ATI RN
ATI Community Health Nursing Ch 9
1. Which best describes the goal of primary prevention?
- A. Preventing the onset of disease
- B. Managing existing health conditions
- C. Educating the community about healthy lifestyles
- D. Improving quality of life for those with chronic conditions
Correct answer: A
Rationale: The goal of primary prevention is to prevent the onset of disease before it occurs. This is achieved through interventions such as vaccinations, health education, and lifestyle modifications aimed at reducing the risk of developing various illnesses. Primary prevention focuses on promoting health and preventing diseases from ever occurring in the first place, distinguishing it from managing existing conditions (choice B) or improving the quality of life for individuals with chronic illnesses (choice D). Educating the community about healthy lifestyles (choice C) is a component of primary prevention as it aims to instill behaviors that reduce the likelihood of disease development.
2. The client being seen in a physician’s office has just been scheduled for a barium swallow the next day. The nurse writes down which of the following instructions for the client to follow before the test?
- A. Fast for 8 hours before the test
- B. Eat a regular supper and breakfast
- C. Continue to take all oral medications as scheduled.
- D. Monitor own bowel movement pattern for constipation
Correct answer: A
Rationale: Fasting for 8 hours ensures that the stomach is empty, which is necessary for an accurate barium swallow test.
3. A healthcare provider is reviewing the medical records of a client with a prescription for combination oral contraceptives. Which of the following conditions is a contraindication?
- A. Hyperthyroidism
- B. Thrombophlebitis
- C. Diverticulosis
- D. Hypocalcemia
Correct answer: B
Rationale: Thrombophlebitis is a contraindication to combination oral contraceptives due to the increased risk of thromboembolic events. Hyperthyroidism, diverticulosis, and hypocalcemia are not contraindications to combination oral contraceptives. Hyperthyroidism may affect thyroid hormone levels but does not directly contraindicate oral contraceptives. Diverticulosis is a condition related to the digestive system and does not impact the use of oral contraceptives. Hypocalcemia, a low calcium level in the blood, is not a contraindication for oral contraceptives.
4. In negative feedback mechanisms, changes away from the normal state
- A. stimulate changes in the same direction
- B. inhibit all body reactions
- C. stimulate changes in the opposite direction
- D. stimulate a reduction in all body requirements
Correct answer: stimulate changes in the opposite direction
Rationale: In negative feedback mechanisms, changes away from the normal state stimulate changes in the opposite direction. This is a fundamental concept in biological systems where the response to a stimulus opposes the initial change, helping to maintain homeostasis. Choice A is incorrect because negative feedback does not stimulate changes in the same direction. Choice B is incorrect because negative feedback does not inhibit all body reactions, but rather specific responses. Choice D is incorrect because negative feedback does not stimulate a reduction in all body requirements, but rather adjusts specific functions to restore balance.
5. A nurse is caring for a client who is receiving treatment with vincristine. Which of the following findings should the nurse monitor?
- A. Hyperkalemia
- B. Neurotoxicity
- C. Neutropenia
- D. Bradycardia
Correct answer: B
Rationale: The correct answer is B: Neurotoxicity. Vincristine is known to cause neurotoxicity as an adverse effect due to its impact on the nervous system. Monitoring for symptoms such as peripheral neuropathy, muscle weakness, and tingling sensations is crucial. Choices A, C, and D are incorrect because hyperkalemia, neutropenia, and bradycardia are not typically associated with vincristine therapy.
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