ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 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 best way to use evidence-based practice (EBP) in this situation would be to compare and contrast randomized controlled trials related to learning in elementary schoolchildren. Randomized controlled trials are considered the gold standard in research methodology for determining the effectiveness of interventions. By reviewing and analyzing existing research studies using this rigorous design, the school health nurse can make informed decisions about which health education programs are most likely to increase retention of learning in elementary school children. This approach ensures that the programs developed are grounded in scientific evidence and have a higher likelihood of success. Asking other school health nurses, developing games, or seeking programs online may not provide the same level of evidence-based guidance as systematically reviewing and comparing randomized controlled trials.
Question 2 of 5
A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life sustaining measures. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: An ethics committee meeting can help resolve conflicts regarding the client's wishes versus the family's desires.
Question 3 of 5
A nurse manager is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the nurse's understanding of insulin administration in terms of dosage, route, and frequency. "Administered 8 u regular insulin sq" indicates the nurse knows to give 8 units of regular insulin subcutaneously. This notation shows competence in medication administration.
Choice B is incorrect because checking gastric residuals every 4 hours is not recommended practice for every patient and may not indicate an understanding of teaching.
Choice C is incorrect as comparing home medications to admission prescriptions is important but does not directly reflect understanding of the teaching on documentation.
Choice D is incorrect as measuring urine output every hour is a standard nursing practice but does not specifically demonstrate an understanding of the teaching on documentation.
Question 4 of 5
Which statement describes the actions of a nurse who follows Nightingale's Environmental Theory?
Correct Answer: D
Rationale: Nightingale's Environmental Theory emphasizes the importance of the healthcare environment in promoting patient health and recovery. By using the client's environment to assist in recovery, a nurse is implementing Nightingale's theory through providing a therapeutic and conducive environment for the patient's healing. This can include maintaining cleanliness, proper ventilation, adequate lighting, and creating a positive atmosphere to support the patient's well-being.
Question 5 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: Provide anticipatory guidance classes to parents through public schools. This choice is the most appropriate because it focuses on preventive health measures, which align with public health principles. Anticipatory guidance helps parents understand and anticipate their children's developmental milestones and health needs, ultimately promoting overall well-being. This approach is proactive and empowers parents to take an active role in their children's health.
Explanation of why other choices are incorrect:
A: Launching a media campaign about industrial pollution may be important but does not directly address improving health for the local population.
B: Having a nurse from outside the community provide health lectures may not be as effective in understanding the specific health needs of the local population.
C: Encouraging rural residents to focus health spending on tertiary interventions is not cost-effective and does not prioritize preventive health measures.
Overall, choice D is the best option as it focuses on prevention and education, which are key components of improving health outcomes in a community.