ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Determine how the adolescent's health has affected family roles. This is important as the nurse needs to understand the impact of the adolescent's illness on family dynamics and roles. By assessing this, the nurse can provide appropriate support and resources to help the family cope effectively.
Explanation of why other choices are incorrect:
A: Focus the discussion on the adolescent's future career plans - This is not the priority in this situation as the focus should be on the adolescent's current health and family dynamics.
C: Ask another family from the same faith congregation to attend the meeting for support - While support is important, involving another family may not be appropriate as it could breach confidentiality.
D: Direct conversation to the parents to avoid embarrassing the adolescent - This is not ideal as the nurse should involve the adolescent in discussions about their own health and well-being.
Question 2 of 5
A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client?
Correct Answer: B
Rationale: The correct answer is B: Observe the client during preparation of traditional foods. This is the first action the nurse should take because it allows the nurse to understand the client's current cooking practices, ingredient choices, portion sizes, and cooking methods. By observing the client, the nurse can identify areas where modifications can be made to align with the client's diabetes meal plan. Providing a printed recipe (
A) may not be effective if it doesn't consider the client's cultural preferences and cooking habits. Using cookbooks (
C) may not address the client's specific needs. Explaining the diabetes exchange list (
D) is important but should come after understanding the client's current food practices.
Question 3 of 5
Several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following services should the nurses plan to provide to the congregation?
Correct Answer: A
Rationale: Parish nurses focus on health promotion and disease prevention. Organizing an immunization clinic aligns with this role.
Question 4 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 insomnia due to disruptions in sleep patterns caused by the absence of alcohol. Bradycardia (
A) is not typically associated with alcohol withdrawal; hypothermia (
B) is not a common finding and is more indicative of severe alcohol poisoning. Increased appetite (
C) is not a typical manifestation as alcohol withdrawal often leads to decreased appetite.
Therefore, the key manifestation to focus on in alcohol withdrawal teaching is insomnia.
Question 5 of 5
A nurse is assessing a client with hyperemesis gravidarum. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Oliguria occurs due to dehydration caused by excessive vomiting in hyperemesis gravidarum.