ATI LPN
ATI Proctored Community Health
1. What is the primary goal of the Integrated Management of Childhood Illness (IMCI) strategy?
- A. To reduce the incidence of childhood diseases
- B. To improve the nutritional status of children
- C. To reduce child mortality and morbidity
- D. To promote exclusive breastfeeding
Correct answer: C
Rationale: The correct answer is C: To reduce child mortality and morbidity. The Integrated Management of Childhood Illness (IMCI) strategy aims to reduce child mortality and morbidity by providing a holistic approach to managing major childhood illnesses and improving overall child health outcomes. This strategy focuses on early recognition and prompt treatment of childhood illnesses, thereby reducing the impact of diseases and lowering mortality rates among children.
2. What are the key considerations for managing a patient with chronic obstructive pulmonary disease (COPD)?
- A. Airway Management
- B. Oxygen Therapy
- C. Smoking Cessation
- D. Pulmonary Rehabilitation
Correct answer: A
Rationale: The key considerations for managing a patient with COPD include airway management, ensuring adequate oxygenation, promoting smoking cessation, and incorporating pulmonary rehabilitation. While airway management is crucial for maintaining patency and preventing exacerbations, oxygen therapy helps improve oxygen levels in the blood. Smoking cessation is essential to slow down disease progression and reduce exacerbation risk. Pulmonary rehabilitation plays a vital role in enhancing exercise tolerance and overall quality of life for COPD patients. Therefore, while all options are important in managing COPD, airway management is the most critical aspect.
3. For a patient with asthma, what is the primary purpose of prescribing montelukast?
- A. Relieve acute bronchospasm
- B. Prevent asthma attacks
- C. Thin respiratory secretions
- D. Suppress cough
Correct answer: B
Rationale: Montelukast, a leukotriene receptor antagonist, is primarily prescribed to prevent asthma attacks. It works by reducing inflammation and bronchoconstriction in the airways, thereby helping to control asthma symptoms and prevent exacerbations.
4. Which position is MOST appropriate for a mother in labor with a prolapsed umbilical cord?
- A. Supine with legs elevated
- B. Supine with hips elevated
- C. Left lateral recumbent
- D. Left side with legs elevated
Correct answer: B
Rationale: The most appropriate position for a mother in labor with a prolapsed umbilical cord is supine with hips elevated. This position helps reduce pressure on the cord, preventing further complications and ensuring optimal blood flow to the fetus.
5. A client with atrial fibrillation is prescribed warfarin (Coumadin). The nurse should reinforce which dietary instruction?
- A. Avoid foods high in vitamin K.
- B. Increase intake of dairy products.
- C. Limit intake of foods high in fiber.
- D. Increase protein intake.
Correct answer: A
Rationale: The correct answer is to avoid foods high in vitamin K. Clients taking warfarin (Coumadin) should maintain a consistent intake of vitamin K to keep the medication's effectiveness stable. Foods high in vitamin K, such as leafy greens, can interfere with the anticoagulant effects of warfarin. Therefore, it is crucial for clients to avoid these foods to ensure the therapeutic effects of warfarin. Choices B, C, and D are incorrect because increasing dairy products, limiting fiber intake, or increasing protein intake do not directly impact the effectiveness of warfarin therapy and are not necessary dietary modifications for clients on this medication.
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