ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
The partner tells the nurse that she is able to manage the client’s physical care but she doesn’t want to leave him home alone while she travels for work. Which of the following referrals should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Respite care. Respite care provides temporary relief to the primary caregiver by offering a safe environment for the client while the partner is away. This ensures the client's well-being and safety in the partner's absence. Other choices are incorrect because B focuses on community health, C involves health history assessment, and D pertains to screening programs which are not relevant to the partner's immediate concern of leaving the client home alone.
Question 2 of 5
A nurse in a family practice clinic is screening an adolescent client for idiopathic scoliosis. Which of the following assessments should the nurse perform as part of this screening?
Correct Answer: A
Rationale: The correct answer is A: Measure the truncal rotation. When screening for idiopathic scoliosis, assessing truncal rotation is essential as it helps in detecting the presence of spinal curvature. Truncal rotation is a key indicator of scoliosis as the spine rotates along with the curvature. This assessment involves observing the symmetry of the shoulders and scapulae, which can indicate spinal rotation.
Therefore, measuring truncal rotation is a crucial step in identifying potential scoliosis in adolescents.
Summary:
B: Administered 8 u regular insulin sq - Irrelevant to scoliosis screening, this is related to diabetes management.
C: Determine if the stockings are binding - Irrelevant to scoliosis screening, this is related to circulation issues.
D: Arrange for an ethics committee meeting - Irrelevant to scoliosis screening, this is related to ethical considerations in healthcare.
Question 3 of 5
A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse should recognize which social determinants of this client's health? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Household income of $23,000 per year. This is a social determinant of health because low income can impact access to healthy foods, medications, and healthcare services, affecting diabetes management.
Choice B, reading level, is related to health literacy but not specifically a social determinant in this scenario.
Choice C, medication error, is a healthcare system issue.
Choice D, origin from Sudan, is related to cultural background but not directly a social determinant affecting diabetes management.
Question 4 of 5
The nurse is performing an environmental assessment in an apartment building where many people have reported burning eyes, skin rash, stuffy nose, and sore throat. Which type of hazard does the nurse anticipate is present in the apartment building?
Correct Answer: C
Rationale: The correct answer is C: Mold. Mold can cause symptoms like burning eyes, skin rash, stuffy nose, and sore throat. Mold thrives in damp environments, common in buildings. Radon (
A) is a colorless, odorless gas found in soil and can cause lung cancer. Mice (
B) can carry diseases but do not typically cause these symptoms. Lead (
D) exposure can lead to neurological issues, not the symptoms described. The other choices are not relevant to the symptoms reported.
Question 5 of 5
A nurse is caring for a client who is wearing anti-embolic stockings. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Determine if the stockings are binding. This is important because anti-embolic stockings should not be too tight as it can impede circulation, leading to complications. Palpating the distal pulse to the cast (
B) is unrelated to anti-embolic stockings. Waiting for 2 minutes between suctions (
C) is not relevant to the care of a client wearing anti-embolic stockings. Asking security to detain the client until the provider is notified (
D) is inappropriate and violates the client's rights.