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 unconscious. Which of the following actions should the nurse take when providing oral care for the client?
Correct Answer: A
Rationale: The correct answer is A: Test for the presence of the client's gag reflex. This action is essential when providing oral care to an unconscious client to prevent aspiration. Testing for the gag reflex helps determine if the client can protect their airway. If the gag reflex is present, it indicates that the client's airway is protected, and oral care can be safely provided. Placing the client in the supine position (choice
B) could increase the risk of aspiration. Using a firm toothbrush (choice
C) can injure the client's gums and oral tissues. Using 2 gauze-wrapped fingers to hold the mouth open (choice
D) can potentially cause harm or discomfort to the client. Testing for the gag reflex is the safest and most appropriate action to ensure the client's safety during oral care.
Question 2 of 5
A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal?
Correct Answer: C
Rationale: Primary prevention focuses on education and skill-building to prevent violence before it occurs, such as teaching parenting techniques to new parents.
Question 3 of 5
A home health nurse manager is caring for a client who has methicillin-resistant Staphylococcus aureus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Double bag soiled dressing in polyethylene bags. This is important to prevent the spread of methicillin-resistant Staphylococcus aureus (MRS
A) to others. Double bagging contaminated items in polyethylene bags helps contain the bacteria and reduce the risk of transmission. Removing fresh flowers (choice
A) is unrelated to MRSA transmission. Wearing a mask (choice
B) is not necessary unless performing aerosol-generating procedures. Encouraging the client to use a HEPA filter (choice
C) is not specific to preventing MRSA spread.
Question 4 of 5
A nurse is assessing a client with hyperemesis gravidarum. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Oliguria occurs due to dehydration caused by excessive vomiting in hyperemesis gravidarum.
Question 5 of 5
A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group?
Correct Answer: B
Rationale: Motor vehicle accidents are the leading cause of death among adolescents, making motor vehicle safety education a priority.