RN ATI Community Health Proctored Exam 2023 -Nurselytic

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.

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.

Correct Answer: C

Rationale: During the Exposure Assessment stage of the EPA's four-step risk assessment process following a train derailment resulting in a toxic chemical spill, the public health team will focus on quantifying the extent, frequency, and length of contact of the community with the toxic chemicals. This step involves collecting data on how much of the toxic chemicals were released into the environment, the pathways through which individuals may be exposed (such as inhalation, ingestion, or dermal contact), and the duration of exposure. By quantifying the exposure levels, the public health team can evaluate the potential risks to the community and determine appropriate risk management strategies to protect public health. Identifying potential negative outcomes , understanding the relationship between exposure amount and health outcomes severity , and determining how the chemicals are processed in the body are important aspects of the risk assessment process, but quantifying the extent, frequency, and length of exposure is the primary focus during the Exposure Assessment

Correct Answer: B

Rationale: When a nurse is examining blood and urine samples from a community to assess the presence of certain chemicals, she is likely looking at biomonitoring data. Biomonitoring involves measuring the levels of chemicals or their metabolites in biological samples to evaluate human exposures. This data provides information on the internal dose of a substance and can help determine the extent of human exposure to environmental chemicals. By analyzing biomonitoring data, healthcare professionals can assess potential health risks associated with exposure to various chemicals and develop strategies to mitigate these risks.

Correct Answer: D

Rationale: The correct answer is D: Use three-pronged grounded plugs. This is important for electrical fire prevention because grounded plugs help to prevent electrical shock and reduce the risk of electrical fires. The third prong acts as a grounding wire to divert excess electricity safely into the ground. This reduces the chances of electrical overload and potential fire hazards.


Choice A is incorrect because pulling the cord to remove the plug can damage the cord and create a safety hazard.
Choice B is incorrect as feeling a tingling sensation around the cord is a sign of an electrical issue and should be reported to a professional.
Choice C is incorrect because covering extension cords with a rug can create a fire hazard by trapping heat.