Community ATI Practice Questions and Answers with Rationales/Graded A

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Community ATI Practice Questions and Answers with Rationales Community ATI Practice Questions 1. A nurse is conducting a screening class for hypertension. Which of the following should be the nurse’... s goal for secondary prevention? a. Prevent the onset of the condition b. Identify the severity of the condition c. Identify the condition early d. Deter condition-related complications Rationale: C. Secondary prevention measures identify and treat asymptomatic people who have already developed risk factors or preclinical disease but do not have a clinically apparent condition. The goal of secondary prevention is early identification of the target condition. Primary prevention is used to prevent a health condition or disease outcome. Primary prevention measures are provided to individuals to prevent the onset of a targeted condition. A classic example of primary prevention is immunization. Tertiary prevention activities involve the care of established disease. Attempts are made to restore clients to optimal levels of function, minimize the negative effects of the disease, and prevent disease-related complications. 2. A community health nurse is caring for a client who was exposed to human immunodeficiency virus (HIV) 2 days ago. The client asks the nurse what she should do. Which of the following responses should the nurse provide? a. “I will administer an HIV today, and it will need to be repeated in 3 months” b. “I will administer an HIV test today, and you will need to return in 48 hours to have me read the results” c. “You will need to have an HIV test every other week for 6 months” d. “You will need to take prophylactic medications for 4 weeks” Rationale: D. The client will need to take prophylactic medications for 4 weeks to prevent the virus from replicating within the body. 3. A nurse is working in the triage area of an emergency department. Which of the following activities is unlikely to be the nurse’s responsibility in this setting? a. Fostering positive public relations for the facility b. Preforming a comprehensive client assessment c. Preventing cross-contamination of infectious clients d. Educating a client and his family members Rationale: D. In the triage setting, the nurse’s priority is assessment and control of client flow. The triage nurse does not allocate time to provide education to clients or their families. Education is handled by the emergency department staff once the treatment of a client begins. 4. A nurse is providing psychological counseling at a community center for families who’s loved one dies in a fire. After learning that both of their children died in the fire, 2 parents’ express disbelief at the loss of their children. One parent states, “How will I make it through this? Which of the following is an appropriate response by the nurse? a. “Are you feeling overwhelmed right now?” b. “Don’t worry. You will have plenty of help” c. “Can I call someone to sit here with you” d. “Anyone who has experienced a loss like this would feel the same way” Rationale: A. In this response, the nurse uses the therapeutic communication skill of restatement to encourage the client to express feelings 5. A charge nurse is assembling a list of clients who can be safely discharged home to accommodate incoming casualties following an earthquake. The nurse should recognize that discharging which of the following clients would be unsafe? a. A client who has osteomyelitis and will require 6 weeks of IV antibiotic therapy b. A client who has Crohn’s disease and 1 day preoperative for an ileostomy c. A client who has Alzheimer’s disease and is awaiting placement in a long-term care facility d. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace Rationale: D. The client requires nasogastric suction and cannot be discharged safely home. A postoperative ileus causes bowel obstruction, which could be life-threatening. 6. A charge nurse is discussing staff nurses’ responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? a. Identify community resources that are available. b. Evaluate the impact of a disaster on the community. c. Assess survivors of a disaster for levels of psychological stress. d. Link victims with support agencies to help with food, shelter, and counseling needs. Rationale: A. Identifying community resources is an important part of preplanning to increase preparedness of a disaster. 7. A nurse is preparing to teach about communicable diseases. During which of the following stages is the period in which a disease is contagious? a. Communicability period b. Convalescent period c. Incubation period d. Prodromal period Rationale: A. The communicability period is the time when a disease is contagious and can be transmitted to others. 8. A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation? a. Avoid covering sores with bandages b. Avoid handwashing after eating c. Avoid foods prepared with tap water d. Avoid eating meal Rationale: C. To decrease the risk of acquiring viral hepatitis, clients should prepare foods with purified water. 9. A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply.) a. “Smallpox is transmitted person to person.” b. “Infection is characterized by severe respiratory distress.” c. “Smallpox vaccination ensures lifelong immunity.” d. “Naturally occurring smallpox has been eradicated from the world.” e. “Smallpox is often confused with varicella.” Rationale: A, D, E. Smallpox is highly communicable through droplet or airborne inhalation or contact with lesions. Naturally occurring cases of smallpox have been considered to be eradicated since 1979. Smallpox and varicella both present with rashes that are similar in appearance and can lead to possible misdiagnosis. 10. An occupational health nurse is providing teaching to a group of clients about the risks of the work environment. Which of the following actions is the nurse performing? a. Case management b. Secondary prevention c. Tertiary prevention d. Primary prevention Rationale: D. This nursing action is an example of primary prevention of accidents in the workplace. The goal of secondary prevention is to detect levels of disease in a population and refer people for treatment. An example of secondary prevention is a hearing screening program that is indicated due to the excessive noise in the work environment. An example of tertiary prevention is working with members of the population who have diabetes to decrease the number of workdays lost due to complications. 11. A nurse on a bioterrorism committee is developing a brochure to increase public awareness about the threat of inhalation anthrax. Which of the following information should the nurse plan to include in the brochure? a. An immunization for inhalation anthrax is recommended for administration to children. b. Clients who have manifestations of inhalation anthrax will need antibiotic treatment for 60 days. c. The initial manifestations of inhalation anthrax include an itchy skin lesion that blisters and scabs. d. Clients exposed to housemates who have anthrax must receive prophylactic treatment. Rationale: B. Anthrax is an infectious disease caused by a spore-forming bacterium called Bacillus anthracis. Infection in humans most often involves the skin (cutaneous anthrax), the gastrointestinal tract, or the lungs (inhalation anthrax). After infection, anthrax is treated with antibiotics for 60 days. Success of the treatment is dependent on how long the client has had the infection prior to beginning treatment and the type of anthrax. ...................CONTINUED [Show More]

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