ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comments indicates the client is using rationalization as a coping mechanism?
Correct Answer: B
Rationale: The correct answer is B because the client is attributing their obesity to genetics, which is a form of rationalization by shifting responsibility away from themselves.
Choice A acknowledges the health problems related to obesity, C refers to a lack of self-control, and D involves projecting insecurities onto others.
Question 2 of 5
A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take when providing oral care for the client?
Correct Answer: A
Rationale: The correct answer is A: Test for the presence of the client's gag reflex. This action is essential when providing oral care to an unconscious client to prevent aspiration. Testing for the gag reflex helps determine if the client can protect their airway. If the gag reflex is present, it indicates that the client's airway is protected, and oral care can be safely provided. Placing the client in the supine position (choice
B) could increase the risk of aspiration. Using a firm toothbrush (choice
C) can injure the client's gums and oral tissues. Using 2 gauze-wrapped fingers to hold the mouth open (choice
D) can potentially cause harm or discomfort to the client. Testing for the gag reflex is the safest and most appropriate action to ensure the client's safety during oral care.
Question 3 of 5
A first response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients?
Correct Answer: D
Rationale: The correct answer is D: A client who has a rigid abdomen with manifestations of shock. This client should be given treatment priority as they are likely experiencing internal bleeding from the bombing incident, leading to the rigid abdomen and manifestations of shock. Internal bleeding is life-threatening and requires immediate medical attention to prevent further complications. The other choices (A, B,
C) do not present immediate life-threatening conditions requiring urgent intervention like a client with a rigid abdomen and shock. Treating the client with internal bleeding first ensures the best chance for survival and prevents further deterioration.
Question 4 of 5
A nurse case manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home?
Correct Answer: C
Rationale: As a coordinator, the nurse organizes and ensures the timely delivery of necessary medical equipment for home care.
Question 5 of 5
A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: B
Rationale: The correct answer is B: A client who is 1 day postoperative following a vertebroplasty. This client is stable post-surgery and likely does not require extensive monitoring or immediate medical intervention. Early discharge would free up a bed for potential incoming critical patients.
Choice A should not be discharged early due to the importance of ongoing heparin therapy for deep-vein thrombosis.
Choice C needs close monitoring due to the presence of a sealed implant for radiation therapy.
Choice D with COPD and a high respiratory rate requires ongoing monitoring and intervention.