ATI RN
ATI Community Health Nursing Ch 7
1. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?
- A. Apply warm blankets & continue oxygen as prescribed
- B. Take the patient's rectal temperature
- C. Page the doctor for further orders
- D. Adjust the thermostat in the room
Correct answer: A
Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.
2. Which of the following is an example of a social determinant of health?
- A. Genetic predisposition
- B. Personal health behaviors
- C. Biological factors
- D. Economic stability
Correct answer: D
Rationale: Economic stability, like having a stable income, is a crucial social determinant of health that can significantly influence an individual's overall well-being. Access to economic resources can affect a person's ability to afford healthcare, nutritious food, safe housing, and other essentials that are vital for good health outcomes.
3. Which of the following is an example of a health disparity?
- A. Differences in health outcomes based on geographic location
- B. Differences in health outcomes based on socioeconomic status
- C. Differences in health outcomes based on age
- D. Differences in health outcomes based on genetic factors
Correct answer: B
Rationale: A health disparity refers to differences in health outcomes based on socioeconomic status, indicating unequal access to healthcare services and variations in health outcomes due to economic factors.
4. Which action represents a primary prevention strategy?
- A. Educating children on the importance of handwashing
- B. Administering vaccines to prevent disease
- C. Screening for early signs of disease
- D. Providing treatment for acute illnesses
Correct answer: B
Rationale: Administering vaccines is a primary prevention strategy because it aims to prevent diseases before they occur by providing immunity against specific pathogens. Educating children on handwashing is important for preventing infections but falls under health promotion rather than primary prevention. Screening for early signs of disease and providing treatment for acute illnesses are considered secondary and tertiary prevention strategies, respectively, as they aim to detect and treat diseases that have already developed to prevent further complications.
5. What is the drug of choice for progressive multiple sclerosis?
- A. Ocrelizumab
- B. Dimethyl fumarate
- C. Teriflunomide
- D. Fluoroquinolones
Correct answer: A
Rationale: Ocrelizumab is the drug of choice for progressive multiple sclerosis due to its efficacy in reducing disease activity and progression in patients with this form of the disease. Dimethyl fumarate, Teriflunomide, and Fluoroquinolones are not typically used as first-line treatments for progressive MS.
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