ATI RN
Introduction to Community Health Nursing Questions
Question 1 of 5
Through the client’s history, you gather that the patient smokes and drinks coffee. When taking the temperature of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s oral temperature for accurate reading?
Correct Answer: C
Rationale: The correct answer is C: 30 minutes. After smoking or drinking coffee, the client's oral temperature can be affected by the hot or cold temperature of the substances ingested. Waiting for 30 minutes allows the client's oral cavity to return to its normal temperature, ensuring an accurate reading. Choices A, B, and D are incorrect because: A: 5 minutes is too short of a time for the oral cavity to adjust to the temperature changes caused by smoking or drinking coffee. B: 15 minutes may not be sufficient for the oral cavity to stabilize, leading to a potential inaccurate reading. D: 1 hour is too long of a wait time as the oral cavity typically stabilizes within 30 minutes after smoking or drinking coffee.
Question 2 of 5
In performing enemas, the indicated height for adults should be:
Correct Answer: D
Rationale: The correct answer is D: 12-18 inches above the rectum. This height range ensures proper flow of the enema solution through gravity. If the enema bag is positioned too low (A), gravity may not assist in the flow. Placing it 10-16 inches above the bed (B) is not specific to the rectum. Option C (12-18 inches above the bed) does not guarantee proper flow into the rectum. Therefore, option D is the most appropriate height range for successful administration of the enema solution.
Question 3 of 5
If a client has been suctioned, how long should the nurse wait before drawing an arterial blood gas?
Correct Answer: D
Rationale: The correct answer is D (20 minutes) because after suctioning, it takes time for the respiratory system to stabilize and for arterial blood gas values to return to baseline. Waiting 20 minutes allows for accurate assessment of respiratory status. Choice A (5 minutes) is too soon and may lead to skewed results due to immediate changes post-suctioning. Choice B (10 minutes) is still too early for accurate results. Choice C (15 minutes) is closer but may not provide sufficient time for full recovery post-suctioning. Therefore, waiting for 20 minutes ensures more reliable arterial blood gas values.
Question 4 of 5
To obtain a specimen for a stool culture, the nurse should:
Correct Answer: C
Rationale: The correct answer is C because using tongue blades to transfer the stool into the container minimizes the risk of contamination. Placing a large stool directly into the container (A) may introduce contaminants. Using a dry container (B) may not preserve the specimen adequately. Dipping a rectal swab into the stool and placing it into a sterile test tube (D) may not provide enough sample for culture.
Question 5 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."