ATI RN
Evidence-Based Practice in Nursing Questions
Question 1 of 5
Which action will the public health team take during the Exposure Assessment stage of the EPA's four- step risk assessment following a train derailment resulting in a toxic chemical spill?
Correct Answer: C
Rationale: During the Exposure Assessment stage, the public health team quantifies the extent, frequency, and duration of contact of the community with the toxic chemicals. This is crucial to determine the potential health risks posed by the exposure. By quantifying these factors, the team can assess the level of risk to the community accurately. Choice A is incorrect because it focuses on identifying negative outcomes rather than quantifying exposure levels. Choice B is incorrect as it relates exposure amount to health outcomes, which is more relevant in the Dose-Response Assessment stage. Choice D is incorrect as it pertains to the Absorption, Distribution, Metabolism, and Excretion stage, which comes after exposure assessment. In summary, choice C is correct as it directly aligns with the purpose of Exposure Assessment, while the other choices are either not relevant to this stage or belong to different stages of the risk assessment process.
Question 2 of 5
The nurse is performing an environmental assessment in an apartment building where many people have reported burning eyes, skin rash, stuffy nose, and sore throat. Which type of hazard does the nurse anticipate is present in the apartment building?
Correct Answer: C
Rationale: The correct answer is C: Mold. Mold is likely the hazard present in the apartment building due to the symptoms reported by the residents, which are commonly associated with mold exposure. Burning eyes, skin rash, stuffy nose, and sore throat are all common symptoms of mold exposure. Mold thrives in damp environments, and if not properly controlled, it can lead to various health issues. Radon (A) is a colorless, odorless gas that can cause lung cancer but does not typically present with the symptoms described. Mice (B) can cause allergies and respiratory issues, but the symptoms mentioned are more indicative of mold exposure. Lead (D) exposure can lead to neurological problems and is not typically associated with the symptoms described.
Question 3 of 5
A community nurse is educating the community about mitigation strategies to address climate
Correct Answer: A
Rationale: The correct answer is A because the question asks about the specific mitigation strategy the nurse would teach, aligning with the purpose of educating the community. Choice B is incorrect as it focuses on preparedness rather than mitigation. Choice C, while beneficial for reducing emissions, is not a direct mitigation strategy. Choice D is more about adaptation to climate change impacts rather than mitigation. Therefore, A is the correct answer as it directly addresses the nurse's role in educating the community on mitigation strategies.
Question 4 of 5
Which intervention by the nurse is an example of a tertiary prevention strategy to improve environmental health?
Correct Answer: D
Rationale: The correct answer is D: Implementing pollution prevention strategies. Tertiary prevention focuses on reducing the impact of an existing disease or condition. Pollution prevention strategies aim to reduce or eliminate pollutants at the source, thus preventing harm to the environment and human health. This intervention targets the root cause of environmental health issues, aligning with tertiary prevention goals. Choice A involves identifying risks but doesn't directly address prevention. Choice B focuses on emergency response, which is more aligned with secondary prevention. Choice C involves assessing community health but doesn't specifically target prevention strategies like choice D.
Question 5 of 5
A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse should recognize which social determinants of this client's health? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Household income of $23,000 per year. This is a social determinant of health as low income can impact access to proper nutrition, medication, and healthcare services crucial for managing diabetes effectively. Lower income levels can also limit the ability to afford necessary lifestyle changes. Choice B (Reading level of a third grader) is not a social determinant directly related to the client's ability to manage diabetes. Choice C (Medication ineffective due to error in prescription) is a healthcare system issue rather than a social determinant. Choice D (Originally from Sudan) is related to cultural background but not directly linked to the client's ability to manage diabetes based on the given scenario.