ATI RN
ATI Community Health Proctored Exam 2019
1. Diabetes has become a major health problem. How can healthcare professionals help to reduce the incidence of diabetes?
- A. Conducting extensive screening of individuals with diabetes risk factors
- B. Facilitating the implementation of Republic Act 8191 - National Diabetes Act
- C. Establishing support groups for individuals with diabetes
- D. Increasing community awareness of diabetes prevention
Correct answer: D
Rationale: Increasing community awareness of diabetes prevention is essential in reducing the incidence of diabetes. By educating the community about prevention strategies such as healthy lifestyle choices, regular exercise, and balanced diet, healthcare professionals can empower individuals to make informed decisions to lower their risk of developing diabetes.
2. Knowing that for a comatose patient hearing is the last sense to be lost, as Judy’s nurse, what should you do?
- A. Tell her family that probably she can’t hear them
- B. Talk loudly so that Wendy can hear you
- C. Tell her family who are in the room not to talk
- D. Speak softly then hold her hands gently
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
3. When assessing a client with pneumonia, which clinical manifestation should the nurse expect to find?
- A. Fremitus
- B. Hyperresonance
- C. Dullness on percussion
- D. Decreased tactile fremitus
Correct answer: C
Rationale: In pneumonia, lung tissue consolidation occurs, leading to dullness on percussion. This is a typical finding in pneumonia. Fremitus and decreased tactile fremitus are more commonly associated with conditions like pleural effusion or pneumothorax. Hyperresonance is typically seen in conditions causing air trapping, such as emphysema.
4. What innate tendency influences staff to act in a certain way?
- A. Instinct
- B. Appreciation
- C. Control
- D. Esteem
Correct answer: A
Rationale: The correct answer is A: Instinct. Instinct theory suggests that behaviors are influenced by inherited or innate tendencies, guiding individuals to act in specific ways without conscious reasoning. In the context of staff behavior, instinct can play a significant role in shaping their actions and responses. Choices B, C, and D are incorrect. Appreciation, control, and esteem are external factors that may influence staff behavior, but in this context, the question specifically asks for an innate tendency that influences staff to act in a certain way, which aligns more closely with instinctive tendencies rather than external factors like appreciation, control, or esteem.
5. A family member expresses concern to a nurse about behavioral changes in an elderly aunt. Which would cause the nurse to suspect a cognitive impairment disorder?
- A. Decreased interest in activities that she once enjoyed
- B. Fear of being alone at night
- C. Increased complaints of physical ailments
- D. Problems with preparing a meal or balancing her checkbook
Correct answer: D
Rationale: The correct answer is D. Problems with tasks like meal preparation and balancing a checkbook can indicate cognitive impairment, as these activities involve cognitive functions such as memory, attention, and executive function. Choices A, B, and C are less indicative of cognitive impairment. Decreased interest in activities and increased complaints of physical ailments may be related to other factors like depression, while fear of being alone at night could be due to anxiety or other psychological issues.
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