ATI RN
ATI Community Health Proctored Exam 2019
1. The appropriate order of steps in active management of the third stage of labor include:
- A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
- B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
- C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
- D. Controlled cord traction, fundal massage and oxytocin
Correct answer: C
Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.
2. What procedure is performed prior to a blood transfusion to detect incompatibilities?
- A. Grouping and crossmatching
- B. Complete blood count
- C. D-dimer test
- D. Blood clotting test
Correct answer: A
Rationale: Grouping and crossmatching is the procedure performed prior to a blood transfusion to determine the blood type and identify any potential incompatibilities between the donor and recipient. This process involves testing the recipient's blood for ABO and Rh antigens and crossmatching it with the donor's blood to ensure compatibility and prevent adverse reactions during the transfusion. Complete blood count, D-dimer test, and blood clotting test are other laboratory tests that serve different purposes and are not specifically done to detect incompatibilities prior to blood transfusion.
3. Which term refers to trained community health workers or health auxiliary volunteers?
- A. Village health workers
- B. Barangay health workers
- C. All of the above
- D. None of the above
Correct answer: A
Rationale: Village health workers are individuals who have received training to provide health services within their community. Therefore, the correct term that refers to trained community health workers or health auxiliary volunteers is 'Village health workers.' Barangay health workers may also exist, but the specific term mentioned in the question is 'Village health workers,' making option A the correct choice.
4. Which of the following is not considered one of the four cornerstones or pillars in primary health care?
- A. Active community participation
- B. Support mechanisms made available
- C. Use of appropriate technology
- D. Inter-sectoral linkages only
Correct answer: D
Rationale: The four cornerstones of primary health care are active community participation, support mechanisms made available, and the use of appropriate technology. Inter-sectoral linkages, while important, are not part of the four core pillars in primary health care.
5. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?
- A. Bronchoscopy
- B. Tracheostomy
- C. Thoracentesis
- D. Underwater seal drainage
Correct answer: B
Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.
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