ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
nurse expect
Correct Answer: B
Rationale: The correct answer is B: diplopia. Nurses expect diplopia in patients with certain neurological conditions or head injuries. Oliguria (
A) is related to kidney function, not typically expected by nurses. Hypoglycemia (
C) is monitored but not necessarily expected in all patients. Dizziness (
D) can be common but is not a typical expectation unless specified.
Choices E, F, and G are irrelevant. In summary, diplopia is the correct answer as it aligns with the neurological assessment expectations of a nurse, while the other options are either unrelated or less commonly expected in a general nursing context.
Question 2 of 5
a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D because the caregiver filling the pill organizer weekly indicates the client may have difficulty managing medications independently post-stroke. This finding is crucial to report as it highlights potential medication errors or non-adherence, posing risks to the client's health. Reporting this to the interprofessional care team allows for appropriate interventions to ensure medication safety and adherence.
In contrast, choices A, B, and C are not as critical to report. A client dressing the affected side first is a common compensatory technique post-stroke. Bearing weight on arms with crutches and coughing when swallowing medications may be concerning but do not directly impact medication management like choice D does.
Question 3 of 5
A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group?
Correct Answer: A
Rationale: The correct answer is A: Motor vehicle safety. Adolescents are most at risk of death due to motor vehicle accidents. This is because they are more likely to engage in risky driving behaviors such as speeding and not wearing seat belts. Furthermore, lack of driving experience and peer pressure contribute to the high rate of accidents. Sports injuries (
B) are a concern, but they are not the leading cause of death. Substance abuse (
C) and gun safety (
D) are important topics, but they are not the primary cause of death for adolescents.
Question 4 of 5
the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take?
Correct Answer: D
Rationale: The correct answer is D. Referring the client's partner to an Alzheimer's support group is the priority action because it addresses the underlying issue of caregiver stress and lack of knowledge about managing Alzheimer's disease. By connecting the partner with a support group, they can learn strategies to cope with the challenges of caring for someone with Alzheimer's, including addressing feeding difficulties. This intervention promotes the well-being of both the client and the partner.
Option A: Arranging for Meals on Wheels assistance does not address the underlying issue of the partner's refusal to assist with feeding.
Option B: Determining the client's ability to self-feed is important but does not directly address the partner's refusal to assist.
Option C: Directing the home health aide to assist with meals does not address the partner's concerns and may not be feasible if the partner insists on the client feeding themselves.
In summary, the correct answer focuses on providing support and education to the partner, which can lead to better care for the client with
Question 5 of 5
client states my life has no meaning right now.
Correct Answer: D
Rationale:
Rationale: Option D is correct because it directly addresses the client's statement by reflecting it back in a questioning manner. This technique helps the client explore their thoughts further and may lead to a deeper understanding of their feelings. Option A jumps to conclusions about self-harm, B focuses on duration rather than the current feelings, and C is too general and does not specifically address the client's statement.