ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine the client's understanding of her living situation. This is the first step because it allows the nurse to assess the client's perception of her homeless situation and identify any immediate needs or concerns. It establishes a foundation for building trust and understanding the client's perspective.
Choice B is incorrect as setting goals comes after assessing the client's current understanding.
Choice C is incorrect as discussing risks should come after the client's immediate needs are addressed.
Choice D is incorrect as client teaching should be based on the client's individual needs and understanding, which is determined in the initial assessment.
Question 2 of 5
A home health nurse is caring for a client who has chemotherapy-induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? (Select all that apply)
Correct Answer: B, C, E
Rationale: The correct interventions for chemotherapy-induced nausea are B, C, E. B: Ginger ale can help alleviate nausea. C: Elevating the head after eating can prevent reflux. E: Guided imagery can distract from nausea. A: Seasonings may worsen nausea. D: Cold milk can trigger nausea in some clients.
Therefore, A and D are incorrect due to potential exacerbation of symptoms.
Question 3 of 5
A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement?
Correct Answer: D
Rationale: Deep breathing exercises help reduce anxiety and stress, making them a beneficial coping mechanism for PTSD.
Question 4 of 5
A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: B
Rationale: The correct answer is B: A client who is 1 day postoperative following a vertebroplasty. This client is stable post-surgery and likely does not require extensive monitoring or immediate medical intervention. Early discharge would free up a bed for potential incoming critical patients.
Choice A should not be discharged early due to the importance of ongoing heparin therapy for deep-vein thrombosis.
Choice C needs close monitoring due to the presence of a sealed implant for radiation therapy.
Choice D with COPD and a high respiratory rate requires ongoing monitoring and intervention.
Question 5 of 5
A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: The correct answers are A, B, D, and E. A nurse practicing community-oriented nursing needs to investigate potential health and environmental issues to address community health concerns. Initiating support groups for parents of autistic children promotes community well-being. Participating in local health surveillance activities helps monitor public health trends. Providing health-related education to community groups promotes preventive care and health literacy.
Choices C and F are incorrect because providing wound care for clients in their homes is not specific to community-oriented nursing, and option F is missing.
Choice G is not applicable.