ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse in a urgent care clinic is caring for an infant who presents with vomiting, diarrhea, and decreased oral intake. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Oliguria. When an infant presents with vomiting, diarrhea, and decreased oral intake, they are at risk of dehydration. Oliguria, which is decreased urine output, is a common manifestation of dehydration. This occurs as the body tries to conserve fluid. Other choices are incorrect as they are not related to the symptoms described. Decreased sensitivity, evaluate the number of clients presenting with similar diseases, and introduction of a heart-healthy curriculum are all unrelated to the clinical presentation of vomiting, diarrhea, and decreased oral intake in an infant.
Question 2 of 5
The partner tells the nurse that she is able to manage the client’s physical care but she doesn’t want to leave him home alone while she travels for work. Which of the following referrals should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Respite care. Respite care provides temporary relief to the primary caregiver by offering a safe environment for the client while the partner is away. This ensures the client's well-being and safety in the partner's absence. Other choices are incorrect because B focuses on community health, C involves health history assessment, and D pertains to screening programs which are not relevant to the partner's immediate concern of leaving the client home alone.
Question 3 of 5
A nurse is administering a continuous enteral feeding to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Check gastric residuals every 4 hours. This is essential when administering enteral feeding to prevent complications such as aspiration or feeding intolerance. By monitoring residuals, the nurse can assess the client's tolerance to the feeding regimen and adjust accordingly. Option B is incorrect as it is unrelated to enteral feeding. Option C is also incorrect as it pertains to community health, not individual client care. Option D is irrelevant and invasive to the client's privacy. Monitoring sexual activity of adolescents is outside the scope of enteral feeding administration.
Question 4 of 5
A nurse on a medical surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because medication reconciliation involves comparing the client's list of home medications with the admission prescriptions to ensure accuracy and prevent medication errors. This step is crucial in identifying any discrepancies or omissions in the client's medication regimen.
Choice B is incorrect as it pertains to community policy development, unrelated to medication reconciliation.
Choice C is incorrect as it focuses on health promotion activities, not medication reconciliation.
Choice D is incorrect as it involves seeking community leaders' input, not relevant to medication reconciliation.
Question 5 of 5
A community health nurse is reviewing the reports for a group of clients. The nurse should identify that which of the following disorders is on the CDC's national notifiable conditions list?
Correct Answer: A
Rationale: The correct answer is A: Lyme disease. The CDC's national notifiable conditions list includes diseases that are required to be reported to the CDC for public health monitoring and control. Lyme disease is on this list due to its potential for widespread transmission and public health impact. The other choices are incorrect as they do not relate to the concept of notifiable conditions or public health surveillance. Providing care with a focus on aggregate needs, having goals of health promotion, and addressing health disparities are important aspects of community health nursing but are not directly related to notifiable conditions.