ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in the teaching? (Select all that apply)
Correct Answer: A, B, E
Rationale: The correct answers are A, B, and E. A is correct because avoiding sexual contact until therapy is complete helps prevent spreading chlamydia to others. B is correct as notifying sexual contacts allows for their treatment to prevent reinfection. E is correct because painful urination is a common symptom of chlamydia and should be expected until treatment resolves the infection.
Choice C is incorrect because chlamydia is a bacterial infection, not a viral one, so antibiotics are used, not antivirals.
Choice D is incorrect because completing treatment does not confer immunity against chlamydia; reinfection is possible.
Question 2 of 5
A nurse is planning a priority intervention to reduce obesity in the community. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Educate children at a daycare center about nutrition and exercise. This is the priority intervention because educating children about nutrition and exercise can help prevent obesity in the long term. By teaching healthy habits early on, the nurse can make a significant impact on reducing obesity rates in the community. Encouraging enrollment in weight reduction programs (
A) may help individuals who are already obese but does not address prevention. Distributing health risk appraisal questionnaires (
C) and measuring BMI of older adults (
D) are important but not the priority for reducing obesity in the community.
Question 3 of 5
A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Ask family members about the impact of the disease on relationships within the family. This is the first action the nurse should take because understanding the family dynamics and relationships can provide valuable insight into how the diagnosis is affecting everyone involved. By assessing the impact on relationships, the nurse can better tailor interventions to support the entire family unit and address any emotional or communication challenges that may arise.
Option A is incorrect as discussing diet benefits should come after assessing the family dynamics. Option B is incorrect because addressing exercise programs should also come after understanding the family's needs. Option C is incorrect as accompanying to provider visits is important but not the first priority.
Question 4 of 5
During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parents. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Report the incident to local authorities. The first priority in this situation is to ensure the safety and well-being of the child. By reporting the incident to local authorities, the nurse can initiate a formal investigation to protect the child from further harm. Checking for injuries (
B) is important but secondary to ensuring the child's safety. Referring the parent to a social service agency (
C) may be appropriate but not the first step in cases of suspected abuse. Enrolling the parent in anger management classes (
D) is not the immediate priority when a child is at risk of harm.
Question 5 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 is important to prevent aspiration during oral care. By testing the gag reflex, the nurse can ensure the client's airway is protected. Placing the client in the supine position (choice
B) can increase the risk of aspiration. Using a firm toothbrush (choice
C) can damage the delicate tissues in the mouth. Using 2 gauze-wrapped fingers to hold the mouth open (choice
D) can increase the risk of injury to the client's oral mucosa.