ATI Community Health 2019 Version 2

1. A home health nurse is visiting a client who has right-sided weakness

following a recent stroke. The client states, “I’m not sure how I will buy

my groceries since I can’t go back to work.” Which of the following

actions should the nurse take?

a. Provide the client information about respite care.

b. Initiate a referral for the client to a social worker.

c. Contact friends and neighbors to ship for the client.

d. Offer to bring groceries to the client on a regular basis.

2. A case manager is performing discharge planning for a client who

experienced a traumatic leg amputation and has a new prosthesis.

Which of the following assessments should the nurse identify as the

priority?

a. Determine whether the client is eligible to go to a skilled nursing

facility.

b. Collaborate with a prosthetist to teach the client about care of the

prosthesis.

c. Evaluate the client’s home environment.

d. Ask whether the client’s insurance will cover home health services.

3. A hospice nurse is concerned that the partner of a client is experiencing

caregiver burden. Which of the following actions should the nurse take

first?

a. Suggest an assistive personnel visit daily to provide client care.

b. Encourage the partner to invite family members to assist with client

care.

c. Teach the partner about getting enough rest.

d. Explore possible solutions with the partner.

4. A home health nurse is performing a home safety evaluation for a newly

admitted client. Which of the following findings requires action by the

nurse? (SATA)

a. The floors of the house are carpeted.

b. The water heater is set at 54.4ºC (130ºF).

c. A red light is kept on in the bedroom at night.

d. An extension cord extends across the floor of the living room.

e. A rubber-backed bath mat is on the floor outside the shower.

5. A nurse at a health department is discussing regulations regarding STIs

during a staff education session. Which of the following statements by a

staff member indicates an understanding of the information?

a. “Congress mandates the requirements for STI reporting.”

b. “Clients who have STIs are legally required to provide a list of sexual

partners.”

c. “Nurses should withhold the name of the client who has an STI

during partner notification.”

d. “State health departments report selected STIs to the National

Institutes of Health.

6. A school nurse is implementing health screenings. Which of the

following assessment findings should the nurse recognize as the highest

priority?

a. An Adolescent who has psoriasis

b. A child who has nits

c. A child who has a BMI of 18

d. An adolescent who has scoliosis

7. A faith community nurse is preparing to meet with the family of an

adolescent who has leukemia. Which of the following actions should the

nurse plan to take?

a. Focus the discussion on the adolescent’s future career plans.

b. Direct communication to the parents to avoid embarrassing the

adolescent.

c. Determine how the adolescent’s health has affected family roles.

d. Ask another family from the same faith congregation to attend the

meeting for support.

8. A case manager in a rehabilitation facility is discussing discharge plans

with a client who has a pressure injury and requires a special bed at

home. Which of the following statements should the nurse make first?

a. “Apply moisture barrier ointment three times a day.”

b. “Eat a balanced diet with high-protein snacks.”

c. “A social worker can help you with the cost of supplies.”

d. “Describe the place where you are currently living.”

9. A community health nurse encounters a client who has a suspected

bioterrorism-related illness. Which of the following actions should the

nurse take?

a. Report the client’s condition to the Federal Bureau of Investigation.

b. Move the client to a quarantine area.

c. Don personal protective equipment.

d. Disinfect contaminated areas of skin with isopropyl alcohol.

10. A case manager is planning home health care for a client who has a

major burn injury. Which of the following interventions should the case

manager plan to make?

a. Deliver family counseling to members of the client’s household.

b. Administer personal care with bathing, dressing, and meal

preparation for the client.

c. Assess the client’s need for wound care supplies.

d. Provide physical and occupational therapy for the client in her home.

11. A community health nurse is teaching a group of older adult clients

about hypertension. The nurse should identify which of the following as

a client-related barrier to learning?

a. Low literacy

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b. Fear of public speaking

c. Limited experience

d. Lack of credibility

12. A home health nurse is educating a client who has COPD and is to start

using home oxygen via nasal cannula. Which of the following statements

should the nurse identify as an indication that the client understands the

teaching?

a. “I should apply petroleum jelly to the nasal cannula prongs to

prevent irritation.”

b. “I should keep the oxygen delivery system at least 3 feet from a

hearing vent.”

c. “I should use wool blankets on my bed when I’m using the oxygen.”

d. “I should check the flow rate of my oxygen each day.”

13. A community health nurses planning an educational program for a group

of women who are postmenopausal. Which of the following outcomes is

appropriate for this program?

a. Clients will significantly decrease caloric intake.

b. Clients will arrange for mammograms every 3 years.

c. Clients will schedule bone density screenings.

d. Clients will start hormone replacement therapy.

14. A home health nurse is preparing to teach the family of a client who has

a new diagnosis of HIV about infection control. Which of the following

factors should the nurse identify as an educator-related barrier to

learning?

a. Reliance on written notes during the teaching session

b. Previous experience teaching HIV management courses

c. Use of educational materials in written and video format

d. Use of humor to deal with disruptive behavior

15. A home health nurse is caring for a client who has methicillin-resistant

Staphylococcus aureus. Which of the following actions should the nurse

take?

a. Encourage the client to use a HEPA filter in the house.

b. Wear a mask when within 3 feet of the client.

c. Double-bag soiled dressings in polyethylene bags.

d. Remove fresh flowers from the client’s home.

16. A nurse is providing teaching to a newly licensed the nurse about

secondary prevention strategies related to violence and abuse. Which of

the following strategies should the nurse include in the teaching?

a. Assess clients for withdrawal and passivity during home health visits.

b. Teach a parenting skills class at a child development center.

c. Coordinate a personal defense program at a local agency.

d. Refer clients to the appropriate community agency if signs of abuse

are evident.

17. A school nurse is discussing stress management techniques with a

group adolescents. Which of the following activities by an adolescent

should the nurse identify as the priority?

a. Staying up all night partying online video games

b. Scratching or piercing the skin

c. Talking about others on social media

d. Listening to loud music for several hours

18. A public health nurse is developing protocols to use in emergency

shelters following a disaster. Which of the following interventions should

the nurse include as a secondary prevention strategy for clients who

survive a disaster?

a. Publishing a listing of shelter locations in local media sources

b. Providing age-appropriate activities for shelter residents

c. Compiling resources available to transition individuals from shelters

to a home

d. Interviewing shelter residents to determine the effectiveness of

coping behaviors

19. A home health nurse is discussing electrical hazards with a client. Which

of the following statements should the nurse include?

a. “You should limit your use of extension cords.”

b. “You should secure extension cords with clear packing tape.”

c. “You should pull on the cord when unplugging items.”

d. “You should cover electrical cords with an area rug.”

20. 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.?

a. Assessing a family for marital discord

b. Conducting counseling for at-risk parents

c. Teaching parenting techniques to new parents

d. Providing treatment for young adult who has a substance use

disorder

21. A community health nurse is teaching a group of clients about available

resources to assist with recovery following a stroke. Which of the

following resources should the nurse recommend for clients who are

experiencing dysphagia?

a. Restorative aide

b. Occupational therapist

c. Speech-language pathologist

d. Physical therapist

22. A nurse working in an infectious disease clinic is caring for a client who

has a new diagnosis of Lyme disease. Which of the following agencies is

responsible for voluntarily reporting cases of this disease to the Centers

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