ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: I can visit my nephew who has chickenpox 5 days after the sores have crusted. This answer demonstrates understanding of infection prevention because chickenpox is contagious until the sores have crusted over completely. Visiting the nephew after this period reduces the risk of contracting the virus.
Incorrect answers:
A: Taking antibiotics for a virus is ineffective as antibiotics only work against bacterial infections.
C: Cleaning a cat's litter box can expose the client to toxoplasmosis, a harmful parasite during pregnancy.
D: Washing hands for only 10 seconds with hot water is insufficient for proper hand hygiene; CDC recommends washing for at least 20 seconds.
Question 2 of 5
A community health nurse is working with a family that is struggling to adapt following the loss of a family member. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Determine the roles of individual family members. This is the first step because understanding the roles within the family will help identify strengths and resources to support them through the grieving process. By determining roles, the nurse can assess each family member's needs and abilities, facilitating targeted interventions. Referral to a grief support group (
A) may be beneficial later, but understanding family dynamics comes first. While assigning tasks (
C) and establishing a routine (
D) are important, they should come after identifying roles to ensure they are tailored to the family's specific needs.
Question 3 of 5
A community health nurse is working with a group of clients. The nurse practices the ethical principle of distributive justice by performing which of the following tasks?
Correct Answer: B
Rationale: The correct answer is B. Distributive justice refers to fair distribution of resources and services to all individuals, with priority given to those in need. By ensuring that a homeless client receives preventive medical care, the nurse is upholding this principle. This action promotes equity and fairness by addressing the health needs of a vulnerable population.
A: Keeping a promise to visit a housebound client is important for maintaining trust and continuity of care, but it does not directly relate to distributive justice.
C: Being honest about reporting suspected abuse is related to ethical duty and integrity, not distributive justice.
D: Accepting an older adult's decision to live alone respects autonomy and independence, but it is not directly tied to distributive justice.
Question 4 of 5
A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: B
Rationale: The correct choice is B: A client who is 1 day postoperative following a vertebroplasty. This client is the most stable among the options provided. Early discharge is appropriate because the client is 1 day postoperative, likely past the critical immediate postoperative period. Discharging this client will create space for incoming emergency admissions.
Choice A should not be discharged early as managing deep-vein thrombosis with heparin requires close monitoring to prevent complications.
Choice C should not be discharged early due to the need for ongoing cancer treatment.
Choice D should not be discharged early as the client with COPD and a high respiratory rate of 44/min requires close monitoring and intervention to prevent respiratory distress.
Question 5 of 5
During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parents. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Report the incident to local authorities. The first priority in this situation is to ensure the safety and well-being of the child. By reporting the incident to local authorities, the nurse can initiate a formal investigation to protect the child from further harm. Checking for injuries (
B) is important but secondary to ensuring the child's safety. Referring the parent to a social service agency (
C) may be appropriate but not the first step in cases of suspected abuse. Enrolling the parent in anger management classes (
D) is not the immediate priority when a child is at risk of harm.