RN ATI Proctored Community

Free preview · Original latest version

Sample questions from RN ATI Proctored Community

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At a county health department, a 56-year-old client with diabetes reports a new foot blister. The client is afebrile, has a blood glucose of 218 mg/dL, and says, "I cannot afford the wound clinic." Which action should the nurse take first?

   • A.Assess the blister and the client's access to supplies, then connect the client with available community resources
   • B.Tell the client to apply an over-the-counter antibiotic ointment and keep the foot covered
   • C.Document the concern and refer the client to an emergency department
   • D.Advise the client to wait until the next scheduled primary care appointment

   Rationale: Assessing the wound and barriers identifies the immediate clinical need and supports a feasible referral to local low-cost services. Waiting risks worsening infection, and recommending treatment without assessment may be unsafe. An emergency referral is not indicated by the current cues unless assessment reveals urgent findings.

2. 2.During a home visit, a 78-year-old client with heart failure has gained 2.3 kg (5 lb) in 3 days and reports increased shortness of breath when walking. The client's BP is 148/86 mm Hg, HR 96/min, RR 22/min, and SpO2 93% on room air. Which action is the priority?

   • A.Recommend that the client stop taking the prescribed diuretic
   • B.Notify the primary care provider of the rapid weight gain and change in symptoms
   • C.Schedule a routine follow-up visit in 2 weeks
   • D.Instruct the client to increase fluid intake

   Rationale: Rapid weight gain and worsening dyspnea suggest fluid retention and require prompt clinical follow-up. Increasing fluids or stopping the diuretic could worsen the condition. A routine appointment in 2 weeks delays evaluation of a significant change.

3. 3.Refer to the client's chart. Which actions should the community health nurse take now to coordinate care for this client? Select all that apply.

   • A.Arrange a same-day assessment for possible preeclampsia
   • B.Reassure the client that ankle swelling is expected and no follow-up is needed
   • C.Recommend that the client take an extra dose of an antihypertensive without an order
   • D.Contact the primary care provider about the rising blood pressure and headache
   • E.Review warning signs that require emergency evaluation

   Rationale: The rise in blood pressure with persistent headache at 34 weeks warrants prompt evaluation and communication with the provider. Teaching emergency warning signs supports timely care; expected edema alone would not explain the concerning change. Reassurance without follow-up and an unauthorized extra medication dose are unsafe.

4. 4.At a community clinic, a 4-year-old child's parent asks the nurse to share the child's immunization record with a preschool. The parent has not signed a release, and no law or court order requires disclosure. What should the nurse do?

   • A.Send the record because the preschool is responsible for child safety
   • B.Release only the dates of vaccines because they are not confidential
   • C.Obtain the parent's written authorization before releasing the record
   • D.Ask the preschool director to call the clinic for the information

   Answer and rationale are in the full material.

5. 5.At change of shift in a public health clinic, a registered nurse is assigning tasks to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which task is appropriate to delegate to the UAP?

   • A.Teach a newly diagnosed client how to use an insulin pen
   • B.Evaluate whether a client's wound is healing
   • C.Assess a client reporting new chest pressure
   • D.Obtain routine height and weight measurements for a stable 10-year-old client

   Answer and rationale are in the full material.