ATI LPN
ATI Community Health Proctored Exam 2023 Quizlet
1. RA 7160 mandates the devolution of basic services from the national government to local government units. What is the primary goal of this devolution?
- A. To strengthen local government units
- B. To allow greater autonomy to local government units
- C. To empower the people and promote their self-reliance
- D. To make basic services more accessible to the people
Correct answer: C
Rationale: The major goal of devolution, as outlined in RA 7160, is to empower the people and promote their self-reliance. By devolving basic services to local government units, the aim is to enhance people's participation in decision-making processes and foster self-reliance within communities, ultimately promoting empowerment and self-sufficiency.
2. A nurse is preparing to perform closed intermittent bladder irrigation for a client following a transurethral resection of the prostate (TURP). Which of the following actions is appropriate by the nurse?
- A. Aspirate the irrigation solution from the bladder
- B. Insert the tip of the irrigation syringe into the catheter opening
- C. Apply sterile gloves
- D. Open the flow clamp to the irrigating fluid infusion tubing
Correct answer: C
Rationale: The correct action for the nurse to take before performing a closed intermittent bladder irrigation is to apply sterile gloves. Sterile gloves help maintain asepsis, reduce the risk of infection, and ensure patient safety during the procedure. Aspirating the irrigation solution from the bladder (Choice A) is not a standard step in closed intermittent bladder irrigation. Inserting the tip of the irrigation syringe into the catheter opening (Choice B) can introduce contaminants into the system. Opening the flow clamp to the irrigating fluid infusion tubing (Choice D) should only be done after ensuring all equipment is ready and the nurse is gloved to maintain sterility.
3. A nurse is caring for a client receiving heparin. Which of the following should the nurse monitor?
- A. INR levels
- B. APTT levels
- C. Blood glucose levels
- D. Liver function tests
Correct answer: B
Rationale: Heparin therapy requires monitoring of activated partial thromboplastin time (APTT) to ensure therapeutic levels. APTT reflects the intrinsic pathway of the clotting cascade and is used to assess the effectiveness and safety of heparin therapy. Monitoring INR levels is more relevant for assessing warfarin therapy, not heparin. Blood glucose levels are monitored for clients with diabetes or those on medications affecting glucose levels. Liver function tests are used to assess liver health and are not directly related to monitoring heparin therapy.
4. A client is being educated by a nurse about the use of bupropion. Which of the following should be included?
- A. It can cause weight gain
- B. It may increase seizure risk
- C. It is an SSRI
- D. It has no side effects
Correct answer: B
Rationale: The correct answer is B. Bupropion may lower the seizure threshold, increasing the risk of seizures, especially in clients with a history of seizures. Choice A is incorrect because bupropion is associated with weight loss rather than weight gain. Choice C is incorrect as bupropion is not an SSRI; it is an aminoketone antidepressant. Choice D is incorrect as bupropion, like all medications, can have side effects, and it is essential for clients to be aware of them.
5. A nurse is providing care for a client with dementia who frequently wanders. What is the best strategy to ensure their safety?
- A. Use restraints to prevent wandering
- B. Encourage the client to walk in a monitored area
- C. Place a bed exit alarm system
- D. Ask family members to stay with the client at all times
Correct answer: C
Rationale: The best strategy to ensure the safety of a client with dementia who frequently wanders is to place a bed exit alarm system. This system alerts staff when the client attempts to leave the bed, reducing the risk of falls. Choice A, using restraints, is not the best approach as it can lead to complications and is not recommended unless absolutely necessary. Choice B, encouraging the client to walk in a monitored area, may not be effective in preventing wandering as the client may still wander away. Choice D, asking family members to stay with the client at all times, may not be feasible or practical, especially for round-the-clock supervision.
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