ATI RN
Introduction to Community Health Nursing Questions
Question 1 of 5
The nurse is to administer an IV infusion of a medication at 10 units/kg/hour. The patient weighs 50 kilograms. The medication concentration is 50,000 units per 1000 ml. The nurse should set the infusion rate at:
Correct Answer: A
Rationale: The correct answer is A (10 ml/hr). To calculate the infusion rate, first, determine the total dose required per hour (10 units/kg/hour x 50 kg = 500 units/hour). Then, convert the medication concentration to units per ml (50,000 units/1000 ml = 50 units/ml). Finally, divide the total dose required per hour by the medication concentration (500 units/hour ÷ 50 units/ml = 10 ml/hr). This ensures the patient receives the correct dosage per hour based on their weight and the medication concentration. Choices B, C, and D are incorrect as they do not follow the correct calculation method or do not take into account the patient's weight and medication concentration.
Question 2 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 3 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 4 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 5 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.