ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
Which intervention by the nurse is an example of a tertiary prevention strategy to improve environmental health?
Correct Answer: D
Rationale:
Correct Answer: D - Implementing pollution prevention strategies
Rationale: Tertiary prevention aims to reduce the impact of disease or injury by minimizing disability and promoting rehabilitation. Implementing pollution prevention strategies falls under tertiary prevention as it focuses on reducing exposure to harmful environmental factors, thereby preventing further health complications. This intervention directly addresses the root cause of environmental health issues by mitigating pollution, which can lead to improved health outcomes for individuals and communities.
Summary of other choices:
A: Conducting risk assessments for environmental contaminants - This falls under primary prevention as it aims to identify and prevent exposure to environmental hazards before they occur.
B: Developing emergency response plans for environmental hazards - This falls under secondary prevention as it focuses on early detection and prompt intervention during environmental emergencies.
C: Performing regular community environmental health assessments - This falls under primary prevention as it aims to identify potential environmental health risks and prevent them from occurring in the first place.
Question 2 of 5
Which information is the nurse assessing when appraising the applicability of a research article?
Correct Answer: B
Rationale: The correct answer is B: The degree to which the results relate to a specific population. This is crucial in determining the relevance and applicability of the research findings to the target population. Assessing the generalizability of the results is essential for making informed decisions in practice.
Incorrect
Choices:
A: The intended audience of the article - While important, it does not directly impact the applicability of the research findings to a specific population.
C: The accuracy or credibility of the research - While important for validity, it does not address the specific relevance to a population.
D: The purpose of the research - While understanding the purpose is important, it doesn't directly assess the applicability to a specific population.
Question 3 of 5
Which database would the public health nurse use when conducting research to locate regularly updated systematic reviews?
Correct Answer: A
Rationale: The correct answer is A: Cochrane Library. The Cochrane Library is renowned for regularly updated systematic reviews, providing high-quality evidence for healthcare decision-making. It follows strict methodology to ensure reliability. AHRQ (
B) focuses on healthcare quality improvement, not systematically updated reviews. While Medline (
C) and CINAHL (
D) are databases for primary research articles, they do not specifically focus on systematic reviews.
Therefore, Cochrane Library is the most appropriate database for the public health nurse's research needs.
Question 4 of 5
A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Palpate the distal pulse to the cast. This is the first action the nurse should take as it assesses the circulation to the extremity. Checking the distal pulse ensures that there is no compromise to blood flow post-casting, which is crucial in preventing complications like compartment syndrome. Engaging employers (
B), ensuring community medical interventions (
C), and donating clothes (
D) are unrelated and not urgent in this scenario. It is important to prioritize patient safety and monitor for any potential complications following cast application.
Question 5 of 5
A nurse implements an education program that incorporates computer games to reinforce learning for a group of older adults. Although the research demonstrates evidence of improved retention of this information, the nurse experiences exactly the opposite with this group. Which of the following is the most likely cause of such poor outcomes?
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and setting differences. Older adults may have different learning styles, preferences, and abilities compared to other age groups. The nurse may have overlooked these factors when implementing the computer games, resulting in poor outcomes. This highlights the importance of tailoring educational programs to fit the specific needs of the target audience.
Explanation for incorrect choices:
B: Inadequate incorporation of evidence into practice - This choice suggests a lack of proper implementation of research evidence, which is not directly related to the poor outcomes observed in this scenario.
C: Inferior quality of the available research evidence - The quality of the research evidence does not necessarily explain why the nurse did not achieve the desired outcomes.
D: Lack of skills when evaluating the evidence - While important, the lack of skills in evaluating evidence does not directly address the issue of poor outcomes with older adults in this context.