ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (SATA)
Correct Answer: B, D, E
Rationale:
Correct Answer: B, D, E
Rationale:
1. Nausea: Anaphylaxis can cause gastrointestinal symptoms like nausea due to the release of inflammatory mediators.
2. Urticaria: Anaphylaxis commonly presents with hives (urticaria) as a skin manifestation of the allergic reaction.
3. Stridor: Stridor is a high-pitched breathing sound caused by upper airway obstruction, which can occur in severe anaphylaxis due to throat swelling.
Incorrect
Choices:
A. Bradycardia: In anaphylaxis, tachycardia is more common due to the body's response to the allergic reaction.
C. Hypertension: Anaphylaxis typically leads to hypotension (low blood pressure) due to vasodilation and fluid leakage.
F. (No option provided): There is no additional information given to evaluate this choice.
G. (No option provided): There is no additional information given to evaluate
Question 2 of 5
During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parents. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Report the incident to local authorities. The first step is to ensure the safety of the child. Reporting to authorities is crucial to protect the child from further harm and initiate an investigation. Checking for injuries (
B) is important but secondary to ensuring immediate safety. Referring the parent to a social service agency (
C) or enrolling them in anger management classes (
D) may be appropriate after the immediate safety concern is addressed.
Question 3 of 5
A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client?
Correct Answer: C
Rationale: The correct answer is C: Case manager. The nurse is functioning as a case manager by coordinating and arranging for the occupational therapist to visit the client. As a case manager, the nurse is responsible for coordinating care services to meet the client's needs. The role involves assessing, planning, implementing, and evaluating the client's care.
Choice A (Administrator) typically refers to managing a healthcare facility, not coordinating individual client care.
Choice B (Nurse consultant) involves providing expert advice but not specifically coordinating therapy services.
Choice D (Clinician) involves direct patient care rather than coordination of services.
Question 4 of 5
A faith-based organization asks a community health nurse to develop a mobile meal program for older adults. Which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: A needs assessment helps determine the scope of the problem and the specific needs of the population before developing a program.
Question 5 of 5
A home health nurse manager is caring for a client who has methicillin-resistant Staphylococcus aureus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Double bag soiled dressing in polyethylene bags. This is important to prevent the spread of methicillin-resistant Staphylococcus aureus (MRS
A) to others. Double bagging contaminated items in polyethylene bags helps contain the bacteria and reduce the risk of transmission. Removing fresh flowers (choice
A) is unrelated to MRSA transmission. Wearing a mask (choice
B) is not necessary unless performing aerosol-generating procedures. Encouraging the client to use a HEPA filter (choice
C) is not specific to preventing MRSA spread.