ATI Community Health 2019 Version 2
ATI Community Health 2019 Version 2
1. A home health nurse is visiting a client who has right-sided weakness
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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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for Disease Control and Prevention?
a. State health department
b. Office of the Surgeon General
c. Local Red Cross chapter
d. Hospital infection control department
23. A community health nurse is assigned to implement a disaster plan for
the area. Which of the following actions should the nurse include as part
of the response phase?
a. Establish a location to perform client triage.
b. Develop an evacuation for the community.
c. Conduct community disaster drills.
d. Create a checklist needed supplies for each type of disaster.
24. A nurse manager is reviewing the disaster plan at a long-term care
facility. Which of the following is the most comprehensive method for the
nurse to use to determine the effectiveness of the plan?
a. Use inservices to have the staff discuss various disaster scenarios.
b. Analyze findings from a faculty tabletop disaster simulation.
c. Review how the staff implements the plan during a hands-onpractice drill.
d. Test staff to determine their knowledge of the principles of the plan.
25. A nurse is providing teaching to a client who has a confirmed case of
tuberculosis. Which of the following statements by the client indicates
the teaching has been different?
a. “I will need to have a special HEPA filter installed in my home.”
b. “I will be contagious until I have completed the full medication
regimen.”
c. “I will be taking medication daily for at least 6 months.”
d. “I will have a repeat tuberculin skin test in 6 weeks.”
26. A nurse is working in a community health center is providing teaching to
a client who has alcohol use disorder. Which of the following treatment
methods should the nurse include in the teaching?
a. Treatment with methadone
b. Cognitive behavioral therapy
c. Treatment with naloxone
d. Chelation therapy
27. 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. Substance abuse prevention
c. Motor vehicle safety
d. Gun safety
28. A nurse is caring for a client who is homeless. Which of the following
actions should the nurse take first?
a. Assist the client to develop goals for obtaining shelter.
b. Discuss the risks of being homeless with the client.
c. Develop teaching using a variety of strategies.
d. Determine the client's understanding of her living situation.
29. A nurse at a shelter is assessing with client triage after a tornado
destroyed a community. Which of the following clients should receive
priority care?
a. An older adult client who has a fractured arm
b. An adult client who is short of breath
c. An infant client who is crying
d. A school-age client who has a head abrasion
30. A first-response team is working at the location of a bombing incident. A
nurse triaging a group of clients should give treatment priority to which
of the following clients?
a. A client who has a rigid abdomen with manifestations of shock
b. A client who has superficial partial-thickness burn injuries over 5% of
his body
c. A client who has a femur fracture with a 2+ pedal pulse
d. A client who is ambulatory and exhibits manic behavior
31. A nurse is working with a case manager for a client who participates in a
health maintenance organization. The nurse should identify that health
maintenance organization provides which of the following payment
structures?
a. The client pays the insurer a percentage of the total costs for each
service rendered by the provider.
b. The provider is paid a fixed sum for the client on a monthly or yearly
basis.
c. The provider bills the client directly for a predetermined percentage
of the cost of services.
d. The client is participating in a fee-for-service health care insurance
program.
32. A nurse is teaching a client who has a terminal illness about hospice
care. Which of the following statements by the client indicates an
understanding of the teaching? (SATA)
a. “I will need to have private insurance because Medicare does not
cover hospice services.”
b. “I can receive care in the hospital or at home.”
c. “My provider will recommend that I enter hospice care when I have 1
year left to live.”
d. “I will receive care from a variety of interprofessional team
members.”
e. “I can discontinue hospice care whenever I want.”
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33. 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. Chlamydia
b. Herpes simplex virus
c. Human papillomavirus
d. Group B streptococcus B-hemolytic
34. 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
35. 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. Coordinator
b. Systems allocator
c. Advocate
d. Consultant
36. 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 an obese because it’s in my genes.”
37. An occupational health nurse is preparing for an initial meeting with a
committee that is planning a health fair for an industrial work site. The
nurse should instruct the committee members to take which of the
following actions first?
a. Obtain necessary supplies and equipment.
b. Make a list of expected outcomes for the health fair.
c. Determine the health concerns of the employees.
d. Market the health fair to the employees.
38. A nurse is speaking with several clients at a health fair. Which of the
following statements should the nurse assess further?
a. “I prepare my medications for the week on Sundays.”
b. “I have to change my hearing aid battery weekly.”
c. “I prepare all of my own meals.”
d. “I have to turn my head completely to see things that are beside
me.”
39. A nurse is who is to undergo enzyme-linked immunosorbent assay
testing for HIV. Which of the following information should the nurse
include?
a. The test measures serum levels of HIV antibodies.
b. The test monitors the progression of HIV.
c. A positive result indicates initiation of immunoglobulin
administration.
d. The test results area accurate 24 hr after HIV exposure.
40. A community health nurse is planning strategies to address childhood
obesity in the area. Which of the following actions should the nurse take
first?
a. Promote the placement of healthy food choices in the community.
b. Examine the prevalence of childhood obesity in the community.
c. Establish goals for the community to decrease childhood obesity.
d. Provide nutritional education to children and their families.
41. A nurse is developing a health-screening program for clients who are at
risk for hypertension. Which of the following actions should the nurse
take first?
a. Apply for funding to conduct hypertension screening.
b. Determine the number of clients referred for treatment of
hypertension.
c. Conduct a survey to identify the community’s need for hypertension
screening.
d. Research best practices for treatment of hypertension.
42. A home health nurse is reviewing messages from a group of clients.
Which of the following clients should the nurse contact first?
a. A client who reports that her new colostomy appears purple
b. A mother who reports that her son vomited after a dose of
methylphenidate
c. A client who has COPD and reports an oxygen saturation of 90%
d. A client who reports feeling a vibration in his new internal
arteriovenous graft for dialysis
43. A nurse is assessing an outbreak of mumps among school-age children.
Using the epidemiological triangle, the nurse should recognize which of
the following is the host?
a. The children
b. The virus
c. The vaccine
d. The school
44. A home health nurse is caring for a client who has chemotherapyThis study source was downloaded by 100000816144371 from CourseHero.com on 02-15-2022 21:35:48 GMT -06:00
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induced nausea that has been resistant to relief from pharmacological
measures. Which of the following interventions should the nurse initiate?
(SATA)
a. Use seasonings to enhance the flavor of foods.
b. Assist the client in using guided imagery.
c. Provide sips of room-temperature ginger ale between meals.
d. Maintain the head of the client’s bed in an elevated position after
eating.
e. Offer 120 mL (4oz) of cold 2% milk as a meal replacement.
45. 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.
46. A hospice nurse is planning care for a client who follows traditional
Indian practices. Which of the following actions should the nurse plan to
take?
a. Discuss safe use of herbal medications.
b. Develop a lost of appropriate hot and cold food choices.
c. Offer to face the client’s bed toward the east.
d. Provide direct eye contact when communicating with the client’s
family.
47. 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. Identify alternative solutions to address concerns.
b. Perform a needs assessment.
c. Inquire about the availability of volunteers.
d. Determine potential funding resources for the program.
48. 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 a complete eye examination every 2 years until
the age of 64.”
b. “You should have your fasting blood glucose level checked every 6
years.”
c. “You should have your stool tested for blood every other year until
the age of 74.”
d. “You should have your hearing screened every 5 years.”
49. A faith community nurse is planning care for a client who has been
diagnosed with end-stage breast cancer. Which of the following
interventions should the nurse in the plan?
a. Recommend the client seek out hospice services rather than seek
treatment.
b. Initiate topics of conversation that avoid the client’s health status.
c. Place the client’s name and medical condition on an online prayer
chain.
d. Provide quiet time during visits for prayer or meditation.
50. A nurse in a community clinic is assessing a client who reports injecting
heroin 1 hr ago. Which of the following findings should the nurse expect?
a. Euphoria
b. Dilated pupils
c. Tachypnea
d. Nystagmus
51. A nurse is developing health promotion strategies for older adult clients
at an assisted living facility. Which of the following strategies is the
priority for the nurse to include?
a. Scheduling annual dental examinations for the clients
b. Immunizing the clients against influenza
c. Encouraging the clients to exercise regularly
d. Providing the clients with a low-fat diet
52. A nurse is participating in an outreach program to combat the rise of
encephalitis in the community due to an increase population of
mosquitos. Which of the following activities should the nurse perform to
implement mosquito control strategies?
a. Release a media announcement asking residents to remove areas of
standing water.
b. Identify the number of cases resulting in disability from encephalitis.
c. Review morbidity rates of encephalitis within the last 6 months.
d. Research the species of mosquito responsible for the outbreak.
53. A nurse manager in a community health clinic is reviewing secondary
prevention activities with a group of nurses during orientation. Which of
the following activities should the nurse manager include as an example
of secondary prevention?
a. Test a client who has a family history for diabetes mellitus.
b. Teach a group of school-age children about hand hygiene.
c. Educate a client who has hypertension about exercises to reduce
blood pressure.
d. Provide nutrition counseling for an adolescent who is underweight.
54. A nurse at a community mental health center is caring for a client who
has antisocial personality disorder. Which of the following actions should
the nurse include in the plan of care?
a. Teach the client how to minimize feelings of guilt.
b. Have the client participate in assertiveness training.
c. Bargain with the client about behavioral consequences.
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d. Assist the client to identify acceptable outlets of anger.
55. A group of technicians from a local automotive repair shop present to an
urgent care clinic with reports of dizziness, headaches, and nausea. After
providing needed care to the clients, which of the following government
agencies should the nurse notify to follow up on these reports?
a. Environmental protection agency
b. Department of health and human services
c. Centers of disease control and prevention
d. Occupational Safety and Health Administration
56. A nurse manager at a clinic is reviewing the preventative services
offered to clients. Which of the following activities should the nurse
identify as a secondary prevention activity?
a. Advocate for laws that prohibit texting while driving.
b. Refer a client who is recovering from a substance use disorder to a
social service program.
c. Provide a smoking cessation class.
d. Encourage a pregnant client to participate in prenatal care.
57. A home health nurse is assessing a client who has AIDS. Which of the
following responses by the client indicates a risk for suicide?
a. “I am afraid of experiencing pain near the end.”
b. “I know that everything will be better soon.”
c. “I don't want to lose control of my ability to make decisions.”
d. “I am relying more and more on my partner for support.”
58. 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 home.
59. A school nurse is assessing a child and discovers Koplik spots on the
child’s buccal mucosa. Which of the following actions should the nurse
take?
a. Check the child’s classmates for parotid gland enlargement.
b. Instruct the caregivers to increase the client’s Vitamin B12 intake.
c. Ask the caregivers if the child recently used alcohol-based
mouthwash.
d. Review the immunization records of the child’s classmates.
60. A community health clinic is planning annual goals. Which of the
following outcomes addresses the ethical principle of distributive justice?
a. Clients demonstrate completion of advance directives.
b. Clients understand their right to confidentiality.
c. Clients verbalize their right to refuse treatment.
d. Clients receive Medicare benefits when eligible. [Show Less]