ATI RN
ATI Community Health Proctored Exam 2019
1. In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?
- A. Proactively assessing the health needs of the entire panel and planning accordingly
- B. Focusing on providing care to young and seemingly vulnerable patients
- C. Spending most time with patients who regularly attend their visits
- D. Prioritizing care by responding to the oldest patients first
Correct answer: A
Rationale: In population health management, a nurse overseeing a large panel of patients needs to proactively assess the health needs of the entire panel to plan and provide appropriate care effectively. This approach ensures that all patients receive necessary attention and interventions, contributing to better health outcomes for the population as a whole.
2. Glucagon is a hormone released into the bloodstream in response to high blood sugar. It helps to lower blood glucose after a meal.
- A. TRUE
- B. FALSE
- C.
- D.
Correct answer: B
Rationale: Glucagon is released in response to low blood sugar and raises blood glucose levels by stimulating the release of glucose from liver stores, not lowering it.
3. A healthcare professional is preparing to administer Filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following interventions is appropriate?
- A. Administer intravenously to prevent injury.
- B. Ensure that the medication is kept refrigerated until just prior to administration.
- C. Do not shake the vial; gently invert it to mix before withdrawing the dose.
- D. Discard the vial after removing one dose of the medication.
Correct answer: D
Rationale: When administering Filgrastim, only one dose should be withdrawn from the vial, and the vial should then be discarded to prevent any contamination or errors in dosing. It is crucial not to shake the vial but gently invert it to mix the medication before withdrawing the appropriate dose. Refrigeration is not required for Filgrastim; it should be stored at room temperature until just before administration. Choice A is incorrect because Filgrastim is typically administered subcutaneously, not intravenously. Choice B is incorrect as the medication should be stored at room temperature, not refrigerated, until administration. Choice C is incorrect as shaking the vial is not recommended for Filgrastim.
4. Joseph, a 12-year-old child, complains to the school nurse about nausea and dizziness. While assessing the child, the nurse notices a black eye that looks like an injury. This is the third time in 1 month that the child has visited the nurse. Each time, the child provides vague explanations for various injuries. Which of the following is the school nurse’s priority intervention?
- A. Contact the child’s parents and ask about the child’s injuries.
- B. Encourage the child to be honest about the injuries.
- C. Question the teacher about the child's injuries.
- D. Report suspicion of abuse to the proper authorities.
Correct answer: D
Rationale: The school nurse's priority intervention in this situation is to report suspicion of abuse to the proper authorities. Given the pattern of unexplained injuries and vague explanations provided by the child, it raises significant concerns for possible abuse. Reporting to the appropriate authorities is crucial to ensure the child's safety and well-being. Contacting the child's parents (Choice A) may not be appropriate if abuse is suspected, as it could potentially put the child at further risk. Merely encouraging the child to be honest (Choice B) does not address the immediate safety concerns. Questioning the teacher (Choice C) is not the appropriate initial action when abuse is suspected; reporting to authorities should take precedence.
5. The nurse is caring for a patient who is susceptible to infection. Which instruction will the nurse include in an educational session to decrease the risk of infection?
- A. Teaching the patient to take a temperature
- B. Teaching the patient to select nutritious foods
- C. Teaching the patient about the effects of alcohol
- D. Teaching the patient about fall prevention
Correct answer: B
Rationale: The correct answer is B: Teaching the patient to select nutritious foods. A nutritious diet plays a crucial role in strengthening the body's immune system, making it more capable of fighting off infections. Vitamins, minerals, and other nutrients found in healthy foods support immune function and overall health. Teaching the patient about taking a temperature (choice A) may be important for monitoring for signs of infection but does not directly decrease the risk of infection. Teaching about the effects of alcohol (choice C) and fall prevention (choice D) are important aspects of patient education but are not directly related to decreasing the risk of infection in a susceptible patient.
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