ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief form pharmacological measures. which of the following interventions should the nurse initiate (select all that apply)?
Correct Answer: D
Rationale: The correct answer is D: offer 120 ml (4 oz.) of cold 2% milk as a meal replacement. Cold milk is a soothing and easy-to-digest option that may help alleviate nausea. Milk can provide essential nutrients and calories when the client may not be able to eat a full meal. Other choices such as A (using seasonings) and B (ginger ale) may not be effective for resistant nausea caused by chemotherapy.
Choice C (elevating the head of the bed) is more helpful for gastroesophageal reflux disease rather than chemotherapy-induced nausea.
Choice E (guided imagery) is a non-pharmacological intervention for managing anxiety or pain, not specifically nausea.
Question 2 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 tertiaryprevention?
Correct Answer: D
Rationale: The correct answer is D because assessing for risk factors of intimate partner abuse during health examinations is an example of tertiary prevention. Tertiary prevention focuses on identifying and addressing existing health problems to prevent further complications. By assessing for risk factors of intimate partner abuse, the nurse can intervene early to prevent further harm to the victim.
A, B, and C are not examples of tertiary prevention. A is an example of primary prevention as it aims to educate the community before violence occurs. B is an example of secondary prevention as it focuses on providing resources to those already affected by abuse. C is also an example of primary prevention as it aims to prevent violence before it happens by promoting nonviolence in the community.
Therefore, choice D is the correct answer as it aligns with the goal of tertiary prevention by addressing existing risk factors to prevent further harm.
Question 3 of 5
a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D because the caregiver filling the pill organizer weekly indicates the client may have difficulty managing medications independently post-stroke. This finding is crucial to report as it highlights potential medication errors or non-adherence, posing risks to the client's health. Reporting this to the interprofessional care team allows for appropriate interventions to ensure medication safety and adherence.
In contrast, choices A, B, and C are not as critical to report. A client dressing the affected side first is a common compensatory technique post-stroke. Bearing weight on arms with crutches and coughing when swallowing medications may be concerning but do not directly impact medication management like choice D does.
Question 4 of 5
A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: "You should have your stool tested for blood every other year until the age of 74." This statement is correct because regular screening for blood in the stool can help in early detection of colorectal cancer, which is recommended for adults aged 50 to 75. Regular screening can help in identifying any abnormal changes in the colon or rectum, leading to timely intervention and improved outcomes.
Choice A is incorrect because the recommended frequency for complete eye examinations is typically every 1-2 years, not every 2 years until the age of 64.
Choice B is incorrect as hearing screenings are usually recommended more frequently than every 5 years, especially for individuals over the age of 50 who may be at higher risk for hearing loss.
Choice D is incorrect as fasting blood glucose levels should be monitored more frequently than every 6 years, especially for individuals at risk for diabetes or with a family history of the disease.
In summary, regular stool testing for blood
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: B
Rationale: The correct answer is B: hypothermia. Alcohol withdrawal often presents with symptoms such as tremors, anxiety, sweating, and in severe cases, hypothermia. This occurs due to the body's inability to regulate temperature properly during withdrawal. Bradycardia (
A) is less commonly associated with alcohol withdrawal, as increased heart rate is more typical. Increased appetite (
C) is not a common manifestation of alcohol withdrawal; in fact, individuals may experience decreased appetite. Insomnia (
D) is a common symptom of withdrawal, but it is not specifically related to temperature regulation like hypothermia.