ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department?
Correct Answer: B
Rationale: The correct answer is B: herpes simplex virus. This infection should be reported to the state health department because it is a notifiable disease due to its potential for significant public health impact. Herpes simplex virus can have serious consequences, especially in pregnant women where it can lead to neonatal herpes. Reporting helps track outbreaks, implement preventive measures, and ensure appropriate treatment.
Other choices are incorrect because they are not typically reportable infections to the state health department. Chlamydia is a common sexually transmitted infection but is usually reported to local health departments for monitoring and treatment purposes. Group B Streptococcus is typically reported in pregnant women for prevention of neonatal infection. Human papillomavirus is not routinely reportable since it is very common and usually not a public health threat.
Question 2 of 5
in the last month three cases of tuberculosis have been referred to the health department. which of the following is the priority information for the community health nurse to obtain from each client?
Correct Answer: D
Rationale: The correct answer is D: health history. Obtaining the health history is crucial in assessing the severity of tuberculosis, including factors like previous treatments, symptoms, and potential risk factors. This information guides the nurse in developing appropriate care plans and preventing further spread. Demographics (
A) may provide general information but do not directly impact the management of tuberculosis. Household members (
B) are important for contact tracing but do not address immediate client care. Occupation (
C) is relevant for identifying potential exposure sources but is secondary to understanding the client's health status.
Question 3 of 5
a school nurse is implementing health screening. which of the following assessment finding should the nurse recognize as the highest priority?
Correct Answer: B
Rationale: The correct answer is B: an adolescent who has scoliosis. Scoliosis is a condition that can potentially lead to severe complications if left untreated, such as respiratory issues or spinal deformity.
Therefore, the nurse should recognize this as the highest priority to prevent further health problems.
Choices A, C, and D are not as urgent as scoliosis, as they are not immediately life-threatening or have serious long-term consequences.
Question 4 of 5
a faith based organization asks a community health nurse to develop a mobile meal program for older................................... the following actions should the nurse plan to take
Correct Answer: C
Rationale: The correct answer is C: inquire about the availability of volunteers. This step is crucial as volunteers are essential for the successful implementation of the mobile meal program. Volunteers can help with meal preparation, delivery, and overall support for the older adults. Without enough volunteers, the program may not be sustainable in the long run.
Other choices are incorrect because:
A: Planning the program first without considering resources like volunteers may lead to challenges in implementation.
B: While funding is important, it should not be the first step. Volunteers are needed regardless of funding.
D: Identifying alternative solutions should come after assessing the availability of volunteers.
E: Performing a needs assessment is important but should not be the first step in this scenario.
Question 5 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.