ATI RN
ATI Community Health Proctored Exam 2019
1. When working with moms and babies from diverse backgrounds in the community, what is a necessary competence for a public health nurse to have self-awareness and humility?
- A. I am confident in my ability to teach the new mom about all the necessary aspects of evidence-based newborn care before the baby is born.
- B. I often notice that newly expectant moms underestimate the challenges of caring for a new baby, and I emphasize this to them.
- C. Sometimes, young moms lack knowledge about self-care, and I try to correct their behavior promptly.
- D. I understand that I may not always be perfect with my patients, but I acknowledge this openly and listen to their feedback.
Correct answer: D
Rationale: Self-awareness and humility are vital qualities for a public health nurse. Option D demonstrates these qualities by acknowledging personal fallibility and actively engaging with patients to address any shortcomings. This approach fosters trust and open communication, essential for providing effective care across diverse cultural backgrounds.
2. A newborn delivered at 41 weeks of gestation is showing signs of postmaturity. Which of the following findings is an indication of fetal postmaturity?
- A. Soft, flexible ear cartilage
- B. Smooth soles without creases
- C. Thin with loose skin
- D. Vernix caseosa covering the body
Correct answer: C
Rationale: The correct answer is C: 'Thin with loose skin.' Postmature newborns are typically thin with loose skin due to prolonged gestation. This may result from placental insufficiency, leading to reduced subcutaneous fat stores. Choices A, B, and D are incorrect. Soft, flexible ear cartilage (choice A) is a normal finding in newborns. Smooth soles without creases (choice B) are also typical in newborns. Vernix caseosa covering the body (choice D) is a protective, waxy coating found on newborns, which may be present in postmature infants as well.
3. A nurse is assessing a client following a head injury and a brief loss of consciousness. Which of the following findings should the nurse report to the provider?
- A. Glasgow Coma Scale (GCS) score of 12
- B. Edematous bruise on the forehead
- C. Small drops of clear fluid in the left ear
- D. Pupils are 4 mm and reactive to light
Correct answer: C
Rationale: The correct answer is C. Clear fluid draining from the ear may indicate a cerebrospinal fluid (CSF) leak, which is a serious complication following a head injury. Reporting this finding is crucial as it may require immediate medical intervention to prevent further complications. Choices A, B, and D are not as concerning as a CSF leak. A GCS score of 12 is relatively high, indicating a mild level of consciousness alteration. An edematous bruise on the forehead is a common physical finding after a head injury. Pupils that are 4 mm and reactive to light suggest normal pupillary function.
4. A client with chronic obstructive pulmonary disease (COPD) who has been receiving oxygen therapy at 2 L/min now has a respiratory rate of 10 breaths/min. What action should the nurse take first?
- A. Increase the oxygen flow rate to 4 L/min.
- B. Administer a bronchodilator via nebulizer.
- C. Encourage the client to take deep breaths.
- D. Assess the client's mental status and level of consciousness.
Correct answer: D
Rationale: The priority action for the nurse is to assess the client's mental status and level of consciousness. This assessment helps determine if the decreased respiratory rate is affecting the client's oxygenation. By evaluating the client's mental status and level of consciousness, the nurse can promptly identify any signs of respiratory distress or hypoxia, allowing for timely intervention and appropriate adjustments to the oxygen therapy or other treatments.
5. The healthcare provider is conducting a respiratory assessment and is determining respirations per minute. Which factor(s) generally affect the character of respirations? Select all that apply.
- A. Anxiety
- B. Exercise
- C. Smoking
- D. A, B
Correct answer: D
Rationale: Correct! Anxiety and exercise can significantly alter the character of respirations, increasing the rate and depth. Smoking, while harmful to the respiratory system in the long term, does not directly affect the character of respirations like anxiety and exercise do. Therefore, choices C (Smoking) is incorrect. The correct answer is D (A, B).
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99