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 statement indicates an understanding of infection prevention because chickenpox is contagious until the sores have crusted over, which usually takes around 5-7 days. Visiting after this period reduces the risk of transmission.
Incorrect answers:
A: Taking antibiotics for a virus is inappropriate as antibiotics are only effective against bacterial infections.
C: Pregnant women should avoid cleaning cat litter boxes due to the risk of toxoplasmosis.
D: Effective handwashing involves using soap and water for at least 20 seconds, not hot water for 10 seconds.
Question 2 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: D
Rationale: The correct answer is D: Tuberculosis. The nurse should report tuberculosis to the state health department because it is a notifiable disease, meaning it is required by law to be reported to public health authorities for tracking and monitoring. Tuberculosis is a highly contagious disease that can spread rapidly if not properly controlled. Reporting cases to the state health department allows for prompt intervention, contact tracing, and prevention of further transmission to protect the public health.
Choices A, B, and C are not typically required to be reported to the state health department as they are not considered notifiable diseases. Herpes simplex virus, Group B Streptococcus B hemolytic, and Human papillomavirus are common infections that may not pose a significant public health threat or require immediate intervention from public health authorities.
Question 3 of 5
A clinic nurse is assessing a client who has measles. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Koplik spots inside the mouth. This finding is characteristic of measles and appears as small, white spots surrounded by a red ring on the buccal mucosa. It typically precedes the onset of the measles rash. Koplik spots are pathognomonic for measles, making this choice the correct one.
B: Persistent low-grade temperature is a nonspecific finding and may occur in various illnesses, not specific to measles.
C: Muscle aches and tenderness are common symptoms in many viral infections and are not unique to measles.
D: The measles rash typically starts on the face and behind the ears, spreading to the trunk and extremities.
Therefore, a rash confined to the trunk would be an atypical presentation for measles.
Question 4 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 statement indicates an understanding of infection prevention because chickenpox is contagious until the sores have crusted over, which usually takes around 5-7 days. Visiting after this period reduces the risk of transmission.
Incorrect answers:
A: Taking antibiotics for a virus is inappropriate as antibiotics are only effective against bacterial infections.
C: Pregnant women should avoid cleaning cat litter boxes due to the risk of toxoplasmosis.
D: Effective handwashing involves using soap and water for at least 20 seconds, not hot water for 10 seconds.
Question 5 of 5
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (SATA)
Correct Answer: B, D, E
Rationale:
Correct Answer: B, D, E
Rationale:
1. Nausea: Anaphylaxis can cause gastrointestinal symptoms like nausea due to the release of inflammatory mediators.
2. Urticaria: Anaphylaxis commonly presents with hives (urticaria) as a skin manifestation of the allergic reaction.
3. Stridor: Stridor is a high-pitched breathing sound caused by upper airway obstruction, which can occur in severe anaphylaxis due to throat swelling.
Incorrect
Choices:
A. Bradycardia: In anaphylaxis, tachycardia is more common due to the body's response to the allergic reaction.
C. Hypertension: Anaphylaxis typically leads to hypotension (low blood pressure) due to vasodilation and fluid leakage.
F. (No option provided): There is no additional information given to evaluate this choice.
G. (No option provided): There is no additional information given to evaluate