ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a nurse is caring for a client who is having difficulty performing activities of daily living. the nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client.
Correct Answer: C
Rationale: The correct answer is C: case manager. In this scenario, the nurse is acting as a case manager by coordinating care for the client, including arranging for an occupational therapist. As a case manager, the nurse is responsible for assessing the client's needs, developing a care plan, and coordinating services to meet those needs. The other choices are incorrect because:
A) Administrator focuses on managing resources and operations,
B) Nurse consultant provides expert advice but not necessarily coordinating services, and
D) Clinician involves direct patient care rather than coordinating services.
Question 2 of 5
a nurse is discussing short and long term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. which of the following statements is appropriate for the nurse to include in the discussion?
Correct Answer: B
Rationale: The correct answer is B because remaining physically active can help alleviate drowsiness and chills during alcohol withdrawal. Physical activity can improve mood, reduce stress, and distract from cravings.
Choice A is incorrect as disulfiram is not used for withdrawal symptoms but to deter alcohol consumption.
Choice C is incorrect as Al-Anon is for family members of those with alcohol use disorder.
Choice D is incorrect as it focuses on defense mechanisms, not physical symptoms.
Question 3 of 5
a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: the test measures antibodies to the virus. In enzyme-linked immunosorbent assay (ELIS
A) testing for HIV, antibodies produced by the body in response to the virus are detected, not the progression of the disease. This information is crucial for diagnosing HIV infection.
Choice A is incorrect as the test does not monitor disease progression.
Choice C is incorrect as it takes time for antibodies to develop post-exposure, so results are not accurate 24 hours after exposure.
Choice D is incorrect as a positive result would require antiretroviral therapy, not immunoglobulin administration.
Question 4 of 5
a first response team isworking at the location of a bombing incident. a nurse triaging a group of clients should give treatment priority to which of the following clients.
Correct Answer: C
Rationale: The correct answer is C because the client exhibiting manic behavior poses a safety risk to themselves and others. The nurse should prioritize stabilizing this client to prevent harm.
Choice A has minor injuries, B has a stable pulse, and D has severe physical symptoms but not an immediate safety concern. Prioritizing the manic client ensures overall safety and prevents escalation of the situation.
Question 5 of 5
The partner of an older adult client who has Alzheimer’s disease reports that he is not eating. The partner refuses to assist with feeding. Which of the following is the priority action the nurse should take?
Correct Answer: B
Rationale: The correct answer is B: Determine the client’s ability to self-feed. This is the priority action because it addresses the immediate concern of the client not eating. By assessing the client's ability to self-feed, the nurse can identify any physical or cognitive barriers that may be hindering the client from eating independently. This assessment will guide the nurse in developing appropriate interventions to support the client's nutritional needs.
Choice A (Arrange for Meals on Wheels assistance) may be helpful but does not address the underlying issue of why the client is not eating.
Choice C (Direct the home health aide to assist with meals) assumes the client needs assistance without assessing their ability to self-feed first.
Choice D (Refer the client’s partner to an Alzheimer’s support group) addresses support for the partner but does not directly address the client's immediate nutritional needs.