ATI RN
Introduction to Community Health Nursing Questions
Question 1 of 5
What is the term for unequal pupil size?
Correct Answer: D
Rationale: The correct answer is D: Anisocoria. Anisocoria refers to unequal pupil size, which can be a result of various conditions affecting the eye or nervous system. The term "enteric" (A) refers to the intestines, not pupil size. Diplopia (B) is double vision, not unequal pupil size. Anecteric (C) is not a recognized medical term related to pupil size. Therefore, choice D is the correct answer as it specifically addresses the condition of unequal pupil size.
Question 2 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 3 of 5
Nurse Jasmine provides a list of instructions to a client being discharged to home with a peripherally inserted central catheter (PICC). The nurse determines that the client needs further instructions if the client made which statement?
Correct Answer: B
Rationale: The correct answer is B: "I need to restrict my activity while this catheter is in place." This statement is incorrect because clients with a PICC line do not need to restrict their activity. They can resume normal activities as tolerated unless otherwise instructed by their healthcare provider. Restricting activity unnecessarily can lead to deconditioning and reduced quality of life. A: "I need to wear a MedicAlert tag or bracelet." - This is a correct statement as it helps alert healthcare providers about the presence of the PICC line in case of an emergency. C: "I need to keep the insertion site protected when in the shower or bath." - This is a correct statement to prevent infection and maintain the integrity of the PICC line. D: "I need to check the markings on the catheter each time the dressing is changed." - This is a correct statement as it helps ensure the catheter is in the correct position.
Question 4 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 5 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.