ATI RN
Introduction to Community Health Nursing Questions
Question 1 of 5
The medication order of a client indicates: hs. This means that the nurse should administer the medication:
Correct Answer: D
Rationale: The correct answer is D: At bedtime. Rationale: 1. "hs" stands for "hora somni," Latin for bedtime. 2. Administering medication at bedtime ensures it is effective during nighttime. 3. Other choices are incorrect: A is subjective, B is immediate, and C is before meals which contradicts the meaning of "hs."
Question 2 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 3 of 5
Independent nursing interventions commonly used for clients with pressure ulcers include which of the following?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): Changing the client's position regularly helps to minimize pressure on the ulcer site, promoting circulation and preventing further tissue damage. This intervention is essential for preventing pressure ulcers and promoting healing. Other Choices Incorrect: B: Applying a drying agent like antacid can be harmful as it may further dry out the tissue and impede healing. C: Debriding the ulcer is not an independent nursing intervention and should be performed by a healthcare provider to remove necrotic tissue safely. D: This choice does not provide a specific nursing intervention for pressure ulcers but rather states a general concept that necrotic tissue can impede healing.
Question 4 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 5 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.