ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 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: Checking gastric residuals helps prevent complications like aspiration during enteral feeding.
Question 2 of 5
A community health nurse is developing a plan to improve the community's environmental health. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Collect information about the community's environmental status. This is the first step in developing an effective plan as it helps the nurse understand the specific environmental issues the community is facing. By collecting data, the nurse can identify priorities and develop targeted interventions.
Choice A (Encourage community involvement) is important but should come after understanding the environmental status.
Choice B (Establish a timeframe) is premature without knowing the extent of the environmental issues.
Choice C (Request funding) is not the first step and should be based on identified needs.
Question 3 of 5
A community nurse is educating the community about mitigation strategies to address climate
Correct Answer: A
Rationale: The community nurse would educate the community on all the mentioned strategies because each of them plays a crucial role in addressing different aspects of climate mitigation. Implementing early warning systems for extreme temperatures helps ensure the community is prepared and can take necessary precautions during heatwaves or cold snaps. Improving public transportation can reduce the carbon footprint and air pollution caused by individual vehicles. Changing building codes to withstand hurricanes can increase the resilience of infrastructures to natural disasters exacerbated by climate change. Distributing masks for high-pollution days can help protect individuals from harmful air pollutants, especially in urban areas with poor air quality.
Therefore, the nurse would teach the community about all these strategies to promote overall climate resilience and mitigation efforts.
Question 4 of 5
A school nurse is developing a primary prevention strategy for school-aged children. Which of the following interventions would the nurse most likely implement?
Correct Answer: B
Rationale: Developing a policy for increases in noncompetitive physical activity programs would align with a primary prevention strategy for school-aged children. This intervention focuses on promoting healthy behaviors and lifestyle changes at the population level, which can help prevent health issues before they arise. By creating opportunities for all children to engage in physical activity, regardless of their weight status, the nurse can positively impact the overall well-being of the student body. This approach emphasizes the importance of prevention by addressing risk factors at a holistic level rather than targeting individual cases of obesity after they have developed.
Question 5 of 5
A nurse is counseling a group of clients from a town that was affected by a hurricane 6 months ago. For which of the following clients should the nurse initiate a referral to assess for the presence of posttraumatic stress disorder? (Select all that apply.)
Correct Answer: A, B, E
Rationale: The correct answers are A, B, and E because they exhibit key symptoms of posttraumatic stress disorder (PTS
D). Feeling disconnected (
A), having frequent nightmares (
B), and persistent anger (E) are common manifestations of PTSD. Feeling disconnected indicates emotional numbing, nightmares are a symptom of intrusive thoughts, and anger represents hyperarousal.
Choices C and D do not directly relate to PTSD symptoms. Expressing a realization about life changes (
C) may indicate acceptance of the situation, not necessarily PTSD. Persistent anger (
D) can suggest unresolved issues but is not specific to PTSD. By referring clients who exhibit symptoms A, B, and E, the nurse can ensure appropriate assessment and intervention for PTSD.