ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Address the physical needs of clients. This is the priority action because in a disaster setting, ensuring the basic physical needs of clients such as food, water, shelter, and medical care takes precedence to ensure their survival and well-being. Without addressing these needs first, the clients' health and safety could be compromised. Creating diversionary activities for children (
A), helping clients gather supplies (
C), and exploring clients' feelings (
D) are important but secondary to addressing immediate physical needs. It is crucial to prioritize basic survival needs before addressing emotional or social needs in a disaster situation.
Question 2 of 5
A community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year, 3,144 new cases were reported, and the population was estimated at 325,986. Which of the following is the incidence rate in the state for the year?
Correct Answer: A
Rationale: The correct answer is A: About 300 reported cases per 100,000 population.
To calculate the incidence rate, you divide the number of new cases by the total population, then multiply by the desired unit of measure (per 100,000). In this case, (3,144/325,986) * 100,000 = 964.5 cases per 100,000 population.
Therefore, the answer is approximately 300 reported cases per 100,000 population.
Choice B is incorrect as it would be 31.44 cases per 10,000 population.
Choice C would result in 3.144 cases per 1,000 population.
Choice D would yield 31.44 cases per 10,000 population.
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
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: B
Rationale: The correct answer is B: Household members. This is the priority information for the nurse to obtain as tuberculosis is highly contagious and can spread within households. By knowing the household members, the nurse can assess the risk of transmission and provide appropriate guidance for testing and treatment. Demographics (
A) may provide background information but are not as crucial as identifying close contacts. Occupation (
C) and health history (
D) are important but do not directly address the immediate risk of transmission within the household.
Question 5 of 5
A public health nurse is responding to a suspected anthrax exposure at a workplace. Which action should the nurse take?
Correct Answer: C
Rationale: The correct action for the public health nurse is to refer coworkers who might have been exposed to a provider for prophylactic antibiotics (
Choice
C). This is because prophylactic antibiotics can help prevent the development of anthrax infection after exposure. Alerting family members (
Choice
A) is unnecessary as the focus should be on the exposed individuals. Quarantine (
Choice
B) may not be necessary if the individuals receive prophylactic treatment. Instructing the client to wear a mask (
Choice
D) is not effective in preventing anthrax transmission.