ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Use three-pronged grounded plugs. This is important because three-pronged grounded plugs help prevent electrical fires by providing a path for excess electricity to safely dissipate, reducing the risk of overheating and sparking. This is crucial in preventing electrical fires.
A: Removing the plug by pulling the cord can damage the cord and increase the risk of electrical hazards.
B: Checking for a tingling sensation is not a reliable method to ensure electricity is working and does not prevent electrical fires.
C: Covering extension cords with a rug can create a fire hazard by trapping heat and increasing the risk of overheating.
E, F, G: No other options were provided.
Question 2 of 5
Which type of study will the nurse use to understand the experiences of an immigrant group in the community?
Correct Answer: A
Rationale: The nurse would use a qualitative study to understand the experiences of an immigrant group because qualitative research focuses on exploring and understanding individuals' experiences, perspectives, and behaviors in-depth. This type of study allows for gathering rich, detailed data through methods like interviews, observations, and focus groups, which are well-suited for capturing the complexities and nuances of immigrant experiences. A randomized control study (
B) involves intervention and control groups for causality, not suitable for exploring experiences. Needs assessment (
C) focuses on identifying needs and gaps in services. Quality improvement (
D) aims to enhance processes and outcomes within a specific setting.
Question 3 of 5
A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy?
Correct Answer: C
Rationale: The correct answer is C: Teaching parenting skills to expectant mothers and their partners. This is a primary prevention strategy because it aims to prevent the occurrence of health issues by promoting positive behaviors and skills before any problems arise. By educating expectant mothers and their partners on parenting skills, the nurse is helping to establish a healthy family environment which can lead to positive health outcomes for both the parents and the child.
Explanation of why the other choices are incorrect:
A: Conducting mental health screenings - This is more of a secondary prevention strategy aimed at early detection and treatment of mental health issues.
B: Referring clients with obesity to exercise programs - This is more of a tertiary prevention strategy focused on managing existing health conditions.
D: Providing crisis intervention - This is a secondary prevention strategy addressing immediate mental health crises but not preventing future issues.
Question 4 of 5
A school health nurse plans to use evidence-based practice (EBP) to guide the development of health education programs most likely to increase retention of learning in elementary schoolchildren. Which of the following would be the best way to use EBP in this situation?
Correct Answer: B
Rationale: The correct answer is B because comparing and contrasting randomized controlled trials related to learning in elementary schoolchildren is the best way to use evidence-based practice (EBP). This method involves systematically reviewing existing research studies to determine the most effective health education programs. Randomized controlled trials are considered the gold standard in research, providing the highest level of evidence. By analyzing these trials, the nurse can identify interventions that have been proven to be successful in increasing retention of learning in elementary schoolchildren.
Choice A is incorrect because relying solely on anecdotal evidence from other school health nurses does not constitute evidence-based practice.
Choice C is incorrect as developing games may be a creative approach, but it does not ensure the effectiveness of the health education programs.
Choice D is also incorrect as the internet may not always provide reliable or evidence-based information.
Question 5 of 5
A nurse implements an education program that incorporates computer games to reinforce learning for a group of older adults. Although the research demonstrates evidence of improved retention of this information, the nurse experiences exactly the opposite with this group. Which of the following is the most likely cause of such poor outcomes?
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and setting differences. Older adults may have different learning styles, preferences, and abilities compared to other age groups. The nurse may have overlooked these factors when implementing the computer games, resulting in poor outcomes. This highlights the importance of tailoring educational programs to fit the specific needs of the target audience.
Explanation for incorrect choices:
B: Inadequate incorporation of evidence into practice - This choice suggests a lack of proper implementation of research evidence, which is not directly related to the poor outcomes observed in this scenario.
C: Inferior quality of the available research evidence - The quality of the research evidence does not necessarily explain why the nurse did not achieve the desired outcomes.
D: Lack of skills when evaluating the evidence - While important, the lack of skills in evaluating evidence does not directly address the issue of poor outcomes with older adults in this context.