ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
Which database would the public health nurse use when conducting research to locate regularly updated systematic reviews?
Correct Answer: A
Rationale: The correct answer is A: Cochrane Library. The Cochrane Library is renowned for regularly updated systematic reviews, providing high-quality evidence for healthcare decision-making. It follows strict methodology to ensure reliability. AHRQ (
B) focuses on healthcare quality improvement, not systematically updated reviews. While Medline (
C) and CINAHL (
D) are databases for primary research articles, they do not specifically focus on systematic reviews.
Therefore, Cochrane Library is the most appropriate database for the public health nurse's research needs.
Question 2 of 5
Which action will the public health nurse perform when conducting an ethical community study?
Correct Answer: D
Rationale: The correct answer is D because obtaining informed consent from each participant in the study is a fundamental ethical principle in research involving human subjects. This process ensures that participants are fully informed about the study, its risks, benefits, and their rights before agreeing to participate. This protects their autonomy and respects their right to make an informed decision about taking part in the study. Requiring each participant to provide informed consent also promotes transparency and trust between researchers and participants.
Choices A, B, and C are incorrect because they do not uphold the principle of obtaining informed consent from each participant, which is essential for ethical research conduct.
Question 3 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 4 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 5 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.