ATI LPN
ATI Community Health Proctored Exam 2019 Quizlet
1. Which criterion in priority setting of health problems is uniquely used in community health care?
- A. Modifiability of the problem
- B. Nature of the problem presented
- C. Magnitude of the health problem
- D. Preventive potential of the health problem
Correct answer: C
Rationale: The correct answer is C: Magnitude of the health problem. This criterion specifically looks at the percentage of the population affected by a health issue and is primarily used in community health care settings. On the other hand, modifiability of the problem, nature of the problem presented, and preventive potential of the health problem are criteria that are considered in both family and community health care settings.
2. When assessing a client with a small bowel obstruction, what finding should a nurse expect?
- A. Significant abdominal distention
- B. Large bowel movements
- C. High-pitched bowel sounds
- D. Copious vomiting
Correct answer: C
Rationale: High-pitched bowel sounds are often heard early in a small bowel obstruction due to increased peristalsis as the bowel tries to overcome the blockage. Choices A, B, and D are incorrect. Abdominal distention is more commonly associated with large bowel obstructions, while large bowel movements and copious vomiting are not typical findings in small bowel obstructions.
3. A patient with schizophrenia is prescribed risperidone. Which statement by the patient indicates understanding of the medication?
- A. I should take this medication at the same time every day.
- B. I can stop taking this medication once I feel better.
- C. I should avoid drinking alcohol while taking this medication.
- D. I should take this medication on an as-needed basis.
Correct answer: A
Rationale: The correct answer is A because taking the medication at the same time every day helps maintain consistent blood levels and effectiveness. Consistency in dosing is crucial for the medication to work optimally in managing symptoms of schizophrenia. Option B is incorrect because stopping the medication abruptly can lead to a worsening of symptoms. Option C is important as alcohol can interact with the medication and cause adverse effects. Option D is incorrect because risperidone is typically taken regularly, not on an as-needed basis, to manage symptoms effectively.
4. After administering nitroglycerin to a client with coronary artery disease (CAD) who reports chest pain, what should be the nurse's next priority action?
- A. Obtain a 12-lead ECG
- B. Monitor the client's blood pressure
- C. Notify the healthcare provider
- D. Administer a second dose of nitroglycerin
Correct answer: B
Rationale: The correct next priority action after administering nitroglycerin to a client with CAD experiencing chest pain is to monitor the client's blood pressure. Nitroglycerin can cause hypotension, so it is crucial to assess and monitor the client's blood pressure for any signs of decreased perfusion or adverse effects. Obtaining a 12-lead ECG may be important but is not the immediate priority. Notifying the healthcare provider and administering a second dose of nitroglycerin should only be considered after ensuring the client's blood pressure is stable.
5. A nurse is providing education on the use of corticosteroids. Which of the following should be included?
- A. Monitor for signs of hyperglycemia
- B. Avoid abrupt discontinuation
- C. Long-term use may have risks
- D. Monitor for signs of dehydration
Correct answer: A
Rationale: The correct answer is to monitor for signs of hyperglycemia when educating on corticosteroids. Corticosteroids can increase blood glucose levels, making it essential to watch for hyperglycemia, especially in diabetic patients. Choice B is incorrect because corticosteroids should not be abruptly stopped due to the risk of adrenal insufficiency. Choice C is incorrect as corticosteroids are associated with various adverse effects, making long-term use risky. Choice D is incorrect as dehydration is not typically a primary concern directly related to corticosteroid use.
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