ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention?
Correct Answer: B
Rationale: The correct answer is B: Developing resources for victims of abuse. Tertiary prevention focuses on minimizing the impact of established disease or injury. By providing resources for victims of abuse, the community health care team is helping to support those who have already experienced violence, thus reducing potential long-term consequences.
Choices A, C, and D are examples of primary and secondary prevention strategies, which aim to prevent violence before it occurs or identify and intervene early in cases of violence. These interventions are important but do not fall under tertiary prevention.
Question 2 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.
Question 3 of 5
A community health nurse is providing teaching to a group of clients who have alcohol use disorder. Which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
Correct Answer: D
Rationale: The correct answer is D: Insomnia. Alcohol withdrawal commonly presents with symptoms such as difficulty sleeping, restlessness, and anxiety due to the disruption of the central nervous system. Insomnia is a hallmark manifestation of alcohol withdrawal syndrome. Bradycardia (
A) is not typically associated with alcohol withdrawal; instead, tachycardia is more common. Hypothermia (
B) is rare in alcohol withdrawal, as alcohol tends to cause vasodilation and can lead to increased body temperature. Increased appetite (
C) is not a typical symptom of alcohol withdrawal; in fact, decreased appetite or nausea is more common.
Therefore, the correct choice is D based on the typical manifestations of alcohol withdrawal.
Question 4 of 5
A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine the client's understanding of her living situation. This is the first step because it allows the nurse to assess the client's current situation and needs. Understanding the client's perspective is crucial for providing effective care and support. Assisting the client in developing goals (
B) or discussing risks (
C) should come after understanding the client's current situation. Developing client teaching (
D) is important but should be based on the client's understanding and needs, which is why it comes after assessing their understanding.
Question 5 of 5
A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment?
Correct Answer: A
Rationale: The correct answer is A: Meet with community members to discuss methods of playground maintenance. This is the first action the nurse should take because it involves engaging the community in addressing the issue collectively. By involving community members in the discussion, the nurse can gather insights, ideas, and support to develop effective strategies for maintaining the playground. This approach fosters community ownership and empowers residents to take responsibility for the cleanliness and safety of the playground.
Other choices are incorrect because:
B: Partnering with city officials may be necessary, but involving the community directly should be the initial step.
C: Working with local businesses to sponsor more trash receptacles may help, but community involvement is crucial for sustainable change.
D: Engaging neighborhood families to monitor the playground is important, but community collaboration is needed to address the root cause of the issue.