ATI RN
ATI Community Health Nursing Ch 7
1. Which is an example of a community-level intervention?
- A. Developing health policies
- B. Conducting health education programs
- C. Offering immunizations at a local clinic
- D. Implementing community-wide health campaigns
Correct answer: D
Rationale: Implementing community-wide health campaigns is the correct answer as it involves interventions that target the entire community to address health issues on a broader scale. These campaigns aim to promote health and well-being across various segments of the community by implementing strategies that can reach a larger population and have a significant impact on public health outcomes.
2. The school nurse understands that children are impacted by divorce. Which has the most impact on the positive outcome of a divorce?
- A. Age of the child
- B. Gender of the child
- C. Family characteristics
- D. Ongoing family conflict
Correct answer: D
Rationale: The level of ongoing family conflict is the most significant factor influencing the positive or negative outcomes for children during and after a divorce
3. An intravenous line is needed in a school-age child. What medication is an appropriate analgesic for use with this patient?
- A. TAC (tetracaine, epinephrine [Adrenalin], cocaine) 15 minutes before the procedure.
- B. A transdermal fentanyl (Duragesic) patch at the site of venipuncture.
- C. EMLA (eutectic mixture of local anesthetics) immediately before the procedure.
- D. LMX (4% liposomal lidocaine cream) 30 minutes before the procedure.
Correct answer: D
Rationale: LMX is an effective analgesic agent when applied to the skin 30 minutes before a procedure. It eliminates or reduces the pain from most procedures involving skin puncture. TAC provides skin anesthesia about 15 minutes after application to nonintact skin, making it more suitable for wound suturing. Transdermal fentanyl patches are designed for continuous pain control, not rapid pain control needed for a procedure like venipuncture. EMLA, for maximum effectiveness, must be applied approximately 60 minutes before the procedure, making it less suitable for immediate pain relief required for intravenous line placement.
4. In the Philippines, the existing laws only allow for 7 days of paternity leave. Consequently, fathers get to spend less time with their newborn baby. Which context in Bronfenbrenner's theory does this fall under?
- A. Microsystem
- B. Macrosystem
- C. Mesosystem
- D. Exosystem
Correct answer: D
Rationale: This situation falls under the exosystem in Bronfenbrenner's ecological systems theory. The exosystem comprises broader social systems that indirectly influence individuals' lives, such as laws governing parental leave. The limited paternity leave directly impacts fathers' ability to spend time with their newborns but is determined by external factors like societal policies, making it an exosystem influence. Choices A, B, and C do not fit this scenario as they refer to more immediate social environments or broader cultural norms that do not directly determine parental leave policies.
5. A nurse is preparing to perform a routine abdominal assessment. Which action should the nurse take first?
- A. Percuss the abdomen
- B. Auscultate bowel sounds
- C. Inspect the abdomen
- D. Palpate the abdomen
Correct answer: B
Rationale: The correct answer is to auscultate bowel sounds. Auscultation should be performed before palpation during an abdominal assessment to avoid altering bowel sounds. Inspecting the abdomen is important but should follow auscultation. Percussion and palpation should be done after auscultation and inspection to ensure an accurate assessment.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99