ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is planning priority actions for a community health initiative. Which of the following should be prioritized?
Correct Answer: C
Rationale: The correct answer is C: Distribute health risk appraisal questionnaires at community functions. This should be prioritized because it helps identify the health needs and risks of the community members, allowing the nurse to tailor interventions accordingly. Encouraging enrollment in weight reduction programs (
A) may not address the specific health needs of the community. Educating children at a daycare center (
B) is important but may not be the immediate priority for a community health initiative. Measuring BMI of older adults (
D) is valuable but may not capture the overall health risks of the entire community.
Question 2 of 5
a client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. which of the following is the first action the nurse should take when assisting this client?
Correct Answer: D
Rationale: The correct answer is D: explain diabetes exchange list. The nurse's first action should be to educate the client on how to incorporate traditional foods into her meal plan using the diabetes exchange list. This list categorizes foods based on their macronutrient content, making it easier for the client to make appropriate choices. By explaining this list, the nurse can help the client make informed decisions about portion sizes and food combinations to manage her diabetes effectively. Providing a printed recipe (
A) may be helpful but does not address the fundamental issue of adapting traditional foods to fit the meal plan. Observing the client during food preparation (
B) is passive and does not provide the necessary guidance. Using cookbooks (
C) may be overwhelming and less practical than directly educating the client.
Question 3 of 5
a community health nurse is providing teaching to a group of clients who have alcohol use disorder. which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
Correct Answer: B
Rationale: The correct answer is B: hypothermia. Alcohol withdrawal often presents with symptoms such as tremors, anxiety, sweating, and in severe cases, hypothermia. This occurs due to the body's inability to regulate temperature properly during withdrawal. Bradycardia (
A) is less commonly associated with alcohol withdrawal, as increased heart rate is more typical. Increased appetite (
C) is not a common manifestation of alcohol withdrawal; in fact, individuals may experience decreased appetite. Insomnia (
D) is a common symptom of withdrawal, but it is not specifically related to temperature regulation like hypothermia.
Question 4 of 5
a nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster preparedness efforts when performing which of the following actions
Correct Answer: A
Rationale: The correct answer is A: implementing a disaster triage plan with a local medical facility. This is because disaster preparedness involves establishing protocols for effective triage and resource allocation during emergencies. Triage plans help in prioritizing care based on the severity of injuries.
Choice B involves managing a shelter, which is important but not directly related to disaster preparedness efforts.
Choice C focuses on identifying a biological agent, which is more relevant to response during an outbreak rather than preparedness.
Choice D involves organizing a drill, which is beneficial for training but not directly related to planning.
Choice E is unrelated to disaster preparedness and pertains to facilitating treatment access for a client with tuberculosis.
Question 5 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.