ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
in the last month three cases of tuberculosis have been referred to the health department. which of the following is the priority information for the community health nurse to obtain from each client?
Correct Answer: D
Rationale: The correct answer is D: health history. Obtaining the health history is crucial in assessing the severity of tuberculosis, including factors like previous treatments, symptoms, and potential risk factors. This information guides the nurse in developing appropriate care plans and preventing further spread. Demographics (
A) may provide general information but do not directly impact the management of tuberculosis. Household members (
B) are important for contact tracing but do not address immediate client care. Occupation (
C) is relevant for identifying potential exposure sources but is secondary to understanding the client's health status.
Question 2 of 5
public health nurse take
Correct Answer: A
Rationale: The correct answer is A because a public health nurse's primary role is to alert family members and coworkers about possible exposure to anthrax, ensuring timely preventive measures. This action aligns with the nurse's duty to protect public health and prevent further spread of the disease.
Choices B and D are incorrect because placing an employee under quarantine or instructing a client to wear a mask does not address the broader community's safety.
Choice C is incorrect because the nurse should directly provide prophylactic antibiotics rather than referring coworkers to another provider, ensuring immediate intervention.
Question 3 of 5
a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: the test measures antibodies to the virus. In enzyme-linked immunosorbent assay (ELIS
A) testing for HIV, antibodies produced by the body in response to the virus are detected, not the progression of the disease. This information is crucial for diagnosing HIV infection.
Choice A is incorrect as the test does not monitor disease progression.
Choice C is incorrect as it takes time for antibodies to develop post-exposure, so results are not accurate 24 hours after exposure.
Choice D is incorrect as a positive result would require antiretroviral therapy, not immunoglobulin administration.
Question 4 of 5
a nurse is discussing short and long term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. which of the following statements is appropriate for the nurse to include in the discussion?
Correct Answer: B
Rationale: The correct answer is B because remaining physically active can help alleviate drowsiness and chills during alcohol withdrawal. Physical activity can improve mood, reduce stress, and distract from cravings.
Choice A is incorrect as disulfiram is not used for withdrawal symptoms but to deter alcohol consumption.
Choice C is incorrect as Al-Anon is for family members of those with alcohol use disorder.
Choice D is incorrect as it focuses on defense mechanisms, not physical symptoms.
Question 5 of 5
a nurse is caring for a client who is homeless. which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: discuss the risks of being homeless with the client. This should be the first action as it addresses the immediate concerns for the client's safety and well-being. By discussing the risks, the nurse can assess potential health and safety issues the client may face living on the streets. Determining the client's understanding of her living situation (
A) can come after addressing the immediate risks. Assisting the client to develop goals for obtaining shelter (
B) and developing client teaching (
D) can be important steps but should follow the initial assessment of risks.