RN ATI Community Health Proctored Exam 2023 -Nurselytic

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.

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.

Correct Answer: A

Rationale: The correct answer is A because it accurately defines social determinants of health as what society collectively does to create conditions for health. It emphasizes the importance of societal actions in promoting health outcomes for individuals.
Choice B refers to social conditions but does not explicitly mention the collective responsibility of society.
Choice C focuses on community health but does not encompass the broader societal role.
Choice D is about health information management, not social determinants.

Choices E, F, and G are not provided, so they are irrelevant. In summary, A is correct as it highlights the societal efforts in creating a healthy environment, while the other choices are incorrect as they do not fully capture the concept of social determinants of health.

Correct Answer: D

Rationale: The correct answer is D: Assessing measures to reduce exposure to contaminated water. This activity falls under the assurance function as it involves ensuring that appropriate measures are in place to protect the community from health risks associated with contaminated water. By assessing these measures, the nurse is actively working to reduce the community's exposure to harmful contaminants, thereby fulfilling the role of assuring the public's health.

A: Educating the community about the need to boil contaminated drinking water falls under the core function of education rather than assurance.
B: Collecting data about health issues related to contaminated drinking water is a part of the assessment function, not assurance.
C: Developing policies to regulate the discharge of pollutants into the waterways is more aligned with the policy development function rather than assurance.

In summary, the correct answer focuses on actively evaluating and implementing measures to reduce exposure to contaminated water, which directly contributes to the assurance function of environmental health.

Correct Answer: C

Rationale: The correct answer is C: Using rainwater harvesting for drinking water. This strategy promotes environmental health by reducing water wastage, conserving resources, and minimizing pollution. Rainwater harvesting is a sustainable method that helps in water conservation and reduces the strain on existing water sources. Composting organic matter (
A) is beneficial but does not directly relate to improving environmental health in the same way as water conservation. Disposing of electronics with household trash (
B) is harmful to the environment due to toxic materials in electronics. Keeping windows tightly shut (
D) is not a strategy for improving environmental health and may actually decrease indoor air quality.