ATI RN
Introduction to Community Health Nursing Questions
Question 1 of 5
For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Measuring and documenting the drainage in the collection chamber. This is essential to monitor the client's condition and assess for any changes in drainage, which can indicate complications. Maintaining continuous bubbling in the water-seal chamber (B) is incorrect because it may indicate an air leak, which should be addressed. Keeping the collection chamber at chest level (C) is incorrect because it is not a critical action for the care of the chest tube. Removing the chest tube every hour (D) is incorrect and can lead to complications and is not a standard practice in chest tube management.
Question 2 of 5
The nurse understands that a diabetic patient should have which of the following tests performed to determine the effect of therapy?
Correct Answer: B
Rationale: The correct answer is B: Hemoglobin A1C. This test reflects average blood sugar levels over the past 2-3 months, providing a long-term view of diabetes management effectiveness. A is incorrect as it assesses different blood components. C is important but not specific to diabetes therapy monitoring. D is a nonspecific marker for inflammation, not directly related to diabetes control.
Question 3 of 5
The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago. Which information about the patient is most important to communicate to the health care provider?
Correct Answer: B
Rationale: The correct answer is B because a swollen and warm calf could indicate deep vein thrombosis (DVT), a serious postoperative complication. DVT can lead to pulmonary embolism, which is life-threatening. Communicating this finding promptly allows for prompt evaluation and treatment. A: Elevated temperature is common postoperatively and may indicate infection, but DVT is more urgent. C: Abdominal pain when ambulating is expected post-hysterectomy and usually resolves with rest. D: Fluid intake greater than output may indicate a fluid imbalance, but DVT is a more concerning issue.
Question 4 of 5
A patient arrives in the emergency department with a swollen ankle after a soccer injury. Which action by the nurse is appropriate?
Correct Answer: A
Rationale: The correct answer is A: Elevate the ankle above heart level. This action helps reduce swelling by promoting venous return and decreasing edema. Elevating the ankle aids in reducing inflammation and pain. Applying a warm moist pack (option B) may increase swelling and should be avoided initially. Asking the patient to bear weight (option C) could worsen the injury. Assessing passive ROM (option D) is important but should be done after elevating the ankle to address swelling first.
Question 5 of 5
An experienced nurse orients a new nurse to the postanesthesia care unit (PACU). Which action by the new nurse, if observed by the experienced nurse, indicates that the orientation was successful?
Correct Answer: C
Rationale: The correct answer is C because positioning an unconscious patient on the side in the PACU helps prevent aspiration and ensures proper airway management. This position also promotes optimal ventilation and prevents airway obstruction. Choice A is incorrect because assisting a nauseated patient to a supine position can increase the risk of aspiration. Choice B is incorrect because placing a sleeping patient supine with the head elevated does not address airway protection for an unconscious patient. Choice D is incorrect as placing a patient in Trendelenburg position for low blood pressure is not recommended without a specific indication and can increase intracranial pressure in some cases.