ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 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: C
Rationale: The correct answer is C: Many people who acquire acute hepatitis B develop chronic hepatitis. This explanation is important for the parent to understand the potential long-term consequences of hepatitis B infection. Acute hepatitis B can progress to chronic hepatitis in some cases, leading to liver damage and other complications. It highlights the seriousness of the disease and the importance of prevention through vaccination.
Choice A is incorrect because although hepatitis B vaccination provides long-lasting protection, it may not necessarily offer lifelong immunity.
Choice B is incorrect as hepatitis B is primarily transmitted through exposure to infected blood or body fluids, not casual contact among children.
Choice D is incorrect because prior infection does not confer complete immunity, so immunization is still recommended.
Question 2 of 5
A first response team is working 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: D
Rationale: The correct answer is D: A client who has a rigid abdomen with manifestations of shock. This client should receive treatment priority because a rigid abdomen can indicate internal bleeding or organ damage, which are life-threatening conditions requiring immediate medical attention to prevent further complications. Manifestations of shock, such as hypotension and tachycardia, also indicate a critical condition that needs urgent intervention to stabilize the client's condition and prevent deterioration.
Choice A is incorrect because superficial partial-thickness burn injuries, although painful and requiring treatment, are not immediately life-threatening compared to internal injuries like in choice D.
Choice B is incorrect as a femur fracture with a palpable pedal pulse indicates distal circulation is intact, making it a lower priority compared to the critical condition in choice D.
Choice C is incorrect as manic behavior, while concerning, does not pose an immediate threat to the client's life compared to the potentially life-threatening conditions in choice D.
Question 3 of 5
A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention?
Correct Answer: B
Rationale: The correct answer is B: Developing resources for victims of abuse. Tertiary prevention focuses on minimizing the impact of established disease or injury. By providing resources for victims of abuse, the community health care team is helping to support those who have already experienced violence, thus reducing potential long-term consequences.
Choices A, C, and D are examples of primary and secondary prevention strategies, which aim to prevent violence before it occurs or identify and intervene early in cases of violence. These interventions are important but do not fall under tertiary prevention.
Question 4 of 5
A public health nurse is responding to a suspected anthrax exposure at a workplace. Which action should the nurse take?
Correct Answer: C
Rationale: The correct action for the public health nurse is to refer coworkers who might have been exposed to a provider for prophylactic antibiotics (
Choice
C). This is because prophylactic antibiotics can help prevent the development of anthrax infection after exposure. Alerting family members (
Choice
A) is unnecessary as the focus should be on the exposed individuals. Quarantine (
Choice
B) may not be necessary if the individuals receive prophylactic treatment. Instructing the client to wear a mask (
Choice
D) is not effective in preventing anthrax transmission.
Question 5 of 5
A community health nurse is providing teaching to a group of clients who have alcohol use disorder. Which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
Correct Answer: D
Rationale: The correct answer is D: Insomnia. Alcohol withdrawal commonly presents with symptoms such as difficulty sleeping, restlessness, and anxiety due to the disruption of the central nervous system. Insomnia is a hallmark manifestation of alcohol withdrawal syndrome. Bradycardia (
A) is not typically associated with alcohol withdrawal; instead, tachycardia is more common. Hypothermia (
B) is rare in alcohol withdrawal, as alcohol tends to cause vasodilation and can lead to increased body temperature. Increased appetite (
C) is not a typical symptom of alcohol withdrawal; in fact, decreased appetite or nausea is more common.
Therefore, the correct choice is D based on the typical manifestations of alcohol withdrawal.