ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?
Correct Answer: B
Rationale: The correct answer is B: Measure the noise levels at various locations in the facility. This action is essential in detecting potential physical hazards because exposure to high noise levels can lead to hearing loss and other health issues. By measuring noise levels, the nurse can identify areas where workers may be at risk and implement control measures. Surveying workers about emotional stress (
A) is important but not directly related to physical hazards. Identifying industrial toxins (
C) is crucial for chemical hazards, not physical hazards. The other choices are not provided, but measuring noise levels is the most relevant action for detecting physical hazards.
Question 2 of 5
A clinic nurse is assessing a client who has measles. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Koplik spots inside the mouth. This finding is characteristic of measles and appears as small, white spots surrounded by a red ring on the buccal mucosa. It typically precedes the onset of the measles rash. Koplik spots are pathognomonic for measles, making this choice the correct one.
B: Persistent low-grade temperature is a nonspecific finding and may occur in various illnesses, not specific to measles.
C: Muscle aches and tenderness are common symptoms in many viral infections and are not unique to measles.
D: The measles rash typically starts on the face and behind the ears, spreading to the trunk and extremities.
Therefore, a rash confined to the trunk would be an atypical presentation for measles.
Question 3 of 5
A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Address the physical needs of clients. In a disaster situation, addressing physical needs such as providing water, food, shelter, and medical care is the priority to ensure the safety and well-being of individuals. This action takes precedence over other choices as it directly impacts survival. Creating diversionary activities (
A) can come later once basic needs are met. Helping gather supplies (
C) is important but not as urgent as addressing physical needs. Exploring feelings (
D) is essential for emotional support but should not be the priority over physical needs in the immediate aftermath of a disaster.
Question 4 of 5
A nurse is discussing short- and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion?
Correct Answer: D
Rationale: Behavioral therapy during treatment helps clients replace maladaptive defense mechanisms and develop healthier coping strategies.
Question 5 of 5
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (SATA)
Correct Answer: B, D, E
Rationale:
Correct Answer: B, D, E
Rationale:
1. Nausea: Anaphylaxis can cause gastrointestinal symptoms like nausea due to the release of inflammatory mediators.
2. Urticaria: Anaphylaxis commonly presents with hives (urticaria) as a skin manifestation of the allergic reaction.
3. Stridor: Stridor is a high-pitched breathing sound caused by upper airway obstruction, which can occur in severe anaphylaxis due to throat swelling.
Incorrect
Choices:
A. Bradycardia: In anaphylaxis, tachycardia is more common due to the body's response to the allergic reaction.
C. Hypertension: Anaphylaxis typically leads to hypotension (low blood pressure) due to vasodilation and fluid leakage.
F. (No option provided): There is no additional information given to evaluate this choice.
G. (No option provided): There is no additional information given to evaluate