ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: B
Rationale: The correct answer is B: A client who is 1 day postoperative following a vertebroplasty. This client is stable post-surgery and likely does not require extensive monitoring or immediate medical intervention. Early discharge would free up a bed for potential incoming critical patients.
Choice A should not be discharged early due to the importance of ongoing heparin therapy for deep-vein thrombosis.
Choice C needs close monitoring due to the presence of a sealed implant for radiation therapy.
Choice D with COPD and a high respiratory rate requires ongoing monitoring and intervention.
Question 2 of 5
A home health nurse is caring for a client who has chemotherapy-induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? (Select all that apply)
Correct Answer: B, C, E
Rationale: The correct interventions for chemotherapy-induced nausea are B, C, E. B: Ginger ale can help alleviate nausea. C: Elevating the head after eating can prevent reflux. E: Guided imagery can distract from nausea. A: Seasonings may worsen nausea. D: Cold milk can trigger nausea in some clients.
Therefore, A and D are incorrect due to potential exacerbation of symptoms.
Question 3 of 5
A school nurse is implementing health screening. Which of the following assessment findings should the nurse recognize as the highest priority?
Correct Answer: B
Rationale: Scoliosis can progress and cause severe spinal deformities, impacting respiratory function and requiring early intervention.
Question 4 of 5
A home health nurse is visiting a client who had a stroke 2 months ago. Which of the following findings should the nurse report to the interprofessional care team?
Correct Answer: C
Rationale: Coughing when swallowing may indicate dysphagia, increasing the risk of aspiration pneumonia, which requires further evaluation by the healthcare team.
Question 5 of 5
A home health nurse is scheduled for a first-time visit to a client. Which of the following should the nurse perform first?
Correct Answer: C
Rationale: Reviewing the neighborhood provides context for potential environmental health risks and safety concerns affecting the client's well-being.