ATI RN
Introduction to Community Health Nursing Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A patient who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the patient may have taken too much warfarin. The nurse anticipates that the patient will receive which antidote?
Correct Answer: B
Rationale: The correct antidote for a patient who has taken too much warfarin is Vitamin K. Warfarin inhibits Vitamin K-dependent clotting factors, leading to bleeding. Vitamin K helps restore these clotting factors. Vitamin E does not reverse warfarin's effects. Protamine sulfate is an antidote for heparin, not warfarin. Potassium chloride is used for treating low potassium levels, not warfarin toxicity. In summary, Vitamin K is the correct antidote for warfarin toxicity due to its role in restoring Vitamin K-dependent clotting factors, while the other choices are not indicated for this specific situation.
Question 5 of 5
While assessing an older adult patient, the nurse notes jugular venous distention (JVD) with the head of the patient’s bed elevated 45 degrees. What does this finding indicate?
Correct Answer: C
Rationale: Step 1: Jugular venous distention (JVD) is often indicative of increased pressure in the right atrium. Step 2: Elevating the head of the bed to 45 degrees helps accentuate JVD, making it easier to observe. Step 3: Increased right atrial pressure can be caused by conditions like heart failure or tricuspid valve regurgitation. Step 4: This finding is significant in older adults as they are more prone to cardiovascular issues. Summary: Choice A is incorrect as JVD typically indicates fluid overload, not decreased volume. Choice B is incorrect as atherosclerosis affects arteries, not veins. Choice D is incorrect as incompetent jugular vein valves would lead to backflow, not distention.