ATI LPN
ATI Proctored Community Health
1. What is the purpose of the Expanded Program on Immunization (EPI)?
- A. To provide emergency medical services
- B. To ensure all children receive routine immunizations
- C. To offer specialized treatments for rare diseases
- D. To manage chronic health conditions
Correct answer: B
Rationale: The Expanded Program on Immunization (EPI) is designed to ensure that all children receive routine immunizations to prevent common infectious diseases. It focuses on providing vaccinations to children to build immunity against various preventable diseases, thus contributing to public health by reducing the spread of infectious illnesses.
2. What is the most important action when providing wound care to a client with a pressure ulcer?
- A. Apply a dry, sterile dressing to the wound
- B. Cleanse the wound with normal saline
- C. Perform a wound culture before applying ointment
- D. Cover the wound with a wet-to-dry dressing
Correct answer: C
Rationale: Performing a wound culture before applying ointment is crucial when providing wound care to a client with a pressure ulcer. This action helps identify any underlying infections, allowing healthcare providers to select the most appropriate treatment. Options A, B, and D are not as critical as performing a wound culture, as they focus on wound dressing and cleansing rather than identifying potential infections.
3. An indicator of success in community organizing is when people are able to:
- A. Participate in community activities to address a community problem
- B. Implement activities to address the community problem
- C. Plan activities to address the community problem
- D. Identify the community problem as a common concern
Correct answer: A
Rationale: Success in community organizing is indicated when individuals actively participate in community activities aimed at addressing a shared community issue. While planning and implementation are essential components, active participation by community members is crucial for achieving sustainable solutions and fostering community engagement and empowerment.
4. A client has a new prescription for transdermal nitroglycerin patches. Which of the following instructions should be included for proper use?
- A. Apply the patch to the same site each day.
- B. Place the patch on an area of skin away from skin folds and joints.
- C. Keep the patch on 24 hours per day.
- D. Replace the patch every 72 hours.
Correct answer: B
Rationale: Placing the nitroglycerin patch on an area of skin away from skin folds and joints is crucial to ensure optimal absorption and effectiveness of the medication. Placing the patch on skin folds or joints can interfere with absorption, potentially reducing the patch's efficacy. Therefore, it is essential to follow this instruction to maximize the therapeutic benefits of the nitroglycerin patches. The other options are incorrect because applying the patch to the same site each day can lead to skin irritation, keeping the patch on 24 hours per day may not be necessary depending on the specific patch instructions, and replacing the patch every 72 hours is not the standard frequency for nitroglycerin patches.
5. Which of the following is NOT an appropriate treatment for an 18-year-old woman with severe vaginal bleeding?
- A. Covering the vagina with a trauma dressing.
- B. Administering high concentrations of oxygen.
- C. Placing sterile dressings into the vagina.
- D. Keeping her warm with blankets.
Correct answer: C
Rationale: Placing sterile dressings into the vagina is not an appropriate treatment for severe vaginal bleeding. The correct approach involves applying pressure to the external vaginal area to control bleeding, covering the vagina with a trauma dressing to help with compression, administering high concentrations of oxygen to support oxygenation, and keeping the patient warm with blankets to prevent hypothermia. Placing sterile dressings into the vagina can introduce foreign material, increase the risk of infection, and obstruct proper wound management, making it an incorrect treatment option in this scenario.
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