ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse case manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home?
Correct Answer: C
Rationale: As a coordinator, the nurse organizes and ensures the timely delivery of necessary medical equipment for home care.
Question 3 of 5
A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
Correct Answer: D
Rationale: The correct answer is D: Engage the family in informal conversation. The first step for the nurse should be to establish a rapport with the family members and the client to build trust and gather valuable information about their daily routines, challenges, and needs. Engaging in informal conversation allows the nurse to assess the family's understanding of the client's condition, their coping mechanisms, and their support system. It also helps in identifying potential stressors and developing a personalized care plan.
The other choices are incorrect because:
A: Encouraging the family to join a support group may be beneficial but should come after establishing a relationship and understanding their specific needs.
B: Providing information about respite care is important but should be addressed once the nurse has assessed the family's immediate concerns.
C: Educating the family about the progression of dementia is crucial, but it is not the first step during the initial visit.
In summary, engaging in informal conversation is the most appropriate initial action to gather information and build a
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 working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention?
Correct Answer: B
Rationale: The correct answer is B: Developing resources for victims of abuse. Tertiary prevention focuses on reducing the impact of established disease or injury. This intervention helps individuals who have already experienced violence by providing support and resources to mitigate the consequences.
Choices A, C, and D are examples of primary and secondary prevention, which aim to prevent violence before it occurs or identify and intervene early in the development of violence.
Choice A focuses on promoting coping mechanisms, choice C emphasizes prevention at a community level, and choice D involves early detection and intervention.