ATI RN
ATI Community Health Nursing Ch 9
1. Which is an important consideration when conducting a community health assessment?
- A. Using standardized assessment tools
- B. Collecting both qualitative and quantitative data
- C. Engaging community stakeholders
- D. Analyzing health trends
Correct answer: C
Rationale: Engaging community stakeholders is crucial when conducting a community health assessment as it helps ensure that the assessment captures the diverse perspectives and needs of the community. Involving stakeholders promotes community buy-in, enhances the validity of the data collected, and increases the likelihood of implementing effective interventions based on the assessment findings.
2. A nurse is assessing a client who is receiving morphine via a patient-controlled analgesia (PCA) pump. The nurse should identify that which of the following findings is a manifestation of opioid toxicity?
- A. Bradypnea.
- B. Tachycardia.
- C. Hypertension.
- D. Diaphoresis.
Correct answer: A
Rationale: Corrected Rationale: Bradypnea, or slow breathing, is a common sign of opioid toxicity. When a client is experiencing opioid toxicity, the respiratory system is usually the most affected, leading to a decrease in the respiratory rate (bradypnea). Tachycardia (increased heart rate), hypertension (high blood pressure), and diaphoresis (excessive sweating) are not typical manifestations of opioid toxicity. Therefore, the correct answer is bradypnea.
3. When caring for a client prescribed warfarin, which laboratory test should the nurse monitor to evaluate the therapeutic effect of the medication?
- A. aPTT
- B. Platelet count
- C. BUN
- D. PT/INR
Correct answer: D
Rationale: The correct laboratory test to monitor the therapeutic effect of warfarin is the PT/INR. Warfarin affects blood clotting, and the PT/INR levels indicate the effectiveness of the medication in preventing clot formation. Therefore, monitoring PT/INR levels helps ensure that the client is within the therapeutic range and is protected from potential complications related to clotting. Choice A (aPTT) is incorrect because while it measures the clotting time, it is not the preferred test for monitoring warfarin therapy. Choice B (Platelet count) is incorrect as it assesses the number of platelets and not the medication's therapeutic effect. Choice C (BUN) is unrelated to monitoring the effects of warfarin therapy and is primarily used to assess kidney function.
4. A patient with pre-dialysis end-stage kidney disease is asking for dietary recommendations. What should the nurse suggest?
- A. Limit protein intake
- B. Limit potassium intake
- C. Restrict sodium intake
- D. Limit phosphorus intake to 700mg/day
Correct answer: D
Rationale: In patients with pre-dialysis end-stage kidney disease, it is crucial to limit phosphorus intake to 700mg/day to manage their condition. High phosphorus levels can lead to complications such as bone and heart problems. Limiting protein intake is essential in later stages of kidney disease, particularly in dialysis patients to reduce the buildup of waste products. While limiting potassium and restricting sodium intake are also important in kidney disease management, the priority for a patient with pre-dialysis end-stage kidney disease is to control phosphorus levels.
5. According to Freud’s developmental theory, infancy is a stage of:
- A. Orality
- B. Latency
- C. Genitality
- D. Anality
Correct answer: A
Rationale: In Freud’s psychosexual development theory, the oral stage is the first stage and occurs during infancy. It focuses on activities involving the mouth, such as sucking and feeding. This stage is crucial for the child's development as it forms the basis for trust and attachment. Choices B, C, and D are incorrect as latency refers to the stage during middle childhood where sexual impulses are suppressed, genitality refers to the final stage focusing on mature sexual relationships, and anality refers to the stage occurring during the toddler years where toilet training plays a significant role.
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