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 most appropriate action because it ensures effective communication by matching the client with an interpreter who speaks the same dialect. This step shows cultural sensitivity and respects the client's language preference, promoting trust and understanding.
Other choices are incorrect:
A: Having the client's daughter communicate may not guarantee accurate information exchange due to potential language barriers.
B: Arranging for a community member to interpret may not ensure confidentiality or accuracy in communication.
D: Using professional terminology without ensuring understanding may lead to confusion and hinder effective communication.
Question 2 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: D
Rationale: The correct answer is D: Tuberculosis. The nurse should report tuberculosis to the state health department because it is a notifiable infectious disease, meaning it is required by law to be reported to public health authorities. Tuberculosis is a serious respiratory infection that can spread easily and pose a public health risk if not properly monitored and controlled. Reporting helps in tracking and controlling the spread of the disease through appropriate public health interventions.
Choices A, B, and C are not typically reportable to the state health department as they are not considered highly contagious or pose significant public health risks compared to tuberculosis.
Question 3 of 5
A clinic nurse is assessing a client who has measles. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Koplik spots inside the mouth. These are small, white spots surrounded by a red ring that appear on the buccal mucosa. This finding is characteristic of measles and typically precedes the onset of the rash. Koplik spots are highly specific to measles and can aid in early diagnosis. Persistent low-grade temperature (
B) and muscle aches and tenderness (
C) are common symptoms of many viral illnesses, including measles, but they are not specific to measles. The rash associated with measles typically starts on the face and head before spreading to the trunk and extremities, so a rash confined to the trunk (
D) would not be expected in measles.
Question 4 of 5
A community health nurse is planning a program for adolescents about preventing STIs. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Collect data to identify barriers to learning. This should be the first step because understanding the specific challenges and obstacles that adolescents face in learning about preventing STIs is crucial for designing an effective program. By collecting data, the nurse can tailor the program to address the specific needs of the target audience, ensuring that the information is relevant and accessible.
Choice B, establishing methods to evaluate program outcomes, would come later in the program planning process after the content has been developed and implemented.
Choice C, obtaining visual aids featuring adolescents, and choice D, providing computer-based education, are also important but should be considered after identifying barriers to learning to enhance the effectiveness of the program.
Question 5 of 5
A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in the teaching? (Select all that apply)
Correct Answer: A, B, E
Rationale: The correct answers are A, B, and E. A is correct because avoiding sexual contact until therapy is complete helps prevent spreading chlamydia to others. B is correct as notifying sexual contacts allows for their treatment to prevent reinfection. E is correct because painful urination is a common symptom of chlamydia and should be expected until treatment resolves the infection.
Choice C is incorrect because chlamydia is a bacterial infection, not a viral one, so antibiotics are used, not antivirals.
Choice D is incorrect because completing treatment does not confer immunity against chlamydia; reinfection is possible.