ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 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: D
Rationale: The correct answer is D: Organizing a mass casualty drill for community members. This action demonstrates disaster preparedness by proactively practicing response strategies. By conducting a drill, the nurse is helping the community prepare for potential disasters, improving coordination, communication, and efficiency during emergencies.
Choice A (Implementing a disaster triage plan with a local medical facility) involves response rather than preparedness.
Choice B (Functioning as a manager at a temporary shelter) is more of an immediate response role.
Choice C (Assisting with the identification of a biological agent) is related to detection rather than preparedness.
Question 2 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: C
Rationale: Coughing when swallowing may indicate dysphagia, increasing the risk of aspiration pneumonia, which requires further evaluation by the healthcare team.
Question 3 of 5
A nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. The client does not speak the same language as the nurse. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Identify the client's spoken dialect prior to contacting an interpreter. This is the best action because it ensures effective communication by matching the client with an interpreter who speaks the same dialect, improving comprehension. The other choices are incorrect as they may lead to misunderstandings.
Choice A relies on a non-professional to convey critical information.
Choice B may not guarantee accurate interpretation.
Choice D using professional terminology can confuse the client further. It is essential to prioritize clear communication for client safety and understanding.
Question 4 of 5
A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: The correct answers are A, B, D, and E. A nurse practicing community-oriented nursing needs to investigate potential health and environmental issues to address community health concerns. Initiating support groups for parents of autistic children promotes community well-being. Participating in local health surveillance activities helps monitor public health trends. Providing health-related education to community groups promotes preventive care and health literacy.
Choices C and F are incorrect because providing wound care for clients in their homes is not specific to community-oriented nursing, and option F is missing.
Choice G is not applicable.
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 action is essential when providing oral care to an unconscious client to prevent aspiration. Testing for the gag reflex helps determine if the client can protect their airway. If the gag reflex is present, it indicates that the client's airway is protected, and oral care can be safely provided. Placing the client in the supine position (choice
B) could increase the risk of aspiration. Using a firm toothbrush (choice
C) can injure the client's gums and oral tissues. Using 2 gauze-wrapped fingers to hold the mouth open (choice
D) can potentially cause harm or discomfort to the client. Testing for the gag reflex is the safest and most appropriate action to ensure the client's safety during oral care.