ATI RN
ATI Community Health Nursing Ch 9
1. Which best describes a key component of community health assessment?
- A. Engaging community stakeholders in the process
- B. Collecting quantitative data on health outcomes
- C. Analyzing national health data
- D. Reviewing local health policies
Correct answer: A
Rationale: Engaging community stakeholders in the process of community health assessment is crucial as it ensures that the assessment reflects the unique needs, perspectives, and priorities of the community. This involvement helps in gathering comprehensive and accurate information, fostering community ownership, and increasing the likelihood of successful implementation of health initiatives based on the assessment findings.
2. A client is prescribed Clopidogrel. Which of the following laboratory values should the nurse monitor to assess for potential adverse effects?
- A. White blood cell count
- B. Platelet count
- C. Hemoglobin
- D. Blood glucose
Correct answer: B
Rationale: Clopidogrel is an antiplatelet medication that works by inhibiting platelet aggregation. Therefore, the nurse should monitor the client's platelet count to assess for potential bleeding complications. Changes in platelet count can indicate the effectiveness of Clopidogrel therapy and help prevent adverse effects related to clotting or bleeding. Monitoring white blood cell count, hemoglobin, or blood glucose levels is not directly related to the action or side effects of Clopidogrel.
3. Which client statement indicates an understanding of the education provided about the antidepressant medication sertraline (Zoloft)?
- A. I should take this medication on an empty stomach.
- B. It may take several weeks for this medication to be effective.
- C. I can stop taking this medication when I feel better.
- D. I should avoid taking this medication with other medications.
Correct answer: B
Rationale: Choice B is the correct answer. It is crucial for clients to understand that sertraline (Zoloft) may take several weeks to show its full effects. Patients should be informed about this delay in onset of action to set realistic expectations and adhere to the treatment plan. This education helps prevent premature discontinuation of the medication due to perceived lack of efficacy. Choices A, C, and D are incorrect. Choice A is inaccurate because sertraline (Zoloft) should be taken with food to reduce the risk of gastrointestinal side effects. Choice C is incorrect because abruptly stopping the medication can lead to withdrawal symptoms and worsening of the condition. Choice D is inaccurate as there are specific medications that should be avoided with sertraline, but a general statement to avoid all other medications is overly broad and not necessary.
4. When assessing a client with a pneumothorax and a chest tube, which finding should the nurse notify the provider about?
- A. Movement of the trachea toward the unaffected side
- B. Bubbling of the water in the water seal chamber with exhalation
- C. Crepitus in the area above and surrounding the insertion site
- D. Eyelets not visible
Correct answer: A: Movement of the trachea toward the unaffected side
Rationale: The movement of the trachea toward the unaffected side is concerning as it can indicate a tension pneumothorax, a life-threatening emergency that requires immediate intervention. The trachea should be midline, so any deviation should be reported promptly to the provider for further evaluation and intervention.
5. A nurse is assessing a school-age child with a urinary tract infection. Which symptom should the nurse expect?
- A. Periorbital edema.
- B. Decreased frequency of urination.
- C. Enuresis.
- D. Diarrhea.
Correct answer: C
Rationale: Enuresis is a common symptom of urinary tract infections in school-age children. It is often a presenting symptom due to irritation of the bladder. Periorbital edema (Choice A) is more indicative of conditions like nephrotic syndrome or renal disorders. Decreased frequency of urination (Choice B) is not typically associated with urinary tract infections. Diarrhea (Choice D) is not a common symptom of urinary tract infections but may occur due to other reasons like gastrointestinal infections.
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