ATI RN
ATI Community Health Nursing Ch 7 Questions
Question 1 of 5
Which best describes a primary role of nurses in promoting community health?
Correct Answer: B
Rationale: The correct answer is B: Advocating for health policy changes. Nurses play a crucial role in promoting community health by advocating for policies that address social determinants of health, improve access to healthcare, and create healthier environments. By influencing health policies, nurses can have a broader impact on population health compared to individual health assessments (A), group health education (C), or developing policies (D), which are important but not primary roles for promoting community health. Advocating for health policy changes allows nurses to address systemic issues that impact the health and well-being of communities on a larger scale.
Question 2 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 3 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 4 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.
Question 5 of 5
What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?
Correct Answer: B
Rationale: The correct answer is B: Tracheostomy. Tracheostomy involves creating a surgical airway in the front of the neck to remove copious secretions. This procedure allows direct access to the trachea to facilitate breathing and clear secretions. Bronchoscopy (choice A) involves visualizing the airways with a scope, not creating a surgical airway. Thoracentesis (choice C) is a procedure to remove fluid from the chest cavity, not the airway. Underwater seal drainage (choice D) is used for managing chest tube drainage, not creating a surgical airway.