ATI RN
ATI Community Health Proctored Exam 2019
1. Which source of information about a community's health would give the community health nurse information about births, deaths, and marriages and aid in providing indicators of population growth or reduction?
- A. Census tracts
- B. Vital statistics
- C. National Health Survey data
- D. Needs assessment
Correct answer: B
Rationale: Vital statistics are records of births, deaths, and marriages. They provide crucial data that help in understanding population dynamics, growth, and reduction trends within a community. By analyzing vital statistics, community health nurses can identify health needs, plan interventions, and allocate resources effectively to address the specific health challenges of the population.
2. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets. After securing the client's airway and initiating an IV, which of the following actions should the nurse do next?
- A. Monitor the client's IV site for thrombophlebitis.
- B. Administer flumazenil to the client.
- C. Evaluate the client for further suicidal behavior.
- D. Initiate seizure precautions for the client.
Correct answer: B
Rationale: Administering flumazenil is the priority to reverse the effects of diazepam overdose. Flumazenil is a specific benzodiazepine receptor antagonist that can rapidly reverse the sedative effects of diazepam. Monitoring the IV site for thrombophlebitis is important but not the immediate priority in this situation. Evaluating the client for further suicidal behavior is important for comprehensive care but is not the most urgent action at this moment. Initiating seizure precautions may be necessary, but the priority is to counteract the sedative effects of diazepam with flumazenil.
3. Which factor is most likely to enhance the success of health promotion activities?
- A. Adequate funding
- B. Support from local government
- C. Community involvement
- D. Strong leadership
Correct answer: C
Rationale: Community involvement is essential for the success of health promotion activities as it ensures that the initiatives are relevant and supported by the community. When the community actively participates in planning and implementing health promotion activities, it increases the chances of long-term success and sustainability. Community involvement fosters a sense of ownership and empowerment, leading to greater engagement and positive health outcomes.
4. A nurse is teaching a nutrition class for clients who have type 2 diabetes mellitus. Which of the following statements should the nurse include about management of acute illness?
- A. Consume carbs every 3-4 hrs
- B. Decrease fluid intake to 1000 mL per day
- C. Monitor blood glucose twice per day
- D. Check urine for ketones every 24 hrs
Correct answer: A
Rationale: The correct statement is to 'Consume carbs every 3-4 hours.' During acute illness, it is important to maintain a consistent carbohydrate intake to help manage blood glucose levels for clients with type 2 diabetes. This frequent consumption can prevent hypoglycemia and provide energy needed during illness. Decreasing fluid intake (choice B) is not recommended during acute illness, as hydration is crucial to prevent complications. Monitoring blood glucose (choice C) more frequently than twice a day is necessary during acute illness. Checking urine for ketones (choice D) should be done more frequently than once every 24 hours during illness to monitor for diabetic ketoacidosis.
5. The two members of the health care team who work closely to monitor drug-nutrient interactions are:
- A. Physician and nurse
- B. Physician and pharmacist
- C. Nurse and clinical dietitian
- D. Clinical dietitian and pharmacist
Correct answer: D
Rationale: Clinical dietitians and pharmacists work together to manage drug-nutrient interactions. They have the expertise to understand how medications and nutrients can interact in the body, potentially affecting the effectiveness of treatment. Physicians and nurses may be involved in patient care, but when it comes to monitoring drug-nutrient interactions, the specialized knowledge of clinical dietitians and pharmacists is crucial. Nurses and physicians typically focus more on administering medications and managing overall patient care, rather than the specific interactions between drugs and nutrients.
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