ATI RN
ATI Community Health Nursing Ch 7
1. Paralysis of all or part of the trunk, legs, and pelvic organs is referred to as:
- A. Hemiplegia
- B. Tetraplegia
- C. Paraplegia
- D. Hemiparesis
Correct answer: C
Rationale: Paraplegia is the paralysis of the lower half of the body, including both legs and often the trunk and pelvic organs. Hemiplegia refers to paralysis affecting one side of the body, while tetraplegia involves paralysis of all four limbs and the trunk. Hemiparesis is a partial weakness affecting one side of the body.
2. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:
- A. Change the medication to the second-line antibiotics
- B. Advise the mother to observe the child and continue giving the antibiotics
- C. Give the first dose of antibiotics and refer urgently
- D. Observe the child at the center
Correct answer: C
Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.
3. What is the most important factor in planning a community health intervention?
- A. Availability of funding
- B. Understanding the community’s needs
- C. Identifying health trends
- D. Engaging health professionals
Correct answer: B
Rationale: Understanding the community’s needs is the most important factor in planning a community health intervention. It ensures that the intervention is tailored to address the specific health concerns and requirements of the community, leading to more effective and sustainable outcomes.
4. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?
- A. Awaken the client every two (2) hours.
- B. Monitor for increased intracranial pressure.
- C. Observe frequently for hypervigilance.
- D. Offer the client food every three (3) to four (4) hours.
Correct answer: A
Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.
5. What are stressful occurrences referred to as?
- A. Health deficit
- B. Health threats
- C. Health need
- D. Foreseeable crisis
Correct answer: D
Rationale: Stressful occurrences are known as foreseeable crises. These are situations that can be anticipated or expected to bring about stress or challenges.
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