ATI RN
ATI Community Health Proctored Exam 2019
1. Why is it difficult to get others interested in environmental health?
- A. Environmental problems are not perceived as interesting or dramatic.
- B. It is difficult to get the media interested.
- C. People respond more to an acute crisis than chronic environmental problems.
- D. People respond more to an individual asking for help than a community asking for help.
Correct answer: C
Rationale: The difficulty in getting others interested in environmental health is due to the fact that people tend to respond more to acute crises that receive dramatic media coverage, as opposed to chronic environmental problems that require sustained attention and action. Immediate and dramatic events capture attention more effectively than ongoing, less visible issues.
2. A child with acetylsalicylic acid (aspirin) poisoning is being admitted to the emergency department. What early clinical manifestation does the nurse expect to assess on this child?
- A. Hematemesis
- B. Hematochezia
- C. Hyperglycemia
- D. Hyperventilation
Correct answer: D
Rationale: Early signs of aspirin poisoning include hyperventilation due to the stimulation of the respiratory center and the resultant respiratory alkalosis. Hematemesis, hematochezia, and hyperglycemia can occur later in the poisoning process or may not be directly related to aspirin toxicity.
3. The nurse is preparing to administer a beta blocker to a client with hypertension. What is the priority assessment?
- A. Check the client's heart rate.
- B. Check the client's blood pressure.
- C. Check the client's respiratory rate.
- D. Check the client's temperature.
Correct answer: B
Rationale: The correct answer is to check the client's blood pressure. Before administering a beta blocker to a client with hypertension, assessing the blood pressure is crucial because beta blockers can cause hypotension, potentially leading to adverse effects. Checking the heart rate may also be important but is secondary to monitoring the blood pressure in this scenario. Respiratory rate and temperature assessments are not directly related to assessing the client's response to a beta blocker in hypertension management, making choices C and D less relevant.
4. A case manager at an assisted living facility is reviewing the use of complementary health practices by several clients. Which of the following actions should the case manager plan to take?
- A. Plan to report a client's use of echinacea to the provider as a contraindication to aspirin therapy
- B. Plan to schedule time for a new client to continue tai chi practice as a stress reduction technique
- C. Tell a client that yoga has not been proven effective to reduce manifestations of menopause
- D. Tell a client who drinks cranberry juice daily that it can help treat existing urinary tract infections
Correct answer: B
Rationale: The correct answer is B. Tai chi is a recognized complementary health practice for stress reduction. Scheduling time for a new client to continue tai chi practice aligns with supporting holistic care. Choice A is incorrect because reporting a client's use of echinacea as a contraindication to aspirin therapy is not necessary without further context or evidence of interactions. Choice C is wrong because yoga can indeed be effective in reducing manifestations of menopause. Choice D is also incorrect because while cranberry juice is known to help prevent urinary tract infections, it is not typically used to treat existing infections.
5. How did philosopher John Locke characterize the mind of a child?
- A. Innately good
- B. Conscientiousness
- C. Superego-ideal
- D. A blank slate
Correct answer: D
Rationale: Philosopher John Locke characterized the mind of a child as a 'blank slate,' indicating that it is devoid of innate ideas or characteristics. This concept suggests that a child's mind is shaped and developed through experiences and learning rather than having inherent qualities. Choices A, B, and C are incorrect as Locke did not view the mind of a child as innately good, conscientious, or associated with the superego-ideal. Instead, he believed that individuals are born without built-in mental content, emphasizing the importance of environmental influences on cognitive development.
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