ATI COMMUNITY PROCTORED EXAM

1.A Community health nurse is providing teaching about nutrition guidelines to a group

adolescents. Which of the following Information should the nurse include in teaching ? A.

Adolescents have a decrease need for calcium due to high milk intake

B appetite naturally increases during the Adolescent years

C 75% of adult bone mass is developed during the Adolescent years

D empty calories provide 70% of the total calories consumed by adolescents

2.An occupational health nurse is caring for a client who does not speak the same language

as the nurse. Which of the following actions should the nurse take first?

1. Validate the clients Understanding of communicated information

3. Use common words and phrases when

speaking to the client

4. Obtain a translator that is the same gender

3.A case manager is caring for a client who is being discharged following total hip arthroplasty.

Which of the following actions is an example of the nurse functioning in The Negotiator role.

1. providing social service with the list of needed referrals

2. reporting safety concerns to the Home Health agency

3.

4. schedule appointments for physical

therapy services

4. A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing.

Which of the following clients should the nurse manager include as an example of a client who

might manifest a false positive reading.

A client who has lived in a country where tuberculosis is endemic

B a client who has undergone radiation therapy within last 3 years

C a client who has acquired immune deficiency syndrome

D. a client who has received the Bacille Calmette-Guerin vaccine within the last 10 years

5.A school nurse is planning primary prevention activities for the new school year. Which of

the following should the nurse include ? Select all that apply

1.

2. recommending a seating arrangement for a child in a body cast

3.

4.Create a plan of care

for children who have a

diagnosis of diabetes mellitus

5.

6 A recently hired occupational health

nurse is assessing hazards in the work environment.

2. determine the client's primary language

discuss payment options with various

pharmacies

teaching a class about the risks of cigarette

smoking

Lobbying 4 funding for health promotion

efforts

Organizing a program to promote skateboard

safety

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Which of the following actions will help the nurse detect physical hazards?

1. Identify industrial toxins that are present in the environment

2.

3. track rates of illness caused

by infection among employees

4. survey workers about job-related emotional stress

7.Hospice nurse is planning care for a client who follows traditional American Indian practices.

Which of the following actions should the nurse take?

1. Discuss safe use of herbal medications

2. provide direct eye contact when communicating with the client's family

3. face the clients bed towards the east

4. develop a list of appropriate hot and cold food choices

8.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 event experienced by the veterans

3

4. change the meeting sites frequently

9.A group of technicians from a local automotive repair shop presents to an urgent care clinic

with reports of dizziness, headaches, and nausea. After Providing need to care for the clients

which of the following government agencies should the nurse notified to follow up on these

report ?

1.OSHA

2. Center for Disease Control

3. Environmental Protection Agency

4 Department of Health and Human Services

10A nurse is providing teaching to a 50 year old female client. Which of the following

statement should the nurse include in teaching?

1. You should have your fasting blood glucose level checked every 6 years

2. You should have your hearing screen every 5 years

3. you should have complete eye examination every two years until the age of 64

4. you should have your stool tested for blood every other year until the age of 74

11.A nurse is caring for a client who asks, “can I decide not to continue with chemotherapy?”

The nurse responses, this is your choice, and I'll support whatever decision you make. The

nurses response is example of which of the following ethical principles?

1.beneficence

measure noise levels at various locations in the facility

. teach the clients to practice deep breathing exercises

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2.Nonmaleficence

3.Veracity

4.autonomy

12.A nurse manager that clinic is reviewing the preventive services offered to clients. Which of

the following activities should the nurse identify as secondary prevention activity?

1. Advocate 4 laws that prohibit texting while driving

2

3. refer a client who is recovering from substance abuse

disorder to a social service program

4. and hers are pregnant client to participate in prenatal care

13 .An occupational health nurse is discussing how promotion with a client who has a history of

obesity. Which of the following comment indicates the client is using rationalization as a coping

mechanism?

1.

2. I know you don't like me because I'm obese

3. I have lots of health problems from being obese

4. I have difficulty resisting the items in vending machine

14.A home health nurse is evaluating an older client. Which of the following assessment findings

should the nurse report as a possible indicator of elder abuse?

1. The client attends Alcoholics Anonymous meetings

2. the client exhibits extreme thirst

3. the client receives in home meal delivery

4. The client reports that his son no longer visits

15. A nurse in a Health Department is participating in immunization clinic. The nurse should

identify that which of the following children requires an alteration in the standard immunization

schedule?

1.An 18 month old toddler who has failure to thrive

2. a three year old toddler has leukemia

3. a four-month-old infant who has Down syndrome

4. a 12 month old infant who has sickle cell disease

16.The partner of an older adult client who has Alzheimer's disease reports that he is not eating.

The home health aide tells the nurse that the client partner refuses to assist the client with

feeding. The partner insist that the client feed himself without help. Which of the following is the

priority action of the nurse should take?

1.

2. Refer the clients partner to an Alzheimer's support group

3. arrange for meals-on-wheels assistance

4. Direct the home health aide to assist with meals

. provide a smoking cessation

class

I am obese because it is in my genes

Determine the client's ability to self

feed

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