ATI RN
ATI Community Health Nursing Ch 7 Questions
Question 1 of 5
What procedure is performed prior to a blood transfusion to detect incompatibilities?
Correct Answer: A
Rationale: The correct answer is A: Grouping and crossmatching. This procedure involves determining the patient's blood type (grouping) and testing for compatibility with the donor blood (crossmatching). It ensures that the recipient receives compatible blood, minimizing the risk of transfusion reactions. B: Complete blood count is not specific to detecting incompatibilities for transfusions. C: D-dimer test is used to detect blood clotting disorders, not blood transfusion incompatibilities. D: Blood clotting test assesses the ability of blood to clot, not compatibility for transfusions.
Question 2 of 5
The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?
Correct Answer: A
Rationale: The correct answer is A: Awaken the client every two (2) hours. This instruction is important to monitor for any changes in the client's condition, such as worsening symptoms or neurological deficits. By waking the client every two hours, it allows for assessment of responsiveness and orientation. This is crucial in detecting any signs of deterioration or complications post-concussion. Choice B is incorrect because monitoring for increased intracranial pressure requires specialized equipment and expertise beyond what can be done at home. Choice C is incorrect as hypervigilance is not typically a common concern after a mild concussion. Choice D is incorrect because offering food every three to four hours is not specific to the client's needs post-concussion.
Question 3 of 5
What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?
Correct Answer: B
Rationale: The correct answer is B: Tracheostomy. Tracheostomy involves creating a surgical airway in the front of the neck to remove copious secretions. This procedure allows direct access to the trachea to facilitate breathing and clear secretions. Bronchoscopy (choice A) involves visualizing the airways with a scope, not creating a surgical airway. Thoracentesis (choice C) is a procedure to remove fluid from the chest cavity, not the airway. Underwater seal drainage (choice D) is used for managing chest tube drainage, not creating a surgical airway.
Question 4 of 5
Which of the following is not a common causative agent of bacterial meningitis?
Correct Answer: C
Rationale: Step 1: Bacterial meningitis is commonly caused by Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Step 2: Staphylococcus aureus is not a common causative agent of bacterial meningitis. Step 3: Staphylococcus aureus is more commonly associated with skin and soft tissue infections. Summary: Choices A, B, and D are common causative agents of bacterial meningitis, while choice C, Staphylococcus aureus, is not commonly associated with this infection.
Question 5 of 5
Paralysis of all or part of the trunk, legs, and pelvic organs is referred to as:
Correct Answer: C
Rationale: The correct answer is C: Paraplegia. Paraplegia refers to the paralysis of the lower half of the body, including both legs and often the trunk and pelvic organs. This term specifically indicates paralysis below the waist. Hemiplegia (A) refers to paralysis on one side of the body, not the trunk and legs. Tetraplegia (B) is paralysis of all four limbs and the trunk, not specifically the trunk, legs, and pelvic organs. Hemiparesis (D) is weakness on one side of the body, not a complete paralysis of the trunk, legs, and pelvic organs.