ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. The client does not speak the same language as the nurse. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Identify the client's spoken dialect prior to contacting an interpreter. This is the best action because it ensures effective communication by matching the client with an interpreter who speaks the same dialect, improving comprehension. The other choices are incorrect as they may lead to misunderstandings.
Choice A relies on a non-professional to convey critical information.
Choice B may not guarantee accurate interpretation.
Choice D using professional terminology can confuse the client further. It is essential to prioritize clear communication for client safety and understanding.
Question 2 of 5
A community health nurse is providing teaching to a group of clients who have alcohol use disorder. Which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
Correct Answer: D
Rationale: The correct answer is D: Insomnia. Alcohol withdrawal commonly presents with symptoms such as insomnia due to disruptions in sleep patterns caused by the absence of alcohol. Bradycardia (
A) is not typically associated with alcohol withdrawal; hypothermia (
B) is not a common finding and is more indicative of severe alcohol poisoning. Increased appetite (
C) is not a typical manifestation as alcohol withdrawal often leads to decreased appetite.
Therefore, the key manifestation to focus on in alcohol withdrawal teaching is insomnia.
Question 3 of 5
A community health nurse is working with a family that is struggling to adapt following the loss of a family member. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Determine the roles of individual family members. This should be the first action because understanding the roles within the family can provide insight into how they are coping and functioning post-loss. By determining roles, the nurse can assess the dynamics and identify potential areas of support needed. Referring to a grief support group (
A) may be beneficial later but not until the nurse understands the family dynamics. Encouraging specific tasks (
C) and establishing a daily routine (
D) are important steps but should come after understanding individual roles.
Question 4 of 5
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (SATA)
Correct Answer: B, D, E
Rationale:
Correct Answer: B, D, E
Rationale:
1. Nausea: Anaphylaxis can cause gastrointestinal symptoms like nausea due to the release of inflammatory mediators.
2. Urticaria: Anaphylaxis commonly presents with hives (urticaria) as a skin manifestation of the allergic reaction.
3. Stridor: Stridor is a high-pitched breathing sound caused by upper airway obstruction, which can occur in severe anaphylaxis due to throat swelling.
Incorrect
Choices:
A. Bradycardia: In anaphylaxis, tachycardia is more common due to the body's response to the allergic reaction.
C. Hypertension: Anaphylaxis typically leads to hypotension (low blood pressure) due to vasodilation and fluid leakage.
F. (No option provided): There is no additional information given to evaluate this choice.
G. (No option provided): There is no additional information given to evaluate
Question 5 of 5
A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize that which of the following is the host?
Correct Answer: D
Rationale: In the epidemiological triangle, the host is the living being affected by the disease, which in this case is the children.