ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a home health nurse is planning theinitial home visit for a client who has dementia and
Correct Answer: A
Rationale: The correct answer is A. The nurse should first assess the living environment and the dynamics within the household to understand the client's support system and potential stressors. This will help in tailoring the care plan effectively. Encouraging the family to join a support group (
B) or providing information about respite care (
C) can be beneficial but should come after understanding the client's immediate environment. Educating the family about the progression of dementia (
D) is important but should not be the first step. Engaging in informal conversation (E) is also essential but should follow the initial assessment.
Question 2 of 5
a community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. in a given year, 3144 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: C
Rationale: The correct answer is C: about 10 reported cases per 1000 population.
To calculate the incidence rate, you divide the number of new cases (3144) by the total population (325,986) and then multiply by 1000 to express the rate per 1000 population. This gives an incidence rate of approximately 9.64 cases per 1000 population for the state. This choice is correct because it accurately reflects the calculation of the incidence rate for chlamydia in the given population.
Incorrect
Choices:
A: about 300 reported cases per 100,000 population - This is incorrect as it does not accurately represent the calculated incidence rate.
B: about 1 reported case per 10,000 population - This is incorrect as it underestimates the actual incidence rate.
D: about 3 reported cases per 10,000 population - This is incorrect as it also underestimates the actual incidence rate.
Question 3 of 5
a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey?
Correct Answer: A
Rationale: The correct answer is A: demographic data. In a windshield survey, a nurse observes the community from a car to gather general information. Demographic data, such as population size, age distribution, ethnicity, and socioeconomic status, are crucial for understanding the community's characteristics and needs. Mortality rate (
B) and housing quality (
D) are important but require more in-depth data collection methods. Informant interviews (
C) involve speaking directly with community members and are not part of a windshield survey.
Choices E, F, and G are not provided, so they are not relevant to the question.
Question 4 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 theirteaching?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Folic acid is crucial for fetal development, especially in the early stages.
2. Adequate folic acid intake reduces the risk of neural tube defects.
3. The third trimester is a critical period for brain and nervous system development in the fetus.
4.
Therefore, the need for supplemental folic acid is highest in the third trimester.
Summary:
B: High birth weight infants are more common in adult pregnancies, not adolescent pregnancies.
C: Pregnant adolescents actually need to gain more weight than adult mothers to support fetal growth.
D: Caffeine intake should be limited but not necessarily replaced completely with caffeine-free beverages.
Question 5 of 5
a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: the test measures antibodies to the virus. In enzyme-linked immunosorbent assay (ELIS
A) testing for HIV, antibodies produced by the body in response to the virus are detected, not the progression of the disease. This information is crucial for diagnosing HIV infection.
Choice A is incorrect as the test does not monitor disease progression.
Choice C is incorrect as it takes time for antibodies to develop post-exposure, so results are not accurate 24 hours after exposure.
Choice D is incorrect as a positive result would require antiretroviral therapy, not immunoglobulin administration.