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ATI Capstone Leadership & Community Health |
Verified Questions, Correct Answers & High-Yield
Rationales||Verified Exam!!
When using the airway, breathing, circulation approach to
client care, the nurse determines that the priority risk is
airway obstruction. Burns of the head, neck, and chest
often involve damage to the pulmonary tree due to heat as
well as smoke and soot inhalation. This can result in
severe respiratory difficulty. Nursing measures to maintain
a patent airway should take priority in this client's care.
A nurse is among the first responders to a mass-casualty
incident and does not know what type of personal
protective equipment (PPE) is needed. Which of the
following actions should the nurse take?
Wait until the type of equipment needed is known.
Decontaminate victims before intervening.
Choose the highest level of protection equipment
available.
Use a dosimeter to measure the level of radiation in the
area before intervening. - Answers-Choose the highest
level of protection equipment available;
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When the level or type of PPE is unknown, the nurse
should wear the highest level of protection.
A community health nurse is reviewing the levels of
disease prevention. Which of the following activities is an
example of tertiary prevention?
Providing treatment for clients who have chronic
obstructive pulmonary disease
Performing screening for sexually transmitted infections
Administering influenza immunizations at a local health fair
Testing new nurses for exposure to tuberculosis. -
Answers-Providing treatment for clients who have chronic
obstructive pulmonary disease;
Tertiary prevention reduces complications and disabilities
experienced by clients who already have a medical illness.
A nurse is teaching a newly licensed nurse about methods
to reduce costs of client care. Which of the following
statements by the newly licensed nurse indicates
understanding of the teaching?
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"I should wait to empty my client's drainable colostomy
until it is three-fourths full."
"I should delegate providing closed irrigation to the
assistive personnel (AP)."
"I should encourage clients to receive an annual flu
immunization."
"I should recommend that my clients who have an
established tracheostomy use sterile technique at home to
provide ostomy care." - Answers-"I should encourage
clients to receive an annual flu immunization.";
Cost containment is the delivery of effective and efficient
care. Cost is maintained without loss of quality. The nurse
should encourage clients to receive an annual flu
immunization to prevent the need for treatment and
hospitalization necessary with influenza.
A nurse is planning care for a client who has hepatitis B.
Which of the following interventions should the nurse
include in the plan?
Administer antibiotics.
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Provide a diet high in fat.
Restrict fluids.
Encourage short periods of ambulation. - Answers-
Encourage short periods of ambulation;
The nurse should encourage a client who has hepatitis B
to alternate between activity and rest.
A nurse overhears two assistive personnel (AP) from the
medical-surgical unit discussing a hospitalized client while
in the cafeteria. Which of the following is the priority
nursing action?
Quietly tell the APs that this is not appropriate.
Ask the nurse manager to provide an inservice program
about confidentiality to the staff on the unit.
Complete an incident report.
Document the occurrence in a personal log. - Answers-
Quietly tell the APs that this is not appropriate;
The nurse has a professional duty to protect the client's
confidential information. When using the urgent vs.
ATI Capstone Leadership & Community Health |
Verified Questions, Correct Answers & High-Yield
Rationales||Verified Exam!!
When using the airway, breathing, circulation approach to
client care, the nurse determines that the priority risk is
airway obstruction. Burns of the head, neck, and chest
often involve damage to the pulmonary tree due to heat as
well as smoke and soot inhalation. This can result in
severe respiratory difficulty. Nursing measures to maintain
a patent airway should take priority in this client's care.
A nurse is among the first responders to a mass-casualty
incident and does not know what type of personal
protective equipment (PPE) is needed. Which of the
following actions should the nurse take?
Wait until the type of equipment needed is known.
Decontaminate victims before intervening.
Choose the highest level of protection equipment
available.
Use a dosimeter to measure the level of radiation in the
area before intervening. - Answers-Choose the highest
level of protection equipment available;
,2|Page
When the level or type of PPE is unknown, the nurse
should wear the highest level of protection.
A community health nurse is reviewing the levels of
disease prevention. Which of the following activities is an
example of tertiary prevention?
Providing treatment for clients who have chronic
obstructive pulmonary disease
Performing screening for sexually transmitted infections
Administering influenza immunizations at a local health fair
Testing new nurses for exposure to tuberculosis. -
Answers-Providing treatment for clients who have chronic
obstructive pulmonary disease;
Tertiary prevention reduces complications and disabilities
experienced by clients who already have a medical illness.
A nurse is teaching a newly licensed nurse about methods
to reduce costs of client care. Which of the following
statements by the newly licensed nurse indicates
understanding of the teaching?
,3|Page
"I should wait to empty my client's drainable colostomy
until it is three-fourths full."
"I should delegate providing closed irrigation to the
assistive personnel (AP)."
"I should encourage clients to receive an annual flu
immunization."
"I should recommend that my clients who have an
established tracheostomy use sterile technique at home to
provide ostomy care." - Answers-"I should encourage
clients to receive an annual flu immunization.";
Cost containment is the delivery of effective and efficient
care. Cost is maintained without loss of quality. The nurse
should encourage clients to receive an annual flu
immunization to prevent the need for treatment and
hospitalization necessary with influenza.
A nurse is planning care for a client who has hepatitis B.
Which of the following interventions should the nurse
include in the plan?
Administer antibiotics.
, 4|Page
Provide a diet high in fat.
Restrict fluids.
Encourage short periods of ambulation. - Answers-
Encourage short periods of ambulation;
The nurse should encourage a client who has hepatitis B
to alternate between activity and rest.
A nurse overhears two assistive personnel (AP) from the
medical-surgical unit discussing a hospitalized client while
in the cafeteria. Which of the following is the priority
nursing action?
Quietly tell the APs that this is not appropriate.
Ask the nurse manager to provide an inservice program
about confidentiality to the staff on the unit.
Complete an incident report.
Document the occurrence in a personal log. - Answers-
Quietly tell the APs that this is not appropriate;
The nurse has a professional duty to protect the client's
confidential information. When using the urgent vs.
