ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine the client's understanding of her living situation. This is the first step because it allows the nurse to assess the client's current situation and needs. Understanding the client's perspective is crucial for providing effective care and support. Assisting the client in developing goals (
B) or discussing risks (
C) should come after understanding the client's current situation. Developing client teaching (
D) is important but should be based on the client's understanding and needs, which is why it comes after assessing their understanding.
Question 3 of 5
A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment?
Correct Answer: A
Rationale: The correct answer is A: Meet with community members to discuss methods of playground maintenance. This is the first action the nurse should take because it involves engaging the community in addressing the issue collectively. By involving community members in the discussion, the nurse can gather insights, ideas, and support to develop effective strategies for maintaining the playground. This approach fosters community ownership and empowers residents to take responsibility for the cleanliness and safety of the playground.
Other choices are incorrect because:
B: Partnering with city officials may be necessary, but involving the community directly should be the initial step.
C: Working with local businesses to sponsor more trash receptacles may help, but community involvement is crucial for sustainable change.
D: Engaging neighborhood families to monitor the playground is important, but community collaboration is needed to address the root cause of the issue.
Question 4 of 5
A nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. The client does not speak the same language as the nurse. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Identify the client's spoken dialect prior to contacting an interpreter. This is the most appropriate action because it ensures effective communication by matching the client with an interpreter who speaks the same dialect. This step shows cultural sensitivity and respects the client's language preference, promoting trust and understanding.
Other choices are incorrect:
A: Having the client's daughter communicate may not guarantee accurate information exchange due to potential language barriers.
B: Arranging for a community member to interpret may not ensure confidentiality or accuracy in communication.
D: Using professional terminology without ensuring understanding may lead to confusion and hinder effective communication.
Question 5 of 5
A nurse at a local health department is caring for several clients. Which of the following infections should the nurse report to the state health department?
Correct Answer: D
Rationale: The correct answer is D: Tuberculosis. The nurse should report tuberculosis to the state health department because it is a notifiable infectious disease, meaning it is required by law to be reported to public health authorities. Tuberculosis is a serious respiratory infection that can spread easily and pose a public health risk if not properly monitored and controlled. Reporting helps in tracking and controlling the spread of the disease through appropriate public health interventions.
Choices A, B, and C are not typically reportable to the state health department as they are not considered highly contagious or pose significant public health risks compared to tuberculosis.