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: D
Rationale: Measuring noise levels helps identify potential physical hazards, such as hearing loss risks, in the workplace.
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 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 4 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 tertiary prevention?
Correct Answer: B
Rationale: The correct answer is B: Developing resources for victims of abuse. Tertiary prevention focuses on reducing the impact of established disease or injury. This intervention helps individuals who have already experienced violence by providing support and resources to mitigate the consequences.
Choices A, C, and D are examples of primary and secondary prevention, which aim to prevent violence before it occurs or identify and intervene early in the development of violence.
Choice A focuses on promoting coping mechanisms, choice C emphasizes prevention at a community level, and choice D involves early detection and intervention.
Question 5 of 5
A client states, 'My life has no meaning right now.' What is the nurse's best response?
Correct Answer: A
Rationale: Assessing suicidal ideation is a priority to determine if immediate intervention is needed.