ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D because providing anticipatory guidance classes to parents through public schools is an effective strategy to improve health outcomes in a rural area. This approach promotes preventive health measures, educates parents on child development and safety, and empowers them to make informed health decisions. It also reaches a wide audience and utilizes existing community resources.
A) Launching a media campaign about industrial pollution may raise awareness but does not directly address the health needs of the local population.
B) Having a nurse from outside the community provide health lectures may not be as effective as engaging with local healthcare providers who understand the community's unique needs.
C) Focusing health spending on tertiary interventions is costly and may not address the root causes of health issues in a rural area.
Question 2 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:
Correct
Answer: B
Rationale:
1. Chickenpox is highly contagious until the sores crust over. Waiting 5 days ensures reduced risk of transmission.
2. Visiting a person with chickenpox before crusting over can lead to infection transmission.
3. By waiting 5 days after crusting, the client shows understanding of the importance of infection prevention.
Summary of Incorrect
Choices:
A: Taking antibiotics for a virus is inappropriate as antibiotics are for bacterial infections.
C: Pregnant women should avoid cleaning cat litter boxes due to the risk of toxoplasmosis.
D: Handwashing should involve soap and water for at least 20 seconds, not just hot water.
Question 3 of 5
A nurse is teaching participants at a community center about advance directives. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: A health care surrogate makes health care decisions when the client is no longer able. This information is crucial for understanding advance directives as it highlights the role of a health care surrogate in making decisions on behalf of the client when they are incapacitated. This empowers individuals to ensure their wishes are carried out even when they are unable to communicate them.
Choice A is incorrect because creating a do-not-resuscitate order is just one aspect of advance directives, not a mandatory requirement.
Choice B is incorrect as advance directives can be updated or changed as long as the individual is competent to do so.
Choice D is incorrect as assigning a health care surrogate does not always require legal consultation, although it may be recommended in some cases.
Question 4 of 5
A nurse in a community clinic is caring for a client who requests assistance with smoking cessation. The nurse should expect a prescription for which of the following medications?
Correct Answer: D
Rationale: The correct answer is D: Bupropion. Bupropion is an antidepressant that is also FDA-approved for smoking cessation. It works by reducing nicotine cravings and withdrawal symptoms. Naltrexone (
A) is used for alcohol and opioid dependence, not smoking cessation. Chlordiazepoxide (
B) is a benzodiazepine used for alcohol withdrawal. Clonidine (
C) is used to manage withdrawal symptoms in opioid and alcohol dependence, not specifically for smoking cessation.
Therefore, Bupropion is the most appropriate choice for assisting the client with smoking cessation.
Question 5 of 5
A nurse is counseling a group of clients from a town that was affected by a hurricane 6 months ago. For which of the following clients should the nurse initiate a referral to assess for the presence of posttraumatic stress disorder? (Select all that apply.)
Correct Answer: A, B, E
Rationale: The correct answer is A, B, E. Feeling disconnected, having nightmares, and persistent anger are common symptoms of posttraumatic stress disorder (PTS
D) following a traumatic event like a hurricane. Referring these clients for further assessment is crucial to determine if they meet the criteria for PTSD diagnosis.
Choice C describes a realistic assessment of the situation and does not necessarily indicate PTSD.
Choice D, which is repeated, also describes persistent anger, which is a symptom but is already covered by choice E.