ATI RN
ATI Community Health Proctored Exam 2019
1. The public health nurse partners with the American Heart Association to develop NYS public policy priority statements to promote the expansion of the Double Up Food Bucks program. Which area and intervention on the Minnesota Public Health Wheel do these actions most closely align?
- A. Counseling - Blue wedge
- B. Advocacy - Yellow wedge
- C. Outreach - Red wedge
- D. Screening - Red wedge
Correct answer: B
Rationale: In this scenario, the public health nurse is engaging in advocacy by partnering with an organization to influence public policy through the development of public policy priority statements. Advocacy, represented by the yellow wedge on the Minnesota Public Health Wheel, aligns most closely with these actions as it involves working to influence public policy.
2. The nurse is caring for a client taking warfarin. Which meal brought in by the client's family is a priority to remove before the client eats it?
- A. Oriental cabbage salad with chicken
- B. Beef enchilada, rice, and beans
- C. Ham and cheese sandwich
- D. Macaroni salad and grapefruit slices
Correct answer: C
Rationale: The correct answer is C. Ham is high in vitamin K, which can interfere with warfarin. Vitamin K can decrease the effectiveness of warfarin, an anticoagulant medication. Choices A, B, and D do not contain high levels of vitamin K and are less likely to interfere with the client's warfarin therapy.
3. What is the best method to assess pain in a non-verbal patient?
- A. Observe for facial expressions
- B. Observe for restlessness
- C. Observe for sweating
- D. Check for non-verbal cues
Correct answer: A
Rationale: The correct answer is to observe for facial expressions when assessing pain in a non-verbal patient. Facial expressions can provide vital clues about the patient's pain level and discomfort. Choices B and C, observing for restlessness and sweating, can be less specific and may indicate other issues besides pain. Choice D, checking for non-verbal cues, is too broad and does not specify the crucial aspect of focusing on facial expressions.
4. A nurse is caring for a client who is 1 hour postpartum. Which of the following findings should the nurse report to the provider?
- A. Fundus firm and at the umbilicus.
- B. Heart rate 80/min.
- C. Blood pressure 130/78 mm Hg.
- D. A constant trickle of bright red blood from the vagina.
Correct answer: D
Rationale: After childbirth, it is normal for the fundus to be firm and at the level of the umbilicus, heart rate to be around 80/min, and blood pressure to be slightly elevated. However, a constant trickle of bright red blood from the vagina is concerning as it could indicate postpartum hemorrhage. This finding should be reported promptly to the healthcare provider for further evaluation and intervention. Choices A, B, and C are within expected postpartum parameters and do not indicate an immediate need for intervention.
5. Which food provides a 1-ounce serving of grains for a preschool child?
- A. 1 cup of ready-to-eat cereal flakes
- B. 1⁄2 slice of whole wheat bread
- C. 1⁄2 of a 6-inch flour tortilla
- D. 1 cup of cooked rice
Correct answer: A
Rationale: The correct answer is A: 1 cup of ready-to-eat cereal flakes. For a preschool child, 1 cup of ready-to-eat cereal flakes provides a 1-ounce serving of grains, meeting the requirement. Choice B, 1⁄2 slice of whole wheat bread, is not the correct answer as it does not constitute a 1-ounce serving of grains. Similarly, choice C, 1⁄2 of a 6-inch flour tortilla, does not offer a 1-ounce serving of grains. Choice D, 1 cup of cooked rice, also does not provide a 1-ounce serving of grains for a preschool child, making it an incorrect choice.
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