ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A community health nurse is developing a plan to improve the community's environmental health. Which of the following actions should the nurse take first?
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.
Question 2 of 5
A nurse in the infectious disease division of the local health department is caring for a client. Which of the following infections should the nurse identify should be reported to the health department?
Correct Answer: C
Rationale: The correct answer is C: Chlamydia trachomatis. This infection should be reported to the health department because it is a sexually transmitted infection (STI) that can have public health implications. Reporting helps track and control the spread of the infection, ensure proper treatment for the affected individual, and prevent further transmission. The other choices (A, B, and
D) are not typically reportable to the health department as they are not considered communicable diseases that pose a significant public health risk. Reporting these infections may not be necessary for public health surveillance or intervention purposes.
Question 3 of 5
A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I can visit my nephew who has chickenpox 5 days after the sores have crusted." This statement indicates understanding of infection prevention as chickenpox is contagious until the sores crust over, which typically takes about 5 days. Visiting after this period reduces the risk of transmission.
Choice B is incorrect because antibiotics are ineffective against viruses.
Choice C is incorrect because pregnant individuals should avoid cleaning cat litter due to the risk of toxoplasmosis.
Choice D is incorrect as handwashing should last at least 20 seconds with soap and warm water for effective prevention of infection.
Question 4 of 5
A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?
Correct Answer: A
Rationale: The correct answer is A: Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease. Tertiary prevention aims to prevent complications and further deterioration in individuals already diagnosed with a disease. In Parkinson's disease, exercise is crucial to maintain mobility and function. Regular exercise helps improve balance, strength, and coordination, which can slow down the progression of the disease and enhance quality of life. Providing daily exercise classes specifically tailored to individuals with Parkinson's disease aligns with tertiary prevention goals by promoting physical activity and independence.
Choice B is incorrect as it focuses on early identification rather than intervention for those already diagnosed.
Choice C is incorrect as educating about diagnostic techniques is more aligned with secondary prevention.
Choice D is incorrect as maintaining a low-cholesterol diet is not a specific tertiary prevention strategy for Parkinson's disease.
Question 5 of 5
A nurse in a family practice clinic is screening an adolescent client for idiopathic scoliosis. Which of the following assessments should the nurse perform as part of this screening?
Correct Answer: A
Rationale: The correct answer is A: Measure the truncal rotation. When screening for idiopathic scoliosis, assessing truncal rotation is essential as it helps in detecting the presence of spinal curvature. Truncal rotation is a key indicator of scoliosis as the spine rotates along with the curvature. This assessment involves observing the symmetry of the shoulders and scapulae, which can indicate spinal rotation.
Therefore, measuring truncal rotation is a crucial step in identifying potential scoliosis in adolescents.
Summary:
B: Administered 8 u regular insulin sq - Irrelevant to scoliosis screening, this is related to diabetes management.
C: Determine if the stockings are binding - Irrelevant to scoliosis screening, this is related to circulation issues.
D: Arrange for an ethics committee meeting - Irrelevant to scoliosis screening, this is related to ethical considerations in healthcare.