ATI RN
ATI RN Community Health 2023 with NGN 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: D
Rationale:
Correct Answer: D - Once your complete treatment you will have an acquired immunity against chlamydia.
Rationale: Chlamydia is a bacterial infection, not a viral infection. Antibiotics are used to treat chlamydia, not antiviral medications. Completing the antibiotic treatment will clear the infection, but it does not provide immunity against future infections. Acquired immunity typically occurs after exposure to a pathogen, developing antibodies to fight future infections.
Therefore, the nurse should educate the client that completing treatment for chlamydia does not confer immunity. Other choices are incorrect: A - avoiding sexual contact is important to prevent spreading the infection, B - notifying sexual contacts is crucial for their treatment, E - painful urination is a common symptom of chlamydia that may resolve with treatment.
Question 2 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.
Question 3 of 5
a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D because the caregiver filling the pill organizer weekly indicates the client may have difficulty managing medications independently post-stroke. This finding is crucial to report as it highlights potential medication errors or non-adherence, posing risks to the client's health. Reporting this to the interprofessional care team allows for appropriate interventions to ensure medication safety and adherence.
In contrast, choices A, B, and C are not as critical to report. A client dressing the affected side first is a common compensatory technique post-stroke. Bearing weight on arms with crutches and coughing when swallowing medications may be concerning but do not directly impact medication management like choice D does.
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
a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?
Correct Answer: B
Rationale: The correct answer is B: hepatitis B spreads easily among children through casual contact. The rationale is that hepatitis B is primarily transmitted through blood or other body fluids, making children susceptible to infection through activities like sharing personal items or accidental exposure to infected blood. This explanation emphasizes the importance of vaccination to prevent transmission. The other choices are incorrect because: A is false as multiple doses are needed for lifelong protection; C is not the main focus of the education; D is misleading as those with past infection still benefit from vaccination.