ATI RN
Introduction to Community Health Nursing Questions
Question 1 of 5
What indicates the expected outcome is achieved for a client with urinary incontinence?
Correct Answer: A
Rationale: The correct answer is A because identifying symptoms and measures to prevent urinary tract infections is a key indicator of successful management of urinary incontinence. This shows understanding of potential complications and proactive steps to prevent them. Choice B does not directly address the outcome related to urinary incontinence. Choice C focuses on disposal rather than management of incontinence. Choice D is more about personal hygiene rather than addressing the specific issue of incontinence. Therefore, A is the correct choice as it directly relates to the expected outcome for a client with urinary incontinence.
Question 2 of 5
Which of these clients has a problem with the transport of oxygen from the lungs to the tissues:
Correct Answer: B
Rationale: The correct answer is B: Theresa with anemia. Anemia is a condition characterized by a decrease in red blood cells or hemoglobin levels, leading to reduced oxygen-carrying capacity. This impairs the transport of oxygen from the lungs to the tissues, affecting overall oxygen delivery and tissue oxygenation. A: Carol with a tumor in the brain - Brain tumor does not directly impact oxygen transport from the lungs to tissues. C: Sonny Boy with a fracture in the femur - Fracture does not affect oxygen transport. D: Brigette with diarrhea - Diarrhea may lead to dehydration and electrolyte imbalances but does not directly affect oxygen transport.
Question 3 of 5
A client with a chest tube attached to a Pleurevac drainage system wants to get out of bed. While the nurse is assisting the client, the chest tubing accidentally gets caught in the bed rail and disconnects and the Pleur-Evac drainage system falls over and cracks. The nurse takes which immediate action?
Correct Answer: C
Rationale: The correct immediate action is to immerse the chest tube in a bottle of sterile normal saline. This is because it helps to maintain the sterility of the system and prevents air from entering the pleural space, thus avoiding a potential pneumothorax. Clamping the chest tube (choice A) can lead to tension pneumothorax. Applying petroleum gauze over the end of the chest tube (choice B) does not address the issue of maintaining sterility or preventing air leaks. Calling the physician (choice D) is not the immediate action needed to address the disconnection and potential contamination of the chest tube system.
Question 4 of 5
A client is diagnosed with deep vein thrombosis. Which nursing diagnosis should receive highest priority at this time?
Correct Answer: D
Rationale: The correct answer is D, Ineffective peripheral tissue perfusion related to venous congestion. Priority should be given to this nursing diagnosis because deep vein thrombosis can lead to impaired blood flow, potentially causing tissue ischemia and necrosis. Addressing ineffective tissue perfusion is crucial to prevent further complications such as tissue damage or even loss. Option A is incorrect as gas exchange is not the immediate concern in deep vein thrombosis. Option B is not directly related to the primary issue of venous congestion. Option C, risk for injury related to edema, is important but not as critical as ensuring adequate tissue perfusion to prevent further complications.
Question 5 of 5
During the physical examination, the nurse uses various techniques to assess structures, organs, and body systems. Which technique allows the nurse to feel for vibration and locate body structures?
Correct Answer: C
Rationale: The correct answer is C: Palpation. Palpation involves using hands to feel for vibration and locate body structures. This technique allows the nurse to assess for tenderness, texture, temperature, and size of organs or structures. Auscultation (A) involves listening for sounds using a stethoscope, not feeling. Inspection (B) involves visual examination, not tactile assessment. Percussion (D) involves tapping the body to listen for sounds, not feeling for vibration or locating structures. Palpation is the most appropriate technique for this purpose.