ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity?
Correct Answer: A
Rationale: The correct answer is A: Early detection of disease. The primary goal of screening for lipid disorders is to identify individuals at risk for developing lipid disorders such as high cholesterol levels. Early detection allows for timely intervention and treatment to prevent complications like heart disease.
Choice B is incorrect because enrollment in prevention programs is a secondary outcome of screening, not the primary goal.
Choice C is also incorrect as promoting lifestyle changes is a part of the intervention phase, not the primary goal of screening.
Choice D is incorrect as identifying family history is important but not the primary goal of screening for lipid disorders.
Question 2 of 5
A school nurse is implementing health screening. Which of the following assessment findings should the nurse recognize as the highest priority?
Correct Answer: B
Rationale: The correct answer is B: An adolescent who has scoliosis. Scoliosis is a spinal deformity that can progress and cause serious health issues if left untreated. The school nurse should prioritize this assessment finding to ensure early detection and appropriate interventions to prevent further complications. A: A child with a BMI of 18 may indicate underweight but is not as urgent as scoliosis. C: Psoriasis is a skin condition that may require management but is not immediately life-threatening. D: Nits (lice eggs) are a common issue but do not pose a significant health risk compared to scoliosis.
Question 3 of 5
Which of the following statements should the nurse include in teaching about meningococcal meningitis?
Correct Answer: B
Rationale: The correct answer is B: Household contacts will receive prophylactic antibiotics. This statement should be included in teaching about meningococcal meningitis because prophylactic antibiotics are recommended for close contacts to prevent the spread of the infection. This is crucial in preventing outbreaks and protecting others who may have been exposed.
A: Placing a toothbrush beside the child's bed is not relevant to preventing the spread of meningococcal meningitis.
C: Transmission prevention through herd immunity is not a reliable method for controlling the spread of meningococcal meningitis.
D: The child is most contagious before the rash develops, not after, making this statement incorrect.
In summary, teaching about prophylactic antibiotics for household contacts is essential in managing meningococcal meningitis, while the other options do not directly address prevention measures.
Question 4 of 5
A home health nurse is scheduled for a first-time visit to a client. Which of the following should the nurse perform first?
Correct Answer: C
Rationale: The correct answer is C: Review of the neighborhood. This should be performed first to assess the safety and environment of the client's home, ensuring the nurse's safety and the ability to provide care effectively. It helps identify potential hazards or resources in the community. Blood pressure screening (
A) can wait until after ensuring a safe environment. Mental status examination (
B) is important but can be conducted after assessing the neighborhood. Family history (
D) is not a priority for the first visit.
Question 5 of 5
In the last month, three cases of tuberculosis have been referred to the health department. Which of the following is the priority information for the community health nurse to obtain from each client?
Correct Answer: B
Rationale: The correct answer is B: Household members. This is the priority information for the nurse to obtain as tuberculosis is highly contagious and can spread within households. By knowing the household members, the nurse can assess the risk of transmission and provide appropriate guidance for testing and treatment. Demographics (
A) may provide background information but are not as crucial as identifying close contacts. Occupation (
C) and health history (
D) are important but do not directly address the immediate risk of transmission within the household.