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Exam (elaborations)

ATI Proctored COMMUNITY HEALTH, ATI Community Health Proctored Exam

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A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (SATA) A) Bradycardia B) Nausea C) Hypertension D) Urticaria E) Stridor - correct answer B) Nausea D) Urticaria E) Stridor A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take when providing oral care for the client? A) Test for the presence of the clients gag reflex B) Place the client in the supine position C) Use a firm toothbrush for tooth and gum care D) Use 2 gauze-wrapped fingers to hold the mouth open - correct answer A) Test for the presence of the clients gag reflex A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm^3. Which of the follow interventions should the nurse include? A) Avoid IM injections B) Assess the client for ecchymosis once per shift C) Do not allow the client to have visitors D) Encourage daily flossing between teeth - correct answer A) Avoid IM injection A nurse is preparing to assess the function of the clients trigeminal nerve (cranial nerve V). Which of the following items should the nurse gather for the test?

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ATI Proctored COMMUNITY HEALTH, ATI Community Health Proctored Exam
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and
the nurse notes that the child is allergic to insect stings. Which of the following findings should
the nurse expect if the child develops anaphylaxis? (SATA)


A) Bradycardia
B) Nausea
C) Hypertension
D) Urticaria
E) Stridor - correct answer B) Nausea
D) Urticaria
E) Stridor
A nurse is caring for a client who is unconscious. Which of the following actions should the
nurse take when providing oral care for the client?


A) Test for the presence of the clients gag reflex
B) Place the client in the supine position
C) Use a firm toothbrush for tooth and gum care
D) Use 2 gauze-wrapped fingers to hold the mouth open - correct answer A) Test for the
presence of the clients gag reflex
A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count
of 48,000/mm^3. Which of the follow interventions should the nurse include?


A) Avoid IM injections
B) Assess the client for ecchymosis once per shift
C) Do not allow the client to have visitors
D) Encourage daily flossing between teeth - correct answer A) Avoid IM injection
A nurse is preparing to assess the function of the clients trigeminal nerve (cranial nerve V).
Which of the following items should the nurse gather for the test?

,A) Sugar
B) Coffee
C) Cotton wisps
D) Snellen chart - correct answer C) Cotton wisps
A nurse is caring for a client with alcohol use disorder who has undergone detoxification. Which
of the following medications should the nurse expect the provider to prescribe to assist the
client with maintaining sobriety


A) Varenicline
B) Clonidine
C) Buprenorphine
D) Disulfiram - correct answer D) Disulfiram
A newly admitted client who has major depressive disorder states to the nurse, "I'm a failure, I
can't even cope with the little things anymore." Which of the following responses should the
nurse provide?


A) "What happened in your life to make you feel like such a failure?"
B) "It sounds as if you are feeling pretty overwhelmed right now"
C) "Do you feel like you don't deserve to feel good about yourself?"
D) "I know you feel like that now, but you'll feel differently when you get better" - correct
answer C) "Do you feel like you don't deserve to feel good about yourself?"
A nurse is caring for a middle-aged adult client. The nurse should identify which of the following
statements as an indication that the client has completed Eriksons developmental task for her
age group?
A) "I am comfortable with my decision to choose a lifelong partner."
B) "I think I have done a good job with my children since they are all independent now."
C) "As I look back over my life, I can see that I have achieved most of the goals I set for myself."
D) I love my work so much that it's difficult to think about retirement." - correct answer B) "I
think I have done a good job with my children since they are all independent now."

, A nurse is conducting an admission interview with a client. Which of the following pieces of
assessment information should the nurse collect during the introductory phase of the
interview?"
A) Clients level of comfort and ability to participate in the interview
B) Previous illnesses and surgeries
C) Events surrounding the clients recent illness
D) Sociocultural history - correct answer A) Clients level of comfort and ability to participate in
the interview
A nurse is planning to assess the abdomen of a client who reports feeling bloated for several
weeks. Which of the following methods of assessment should the nurse use first?
A) inspection
B) Auscultation
C) Percussion
D)Palpation - correct answer A) Inspection
A nurse is performing a comprehensive physical assessment of a client. The nurse should use
inspection to assess which of the following?
A) Liver size
B) Pedal edema
C) Skin texture
D) Gait - correct answer D) Gait
A nurse is caring for a client who is immobile. The nurse should recognize that immobility places
the client at risk of which of the following health alterations?
A) Increased intestinal motility
B) Respiratory alkalosis
C) Decreased cardiac output
D) Hypocalcemia - correct answer C) Decreased cardiac output
A nurse is preparing to perform mouth care for an unresponsive client. Which of the following
actions should the nurse plan to take?
A) Place the client supine

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