ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a nurse is providing education to a group of adolescents who are pregnant and attending high school. which of the following information should the nurse include in theirteaching?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Folic acid is crucial for fetal development, especially in the early stages.
2. Adequate folic acid intake reduces the risk of neural tube defects.
3. The third trimester is a critical period for brain and nervous system development in the fetus.
4.
Therefore, the need for supplemental folic acid is highest in the third trimester.
Summary:
B: High birth weight infants are more common in adult pregnancies, not adolescent pregnancies.
C: Pregnant adolescents actually need to gain more weight than adult mothers to support fetal growth.
D: Caffeine intake should be limited but not necessarily replaced completely with caffeine-free beverages.
Question 2 of 5
nurse expect
Correct Answer: B
Rationale: The correct answer is B: diplopia. Nurses expect diplopia in patients with certain neurological conditions or head injuries. Oliguria (
A) is related to kidney function, not typically expected by nurses. Hypoglycemia (
C) is monitored but not necessarily expected in all patients. Dizziness (
D) can be common but is not a typical expectation unless specified.
Choices E, F, and G are irrelevant. In summary, diplopia is the correct answer as it aligns with the neurological assessment expectations of a nurse, while the other options are either unrelated or less commonly expected in a general nursing context.
Question 3 of 5
in the last month three cases of tuberculosis have been referred to the health department. which of the following is the priority information for the community health nurse to obtain from each client?
Correct Answer: D
Rationale: The correct answer is D: health history. Obtaining the health history is crucial in assessing the severity of tuberculosis, including factors like previous treatments, symptoms, and potential risk factors. This information guides the nurse in developing appropriate care plans and preventing further spread. Demographics (
A) may provide general information but do not directly impact the management of tuberculosis. Household members (
B) are important for contact tracing but do not address immediate client care. Occupation (
C) is relevant for identifying potential exposure sources but is secondary to understanding the client's health status.
Question 4 of 5
a nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department?
Correct Answer: B
Rationale: The correct answer is B: herpes simplex virus. This infection should be reported to the state health department because it is a notifiable disease due to its potential for significant public health impact. Herpes simplex virus can have serious consequences, especially in pregnant women where it can lead to neonatal herpes. Reporting helps track outbreaks, implement preventive measures, and ensure appropriate treatment.
Other choices are incorrect because they are not typically reportable infections to the state health department. Chlamydia is a common sexually transmitted infection but is usually reported to local health departments for monitoring and treatment purposes. Group B Streptococcus is typically reported in pregnant women for prevention of neonatal infection. Human papillomavirus is not routinely reportable since it is very common and usually not a public health threat.
Question 5 of 5
the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take?
Correct Answer: D
Rationale: The correct answer is D. Referring the client's partner to an Alzheimer's support group is the priority action because it addresses the underlying issue of caregiver stress and lack of knowledge about managing Alzheimer's disease. By connecting the partner with a support group, they can learn strategies to cope with the challenges of caring for someone with Alzheimer's, including addressing feeding difficulties. This intervention promotes the well-being of both the client and the partner.
Option A: Arranging for Meals on Wheels assistance does not address the underlying issue of the partner's refusal to assist with feeding.
Option B: Determining the client's ability to self-feed is important but does not directly address the partner's refusal to assist.
Option C: Directing the home health aide to assist with meals does not address the partner's concerns and may not be feasible if the partner insists on the client feeding themselves.
In summary, the correct answer focuses on providing support and education to the partner, which can lead to better care for the client with