RN ATI Community Health Proctored Exam 2023 -Nurselytic

Correct Answer: D

Rationale: The correct answer is D - Collect information about the community's environmental status. This is the first step because it allows the nurse to assess the current environmental health issues in the community. By gathering data, the nurse can identify specific problems and prioritize interventions based on evidence. This information will guide the development of an effective plan tailored to address the community's specific needs.


Choice A is incorrect because community involvement should come after assessing the environmental status.
Choice B is incorrect as setting a timeframe is premature without understanding the extent of the issues.
Choice C is incorrect as funding should be sought once the plan is developed.

Correct Answer: C

Rationale: The correct answer is C: Teaching parenting skills to expectant mothers and their partners. This is a primary prevention strategy because it aims to prevent the occurrence of health issues by promoting positive behaviors and skills before any problems arise. By educating expectant mothers and their partners on parenting skills, the nurse is helping to establish a healthy family environment which can lead to positive health outcomes for both the parents and the child.

Explanation of why the other choices are incorrect:
A: Conducting mental health screenings - This is more of a secondary prevention strategy aimed at early detection and treatment of mental health issues.
B: Referring clients with obesity to exercise programs - This is more of a tertiary prevention strategy focused on managing existing health conditions.
D: Providing crisis intervention - This is a secondary prevention strategy addressing immediate mental health crises but not preventing future issues.

Correct Answer: C

Rationale: The correct answer is C. District nurses in Liverpool in 1865 reported facts to and asked questions of physicians. This duty was crucial for proper patient care as it ensured that physicians were informed about the patient's condition and could provide appropriate treatment. Other choices are incorrect because:
A) Epidemiologic knowledge and methods were not commonly used by district nurses at that time.
B) Encouraging community organization was not a primary duty of district nurses.
D) District nurses did not typically assist physicians with surgery. F) Identifying potential negative outcomes due to exposure to toxic chemicals was not a common duty of district nurses in 1865 Liverpool.

Correct Answer: A

Rationale: The correct answer is A: Check gastric residuals every 4 hours. This is essential when administering enteral feeding to prevent complications such as aspiration or feeding intolerance. By monitoring residuals, the nurse can assess the client's tolerance to the feeding regimen and adjust accordingly. Option B is incorrect as it is unrelated to enteral feeding. Option C is also incorrect as it pertains to community health, not individual client care. Option D is irrelevant and invasive to the client's privacy. Monitoring sexual activity of adolescents is outside the scope of enteral feeding administration.

Correct Answer: A

Rationale: The correct answer is A because it reflects proper documentation format, including the medication name, dose, route, and frequency. It demonstrates the nurse understands how to document medication administration accurately.
Choice B is incorrect as it lacks specific details on the action to be taken.
Choice C is incorrect as it does not imply any action related to medication safety.
Choice D is incorrect as it does not specify the reason for measuring urine output.