile field. Sterile technique requires keeping all items above waist level, avoiding leaning over the sterile field, and maintaining a safe distance to prevent contamination.
Choices B, C, and D are unrelated to sterile technique and do not involve direct contact with the sterile field. Clarifying the reason for referral, identifying family needs, and providing discharge teaching are important aspects of nursing care but do not pertain to maintaining a sterile field during wound irrigation and dressing change.
Question 5 of 5
A nurse in the emergency department is interviewing a client immediately following a sexual assault. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine the client's current anxiety level. This is the first action the nurse should take as it helps assess the immediate emotional well-being of the client. By understanding the client's anxiety level, the nurse can provide appropriate support and interventions to address any distress or trauma experienced. Evaluating the number of clients with similar diseases (
B), giving a presentation (
C), and weighing students (
D) are not relevant or appropriate actions in this situation. The priority is to address the client's emotional needs and ensure their safety and well-being.