ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is counseling a group of clients from a town that was affected by a hurricane 6 months ago. For which of the following clients should the nurse initiate a referral to assess for the presence of posttraumatic stress disorder? (Select all that apply.)
Correct Answer: A, B, E
Rationale: The correct answers are A, B, and E because they exhibit key symptoms of posttraumatic stress disorder (PTS
D). Feeling disconnected (
A), having frequent nightmares (
B), and persistent anger (E) are common manifestations of PTSD. Feeling disconnected indicates emotional numbing, nightmares are a symptom of intrusive thoughts, and anger represents hyperarousal.
Choices C and D do not directly relate to PTSD symptoms. Expressing a realization about life changes (
C) may indicate acceptance of the situation, not necessarily PTSD. Persistent anger (
D) can suggest unresolved issues but is not specific to PTSD. By referring clients who exhibit symptoms A, B, and E, the nurse can ensure appropriate assessment and intervention for PTSD.
Question 2 of 5
A nurse is familiar with evidence-based practice (EBP) and wants to implement it into the care of clients. Which of the following would present the biggest challenge?
Correct Answer: D
Rationale: Showing clients that EBP will improve their health outcomes would present the biggest challenge for a nurse wanting to implement evidence-based practice (EBP) into client care. While assessing one's current practice, accessing evidence-based resources, convincing administration of the benefits of EBP, and distinguishing EBP from old standards are all important steps in implementing EBP, showing clients the direct impact on their health outcomes may be the most challenging. Clients may have varying levels of understanding and acceptance of EBP, and some may be hesitant to change their existing practices. It requires effective communication and education to help clients understand the value of EBP and how it can lead to improved health outcomes.
Question 3 of 5
Which database would the public health nurse use when conducting research to locate regularly updated systematic reviews?
Correct Answer: A
Rationale: The public health nurse would most likely use the Cochrane Library when conducting research to locate regularly updated systematic reviews. The Cochrane Library is a well-known database that specializes in providing high-quality evidence-based systematic reviews on healthcare interventions. It is a reliable source of information for healthcare professionals looking for the latest evidence-based research findings. The Cochrane Library is widely recognized for its rigorous review process and up-to-date content, making it a valuable resource for healthcare professionals, including public health nurses, seeking evidence to inform their practice.
Question 4 of 5
A nurse on a medical surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Comparing home medications to admission prescriptions ensures accurate medication management.
Question 5 of 5
A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse breaks in surgical aseptic technique?
Correct Answer: A
Rationale: Placing a non-sterile object (the bottle) on a sterile field compromises sterility.