ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse in a family practice clinic is screening an adolescent client for idiopathic scoliosis. Which of the following assessments should the nurse perform as part of this screening?
Correct Answer: A
Rationale: The correct answer is A: Measure the truncal rotation. When screening for idiopathic scoliosis, assessing truncal rotation is essential as it helps in detecting the presence of spinal curvature. Truncal rotation is a key indicator of scoliosis as the spine rotates along with the curvature. This assessment involves observing the symmetry of the shoulders and scapulae, which can indicate spinal rotation.
Therefore, measuring truncal rotation is a crucial step in identifying potential scoliosis in adolescents.
Summary:
B: Administered 8 u regular insulin sq - Irrelevant to scoliosis screening, this is related to diabetes management.
C: Determine if the stockings are binding - Irrelevant to scoliosis screening, this is related to circulation issues.
D: Arrange for an ethics committee meeting - Irrelevant to scoliosis screening, this is related to ethical considerations in healthcare.
Question 2 of 5
A nurse manager is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it reflects proper documentation format, including the medication name, dose, route, and frequency. It demonstrates the nurse understands how to document medication administration accurately.
Choice B is incorrect as it lacks specific details on the action to be taken.
Choice C is incorrect as it does not imply any action related to medication safety.
Choice D is incorrect as it does not specify the reason for measuring urine output.
Question 3 of 5
The nurse is discussing the importance of evidence-based decision-making (EBDM) with a group of students. Which statement by a student indicates understanding of this process?
Correct Answer: C
Rationale: The correct answer is C: "EBDM uses interventions with replicable results." This statement indicates an understanding of evidence-based decision-making (EBDM) because it highlights the key principle of using interventions that have been proven to produce consistent and replicable results through research and evidence. By basing decisions on interventions with replicable results, healthcare professionals can ensure that their clinical decisions are informed by reliable evidence rather than personal bias or subjective opinions.
Choice A is incorrect because EBDM is a multi-step process that involves gathering evidence, critically appraising it, and applying it to make decisions.
Choice B is incorrect as EBDM focuses on objective evidence rather than subjective decision-making.
Choice D is incorrect because while past nursing experiences may inform decision-making, EBDM emphasizes the use of current research and evidence to guide practice.
Question 4 of 5
Which information is the nurse assessing when appraising the applicability of a research article?
Correct Answer: B
Rationale: The correct answer is B: The degree to which the results relate to a specific population. This is crucial in determining the relevance and applicability of the research findings to the target population. Assessing the generalizability of the results is essential for making informed decisions in practice.
Incorrect
Choices:
A: The intended audience of the article - While important, it does not directly impact the applicability of the research findings to a specific population.
C: The accuracy or credibility of the research - While important for validity, it does not address the specific relevance to a population.
D: The purpose of the research - While understanding the purpose is important, it doesn't directly assess the applicability to a specific population.
Question 5 of 5
While conducting a literature review for an evidence-based project, the nurse recognizes that which type of study represents the lowest level of evidence?
Correct Answer: A
Rationale: The correct answer is A: Case reports. Case reports represent the lowest level of evidence because they are anecdotal, describing observations of individual cases without control groups or systematic data collection. They lack generalizability and are subject to bias. Cohort studies (
B), randomized control trials (
C), and cross-sectional studies (
D) are higher levels of evidence with more rigorous study designs and stronger ability to establish causation and relationships between variables. Cohort studies follow a group over time, RCTs involve random allocation of participants into groups, and cross-sectional studies provide a snapshot of a population at a specific point in time.