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ATI RN COMMUNITY HEALTH PROCTORED EXAMS BUNDLE | 2019 Verified exams
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ATI RN COMMUNITY HEALTH 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 i... [Show More] nclude 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 2. 2. determine the client's primary language 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. discuss payment options with various pharmacies 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. Lobbying 4 funding for health promotion efforts 2. recommending a seating arrangement for a child in a body cast 3.teaching a class about the risks of cigarette smoking 4. Create a plan of care for children who have a diagnosis of diabetes mellitus 5. Organizing a program to promote skateboard safety 6 A recently hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect physical hazards? 1. Identify industrial toxins that are present in the environment 2. measure noise levels at various locations in the facility 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. teach the clients to practice deep breathing exercises 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 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. provide a smoking cessation class 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. I am obese because it is in my genes 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. 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. Determine the client's ability to self feed 2. Refer the clients partner to an Alzheimer's [Show Less]
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ATI RN Community Health Proctored Exam 2019 A | 100% Verified
1-A community health nurse is teaching a group of adult clients about factors that influence health behaviors. Which of the following is a modifiable risk... [Show More] factor that the nurse should include in the teaching? A. Family history of diabetes B. Immunization status C. Mental illness D. Air pollution 2-A nurse on a bioterrorism committee is developing a brochure to increase public awareness about the threat of inhalation anthrax. Which of the following pieces of information should the nurse plan to include in the brochure? A. An immunization for inhalation anthrax is recommended for administration to children. B.Clients who have manifestations of inhalation anthrax will need antibiotic treatment for 60 days. C. The initial manifestations of inhalation anthrax include an itchy skin lesion that blisters and scabs. 3-A community health nurse who works in a refugee center is evaluating children who are new arrivals to the United States. An assessment of a listless 20-month-old toddler indicates that the child is in the 6th percentile for weight and the 40th percentile for height. The toddler has thin limbs, a protuberant abdomen, and dull, dry hair. This assessment should raise suspicion for which of the following conditions? A. Chronic hypoxemia B. Anemia C. Protein decit D. Fluid overload 4-A home health nurse is providing teaching about respite care to the primary caregiver of a client with Alzheimer’s disease. Which of the following pieces of information should the nurse include in this teaching? A. "Respite care refers to a community support group for family caregivers." B. "Respite care requires placing the client in an assisted living facility." C. "Respite care provides family members with temporary relief from caregiving." D. "Respite care involves daily assistance from a home health aide." 5-A charge nurse in an emergency department is informed that a tornado touched down in a nearby town, and mass casualties are on the way. Which of the following actions should the nurse take first? A. Follow facility policy to activate the disaster plan. B. Prepare the triage rooms. C. Obtain additional supplies. D. Call in off-duty staff members 6-A home health nurse is prioritizing visits for four clients. Which of the following clients should thenurse plan to visit first? A. A client who has heart failure and reports a weight loss of 2.2 kg (1 lb) over the past week B.A client who has osteoarthritis of the knees and reports joint pain when ambulating C. A client who has Alzheimer’s disease and is not able to remember the current year D. A client who has type 2 diabetes mellitus and reports a new fissure between her toes 7-A nurse is responding to a communitywide request for health care providers to assist at the scene ofan explosion. When using the North Atlantic Treaty Organization triage system, the nurse should put which of the following tags on a client who is unresponsive and has third-degree burns over 75% of her body? A. Red B. Yellow C. Green D. Black 8-Charge nurse in an emergency department receives notication of a massive explosion at a local industrial plant. More than 30 casualties from the explosion will begin arriving shortly. Which of thefollowing actions should the nurse take first? A. Activate the emergency response plan. B. Call in available personnel. C. Obtain additional supplies. D. Move current clients to hospital rooms. 9-A community health nurse at a familyplanning clinic is developing a program about adolescent sexuality. Which of the following is a developmental task of adolescence according to Erikson’s theory ofpsychosocial development? A. Adjusting to dramatic changes in body image B. Developing hypothetical reasoning skills C. Establishing the capacity for an intimate love relationship D. Learning to make good choices and avoid risk-taking behaviors 10-A nurse is providing teaching to a client about healthy lifestyle changes. The client states,"I work longhours. I never have time for exercising or eating anything besides fast food." Which of the following goalsshould the nurse include in the client’s nursing plan of care? A. The client will improve overall health by the next visit. B. The client will introduce two green vegetables into her diet by the end of the month. C. The client will reduce daily stress and increase activity by exercising. D. The client will reduce her weight by 4.5 kg (10 lb) within 2 weeks. 11-A nurse is caring for a client who has a positive Mantoux skin test following screening for tuberculosis (TB). The nurse should inform the client that this positive reaction indicates which of the following findings? A. The client has never been exposed to TB. B. The client had infectious TB in the past, but the infection is not active. C. The client has active TB. D. Further evaluation is required. 12-A nurse is caring for several clients who have become ill after a company picnic. After extensive interviews and a review of the event’s food-handling practices, the nurse determines the most likely cause of the illnesses was a poultry dish that had been allowed to cool for several hours before being served. Which of the following steps in the epidemiological process is this nurse performing? A. Planning B. Assessing C. Implementing D. Evaluating 13-A public health nurse is responsible for several activities in the local community. Through which of the following actions is the nurse is implementing tertiary prevention? A. Teaching stress-reduction techniques to parents of children who have developmental delays B.Advocating for the expansion of mental health rehabilitation facilities with community leaders C. Performing screenings for depression for older adult clients D. Coordinating a drive through clinic for influenza immunizations 14-A community health nurse is preparing a disaster preparedness plan for smallpox. Which of thefollowing groups of people should the nurse include for inoculation in the plan? A. Newborns B. Mortuary workers C. Immunosuppressed clients D. Clients who have eczema 15-A nurse is conducting a screening class for hypertension. Which of the following should be the nurse's goal for secondary prevention? A. Prevent the onset of the condition B. Identify the severity of the condition C. Identify the condition early [Show Less]
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ATI COMMUNITY HEALTH PROCTORED EXAM
1. A home health nurse is visiting a client who had a stroke 2 months ago. Which of the following findings should the nurse report to the interprofessional... [Show More] care team? a. The client bears weights on her arm when using crutches b. The client dresses her affected side first c. The client coughs when swallowing her medications d. The clients caregiver fills a pill organizer weekly. 2. A community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year, 3,144 new cases were reported and the population was estimated at 325,986. Which of the following is the incidence rate in the state for the year? a. About 10 reported cases per 1,000 population b. About 300 reported cases per 100,000 population c. About 1 reported case per 10,000 population d. About 3 reported cases per 10,000 population 3. An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect? a. Oliguria b. Diplopia c. Hypoglycemia d. Dizziness 4. A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in the teaching? a. The need for supplemental folic acid is greatest during the third trimester b. Pregnant adolescents need to gain less weight than adult mothers c. Caffeinated beverages should be replaced with caffeine-free beverages d. The incidence of high birth weight infants is higher in adolescent pregnancy. 5. A client arrives at a mental health clinic and tells the nurse that she has no purpose in life. Which of the following is the nurse’s priority response? a. How long have you been feeling this way? b. Have you been thinking about harming yourself? c. Tell me what is going on with you right now? d. Do you really think your life has no purpose? 6. 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? a. Avoid discussing the traumatic events experienced by the veterans b. Change the meeting sites frequently c. Provide coffee and snacks during the meetings d. Teach the clients to practice deep breathing exercises 7. 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? a. The virus b. The school c. The vaccine d. The children 8. 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? a. You will being learning functional skills to replace defense mechanisms and behavioral while in treatment b. You will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment c. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal d. Attending Al-Anon meeting will help you identify a role model to assist you with making needed changes. 9. A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching? a. You should have your hearing screened every 5 years b. You should have a complete eye examination every 2 years until the age of 64 c. You should have your fasting blood glucose level checked every 6 years d. You should have your stool tested for blood every other year until the age of 74. 10. 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 Center for Disease Control and Prevention? a. Local Red Cross chapter b. Hospital Infection Control Department c. State health department d. Office of the Surgeon General 11. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? a. Encourage enrollment and attendance at weight reduction programs b. Measure the BMI of older adults at the community senior center c. Educate children at a day care center about nutrition and exercise d. Distribute health-risk appraisal questionnaires at community functions 12. The partner of an older adult client who has Alzheimers disease reports that he is not eating. The home health aid tells the nurse that the client’s partner refuses to assist the client with feeding. The partner insists the client feed himself without help. Which of the following is the priority action the nurse should take? a. Arrange for Meals on Wheels assistance b. Determine the clients ability to self-feed c. Refer the client’s partner to an Alzheimer’s support group. d. Direct the home health aide to assist with meals 13. A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include? a. Middle eastern cultural practices include hiding pain from close family members. b. Native American cultural practices include being outspoken about pain c. Puerto Rican cultural practices include the view that the outspoken expressions of pain are shameful. d. Chinese cultural practices include enduring pain to prevent family dishonor. 14. 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. a. Sports injury prevention b. Gun safety c. Motor vehicle safety d. Substance abuse prevention 15. 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? a. Track rates of illness caused by infection among employees b. Identify industrial toxins that are presents in the environment (chemical) c. Survey workers about job-related emotional stress d. Measure noise levels at various location in the facility (physical) 16. 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. Providing treatment for a young adult who has a substance use disorder b. Teaching parenting techniques to new parents c. Conducting counseling for at-risk parents d. Assessing a family for mental discord. 17. 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? a. Household members b. Health history c. Demographics d. Occupation 18. A home health nurse is scheduled for a first time visit to a client. Which of the following should the nurse perform first? a. Review of the neighborhood b. Mental status examination c. Family history d. Blood pressure screening 19. A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching? a. A dehumidifier should be placed beside the child’s bed b. Transmission will be limited because of herd immunity c. The child is most contagious after the rash develops d. Household contacts will receive prophylactic antibiotics 20. 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 scoliosis b. A child who has nits c. An adolescent who has psoriasis d. A child who has a BMI of 18 21. A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity? a. Early detection of disease [Show Less]
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ATI RN COMMUNITY HEALTH PROCTORED EXAM
A nurse is preparing an educational program about breastfeeding for a group of new parents. The nurse should use which of the following instructional strat... [Show More] egies to promote psychomotor learning? a. Review flashcards that identify holding techniques with the group b. Show the group a video on breastfeeding techniques c. Facilitate a discussion group about benefits of breastfeeding d. Provide dolls for the participants to demonstrate positioning. A home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? (SATA) a. Offer 120 ml (4oz) of cold 2% milk as meal replacement b. Assist the clients in using guided imagery c. Provide sips of room-temperature ginger ale between meals d. Using seasoning to enhance the flavors of food e. Maintain the head of the client's bed in an elevated position after eating A community health nurse is planning a smoking cessation class. Which of the following factors will have the greatest effect on the success of the class? a. Presenter’s credibility b. Clients motivation c. Clients education level d. Presenter teaching strategies A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take? a. Help clients gather needed supplies b. Address the physical needs of clients c. Create diversionary activities for children d. Explore feelings the clients are experiencing 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 clients? a. Administrator b. Case manager c. Nurse consultant d. Clinician A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse planned to take for? a. Determining student’s motivation to learn about healthy food choices b. Give positive feedback to students who make appropriate choices c. Help students recognize the value of making healthy food choices d. Provide students with the resources about making wise choices independently During a home health visit, a school-aged child who has muscular dystrophy confines in the nurse that he was struck by his parents. Which of the following actions should the nurse first? a. Check the child for injuries b. Report the incident to local authorities c. Refer to the printer social service agency d. Enroll the parent in anger management classes A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first? a. Ask family members about the impact of the disease on relationship within the family. b. Discuss the benefits of eating a well-balanced diet with the client’s family c. Offer to accompany the client and the client’s partner during health care provider visits d. Assist the client and the client’s partner with finding an affordable exercise program. A home health nurse is planning the initial 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? a. Educate the family regarding the progression of dementia b. Encourage the family to join a support group c. Provide the family with information about respite care (too soon to give) d. Engage the family in informal conversations 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? (SATA) a. You will need to take an antiviral medication for 30 days b. You should avoid sexual contact until therapy is complete c. Notify anyone with whom you have had sexual contact over the past 2 months d. Once you complete treatment, you will have an acquired immunity against chlamydia e. You might experience painful urination until the infection has resolved. A community health nurse is planning a program for adolescents about preventing STDs. Which of the following actions should the nurse take first? a. Obtain visual aids that feature adolescents b. Establish methods to evaluate program outcomes c. Provide computer-based education d. Collect data to identify barriers to learning A clinic nurse is assessing a client who has rubeola/measles. Which of the following findings should the nurse expect? a. Koplik spots inside the mouth b. Rash confined to the trunk of the body c. Muscle aches and tenderness d. Persistent low-grade temperature 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? a. Herpes simplex virus b. Human papilloma virus c. Group B streptococcus B- hemolytic d. Chlamydia A nursing 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 a nurse. Which of the following actions should the nurse take? a. Use professional terminology when providing education prior to the procedure (that would be a hard no) b. Identify the client's spoken dialect prior to contacting an interpreter c. Arrange for a member of the clients community to interpret the teaching d. Have the client’s daughter coming to the information about the procedure A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse takes first to promote a clean and safe environment? a. Engage neighborhood families to monitor the playground for further trash buildup b. Partner city officials with community members to improve the playground condition c. Work with local businesses to sponsor more trash receptacles in the playground d. Meet with community members to discuss methods of playground maintenance • You want to do the “least invasive” first A nurses caring for a client who is homeless. Which of the following actions should the nurse take first? a. Determine the client's understanding of her living situation b. Discussed the risks of being homeless with the client c. Assisted client to develop goals for obtaining shelter d. Develop client teaching using a variety of strategies 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 including the teaching as a manifestation of alcohol withdrawal? a. Bradycardia (tachy) b. Insomnia (sleep disturbances, p. 52) c. Increased appetite (Nah bc N/V) d. Hypothermia A government official reports to the health department that an employee was possibly exposed to anthrax. Which of the following actions should the public health nurse take? a. Instruct the client to wear a mask at work b. Place employee under quarantine for 14 days? c. Alert the family members of coworkers about their possible exposure anthrax (not transmitted person to person) d. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics • Yes because, it's not a confirmed case yet, so you want to take precautions before the results come back A nurse is working with the community healthcare team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention? a. Assessing for risk factors of intimate partner abuse during health exams b. Developing resources for victims of abuse c. Urging community leaders to make nonviolence a priority (S) d. Presenting community education programs about stress management (P) A first response team is working at the location of the bombing incident. The nearest triaging a group of clients should give treatment priority to which of the following clients? a. A client who has a ridge and abdomen with manifestations of shock b. A client who has superficial partial thickness burn injuries over 5% of his body (Green) c. A client who is ambulatory and exhibit manic behavior (seems like green) d. A client who has femur fracture with a 2+ pedal pulse (Green) A community health nurse is educating a parent about the importance of hepatitis B immunization. Which of the following explanation should the nurse give the parent about the disease? a. People who have had a hepatitis B infection still need the immunization b. One dose of the immunization gives children lifelong protection from hepatitis B c. Many people who acquire acute hepatitis B developed chronic hepatitis d. Hepatitis B spreads easily among children through casual contact A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey? a. Demographic data b. Informant interviews c. Mortality rate d. Housing quality 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? a. I have difficulty resisting the items in vending machines b. I have lots of health problems from being obese c. I know you don’t like me because I am obese d. I am a beast because it’s in my genes A home health nice manager is caring for a client who is methicillin-resistant staphylococcus aureus. Which of the following actions should the nurse? a. Encourage the client to use the HEPA filter in the house b. Double bag soiled dressings in polyethylene bag c. Remove fresh flowers from the client's home d. Wear a mask when within 3 feet of the client A home health nurse is visiting a client who had a stroke 2 months ago. Which of the following findings should the nurse report to the inter-professional care team? a. The client bears weights on her arm when using crutches b. The client dresses her affected side first c. The client coughs when swallowing her medications d. The client’s caregiver fills a pill organizer weekly. A community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year, 3,144 new cases were reported and the population was estimated at 325,986. Which of the following is the incidence rate in the state for the year? a. About 10 reported cases per 1,000 population b. About 300 reported cases per 100,000 population c. About 1 reported case per 10,000 population d. About 3 reported cases per 10,000 population An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect? a. Oliguria b. Diplopia c. Hypoglycemia d. Dizziness A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in the teaching? a. The need for supplemental folic acid is greatest during the third trimester b. Pregnant adolescents need to gain less weight than adult mothers c. Caffeinated beverages should be replaced with caffeine-free beverages d. The incidence of high birth weight infants is higher in adolescent pregnancy. A client arrives at a mental health clinic and tells the nurse that she has no purpose in life. Which of the following is the nurse’s priority response? a. How long have you been feeling this way? b. Have you been thinking about harming yourself? c. Tell me what is going on with you right now? d. Do you really think your life has no purpose? 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? a. Avoid discussing the traumatic events experienced by the veterans b. Change the meeting sites frequently c. Provide coffee and snacks during the meetings d. Teach the clients to practice deep breathing exercises 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? a. The virus b. The school c. The vaccine d. The children 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? a. You will being learning functional skills to replace defense mechanisms and behavioral while in treatment b. You will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment c. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal d. Attending Al-Anon meeting will help you identify a role model to assist you with making needed changes. A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching? a. You should have your hearing screened every 5 years b. You should have a complete eye examination every 2 years until the age of 64 c. You should have your fasting blood glucose level checked every 6 years d. You should have your stool tested for blood every other year until the age of 74. 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 Center for Disease Control and Prevention? a. Local Red Cross chapter b. Hospital Infection Control Department c. State health department d. Office of the Surgeon General A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? a. Encourage enrollment and attendance at weight reduction programs b. Measure the BMI of older adults at the community senior center c. Educate children at a day care center about nutrition and exercise d. Distribute health-risk appraisal questionnaires at community functions The partner of an older adult client who has Alzheimers disease reports that he is not eating. The home health aid tells the nurse that the client’s partner refuses to assist the client with feeding. The partner insists the client feed himself without help. Which of the following is the priority action the nurse should take? a. Arrange for Meals on Wheels assistance b. Determine the clients ability to self-feed c. Refer the client’s partner to an Alzheimer’s support group. d. Direct the home health aide to assist with meals A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include? a. Middle eastern cultural practices include hiding pain from close family members. b. Native American cultural practices include being outspoken about pain c. Puerto Rican cultural practices include the view that the outspoken expressions of pain are shameful. d. Chinese cultural practices include enduring pain to prevent family dishonor. 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. a. Sports injury prevention b. Gun safety c. Motor vehicle safety d. Substance abuse prevention 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? a. Track rates of illness caused by infection among employees b. Identify industrial toxins that are presents in the environment (chemical) c. Survey workers about job-related emotional stress d. Measure noise levels at various location in the facility (physical) 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. Providing treatment for a young adult who has a substance use disorder b. Teaching parenting techniques to new parents c. Conducting counseling for at-risk parents d. Assessing a family for mental discord. 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? a. Household members b. Health history c. Demographics d. Occupation A home health nurse is scheduled for a first time visit to a client. Which of the following should the nurse perform first? a. Review of the neighborhood b. Mental status examination c. Family history d. Blood pressure screening A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching? a. A dehumidifier should be placed beside the child’s bed b. Transmission will be limited because of herd immunity c. The child is most contagious after the rash develops d. Household contacts will receive prophylactic antibiotics 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 scoliosis b. A child who has nits c. An adolescent who has psoriasis d. A child who has a BMI of 18 A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity? a. Early detection of disease b. Identification of family history of medical problems c. Promotion of appropriate lifestyle changes d. Client enrollment in prevention programs A community health nurse is caring for clients in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? a. Offering to shake hands when meeting an Asian client of the opposite gender b. Touching the hair of an African-American client during an assessment c. Maintaining eye contact when interviewing a Native- American client d. Including both hot and cold food items on a Hispanic client’s menu. 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? a. Provide end-of-life care for members who are terminal b. Organize an influenza immunization clinic with the American Red Cross c. Perform wound care in the home of members d. Facilitate discharge from the facility to the house A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first? a. Determine potential funding sources for the program b. Identify alternative solutions to address concerns c. Inquire about the availability of volunteers d. Perform a needs assessment 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? a. Consultant b. Systems allocator c. Advocate d. Coordinator 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? a. A positive result requires initiating immunoglobulin administration b. The test measures antibodies to the virus c. The test results are accurate 24 hr after exposure to the virus d. The test monitors progression of the disease 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? a. Men who are unemployed b. People who have substance use disorders c. Families who have children d. Adolescent runaways A 35-year-old client who has a diagnosis of TB informs the provider’s office that she is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment? a. Send the client to the nearest facility for further evaluation b. Explore options for alternative therapies c. Arrange for medication through local agencies d. Help the client apply for Medicare (for 65+) 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? a. Organizing a mass casualty drill for community members (p.66) b. Functioning as a manager at a temporary shelter c. Assisting with the identification of a biological agent d. Implementing a disaster triage plan with a local medical facility [Show Less]
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ATI RN COMMUNITY HEALTH PROCTORED EXAM
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ATI RN Community Health PROCTORED 2019 A
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