ATI Community Health Proctored Exam (7 Latest Versions) - 115 Pages ( Download Link available below )
4. a community health nurse is planning an educational program for a group of women
who are postmenopausal. which of the following outcomes is appropriate for this program?
1. clients will schedule bone density screening
2. clients will arrange for mammograms every 3 years
3. clients will start hormone replacement therapy
4. clients will significantly decrease caloric intake
5. a nurse is working with a care manager for a client who participates in a health
maintenance organization. the nurse should identify that a health maintenance
organization provides which of the following payment structures.
1. the client is participating in a fee for service health care insurance program
2. the provider is paid a fixed sum for the client on a monthly or yearly basis
3. the client pays the insurer a percentage of the total costs for each service rendered by
the provider
4. the provider bills the client directly for a predetermined percentage of the cost of services
6. a client who has diabetes mellitus asks a home health nurse to help her adapt some of her
traditional cultural foods to fit her meal plan. which of the following is the first action the
nurse should take when assisting this client?
1. provide the client with a printed recipe
2. observe the client during preparation of traditional foods
3. use cookbooks to include traditional foods in meal plans
4. explain diabetes exchange list
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7. a home health nurse manager is caring for a client who has methicillin resistant
staphylococcus aureus. which of the following actions should the nurse take?
1. remove fresh flowers from the client’s home
2. wear a mask when within 3 feet of the client
3. encourage the client to use a hepa filter in the house
4. double bag soiled dressing in polyethylene bags.
8. an occupational health nurse is discussing health promotion with a client who has a
history of obesity. which of the following comments indicates the client is using
rationalization as a coping mechanism?
1. i have lots of health problems from being obese
2. I am obese it’s in my genes
3. i have difficulty resisting the items in vending machines
4. i know you don’t like me because i am obese
9. a nurse is conducting a community assessment. which of the following information
should the nurse include as part of the windshield survey?
1. demographic data
2. mortality rate
3. informant
interviews 4. housing
quality
10. a community health nurse is educating a parent about the importance of hepatitis B
immunization. which of the following explanations should the nurse give the parent about
the disease?
1. one dose of the immunization gives children lifelong protection from hepatitis B
2. hepatitis B spreads easily among children through casual contact
3. many people who acquire acute hepatitis B develop chronic hepatitis
4. people who have had a hepatitis B infection still need the immunization
11. a first response team isworking at the location of a bombing incident. a nurse triaging a
group of clients should give treatment priority to which of the following clients.
1. a client who has superficial partial thickness burn injuries over 5% of his body
2. a client who has a femur fracture with a 2+ pedal pulse
3. a client who is ambulatory andexhibits manic behavior
4. a client who has a rigid abdomen with manifestations of shock.
12. a nurse is working with a community health care team to devise strategies for
preventing violence in the community. which of the following interventions is an example of
tertiaryprevention?
1. presenting community education programs about stress management
2. developing resources for victims of abuse
3. urging community leaders to make nonviolence a priority
4. assessing for risk factors of intimate partner abuse during health examinations
13. public health nurse take
1. alert the family members of coworkers about possible exposure to anthrax
2. place the employee under quarantine for 14 days
3. refer coworkers who might have been exposed to a provider for prophylactic
antibiotics
4. instruct the client to wear a mask at work
14. a community health nurse is providing teaching to a group of clients who have alcohol
use disorder. which of the following findings should the nurse include in the teaching as a
manifestation of alcohol withdrawal?
1. bradycardia
2. hypothermia
3. increased
appetite 4.
insomnia
15. a nurse is caring for a client who is homeless. which of the following actions should the
nurse take first?
1. determine the clients understanding of her living situation
2. assist the client to develop goals for obtaining shelter
3. discuss the risks of being homeless with the client
4. develop client teaching using a variety of strategies
16. a community health nurse observes the accumulation of garbage at a neighborhood
playground. which of the following actions should the nurse take first to promote a clean
and safe environment?
1. meet with community members to discuss methods of playground maintenance
2. partner city officials with community members to improve the playground condition
3. work with local businesses to sponsor more trash receptacles in the playground
4. engage neighborhood families to monitor the playground for further trash buildup
17. a nurse in a mobile health clinic is caring for a client who requires a tetanus
immunization and is accompanied by his daughter. the client does not speak the same
language as the nurse. which of the following actions should the nurse take?
1. have the client’s daughter communicate information about the procedure
2. arrange for a member of the client’s community to interpret the
teaching 3. identify the clients spoken dialect prior to contacting an
interpreter
4. use professional terminology when providing education prior to the procedure
18. a nurse at a local health department is caring for several clients. which of the following
infections should the nurse report to the state health department?
1. chlamydia
2. herpes simplex virus
3. group B Streptococcus B hemolytic
4. human papillornavirus
19. a clinic nurse is assessing a client who has measles. which of the following findings
should the nurse expect?
1. koplik spots inside the mouth
2. persistent low grade temperature
3. muscle aches and tenderness
4. rash confined to the trunk of the body
20. a community health nurse is planning a program for adolescents about preventing
STIs. which of the following actions should the nurse take first?
1. collect data to identify barriers to learning
2. establish methods to evaluate program outcomes
3. obtain visual aids that feature adolescents
4. provide computer based education
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21. a nurse is counseling a client who has a new diagnosis of chlamydia. which of the
following information should the nurse include in the teaching? (select all that apply)
1. you should avoid sexual contact until therapy is complete
2. notify anyone with whom you have had sexual contact over the past 2 months
3. you will need to take an antiviral medication for 30 days
4. once your complete treatment you will have an acquired immunity against chlamydia
5. you might experience painful urination until the infection has resolved
22. a home health nurse is planning theinitial home visit for a client who has dementia and
lives with his adult son’s family. which of the following actions should the nurse take first
during the visit?
1. encourage the family to join a support group
2. provide the family with information about respite care
3. educate the family regarding the progression of
dementia 4. engage the family in informal conversation
23. a parrish nurse is counseling a family following a client’s recent diagnosis of heart
disease. which of the following actions should the nurse takefirst?
1. discuss the benefits of eating a well-balanced diet with the client’s family
2. assist the client and the clients partner with finding an affordable exercise program
3. offer to accompany the client and the clients partner during health care provider
visits
4. ask family members about the impact of the disease on relationships within the
family
24. a nurse is caring for a client who is having difficulty performing activities of daily
living. the nurse is functioning in which of the following roles when arranging for an
occupational therapist to visit the client.
1. Administrator
2. nurse
consultant 3. case
manager
4. clinician
25. a nurse is working in a shelter following a disaster. which of the following is the priority
action for the nurse to take?
1. create diversionary activities for children
2. address the physical needs of clients
3. help clients gather needed supplies
4. explore feelings the clients are experiencing
26. a community health nurse is planning a smoking cessation class. which of the following
factors will have the greatest effect on the success of theclass?
1. presenters teaching strategies
2.. presenter’s credibility
3. client’s motivation
4.. client’s education level
27. a home health nurse is caring for a client who has chemotherapy induced nausea that
has been resistant to relief form pharmacological measures. which of the following
interventions should the nurse initiate (select all that apply)?
1. use seasonings to enhance the flavor of foods
2. provide sips of room temperature ginger ale between meals
3. maintain the head of theclients bed in an elevated position after eating
4. offer 120 ml (4 oz.) of cold 2% milk as a meal replacement
5. assist the client in using guided imagery
28. a nurse is preparing an educational program about breastfeeding for a group of new
parents. the nurse should use which of the following instructional strategies to promote
psychomotor learning
1. review flashcards that identify holding technique with the group
2. show the group a video on breastfeeding techniques
3. facilitate a discussion group about the benefits of breastfeeding
4. provide dolls for the participants to demonstrate positioning
29. a nurse is serving on a state task force for disaster planning. the nurse is engaging in
disaster preparedness efforts when performing which of the following actions
1. implementing a disaster triage plan with a local medical facility
2. functioning as a manager at a temporary shelter
3. assisting with the identification of a biological agent
4. organizing a mass casualty drill for community members
30. a 35-year-old client who has a diagnosis of tuberculosis informs the providers office that
she is unable to pay for the treatment. which of the following actions by the nurse will
facilitate obtaining appropriate treatment?
1. help the client apply for Medicare
2. explore options for alternative therapies
3. arrange for medication through local agencies
4. send the client to the nearest facility for further evaluation
31. a public health nurse is addressing community leaders at a forum about community
improvement. the nurse should identify which of the following groups as being the fastest
growing segment of the homeless population.
1. people who have substance use disorders
2. families who have children
3. adolescent runaways
4. men who are unemployed
32. a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay
testing for hiv. which of the following information should the nurse include?
1. the test monitors progression of the disease
2. the test measures antibodies to the virus
3. the test results are accurate 24 hr. after exposure to the virus
4. a positive result requires initiating immunoglobulin administration
33. a nurse case manager is providing discharge planning for a client. the nurse is
functioning in which of the following roles when arranging for the delivery of medical
equipment to the client’s home
1. consultant
2. systems
allocator 3.
advocate
4. coordinator
34. a faith based organization asks a community health nurse to develop a mobile meal
program for older. .................................. the following actions should the nurse plan to take
first.
1. determine potential funding sources for the program
2. inquire about the availability of volunteers
3. identify alternative solutions to address
concerns 4. perform a needs assessment
35. several nurses are developing a parish nurse group to help address the primary and
secondary health care needs of the congregation. which of the following services should the
nurses plan to provide to the congregation?
1. organize an influenza immunization clinic with the American red cross
2. perform wound care in the home of members
3. provide end of life care for members who are terminal
4. facilitate discharge from the facility to the home
36. a community health nurse is caring for client in a culturally diverse community. which
of the following actions demonstrates accurate cultural knowledge about a specific cultural
group?
1. touching the hair of an AfricanAmerican client during an assessment
2. offering to shake hands when meeting anAsian client of the opposite gender
3. maintaining eye contact when interviewing a native American
client 4. including both hot and cold food items on a Hispanicclient’s
menu
37. a community health nurse is providing screening for lipid disorders. which of the
following is the primary goal of this activity?
1. early detection of disease
2. client enrollment in prevention programs
3. promotion of appropriate lifestyle changes
4. identification of family history of medical problems
38. a school nurse is implementing health screening. which of the following assessment
finding should the nurse recognize as the highest priority?
1. a child who has a BMI of 18
2. an adolescent who has scoliosis
3. an adolescent who has
psoriasis 4. a child who has nits
39. which of the following ......... should the nurse include
1. should be placed beside the child’s bed
2. house hold contacts will receive prophylactic antibiotics
3. transmission will be emitted because of herd immunity
4. the child is most contagious after the rash develops
40. a home health nurse is scheduled for a first time visit to a client. which of the following
should the nurse perform first?
1. blood pressure screening
2. mental status examination
3. review of the neighborhood
4. family history
41. in the last month three cases of tuberculosis have been referred to the health
department. which of the following is the priority information for the community health
nurse to obtain from each client?
1. demographics
2. house hold members
3. occupation
4. health history
42 a nurse is working to reduce individual and family violence in the local community.
which of the following actions by the nurse demonstrates a primary prevention strategy to
achieve this goal?
1. conducting counseling for at risk parents
2.. assessing a family for marital discord
3.. teaching parenting techniques to new parents
4. providing treatment for a young adult who has a substance use disorder
43. a newly hired occupational health nurse is assessing hazards in the work environment.
which of the following actions will help the nurse detect potential physical hazards?
1. track rates of illness caused by infection among employees
2. survey workers about job related emotional stress
3. identify industrial toxins that are present in the environment
4. measure noise levels at various locations in the facility
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44. a school nurse is planning safety education for a group of adolescents. the nurse should
give priority to which of the following topics as the leading cause of death for this age group
1. motor vehicle safety
2. sports injury prevention
3. substance abuse prevention
4. gun safety
45. a nurse of a community clinic is preparing an educational guide about cultural
variances in expression of pain. which of the following information should the nurse
include?
1. middle eastern cultural practices include hiding pain from close family members
2. native American cultural practices include being outspoken about pain
3. PuertoRican cultural practices include the view that outspoken expressions of pain
are shameful
4. Chinese cultural practices include enduring pain to prevent family dishonor
46. the partner of an older adult client who has Alzheimer’s disease reports that he is not
eating. the nurse. ...... client partner refuses to assist the client with feeding. the partner
insists the client feed himself without help. which of the priority action the nurse should
take?
1. arrange for meals on wheels’ assistance
2. determine the client’sability to self-feed
3. direct the home health aide to assist with meals
4. refer the clients partner to an Alzheimer’s support group
47. a nurse is planning priority
1. encourage enrollment and attendance at weight reduction programs
2. educate children at a day care center about nutrition and exercise
3. distribute health risk appraisal questionnaires at community functions
4. measure the BMI of older adults at a community senior center
48. a nurse working in an infectious disease clinic is caring for a client has a new diagnosis
of Lyme disease. which of the following agencies is responsible for voluntarily reporting
cases of this disease to the centers for disease control and prevention
1. office of the surgeon general
2. state health department
3. hospital infection control department
4. local red cross chapter
49. a nurse is providing teaching to a 50-year-old female client. which of the following
statements should the nurse include in the teaching?
1. you should have a complete eye examination every 2 years until the age of 64
2. you should have your hearing screened every 5 years
3. you should have your stool tested for blood every other year until the age of 74
4. you should have your fasting blood glucose level checked every 6 years
50. a nurse is discussing short and long term goals with a client who has alcohol use
disorder and is being admitted to a treatment facility. which of the following statements is
appropriate for the nurse to include in the discussion?
1. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms
during treatment
2. remaining physically active will help to minimize drowsiness and chills associated with
initial alcohol withdrawal.
3. attending Al anon meetings will help you identify a role model to assist you with
making needed changes
4. you will begin learning functional skills to replace defense mechanisms and behaviors
while in treatment
51. a nurse is assessing an outbreak of mumps among school age children. using the
epidemiological triangle. the nurse should recognize that which of the following is the host.
1. the vaccine
2. the virus
3. the school
4. the children
52. a community health nurse is working with a group of homeless veterans who have
posttraumatic stress disorder. which of the following interventions should the nurse
implement?
1. provide coffee and snacks during the meetings
2. avoid discussing the traumatic events experienced by the veterans
3. change the meetings sites frequently
4. teach the clients to practice deep breathing exercises
53. client states my life has no meaning right now.
1. have you been thinking about harming yourself
2. how long have you been feeling this way
3. tell me what is going on with you right now
4. do you really think your life has no purpose
1.
ATI Community Health
A palliative care nurse is teaching a client who has cancer about the services that are available
for the client. Which of the following statements should the nurse identify as an indication that
the client understands the teaching?
a. "If I begin palliative care, I will have to stop my chemotherapy."
b. "I can begin palliative care when I have less than 6 months to live."
c. "This type of care can help me with pain control."
d. "My family will not be involved with this type of care program."
A nurse is assessing a new client. Which of the following info should the nurse include in the
cultural portion of the assessment?
a. food preferences
b. employment status
c. hx of illness
d.sexual orientation
A nurse collecting demographic data as a part of a community assessment. Which of the
following info should the nurse include?
a. racial distribution
b. family genograms
c. number of open water sources
d. presence of condemned buildings
A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the
following actions should the nurse take first?
a. examine the client's oral mucous membranes
b. encourage the client to consume 1.2-2.0 g/kg of protein daily
c. recommend the client increase her daily calorie intake by 25%
d. teach the client about findings that should be reported to the provider
A home health nurse is caring for a client who has breast cancer. Which of the following
assessment findings should the nurse identify as an indication that the client is coping
effectively?
a. inability to concentrate
b. makes eye contact
c. excessive sleeping
d. lack of interest in food
A home health nurse is scheduling client visits for the day. Which of the following clients should
the nurse plan to visit first?
a. a client who is 10 days postop following a mastectomy and needs to have surgical staples
removed
b. a client who has DM and reports new erythema to the left foot
c. a client who has COPD and needs a follow-up visit r/t home oxygen therapy
d. a client in a hip spica cast who reports pruritus under the cast
A community health nurse is assessing a group of clients for risk factors of abusive behaviors.
Which of the following findings should the nurse identify as a risk factor for developing violent
behavior?
a. a client states he witnessed his mother physically mistreat his father
b. a client states that her mother-in-law provides childcare while she is working
c. a client participates in volunteer activities in the community
d. a client lives in the same neighborhood where he spent his childhood years
A school nurse is teaching health promotion to a group of staff members who sit at a desk and
use a comp for 8 hr at a time. Which of the following info is the priority for the nurse to include?
a. "Take a walk after work."
b. "Point and flex your toes periodically."
c. "Have your visual acuity assessed regularly."
d. "Adjust your chair so that your elbows are at desk height."
A case manager is planning an educational program for a client who has DM. Which of the
following activities should the nurse include when using the psychomotor domain of learning?
a. review a color diagram of the food pyramid with the client
b. show the client a video about how to monitor blood glucose levels
c. observe the client's technique for drawing up insulin
d. give the client a pamphlet about foot care
A nurse manager at a community health clinic is presenting an in-service for nurses about
assessing client for abuse. Which of the following statements by a nurse indicates an
understanding of the teaching?
a. "Once I determine that a client is not at risk for abuse, I do not need to ask about it at future
visits."
b. "I should not document the name of the person the client accuses of the abuse in the client's
medical record."
c. "I should wait until I see signs of physical abuse before I help the client develop a safety plan."
d. "I should refer a client for a rape kit examination if she reports sexual assault within the
previous 24 hours."
A nurse is teaching a client who has a new dx of hep A how to prevent the spread of the virus.
Which of the following instructions should the nurse include?
a. "Rinse your toothbrush with hydrogen peroxide after each use."
b. "Clean your bathroom fixtures with a chlorine bleach solution."
c. "Used shared hand towels to dry your hands after washing."
d. "Use condoms during sexual contact for 2 weeks."
A community health nurse is developing a plan of care for a client who is Hispanic. Which of the
following actions should the nurse include in the plan?
a. avoid using hand gestures when working with the client
b. use therapeutic touch during conversation
c. discourage the client from using a faith healer
d. maintain direct eye contact when speaking with the client
A nurse is conducting an educational session at an assisted living facility for a group of clients
who have osteoporosis. Which of the following statements should the nurse include in the
teaching?
a. "It is important to avoid weight-bearing exercises."
b. "Decrease your dietary intake of folate."
c. "Increase your daily intake of leafy green vegetables."
d. "It is important to spend 30 mins each day exposed to sunlight."
A hospice nurse is teaching about expected grief reactions with the fam of a client who has endstage pancreatic cancer. Which of the following info should the nurse include?
a. "It is common to experience a persistent state of sadness while grieving."
b. "Disturbances in your self-esteem is an expected grief reaction."
c. "You will feel a sense of hopelessness throughout the grieving process."
d. "A component of healthy grieving is the ability to openly express your anger."
A nurse is preparing an educational program about influenza for a group of community health
nurses. Which of the following activities should the nurse include as an example of tertiary
prevention?
a. offer classes to elementary school teachers about handwashing (2)
b. provide info to occupational nurses about the reasons for employees to not come to work (2)
c. administer antiviral meds within 48 hours to clients who have manifestations of influenza
d. provide immunizations at long-term care facilities (1)
An occupational health nurse is planning to use an interpreter during an educational session with
a group of migrant workers who do not speak the same language as the nurse. Which of the
following actions should the nurse take? SATA
a. instruct the interpreter to guide the nurse in providing info in a culturally-sensitive
manner
b. ask the interpreter to add info she feels may be necessary
c. choose an interpreter who speaks the workers' language and dialect
d. evaluate the interpreter's approach to clients prior to the educational session
e. encourage the interpreter to paraphrase the workers' questions and responses
A nurse in a rural health clinic is caring for a client who has heart failure. The client states, "I'm
not going to take any more heart medicine." Which of the following responses should the nurse
make?
a. "Why did you decide to stop your heart medicine?"
b. "Can you tell me more about your decision to stop your medicine?"
c. "Don't you know what stopping your medicine will do to your heart?"
d. "Don't you think your doc knows what's best for your heart?"
A community health nurse is planning an educational program for farmers about occupational
health risks. Which of the following risks should the nurse include?
a. resp disorders
b. DM
c. sickle cell anemia
d. HTN
A community health nurse is working to meet the health care needs of residents in a rural
community. Which of the following characteristics should the nurse identify as a barrier to health
care resources for this population?
a. less autonomy in providing client care
b. disinterest by members of the population in providing input for community health programs
c. lack of cohesiveness among community members
d. unavailability of outreach services
A community health nurse is teaching a client who is overweight about steps to take to begin an
exercise program. The nurse should identify that which of the following statements is an
indication that the client understands the teaching?
a. "I will need to purchase exercise equipment before I can start."
b. "I should try to perform aerobic exercises for 1 hr/day, 5 days a week."
c. "I will see my doc before beginning an exercise program."
d. "I should avoid participating in weight-lighting exercises."
A public health nurse is participating in a community planning committee for disaster
preparedness for a local community that is at risk for hurricanes. Which of the following info
should the nurse contribute to the plan?
a. a list of residents who have experienced a hurricane in the past and will not need evacuation
b. a list of areas within the community where residents speak English as a second language
c. how to activate the local medical facility's emergency-management plan
d. the name of the individual who is necessary to implement the plan
A nurse is providing BP screenings for older adult clients at a local community center. Which of
the following should the nurse identify as increasing a client's risk for developing HTN? a. BMI
of less than 30
b. daily walking routine
c. African American race
d. HDL level greater than 70 mg/dL
A home health nurse is planning care for the day. Which of the following clients should the nurse
visit first?