ATI RN
ATI Community Health Proctored Exam 2023
1. After organizing, follow-up visits are also necessary. What should you do first?
- A. Explain the purpose of the visit
- B. Wash your hands and perform the necessary procedure
- C. Conduct environmental surveillance
- D. Greet the patient/resident and introduce yourself
Correct answer: A
Rationale: Explaining the purpose of the visit is the first step in a follow-up visit as it establishes the reason for the interaction. This communication helps set expectations for both the provider and the patient/resident, ensuring that the visit is focused and productive. It allows the patient/resident to understand the goals of the follow-up and promotes a patient-centered approach to care.
2. What happens first in dehydration?
- A. Intercellular fluid volume drops first.
- B. Plasma volume drops first.
- C. Interstitial fluid drops first.
- D. Neither interstitial nor intracellular fluid volume are affected.
Correct answer: C
Rationale: In dehydration, the body first draws fluid from the interstitial space to maintain blood volume, leading to a decrease in interstitial fluid volume. This is why choice C is correct. Choice A is incorrect because intracellular fluid is not the first to be affected. Choice B is also incorrect as plasma volume reduction typically occurs after interstitial fluid loss. Choice D is incorrect as dehydration impacts both interstitial and intracellular fluid volumes.
3. A nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. What should the nurse do to prevent contamination?
- A. Wear non-sterile gloves
- B. Apply sterile gloves over non-sterile gloves
- C. Change gloves if the sterile solution splashes onto the sterile field
- D. Cover the sterile field with a sterile drape
Correct answer: C
Rationale: The correct answer is C. If sterile solution splashes onto the sterile field, it is considered contaminated. Changing gloves in this situation ensures that the sterility of the dressing change is maintained. Choice A is incorrect as non-sterile gloves would introduce contaminants. Choice B is incorrect as layering gloves can increase the risk of contamination. Choice D is incorrect as covering the sterile field with a sterile drape is not the appropriate action to take in response to contamination.
4. Which of the following best describes the concept of interprofessional collaboration in healthcare?
- A. The process by which multiple healthcare professionals work together to improve patient outcomes
- B. A method for healthcare professionals to work independently within their scope of practice
- C. The use of standardized protocols to ensure consistent care
- D. A way for healthcare professionals to share patient information electronically
Correct answer: A
Rationale: The correct answer is A. Interprofessional collaboration in healthcare refers to the coordinated efforts of multiple healthcare professionals working together to enhance patient outcomes. This collaborative approach involves professionals from different disciplines contributing their expertise to provide comprehensive care and improve the overall quality of patient treatment. Choice B is incorrect because interprofessional collaboration emphasizes teamwork and collective efforts rather than working independently. Choice C is incorrect as it refers to standardization of care protocols, not collaboration among professionals. Choice D is incorrect as sharing patient information electronically is a component of information exchange but not the primary focus of interprofessional collaboration.
5. A nurse on a rehabilitation unit is creating a plan of care for a newly admitted client who has difficulty swallowing following a stroke. Which of the following inter-professional team members should the nurse anticipate consulting regarding the client's condition?
- A. Speech-language pathologist
- B. Occupational therapist
- C. Dietitian
- D. Pharmacy technician
Correct answer: A
Rationale: The correct answer is A, Speech-language pathologist. A speech-language pathologist specializes in evaluating and treating swallowing difficulties, known as dysphagia, which commonly occurs following a stroke. They are experts in developing strategies to help individuals improve their ability to swallow safely. Occupational therapists (B) focus on helping individuals regain independence in activities of daily living, not specifically addressing swallowing concerns. Dietitians (C) primarily work on developing appropriate nutrition plans but may not directly address swallowing issues. Pharmacy technicians (D) assist pharmacists in dispensing medications and are not directly involved in managing swallowing difficulties.
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