NURSING 120 PH ATI
PH ATI
1. A home health nurse is teaching the parents of a toddler about complication of
influenza. Which of the following
... [Show More] complication is the priority for the nurse to
discuss?
a. Pneumonia
b. Sinusitis
c. Dehydration
d. Otitis Media
2. A nurse working with parents suspected of child abuse recognizes that the social
most predictive of abusive behaviour is
a. Inadequate living conditions
b. Relationship difficulties
c. Social isolation
d. Prior exposure to violence
3. In the last month, three cases of tuberculosis have been referred to the health
department. Which of the following would be the priority information for the
community health nurse to obtain from each client?
a. Demographics
b. Health history
c. Occupation
d. Household members
4. The wife of an adult client who has Alzheimer’s disease reports that he is not eating.
The home health aide later tells the nurse that the wife is refusing to feed him,
insisting that he do it himself. Which of the following is the priority action the nurse
should take?
a. Refer the client’s wife to an Alzheimer’s support group.
b. Direct the home health aide to assist with meals.
c. Arrange for Meals on Wheel assistance.
d. Determine the clients’ ability to self-feed
5. A nurse is working with a community health care team to devise strategies for
preventing violence in the community. Which of the following interventions is an
example of tertiary prevention
a. Presenting community education programs on stress management
b. Urging community leaders to make nonviolence a priority
c. Assessing for risk factors of intimate partner abuse during health
examination
d. Developing resources for victims abuse
6. A home health nursing is conducting an initial assessment for a client who is
prescribed warfarin sodium (Coumadin). Which of the following clinical findings is
associated with thrombocytopenia?
a. Distended jugular veins
b. Polyuria
c. Akathisia
d. Black tarry stools
7. A nurse is reviewing data for communicable disease in his rural public health region.
Which of the following data should the nurse identify as an agent factors affecting
the spread of communicable disease?
a. A change in the prevalence of older adults obtaining the pneumococcal
vaccine
b. An increase in the migrant farm workers living in the community
c. A decrease in the number of ambulatory clinics in the area
d. An antigenic shift in the composition of the strain of influenza
8. A community health nurse in the initial phase of planning a smoke cessation
program. Which of the following is the following is the first action the nurse should
take?
a. Determine the prevalence of smoking in the community
b. Formulate objectives for the smoking cessation program
c. Gain community support for the program
d. Evaluate the methods of successful smoke cessation programs
9. Which of the following federal agencies should a community health nurse seek
guidance from regarding a public building that has asbestos leaking from rips in the
heating duct insulation?
a. Department of Health and Human Resources
b. National Institute of Health
c. Centers of Disease Control and Prevention
d. Environmental Protection Agency
10. A nurse manager in a local community health agency is creating a job description for
a new nurse who will practice community-oriented nursing. Which of the following
would be appropriate to include in the job description? (Select all that apply)
a. Initiate support groups for parents of autistic children.
b. Provide health-related education to community groups
c. Investigate potential health and environmental issues
d. Provide wound care for client in their homes
e. Participate in local health surveillance activities
11. A home health nurse is providing education for a client who has esophageal cancer
and reports dysphagia. Which of the following instructions should the nurse include
in the teaching?
a. “You should include thin soups and liquids in you meal plan?”
b. “You should weigh yourself once each week”
c. “You should place you food on the front of your tongue when eating”
d. “You should maintain a chin tuck position when swallowing”
12. 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. Pregnant adolescents need to gain less weight than adult mothers
b. The need for supplemental folic acid is greatest during the 3rd trimester
c. Caffeinated beverages should be replaced with caffeine-free
d. The incidence of high birth weight infants is higher adolescent pregnancy
13. A client comes to a mental health clinic and tells the nurse that he has no purpose in
life. Which of the following is the nurse’s priority response?
a. Tell what is going on with you right now?
b. Do you really think your life has no purpose?
c. Have you been thinking about harming yourself?
d. How long have you been feeling this way?
14. A nurse in a pediatric clinic is evaluating a child who has fifth disease. Which of the
following finding is associated with this diagnosis?
a. Facial rash
b. Epistaxis
c. Raised blisters
d. Conjunctivitis
15. A nurse is working with a client who presents with whooping cough. Based on the
epidemiological triangle, which of the following is considered the environment for
this situation?
a. Human population distribution
b. Immunization status
c. Pertussis virus
d. Decreased disease resistance
16. A community health nurse is planning to use a web-based information resources in
the care of a client who is undergoing dialysis. Which of the following criteria should
the nurse consider in selecting appropriate resources for the client?
a. The website provides a peer review process for publishing information
b. The website is hosted by a dialysis equipment marketing group.
c. The website is sponsored by a health care political action committee
d. The website is updated every 5 years
17. A home health nurse is conducting an initial intake assessment with a client who has
hypothyroidism. Which of the following assessment findings is associated with this
disease?
a. Bradycardia
b. Profuse sweating
c. Bulging eyes
d. Muscle weakness
18. A client with Diabetes Mellitus asks the home health nurse to help her adapt some of
her traditional cultural foods to fit her meal plan. Which of the following is the first
action the nurse should take when assisting this client?
a. Provide the client with printed recipes
b. Observe the client during preparation of traditional foods
c. Use cookbooks to include traditional foods in meal plans
d. Explain the diabetes exchange list
19. A nurse has provided a training session about disease prevention for staff at a
community summer camp. When asked to provide an example of vector-borne
illness, which of the following response indicated the teaching has been effective?
a. E. Coli
b. Lyme disease
c. Chicken pox
d. Pediculosis
20. Several nurses affiliated with a church are developing a parish nurse group to help
address the primary and secondary health care needs of the congregation. Which of
the following is appropriate to include in regard to care they could provide?
a. Perform wound care in the home of members
b. Organize flu immunization clinic with the American Red Cross
c. Facilitate discharge from the hospital to the home
d. Provide end-of-life care for terminal members
21. The wife and son of a client with a terminal illness have just received information
regarding hospice care from a nurse. Which of the following statement indicated a
need for further teaching? A or B
a. My husbands physician will no long be involved in his care
b. My father’s care will be provided by a variety of health care specialists
c. Hospice can be discontinued if my husband decides to start treatment again
d. My father can be cared for either in the hospital or at home
22. A home health nurse is educating a client diagnosed with COPD about home oxygen
use. Which of the following statements by the client indicated a need for additional
teaching?
a. I should keep my oxygen tank at least 5 feet away from the television
b. I should notify the local fire department that oxygen is being used in my
home
c. I should use wool blanket on my bed when oxygen is in use
d. I should avoid being in the same room as burning candles when I’m using
oxygen
23. A case manager nurse is caring for a client being discharged post total hip
arthroplasty. Which of the following activities is an example of the nurse functioning
in the negotiator role?
a. Scheduling appointments for physical therapy services
b. Discussing payment options with various pharmacies
c. Providing social services with a list of needed referrals
d. Reporting safety concerns to the home health agency
24. A nurse is preparing a presentation on the epidemiology of HIV and AIDS for an
organization planning to open an HIV clinic. Which of the following information
should the nurse include?
a. Document cases of HIV transmission in school settings are increasing
b. HIV diagnosis rates are disproportionately higher among minority groups
c. People with injection drug use disorder are at greater risk for HIV
diagnosis
d. Enzyme-linked immunosorbent essay (EIA) testing diagnoses HIV in infants
25. A community health nurse is teaching a group of parents about manifestation of
alcohol withdrawal syndrome. Which of the following manifestations should the
nurse include in the teaching?
a. Tactile hallucinations
b. Hypotension
c. Somnolense
d. Slow reactive pupils
26. A nurse at a clinic is caring for a client during a post partum visit following vaginal
delivery. The client has a perineal laceration and reports pain. Which of the
following interventions should the nurse recommend?
a. Apply witch hazel pads after defecation
b. Insert glycerin rectal suppositories as needed
c. Place a pillow across the lower abdomen when coughing
d. Decrease fiber in the diet
27. A home health nurse is making a home safety evaluation visit with an older adult
client recently discharged from the hospital after being diagnosed with diabetes
mellitus. Which of the following findings indicates a need for a corrective
intervention. (select all that apply.)
a. A rubber-backed bath mat is on the floor outside of the shower
b. An extension cord extends across the floor from the electrical outlet to
floor lamp
c. A hot water heater is a set at 130 F
d. A red light is kept on in the bedroom at night
e. The floors of the house are made of wood
28. A nurse is preparing a presentation about disease management for a group of older
adults who have osteoarthritis. Which of the following guidelines should the nurse
include?
a. Sit with the back of the chair recline while resting
b. Bend at the waist to pick up objects off the floor
c. Increase exercise repetitions when joints are inflamed
d. Removed hot dishes from oven with both hands
29. 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. Maintaining eye contact when interviewing a Native- American client
b. Including both hot and cold food items on a Hispanic client’s menu
c. Offering to shake hands when meeting in Asian client of the opposite gender
d. Touching the hair of an African-American client during assessment
30. A home health nurse is completing an assessment of a client who is undergoing
radiation therapy for cancer of the mastoid. Which of the following is an expected
finding?
a. Pale skin over the affected area
b. Increased salivation
c. Excessive lacrimation
d. Hoarseness
31. A Parish nurse is planning activities for faith-based community. Which of the
following activities should the nurse include?
a. Change a wound vac dressing
b. Provide case management
c. Teach stress management strategies
d. Offer primary care to uninsured members
32. A home health care nurse is visiting a clent who has heart failure and a new
prescription for furosemine (Lasix). Which of the following instructions should the
nurse give the client?
a. Eat high-potassium foods
b. Take aspirin if muscle aches develop
c. Expect some swelling in the hands and feet
d. Take the medication at bedtime
33. 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
34. A School nurse is preparing in educational program about pediculosis capitis (head
lice) for the parents of elementary school children. Which of the following
instructions should the nurse include in the teaching?
a. Soak combs in boiling water for 10 min
b. Use a nit comb in the child’s hair every other day
c. Apply a second permethrin (nix) treatment within 3 days
d. Seal stuffed animals in plastic bags for 7 days
35. Which of the following should the nurse include in a cultural assessment?
a. Family relationships
b. Personal medical history
c. Primary health concerns
d. Occupational status
36. A community health nurse is reviewing the health record of a client who has a new
prescription for aspirin. Which of the following findings places the client at risk of
an adverse effect of this medication?
a. Peptic ulcer disease
b. Rheumatoid arthritis
c. History of ischemic stroke
d. Family history of colorectal cancer
37. A nurse is planning an educational program for a new inmate in a correctional
facility. Which of the following topics is most important for the nurse to include in
the teaching?
a. Communicable disease
b. Stress reduction techniques
c. Anger management techniques
d. Substance abuse prevention
38. A community health nurse working with a migrant population recognizes that which
of the following is necessary to provide care to the population?
a. Offering health screenings at a community center
b. Requiring clients to show a work visa before they receive care
c. Providing health services at work sites
d. Treating clients on a free for service basis
39. A community health nurse notes that 6 new cases of diabetes mellitus have been
reported in the past 3 months. In the previous year, 5 cases were reported. The
population of the community is 15,000 people. What is the prevalence proportion
for the community?
a. 40.0/100,000
b. 73.3/100,000
c. 33.3/100,000
d. 0.9/100,000
40. A nurse at a shelter is assisting with client triage after a tornado destroyed a
community. Which of the following clients should receive priority care?
a. An adult client who is short of breath
b. An infant client who is crying
c. An older adult client who has a fractured arm
d. A school-age client who has a head abrasion
41. During a routine school visit to a physical education class, a nurse receives multiple
reports of shortness of breath, coughing, and nausea. Which if the following actions
should the nurse take first?
a. Administer oxygen therapy
b. Establish a triage area
c. Contact the local health department
d. Notify the parents of the students
42. The nurse instructing a child who has asthma how to use the MDI. After depressing
the canister, in which order should the client continue to use the MDI? (put it in
order)
a. Inhale slowly, hold breathe, breath out slowly, remove inhaler
43. A home health care nurse is teaching a client how to manage a central venous access
device at home. Which of the following statement by the client indicates an
understanding of the teaching?
a. Ill replace the cap on each lumen every 14 hours
b. Ill make sure we flush the central line once every week
c. Ill expect occasional drainage where the catheter goes in
d. Ill make sure to keep the catheter taped to my skin
44. A nurse volunteering at a local community center is addressing a variety of health
needs with a group of older adult clients. Which of the following interventions
would be considered a tertiary prevention strategy?
a. Distributing literature regarding signs and symptoms of a stroke
b. Providing a class on living with arthritis
c. Calculating the BMI of all the clients
d. Holding cooking class that focuses on low sodium meal
45. A community health nurse is calculating mortality rates due to AIDS. Of 24,600
deaths in population in a year 1,088 deaths were attributed to AIDS. What is the
proportionate mortality ratio of death due to AIDS expressed as a percentage?
a. 4.4%
46. A school nurse is planning a primary prevention activities for the new school year.
Which of the following should the nurse include? Select all that apply
a. Recommending a seating arrangement for a child in a body cast
b. Creating a plan of care for children diagnosed with diabetes
c. Lobbying for funding for health promotion efforts
d. Teaching a class about the risk of cigarette smoking
e. Organizing a program to promote skateboard safety
47. The home health nurse is teaching a client who is newly diagnosed with diabetes
mellitus. Which of the following statements by the client indicates an understanding
of the teaching?
a. I will limit any fluid intake to one liter daily
b. I will take my insulin 30 minutes before exercise
c. I will use a mirror to inspect my feet daily
d. I will eat a low residue diet
48. A nurse is providing education to the family of a school age child who has pertussis.
Which of the following should be included in the teaching?
a. Household contacts will receive prophylactic antibiotics
b. Transmission will be limited because of herd immunity
c. The child is most contagious after the rash develops
d. A dehumidifier should be placed beside the child’s bed
49. A nurse is serving one a state task force of disaster planning. The nurse is engaging
in disaster preparedness efforts when performing which of the following actions?
a. Functioning as manager at a temporary shelter
b. Assisting with the identification of a biological agent
c. Implementing a disaster triage plan with a local hospital
d. Organizing a mass casualty drill for community members
50. A nurse is working in an occupational health setting. Which of the following is a
primary prevention activity for the nurse?
a. Demonstrating proper body mechanics
b. Conducting smoking cessation classes
c. Developing health surveillance programs
d. Processing workers compensation claims
51. A community health nurse is providing screening for lipid disorders. Which of the
following is the primary goal of this activity?
a. Promotion of appropriate lifestyle changes
b. Early detection of disease
c. Client enrolment in prevention programs
d. Identification of family history of medical problems
52. A nurse is providing teaching to client who has a confirmed case of tuberculosis.
Which of the following statements by the client indicates teaching has been
effective?
a. I will be contagious until I have completed the full medication regimen
b. I will be take medication daily for at least 6 months
c. I will have a repeat tuberculin skin test in 6 weeks
d. I will need to have a special HEPA filter installed in my home
53. A home health nurse is providing teaching to a client who has chronic obstructive
disease and is experiencing weight loss. Which of the following should the nurse
include in the teaching?
a. Begin meals with high calorie foods
b. Use the prescribed bronchodilators after meals
c. Drink additional fluids with meals
d. Eat high carbohydrates, low protein foods
54. A community health nurse has recognized an outbreak of influenza at a local school.
Which of the following actions is secondary level of preventions?
a. Checking for possible exposure to influenza
b. Recommending annual influenza vaccines
c. Instructing about proper hand hygiene
d. Sending febrile children home from school
55. A nurse working in an assisted care facility is developing a disaster plan. Which of
the following is the first action the nurse should take?
a. Identify materials needed for staff and resident education
b. Determine potential environmental health hazards
c. Develop response strategies specific to older adults
d. Verify dates of the annual community wide mass casualty drill
56. A nurse is caring for a client who asks, “Can I decide not to continue with
chemotherapy? The nurse response, “this is your choice and ill support whatever
decision you make. “The nurse’s response is an example of which of the following
ethical principles?
a. Nonmaleficience
b. Beneficence
c. Veracity
d. Autonomy
57. A community health clinic nurse manager is reviewing 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 1 reported case per 10,000 population
c. About 3 reported cases per 10,000 population
d. About 300 reported cases 100,000 population
58. 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 client.
a. Nurse consultant
b. Case manager
c. Clinician
d. Administrator
59. A nurse is teaching the family of a client who was recently admitted to hospice care
about pain management. Which of the following statements by the clients’ partner
indicates in understanding of the teaching?
a. I will avoid giving breakthrough medication as the progression toward death
b. I will give her the lowest dose possible to prevent dependency
c. I will plan to give long acting pain medication to her on a regular basis
d. Once she is taking the maximum dosage of pain medicines, it means death is
near
60. Upon performing routine screenings, a school nurse identifies three classrooms with
students who have pediculosis. Using principles of epidemiology, which of the
following is the next action the nurse should take?
a. Calculate the incidence rate among students in the school
b. Search the CDC database to determine the typical incidence rate for this age
group
c. Review class rosters to determine whether a common host exists in the
three classrooms.
d. Provide education to the parents of children who are infecte [Show Less]