ATI RN
ATI Community Health Nursing Ch 7 Questions
Question 1 of 5
What is an essential skill for nurses in community health?
Correct Answer: B
Rationale: The correct answer is B: Advocating for patients' health needs. Nurses in community health must advocate for their patients to ensure they receive proper care and resources. This involves understanding individual needs, navigating healthcare systems, and promoting health equity. Providing direct patient care (A) is important but not specific to community health. Educating about health promotion (C) is crucial, but advocacy encompasses a broader scope of support. Managing chronic conditions (D) is essential, but advocacy involves addressing various health needs beyond just chronic conditions.
Question 2 of 5
Which is an example of a policy-level intervention in community health?
Correct Answer: D
Rationale: The correct answer is D, advocating for legislative changes. Policy-level interventions involve changing laws or regulations to improve community health outcomes. Advocating for legislative changes can address systemic issues and create sustainable improvements. Implementing new treatment protocols (A) is a clinical intervention. Educating individuals about healthy behaviors (B) is a behavior-level intervention. Establishing community health clinics (C) is a service-level intervention.
Question 3 of 5
What procedure is performed prior to a blood transfusion to detect incompatibilities?
Correct Answer: A
Rationale: The correct answer is A: Grouping and crossmatching. This procedure involves determining the patient's blood type (grouping) and testing for compatibility with the donor blood (crossmatching). It ensures that the recipient receives compatible blood, minimizing the risk of transfusion reactions. B: Complete blood count is not specific to detecting incompatibilities for transfusions. C: D-dimer test is used to detect blood clotting disorders, not blood transfusion incompatibilities. D: Blood clotting test assesses the ability of blood to clot, not compatibility for transfusions.
Question 4 of 5
Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?
Correct Answer: A
Rationale: The correct answer is A: Ringer's lactate. Ringer's lactate is used in managing GIT loss and burns due to its balanced electrolyte composition, which closely resembles the electrolyte content of plasma. It helps replace lost fluids and maintain electrolyte balance. Normal saline (B) lacks bicarbonate and may lead to metabolic acidosis. Dextrose (C) provides energy but does not address fluid and electrolyte losses. Blood (D) is not typically used for fluid resuscitation in these cases unless there is severe hemorrhage.
Question 5 of 5
The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?
Correct Answer: A
Rationale: The correct answer is A: Awaken the client every two (2) hours. This instruction is important to monitor for any changes in the client's condition, such as worsening symptoms or neurological deficits. By waking the client every two hours, it allows for assessment of responsiveness and orientation. This is crucial in detecting any signs of deterioration or complications post-concussion. Choice B is incorrect because monitoring for increased intracranial pressure requires specialized equipment and expertise beyond what can be done at home. Choice C is incorrect as hypervigilance is not typically a common concern after a mild concussion. Choice D is incorrect because offering food every three to four hours is not specific to the client's needs post-concussion.