ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Teach the clients to practice deep breathing exercises. This intervention is appropriate because deep breathing exercises are a proven technique to help manage anxiety and stress, common symptoms of posttraumatic stress disorder. By teaching the veterans this skill, the nurse can empower them to cope with their symptoms effectively. Providing coffee and snacks (
A) may be comforting but does not address the core issue. Avoiding discussing traumatic events (
B) can hinder the therapeutic process. Changing meeting sites frequently (
C) may disrupt the sense of safety and trust.
Question 2 of 5
A client states, 'My life has no meaning right now.' What is the nurse's best response?
Correct Answer: A
Rationale: The correct answer is A. By asking the client if they have been thinking about harming themselves, the nurse is directly addressing the potential risk of suicide, which is crucial when a client expresses feelings of hopelessness. This question helps assess the client's safety and determine the need for immediate intervention.
Choices B, C, and D are not as direct in addressing the potential risk of self-harm and may not provide the necessary urgency in ensuring the client's safety. Asking about self-harm is critical in assessing the severity of the client's distress and ensuring appropriate interventions are implemented promptly.
Question 3 of 5
A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in their teaching?
Correct Answer: D
Rationale: The correct answer is D: Caffeinated beverages should be replaced with caffeine-free beverages. Pregnant adolescents should limit their caffeine intake as excessive caffeine can lead to complications during pregnancy. Caffeine can cross the placenta and affect the baby's heart rate and sleep patterns. It is important for pregnant adolescents to switch to caffeine-free beverages to ensure the health and well-being of both the mother and baby.
A: The need for supplemental folic acid is not specific to the third trimester, it is important throughout pregnancy.
B: The incidence of high birth weight infants is not necessarily higher in adolescent pregnancy compared to adult mothers.
C: Pregnant adolescents actually need to gain weight within the recommended range, similar to adult mothers, to support fetal growth and development.
Question 4 of 5
A nurse is assessing a client with hyperemesis gravidarum. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Oliguria. Hyperemesis gravidarum is severe nausea and vomiting during pregnancy, leading to dehydration and electrolyte imbalances. Oliguria, decreased urine output, is expected due to dehydration. Diplopia (
B) and dizziness (
D) are not specific to hyperemesis gravidarum. Hypoglycemia (
C) may occur due to poor oral intake but is not a defining feature.
Question 5 of 5
A community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year, 3,144 new cases were reported, and the population was estimated at 325,986. Which of the following is the incidence rate in the state for the year?
Correct Answer: A
Rationale: The correct answer is A: About 300 reported cases per 100,000 population.
To calculate the incidence rate, you divide the number of new cases by the total population, then multiply by the desired unit of measure (per 100,000). In this case, (3,144/325,986) * 100,000 = 964.5 cases per 100,000 population.
Therefore, the answer is approximately 300 reported cases per 100,000 population.
Choice B is incorrect as it would be 31.44 cases per 10,000 population.
Choice C would result in 3.144 cases per 1,000 population.
Choice D would yield 31.44 cases per 10,000 population.