ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is interviewing a client immediately following a sexual assault. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assessing the client's emotional state is critical before proceeding with any other interventions.
Question 2 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. This is the appropriate assessment for screening idiopathic scoliosis in an adolescent client. Truncal rotation is a key indicator of scoliosis, as it involves measuring the degree of spinal curvature and any abnormal twisting of the spine. By measuring truncal rotation, the nurse can identify potential signs of scoliosis early on, allowing for timely intervention and treatment.
Choice B is incorrect because administering insulin is not relevant to screening for scoliosis.
Choice C is incorrect as determining if stockings are binding is unrelated to scoliosis screening.
Choice D is incorrect as arranging for an ethics committee meeting is not part of the scoliosis screening process.
Question 3 of 5
Which intervention by the nurse is an example of a tertiary prevention strategy to improve environmental health?
Correct Answer: D
Rationale: Tertiary prevention is aimed at reducing the impact of a disease or condition that has already been diagnosed. In the context of environmental health, implementing pollution prevention strategies falls under tertiary prevention because it involves taking actions to minimize the harmful effects of existing environmental pollutants on individuals and communities. By reducing the sources of pollution and implementing preventive measures, the nurse can help improve the environmental health of the community and minimize adverse health impacts. Conducting risk assessments, developing emergency response plans, and performing regular assessments are more aligned with primary and secondary prevention strategies aimed at preventing exposure to hazards and early detection, rather than mitigating the effects of existing environmental pollutants.
Question 4 of 5
Demographic characteristics indicate that people in developed countries are living longer, healthier lives, yet tremendous health and social disparities exist. Which describes social determinants of health?
Correct Answer: A
Rationale: Social determinants of health refer to the social, economic, and environmental factors that influence people's health outcomes and overall well-being. Option A correctly defines social determinants of health as what society as a whole does to create the necessary conditions for individuals to live healthy lives. These conditions can include access to healthcare, education, employment opportunities, safe and affordable housing, and a clean environment. By addressing social determinants of health collectively, societies can work towards reducing health disparities and promoting health equity for all individuals.
Question 5 of 5
A nurse is familiar with evidence-based practice (EBP) and wants to implement it into the care of clients. Which of the following would present the biggest challenge?
Correct Answer: D
Rationale: Showing clients that EBP will improve their health outcomes would present the biggest challenge for a nurse wanting to implement evidence-based practice (EBP) into client care. While assessing one's current practice, accessing evidence-based resources, convincing administration of the benefits of EBP, and distinguishing EBP from old standards are all important steps in implementing EBP, showing clients the direct impact on their health outcomes may be the most challenging. Clients may have varying levels of understanding and acceptance of EBP, and some may be hesitant to change their existing practices. It requires effective communication and education to help clients understand the value of EBP and how it can lead to improved health outcomes.