ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
Which of the following clients should be classified as a case of mutibacillary leprosy?
Correct Answer: D
Rationale: The correct answer is D because multibacillary leprosy is characterized by more than 5 skin lesions and a positive slit skin smear indicating a high bacterial load. Having 5 lesions and a positive smear aligns with the criteria for multibacillary leprosy diagnosis. Choices A, B, and C do not meet the criteria for multibacillary leprosy as they either have less than 5 lesions or a negative slit skin smear. Thus, D is the correct choice based on the definition and diagnostic criteria of multibacillary leprosy.
Question 2 of 5
For prevention of Hepatitis A, you decided to conduct health education activities. Which of the following is Irrelevant?
Correct Answer: D
Rationale: The correct answer is D because water pipe leaks and illegal water connections do not directly contribute to the prevention of Hepatitis A, which is primarily transmitted through contaminated food or water. A, B, and C are relevant as they address key factors in preventing the transmission of Hepatitis A such as avoiding the use of contaminated syringes, ensuring safe food handling practices, and maintaining proper hygiene and sanitation. Therefore, focusing on immediate reporting of water-related issues is not directly related to preventing Hepatitis A transmission.
Question 3 of 5
Estimate the number of infants in the barangay.
Correct Answer: C
Rationale: The correct answer is C (55). To estimate the number of infants in the barangay, we need to consider a reasonable average number of infants per household. Assuming an average household size of 4, with about 2 adults and 2 children, we can estimate that roughly 25% of households may have infants. With a total of 220 households in the barangay, 25% of 220 is 55, making C the most reasonable estimate. Summary of other choices: A: 45 - This is on the lower side and underestimates the number of infants. B: 50 - Similar to A, it underestimates the number of infants. D: 60 - This is on the higher side and overestimates the number of infants.
Question 4 of 5
A client was diagnosed as having Dengue Fever. You will say that there is slow capillary refill when the color of the nailbed that you pressed does not return within how many seconds?
Correct Answer: B
Rationale: The correct answer is B: 5 seconds. Slow capillary refill in Dengue Fever typically indicates poor peripheral perfusion, which can be a sign of shock. In a healthy individual, capillary refill should occur within 2 seconds. In cases of shock or poor perfusion, the capillary refill time may be prolonged. Choosing 5 seconds as the threshold aligns with the delayed capillary refill commonly seen in patients with Dengue Fever. Choices A, C, and D are incorrect as they do not reflect the typical time frame for capillary refill in these circumstances.
Question 5 of 5
The pathognomonic sign of measles is Koplik's spot. You may see Koplik's spot by inspecting the:
Correct Answer: B
Rationale: The correct answer is B: Buccal mucosa. Koplik's spots are small white spots surrounded by a red halo that appear on the buccal mucosa opposite the molars. This is a pathognomonic sign of measles due to the presence of the measles virus in the mucous membranes. Inspecting the nasal mucosa (Choice A) would not reveal Koplik's spots. Similarly, examining the skin on the abdomen (Choice C) or the skin on the antecubital surface (Choice D) would not show Koplik's spots as they are specific to the buccal mucosa.