ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. which of the following is the first action the nurse should take when assisting this client?
Correct Answer: D
Rationale: The correct answer is D: explain diabetes exchange list. The nurse's first action should be to educate the client on how to incorporate traditional foods into her meal plan using the diabetes exchange list. This list categorizes foods based on their macronutrient content, making it easier for the client to make appropriate choices. By explaining this list, the nurse can help the client make informed decisions about portion sizes and food combinations to manage her diabetes effectively. Providing a printed recipe (
A) may be helpful but does not address the fundamental issue of adapting traditional foods to fit the meal plan. Observing the client during food preparation (
B) is passive and does not provide the necessary guidance. Using cookbooks (
C) may be overwhelming and less practical than directly educating the client.
Question 2 of 5
a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?
Correct Answer: B
Rationale: The correct answer is B: hepatitis B spreads easily among children through casual contact. The rationale is that hepatitis B is primarily transmitted through blood or other body fluids, making children susceptible to infection through activities like sharing personal items or accidental exposure to infected blood. This explanation emphasizes the importance of vaccination to prevent transmission. The other choices are incorrect because: A is false as multiple doses are needed for lifelong protection; C is not the main focus of the education; D is misleading as those with past infection still benefit from vaccination.
Question 3 of 5
a nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department?
Correct Answer: B
Rationale: The correct answer is B: herpes simplex virus. This infection should be reported to the state health department because it is a notifiable disease due to its potential for significant public health impact. Herpes simplex virus can have serious consequences, especially in pregnant women where it can lead to neonatal herpes. Reporting helps track outbreaks, implement preventive measures, and ensure appropriate treatment.
Other choices are incorrect because they are not typically reportable infections to the state health department. Chlamydia is a common sexually transmitted infection but is usually reported to local health departments for monitoring and treatment purposes. Group B Streptococcus is typically reported in pregnant women for prevention of neonatal infection. Human papillomavirus is not routinely reportable since it is very common and usually not a public health threat.
Question 4 of 5
a home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief form pharmacological measures. which of the following interventions should the nurse initiate (select all that apply)?
Correct Answer: D
Rationale: The correct answer is D: offer 120 ml (4 oz.) of cold 2% milk as a meal replacement. Cold milk is a soothing and easy-to-digest option that may help alleviate nausea. Milk can provide essential nutrients and calories when the client may not be able to eat a full meal. Other choices such as A (using seasonings) and B (ginger ale) may not be effective for resistant nausea caused by chemotherapy.
Choice C (elevating the head of the bed) is more helpful for gastroesophageal reflux disease rather than chemotherapy-induced nausea.
Choice E (guided imagery) is a non-pharmacological intervention for managing anxiety or pain, not specifically nausea.
Question 5 of 5
a first response team isworking at the location of a bombing incident. a nurse triaging a group of clients should give treatment priority to which of the following clients.
Correct Answer: C
Rationale: The correct answer is C because the client exhibiting manic behavior poses a safety risk to themselves and others. The nurse should prioritize stabilizing this client to prevent harm.
Choice A has minor injuries, B has a stable pulse, and D has severe physical symptoms but not an immediate safety concern. Prioritizing the manic client ensures overall safety and prevents escalation of the situation.