ATI RN COMMUNITY HEALTH 2019 PROCTORED EXAM VERSION 2
QUESTIONS AND ANSWERS
Community Health ATI Proctored
1. A home health
... [Show More] nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which of the following statements by the guardian indicates an understanding of the teaching?
a) "I'm sure my child will feel better now that he can ride his bicycle."
b) "I should take my child's rectal temperature daily."
c) "I will make sure my child gets a measles, mumps, and rubella vaccine this week." d) "I should inspect my child's mouth for sores"
2. A nurse at a community clinic is preparing an educational guide about cultural variance in expression of pain. which of the following information should the nurse include?
a) Native American cultural practices include being outspoken about pain.
b) Middle Eastern cultural practices include hiding pain from close family members.
c) Puerto Rican cultural practice include the view that outspoken expression of pain is shameful. d) Chinese cultural practices include enduring pain to prevent family dishonor
3. A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first?
a) Arrange for a home health nurse to visit the client following discharge.
b) Contact a social worker to assist the client with managing finances.
c) Provide the client with information on self-help group for alcohol use disorder. d) Determine which home safety measure the client needs to implement
4. 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 don't want to lose control of my ability to make decisions."
b) "I am afraid of experiencing pain near the end." c) "I know that everything will be better soon."
d) "I am relying more and more on my partner for support."
5. A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer the following actions should the nurse plan to take first?
a) Inquire about the availability of volunteers. b) Performs a needs assessment.
c) Determines potential funding sources for the program
d) Identify alternative solutions to address concerns.
6. A nurse is caring for a client who has hepatitis A virus. Which of the following reservoirs should the nurse identify for this infection?
a) Blood
b) Genitourinary tract
c) Skin d) Feces
7. A nurse is conducting home visits to postpartum adolescents who participated in prenatal parenting classes. Which of the following statements indicates an understanding of the teaching?
a) "I warm my baby's bottle in the microwave for 30 seconds at a time."
b) "I use baby talk when talking to my baby."
c) "I limit the time her grandparents cuddle my baby to prevent spoiling."
d) "I carry my baby with me as I move around the house."
8. A nurse educator is teaching a group of newly licensed nurse about maintaining client confidentially according to HIPPA regulation. which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
a) "HIPAA rules allow clients to receive a copy of their medical records."
b) "HIPAA rules vary from state to states."
c) "What should share our computer passwords with our manager."
d) "A client's diagnosis can be posted on the communication board inside the client's room."
9. A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following intervention is an example of tertiary prevention?
a) Presenting community education programs about stress management
b) Urging community leaders to make nonviolence a priority c) Developing resource for victims of abuse
d) Assessing for risk factors of intimate partner abuse during health examinations
10. A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the following statement by the nurse demonstrate a priority prevention strategy?
a) "Use acetaminophen as needed for sunburn."
b) "Apply cool tap water soaks for 20 minutes to relieve sunburn."
c) "Ensure you have a yearly skin examination with your provider." d) "Avoid direct sunlight between 10 and 4pm."
11. A parish nurse is counselling a family following a client's recent diagnosis of heart disease. Which of the following action should the nurse take first?
a) Assist the client and the client's partner with finding an affordable exercise program.
b) Offer to accompany the client and the client's partner during health care provider visits. c) Ask family members about the impact of the disease on relationship within the family.
d) Discuss the benefits of eating a well-balanced diet with the client's family.
12. A nurse is caring for a child whose parent reports that their partner has been physically maltreating the child. The parent states, "My partner has moved out, so please don't tell anyone." Which of the following statements should the nurse make?
a) "I think you should report the abuse to law enforcement."
b) "I will not report the abuse because I know you will keep your child safe."
c) "You should let your pediatrician know about the abuse."
d) "State law requires health care providers to report suspected abuse."
13. A home health nurse is assessing a client who has hepatitis A. Which of the following findings should the nurse expect?
a) Malaise
b) Ankle edema
c) Petechiae
d) Weight gain
14. A school nurse is assessing a child who has a fever and notices several bite marks on the child's arm. The nurse should referral for suspected child maltreatment based on which of the following additional findings? (Select all that apply)
a) The child is wearing open-toed shoes and the weather is cold outside. b) The child is frequently absent from school.
c) The child's clothes are wrinkled and dry.
d) The child tells the nurse that they are sick because they are bad.
e) The child reports coughing all day.
15. A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the following is an example of tertiary prevention?
a) Providing STI testing for students on a college campus.
b) Educating adults about breast cancer screening guidelines c) Teaching about inhaler use to a client who has asthma
d) Promoting the use of helmets with children who rides bicycles.
16. A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include that which of the following tasks is the responsibility of a case manager?
A. evaluate the cost effectiveness of client’s treatments
B. teach a smoking cessation support group
C. perform employee risk assessments
D. enforce OSHA standards in the workplace
17. A home health nurse is planning the initial home visit 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) Provide the family with information about respite care
b) Educate the family regarding the progression of dementia c) Engage the family in informal conversation
d) Encourage the family to join a support group.
18. A nurse in a community health clinic is assessing a client who has two preschoolers was recently divorced and is seeking help for major depression. Which of the following questions should the nurse ask first?
a) "Is there anything that makes you feel less depressed?"
b) "Could you describe how you are feeling today?"
c) "Are you having any thoughts about hurting yourself?"
d) "Who is available to help you?"
19. A mental health nurse is scheduling a home health appointment with a client who has recently lost his partner in a motor vehicle crash. Which of the following statements by the client indicates the need for immediate nursing intervention?
a) "I just feel so angry right now."
b) "There's no need for anyone to come see me, including you." c) "Everything is going to be fine soon."
d) "I'm not going to talk to you about my problems."
20. A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statement by the client indicate an understanding of the teaching? (select all thar apply)
a) "I can receive care in the hospital or at home."
b) "My provider will recommend that I entre hospice care when I have 1 year left to live." c) "I can discontinue hospice care whenever I want."
d) "I will need to have private insurance because Medicare does not cover hospice services." e) "I will receive care from a variety of interprofessional team members."
21. A nurse is working with a married couple who each have children from prior relationships living is the home. The nurse should clarify the family as which of the following household structure?
a) Adoptive family
b) Foster family
c) A commune
d) Blended family
22. A nurse is planning a primary strategy for reducing obesity in a community. Which of the following strategies should the nurse use?
a) Educate children at a day care center about nutrients and exercise.
b) Measure the BMI of older adults at a community senior center.
c) Distribute health-risk appraisal questionnaires at community functions. [Show Less]