ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A clinic nurse is assessing a client who has measles. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Koplik spots inside the mouth. This finding is characteristic of measles and appears as small, white spots surrounded by a red ring on the buccal mucosa. It typically precedes the onset of the measles rash. Koplik spots are pathognomonic for measles, making this choice the correct one.
B: Persistent low-grade temperature is a nonspecific finding and may occur in various illnesses, not specific to measles.
C: Muscle aches and tenderness are common symptoms in many viral infections and are not unique to measles.
D: The measles rash typically starts on the face and behind the ears, spreading to the trunk and extremities.
Therefore, a rash confined to the trunk would be an atypical presentation for measles.
Question 2 of 5
A community health nurse is caring for a client in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group?
Correct Answer: D
Rationale: Many Hispanic cultures follow a hot/cold theory of balance in diet, and recognizing this demonstrates cultural competence.
Question 3 of 5
A nurse is teaching a group of school-age children about healthy snack options. Which of the following snacks should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Air-popped popcorn. Popcorn is a whole grain snack that is high in fiber and low in calories, making it a healthy option for school-age children. It provides energy and helps with digestion. Cheesecake (
A) is high in sugar and unhealthy fats. A milkshake made with whole milk (
C) is high in saturated fats and sugar. Baked potato chips (
D) may contain unhealthy fats and high sodium levels.
Therefore, air-popped popcorn is the best choice among these options for a healthy snack for school-age children.
Question 4 of 5
A 35-year-old client who has a diagnosis of tuberculosis informs the provider's office that she is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment?
Correct Answer: C
Rationale: The correct answer is C: Arrange for medication through local agencies. This option addresses the immediate need for the client to receive appropriate treatment for tuberculosis without financial burden. By arranging for medication through local agencies, the nurse ensures that the client can access the necessary treatment without worrying about the cost. This action promotes continuity of care and adherence to the treatment plan.
Other choices are incorrect:
A: Helping the client apply for Medicare may take time and does not provide immediate access to treatment.
B: Exploring options for alternative therapies may not be appropriate for a serious condition like tuberculosis.
D: Sending the client to the nearest facility for further evaluation delays the initiation of treatment for a known diagnosis.
Question 5 of 5
A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
Correct Answer: D
Rationale: The correct answer is D: Engage the family in informal conversation. The first step for the nurse should be to establish a rapport with the family members and the client to build trust and gather valuable information about their daily routines, challenges, and needs. Engaging in informal conversation allows the nurse to assess the family's understanding of the client's condition, their coping mechanisms, and their support system. It also helps in identifying potential stressors and developing a personalized care plan.
The other choices are incorrect because:
A: Encouraging the family to join a support group may be beneficial but should come after establishing a relationship and understanding their specific needs.
B: Providing information about respite care is important but should be addressed once the nurse has assessed the family's immediate concerns.
C: Educating the family about the progression of dementia is crucial, but it is not the first step during the initial visit.
In summary, engaging in informal conversation is the most appropriate initial action to gather information and build a