ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse implements an education program that incorporates computer games to reinforce learning for a group of older adults. Although the research demonstrates evidence of improved retention of this information, the nurse experiences exactly the opposite with this group. Which of the following is the most likely cause of such poor outcomes?
Correct Answer: A
Rationale: The most likely cause of the poor outcomes experienced by the nurse despite existing research evidence of improved retention is the failure to consider client and setting differences. Even though the research showed positive results, the nurse did not take into account the specific characteristics, preferences, and needs of the older adults in the group. It is essential to tailor educational programs to the target audience to achieve optimal results, especially when working with older adults who may have different learning styles and preferences compared to other age groups. Ignoring client and setting differences can result in ineffective implementation of evidence-based interventions, leading to poor outcomes despite promising research evidence.
Question 2 of 5
A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?
Correct Answer: A
Rationale: The correct answer is A: Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease. Tertiary prevention focuses on managing and improving the quality of life for individuals already affected by a disease. In Parkinson's disease, exercise has been shown to improve mobility, balance, and overall function, making it a key tertiary prevention strategy. Providing exercise classes for clients with Parkinson's disease can help them maintain or improve their ambulation skills, reducing the risk of falls and enhancing their independence. Screening for early manifestations (choice
B) falls under primary prevention. Educating about diagnostic techniques (choice
C) is part of secondary prevention. Educating about a low-cholesterol diet (choice
D) is more aligned with prevention of other health conditions.
Question 3 of 5
A nurse in a community clinic is caring for a client who requests assistance with smoking cessation. The nurse should expect a prescription for which of the following medications?
Correct Answer: D
Rationale: The correct answer is D: Bupropion. Bupropion is an FDA-approved medication for smoking cessation as it helps reduce cravings and withdrawal symptoms. It works by affecting neurotransmitters in the brain. Naltrexone (
A) is used for alcohol or opioid dependence, not smoking cessation. Chlordiazepoxide (
B) is a benzodiazepine used for alcohol withdrawal, not smoking cessation. Clonidine (
C) is used to manage withdrawal symptoms but is not as effective as bupropion for smoking cessation.
Question 4 of 5
A nurse in the emergency department is interviewing a client immediately following a sexual assault. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assessing the client's emotional state is critical before proceeding with any other interventions.
Question 5 of 5
Select the great public health achievements in the United States in the 20th century. (Select all that apply.)
Correct Answer: A
Rationale: A. Elimination of common infectious diseases: Throughout the 20th century, major strides were made in the United States to combat and eliminate common infectious diseases such as polio, smallpox, measles, and more through widespread vaccination campaigns, improved sanitation, and public health initiatives. These efforts significantly reduced the prevalence and impact of these diseases, leading to a significant improvement in public health.