ATI RN
ATI Community Health Proctored Exam 2019
1. The C/PHN is supporting legislation that seeks tighter gun control laws in New York State. The nurse knows that a significant challenge to getting legislation passed relates to which of the following:
- A. A lack of interest in this topic by many citizens of the state.
- B. An inability to gather statistics to understand the magnitude of the problem.
- C. Special interest groups that exert influence on legislators.
- D. The idea that gun violence is not a significant public health concern in the US.
Correct answer: C
Rationale: Special interest groups often exert significant influence on legislators, making it challenging to pass tighter gun control laws. These groups may lobby against such legislation, impacting the decision-making process of lawmakers. This influence can hinder the progress of bills related to gun control, despite potential public support or health implications.
2. Today, research that combines an experimental strategy with __________ approach is becoming increasingly common.
- A. both a correlational and a sequential
- B. either a correlational or a sequential
- C. either a longitudinal or a cross-sectional
- D. both a correlational and a longitudinal
Correct answer: C
Rationale: The blank in the statement refers to an approach that can be used in combination with an experimental strategy. Longitudinal and cross-sectional approaches are two common research methods in developmental psychology. Longitudinal studies involve following the same group of individuals over an extended period, while cross-sectional studies compare different groups of individuals of different ages at the same time. By combining an experimental strategy with either a longitudinal or a cross-sectional approach, researchers can gain a deeper understanding of developmental processes and changes over time. Choices A, B, and D are incorrect because correlational and sequential are not the most relevant approaches when studying developmental changes over time in research.
3. A nurse witnesses a colleague administering the wrong IV solution to a client. What should the nurse do first?
- A. Complete an incident report.
- B. Ask the colleague if they intend to report the error.
- C. Call the healthcare provider to notify them of the error.
- D. Notify the supervisor about the situation.
Correct answer: B
Rationale: The correct first step for the nurse to take in this situation is to ask the colleague if they intend to report the error. It is important to address the error promptly and directly with the colleague involved to ensure that the appropriate actions are taken to correct the mistake and prevent harm to the client. Completing an incident report, calling the healthcare provider, or notifying the supervisor can be done after discussing the error with the colleague. Immediate communication with the colleague directly involved in the error is crucial to address the situation effectively.
4. A client has a new prescription for levothyroxine. Which of the following instructions should the nurse include?
- A. Take this medication in the evening before bed.
- B. Take this medication on an empty stomach.
- C. Take this medication with a full glass of milk.
- D. Take this medication with an antacid if you experience indigestion.
Correct answer: B
Rationale: The correct instruction when taking levothyroxine is to take it on an empty stomach. This enhances absorption and ensures the medication's effectiveness. Taking it with food or other substances, such as milk or antacids, can interfere with its absorption. Therefore, choices A, C, and D are incorrect.
5. A home care nurse is visiting a client with a diagnosis of pernicious anemia that developed as a result of gastric surgery. The nurse instructs the client that because the stomach lining produces a decreased amount of intrinsic factor in this disorder, the client will need
- A. Vitamin B12 injections.
- B. Vitamin B6 injections.
- C. An antibiotic.
- D. An antacid.
Correct answer: A
Rationale: A lack of the intrinsic factor needed to absorb vitamin B12 occurs in pernicious anemia. Vitamin B12 is needed for the maturation of red blood cells. Vitamin B6 is not necessarily needed for pernicious anemia and can be taken orally. An antibiotic and antacids may be prescribed for certain types of gastric ulcers.
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