2019-2023 ATI COMMUNITY HEALTH PROCTORED EXAM STUDY
GUIDE ANSWER KEY LATEST UPDATE ALREADY A GRADED
1. A home health 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 bike
b. I should inspect my child’s mouth for sores
c. I should take my child’s rectal temperature daily
d. I will make sure my child gets his MMR vaccination this week
Answer: b. I should inspect my child’s mouth for sores
2. A school nurse is planning a safety education for a group of adolescent’s. The nurse should
give priority to which of the following topics as the leading cause of death in this age group?
a. Gun safety
b. Motor vehicle safety
c. Substance abuse prevention
d. Sports injury prevention
Answer: b. Motor vehicle safety
3. A case manager is completing discharge planning for a client who has ETOH use disorder
and cirrhosis of the liver. Which of the following actions should the case manager take first?
a. Contact a social worker to assist the client with managing finances.
b. Provide client information on self-help groups for ETOH use disorder
c. Determine which home safety measure the client will need to implement
d. Arrange for a home health nurse to visit the client following discharge.
Answer: b. Provide client information on self-help groups for ETOH use disorder
4. A nurse in a community clinic is preparing and educational guide about cultural variances
in expression of pain. Which of the following information should the nurse include?
a. Puerto Rican cultural practices include the view that outspoken expression of pain is
shameful.
b. Middle eastern cultural practices include hiding pain from close family members
c. Native Americans cultural practices include being outspoken about pain.
d. Chinese cultural practices include enduring pain to prevent family dishonor.
Answer: d. Chinese cultural practices include enduring pain to prevent family dishonor.
5. A faith based organization asks a community health nurse to develop mobile meal program
for older adults who are no longer driving. Which of the following should the nurse plan to
take first?
a. Inquire about availability of volunteers
b. Perform a needs assessment
c. Determine potential funding sources for the program.
d. Identify alternative solutions to address concerns.
Answer: b. Perform a needs assessment
6. 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 know that everything will be better soon
b. I don’t want to lose control of my ability to make decisions.
c. I’m afraid of experiencing pain near the end.
d. I’m relying on my partner more and more for support.
Answer: a. I know that everything will be better soon
7. A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the
following statements by the nurse demonstrates a primary prevention strategy?
a. Avoid direct sunlight b/t 10am-4pm
b. Apply cool tap water soaks for 20 mins to relieve sunburn
c. Use acetaminophen as needed for sunburn
d. Ensure you have a yearly skin examination with your provider
Answer: a. Avoid direct sunlight b/t 10am-4pm
8. 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 bottle in the microwave 30 seconds at a time
b. I limit the time her grandparents cuddle my baby to prevent spoiling
c. I carry my baby with me as I move around the house
d. I use baby talk when talking to my baby
Answer: d. I use baby talk when talking to my baby
9. 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. Encourage the family to join a support group
b. Provide the family about respite care
c. Engage the family in informal conversation
d. Educate the family regarding the progression of dementia
Answer: d. Educate the family regarding the progression of dementia
10. A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the
following is an example of tertiary prevention.
a. Promoting the use of helmets with children who ride bikes
b. Providing STI testing for students on a college campus
c. Teaching about inhaler use in a client who has asthma
d. Educating adults about breast cancer screening guidelines
Answer: c. Teaching about inhaler use in a client who has asthma
11. A nurse educator is teaching a group of newly licensed nurses about maintaining client
confidentially according to HIPAA regulations. Which of the following statements by a newly
licensed nurse indicates an understanding of the teaching?
a. HIPAA rules vary from state to state
b. We should share our computer password with our managers
c. HIPAA rules allows clients to receive a copy of the medical records
d. A client dx can be posted on the communication board inside the clients room
Answer: c. HIPAA rules allows clients to receive a copy of the medical records
12. A parish nurse is counseling a family following a client’s recent dx with heart diseases.
Which of the following actions should the nurse take first?
a. Assist the client and the client partner finding an affordable exercise program
b. Discuss the benefits of eating a well-balanced diet with the client’s family
c. Ask family about the impact of the disease on relationships within the family
d. Offer to accompany the client and the client’s partner during health care provider visits
Answer: c. Ask family about the impact of the disease on relationships within the family
13. A nurse is assessing an outbreak of mumps among school aged children. Using the
epidemiological triangle, the nurse should recognize that which of the following is the host?
a. The vaccine
b. The school
c. The virus
d. The children
Answer: d. The children
14. A nurse is teaching a to a 50-year old female client. Which of the following statement
should the nurse include in the teaching?
a. You should have a complete eye exam every 2 years until the age of 64.
b. You should have your stool tested for blood every other year until the age of 74
c. You should have your hearing screened every 5 years
d. You should have your fasting Blood glucose level checked every 6 years
Answer: a. You should have a complete eye exam every 2 years until the age of 64.
15. A nurse is working with 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. Urging community leaders to make nonviolence a priority
b. Developing resources for victims of abuse
c. Assessing for risk factors of IPV during health examinations
d. Presenting community education programs about stress management
Answer: b. Developing resources for victims of abuse
16. A nurse care manager is providing discharge planning for a client. The nurse is
functioning in which of the following roles when arranging delivery of medical equipment to
the client home?
a. Advocate
b. System allocator
c. Consultant
d. Coordinator
Answer: d. Coordinator
17. A mental health nurse is scheduling a home health appointment with a client who has
recently lost his partner to a motor vehicle crash. Which of the following statements by the
client indicates a need for immediate nursing intervention?
a. I just feel so angry right now
b. Everything is going to be fine soon’
c. There’s no need for anyone to come see me, including you
d. I’m not going to talk to you about my problems
Answer: b. Everything is going to be fine soon’
18. A nurse is providing teaching to a newly licensed nurse about case management. The
nurse should include which of the following tasks is the responsibility of a case manager?
a. Enforce OSHA standards in the workplace
b. Teach a smoking cessation support group
c. Evaluate the cost effectiveness of client treatments
d. Perform employee risk assessment
Answer: c. Evaluate the cost effectiveness of client treatments
19. A nurse in a community health clinic is assessing a client who has 2 preschoolers, was
recently divorced, and is seeking help for managing depression. Which of the following
statements should the nurse ask first?
a. Are you having any thoughts of hurting yourself
b. Who is available to help you
c. Could you describe how you are feeling today
d. Is there anything that makes you feel less depressed
Answer: d. Is there anything that makes you feel less depressed
20. A nurse is planning a primary prevention 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 nutrition and exercise
b. Measure the BMI of older adults at a community center
c. Encourager enrollment and attendance at a weight0-reduction program
d. Distribute health risk appraisal questionnaires at community functions
Answer: a. Educate children at a day care center about nutrition and exercise
21. A parish nurse is planning activities for a faith-based community. Which of the activities
should the nurse include?
a. Teach stress management strategies
b. Provide case management
c. Offer primary care to uninsured members
d. Change the negative pressure wound therapy dressing
Answer: a. Teach stress management strategies
22. A nurse is providing teaching to a newly licensed nurse about secondary prevention
strategies related to violence and abuse. Which of the following strategies should the nurse
include in the teaching?
a. Teach a parenting skills class at a child development t center
b. Assess client for withdrawal and passively during home health visits
c. Refer clients to the appropriate community agency if signs of abuse is evident
d. Coordinate a personal defense program at a local agency
Answer: c. Refer clients to the appropriate community agency if signs of abuse is evident
23. A home health nurse is caring for a client who has terminal cancer and no longer wants to
receive enteral feeding tube feeding. Which of the following actions should the nurse take?
a. Request the facility Chaplin to visit the client
b. Ask the client to sign an informed consent
c. Complete an against medical advice form
d. Explain the process for completing a living will.
Answer: a. Request the facility Chaplin to visit the client
24. 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 120ml(4oz) of cold 2% milk as a meal replacement
b. Maintain the head of the bed in an elevated position after eating
c. Provide sips of room-temperature ginger ale between meals
d. Use seasoning to enhance the flavor of foods
e. Assist the client in using guided imagery
Answer: b. Maintain the head of the bed in an elevated position after eating
c. Provide sips of room-temperature ginger ale between meals
e. Assist the client in using guided imagery
25. A nurse is teaching a client who has terminal illness about hospice care. Which of the
following statements by the client indicates an understanding of the teaching? (SATA)
a. My provider will recommend that I enter hospice care when I have 1 year left to live
b. I will receive care from a variety of interprofessional team members
c. I can discontinue hospice care whenever I want
d. I will need to have a private insurance because Medicare does not cover hospice care
e. I can receive care in the hospital or at home
Answer: b. I will receive care from a variety of interprofessional team members
c. I can discontinue hospice care whenever I want
e. I can receive care in the hospital or at home
26. A nurse is participating in a quality improvement committee for home health clients.
Which of the following topics should the nurse recommend for the committee to review?
a. An increase in levels of local air pollution
b. An increase in client falls at home
c. An increase in clients receiving annual flu vaccines
d. An increase in client admission for home health care
Answer: b. An increase in client falls at home
27. A community nurse is teaching a group of parents about manifestations of ETOH
withdrawal. Which of the following manifestations should the nurse include in the teaching?
a. Hyperglycemia
b. Hypotension
c. Seizures
d. Somnolence
Answer: c. Seizures
28. A community health nurse is working with a migrant population. The nurse should
recognize which of the following interventions is necessary to provide care to this
population?
a. Requiring the clients to show a work visa before they receive care
b. Treating clients on a fee-for-service basis
c. Providing health services at work sites
d. Offer health screenings at a community center
Answer: d. Offer health screenings at a community center
29. A case manager in a rehabilitation facility is discussing discharge plans with a client who
has a pressure injury and requires special beds at home.
Which of the following statements should the nurse make first?
a. A social worker can help you with the cost of supplies
b. Describe the place where you are currently living
c. Apply moisture barrier ointment 3 times a day
d. Eat a balanced diet with high protein snacks
Answer: b. Describe the place where you are currently living
30. A nurse is providing teaching to a client about directives regarding end-of- life care.
Which of the following information should the nurse include in the teaching?
a. The client can chose a non-family member as the designated power of attorney
b. The living will binding contract between the client and the provider
c. The client family has the authority to revoke the do-not-resuscitate order at any time
d. The client can verbally choose a health care proxy it two nurses witness the designation.
Answer: a. The client can chose a non-family member as the designated power of attorney
31. A school nurse is planning primary prevention activities for the school year. Which of the
following should the nurse plan to take.
a. Monitor the immunization status of students
b. Provide referrals for students who have asthma
c. Provide first aid for injured students
d. Schedule hearing screening for each grade level
Answer: a. Monitor the immunization status of students
32. A nurse is planning an in-service about isolation precautions for her co- workers. For
which of the following infections should the nurse identify the need for contact precautions.
a. Herpes simplex
b. Pertussis
c. Diphtheria
d. Pulmonary tuberculosis
Answer: a. Herpes simplex
33. A nurse is caring for a client who asks “Can I decide not to continue with chemotherapy?”
the nurse responds “This is your choice, and I’ll support whatever decision you make.” The
nurse response is an example of which of the following?
a. Nonmaleficence
b. Veracity
c. Autonomy
d. Beneficence
Answer: c. Autonomy
34. A nurse 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 client teaching using a variety strategies
d. Determine the client’s understanding of her living situation.
Answer: d. Determine the client’s understanding of her living situation.
35. A nurse is serving a state task force for disaster planning. The nurse is engaging in
disaster preparedness efforts when performing which of the following actions?
a. Functioning as a manager at a temporarily shelter
b. Assisting with the identification of biological agent
c. Implementing a disaster triage plan with the local medical facility
d. Organizing a mass causality drill for community members
Answer: d. Organizing a mass causality drill for community members
36. A home health nurse is performing and eye assessment for an older adult client. Which of
the following is the priority for the nurse to report to the provider?
a. Conjunctivitis
b. Hemianopia
c. Decreased near vision
d. Increased sensitivity to glare
Answer: b. Hemianopia
37. A community health nurse encounters a client who has suspected bioterrorism- related
illness. Which of the following actions should the nurse take?
a. Report the client’s condition to the FBI
b. Disinfect contaminated areas of the skin with isopropyl alcohol
c. Move the client to a quarantine area
d. Don personal protective equipment
Answer: d. Don personal protective equipment
38. A nurse in an extended facility enters the room of a client and notices a fire in the trash
can. Which of the following is the nurse’s priority?
a. Move the client to another location
b. Activate the alarm
c. Shut the windows and doors
d. Attempt to extinguish the fire.
Answer: a. Move the client to another location
39. An occupational health nurse is completing a walk-through of a factory to identify
workers at risk for injury. Which of the following workers should the nurse identify at being
at risk?
a. A worker who is standing in place in extended period and rests one foot on a box
b. A worker standing with a wide base support when pulling a cart towards himself
c. A worker who is 7 weeks postoperative following a rotator cuff surgery and is labeling
boxes.
d. A worker who is wearing a back brace and bends at the waist when picking up a pallet.
Answer: d. A worker who is wearing a back brace and bends at the waist when picking up a
pallet.
40. A home health nurse is caring for a client that has C. diff infection. Which of the
following actions should the nurse take?
a. Instruct the client to avoid use of probiotics
b. Us and ETOH-based hand sanitizer following care
c. Obtain a surgical mask for the client to wear when away from home
d. Clean the client’s bathroom with diluted bleach solution
Answer: d. Clean the client’s bathroom with diluted bleach solution
41. A school nurse is caring for a child who has muscular dystrophy and is having difficulty
swallowing at lunch. Which of the following referrals should the nurse initiate?
a. Dietician
b. Speech-language therapist
c. Respiratory therapist
d. Occupational therapist
Answer: b. Speech-language therapist
42. A nurse in a mobile 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 the nurse.
Which of the following actions should the nurse take?
a. Arrange the member of the client’s community to interpret the teaching
b. Use a professional terminology when providing education prior to the procedure
c. Have the client’s daughter communicate information about the procedure
d. Identify the client’s dialect prior to contacting an interpreter
Answer: d. Identify the client’s dialect prior to contacting an interpreter
43. A community nurse health nurse is working with a task force to decrease community
violence. Which of the following planned interventions should the nurse identify as a primary
prevention strategy?
a. Providing parenting classes for local patients
b. Arranging for a local clinic to provide methadone treatments
c. Providing sexual assault nurse examiner training for nurses in the local clinic
d. Developing protocols for managing victims of violence
Answer: a. Providing parenting classes for local patients
44. 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. Dizziness
c. Hypoglycemia
d. Diplopia
Answer: b. Dizziness
45. 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. Schedule annual dental examinations for the clients
b. Encouraging the clients to exercise regularly
c. Immunizing the clients against influenza
d. Providing the clients with low-fat diet
Answer: c. Immunizing the clients against influenza
46. A nurse at a community clinic is assessing a client who reports injecting heroin an 1hr
ago. Which of the following should the nurse expect?
a. Nystagmus
b. Tachypnea
c. Euphoria
d. Dilatated pupils
Answer: a. Nystagmus
47. A school nurse is planning primary prevention activities for the new school year. Which
of the following should the nurse include? (SATA)
a. Lobbying for funding for health promotion effects
b. Recommending a seating arrangements for a child in a body cast
c. Creating a plan of care for children who have a diagnosis of DM
d. Organizing a program to promote skateboard safety
e. Teaching a class about the risks of cigarette smoking
Answer: a. Lobbying for funding for health promotion effects
d. Organizing a program to promote skateboard safety
e. Teaching a class about the risks of cigarette smoking
48. A nurse is working for a hospice organization. The nurse should identify that which of the
following criteria must be met for a client to qualify for hospice care?
a. The client has declined additional life-prolonging treatments
b. The client requires inpatient care due to lack of a caregiver
c. The client has documentation that states he has less than 12 months to live
d. The clients insurance provides coverage for palliative care
Answer: d. The clients insurance provides coverage for palliative care
49. A nurse manager at a clinic is reviewing the preventive services offered to clients. Which
of the following activities should the nurse identify as a secondary prevention activity?
a. Encourage a pregnant woman to participate in a prenatal care class
b. Provide smoking cessation class
c. Advocate for laws that prohibit texting while driving
d. Refer a client who is recovering from a substance use disorder to social service program.
Answer: d. Refer a client who is recovering from a substance use disorder to social service
program.
50. A public health nurse is developing protocols to use in emergency shelters following a
disaster. Which of the following should the nurse include as a
secondary prevention strategy for clients who survive a disaster?
a. Providing age appropriate activities for shelter residents
b. Compiling resources available to transition individuals from shelters to a home
c. Interviewing shelter residents to determine the effectiveness of comping behaviors
d. Publishing a listing of shelter locations in local media source
Answer: b. Compiling resources available to transition individuals from shelters to a home
51. A nurse is triaging clients who were involved in a commuter train care. Which of the
following should the nurse choose for transport to the ER first?
a. A client who is exhibiting agonal respirations with fixed or dilated pupils
b. An ambulatory client who has a nosebleed and reports feeling dizzy
c. A client who has a fracture of the humorous with a 2+ radial pulse in the affected arm
d. A client who has full-thickness burns injuries over 30% of his total body surface area
Answer: a. A client who is exhibiting agonal respirations with fixed or dilated pupils
52. A nurse working in an assisted living care facility is developing a disaster plan. Which of
the following is the first action the nurse should take?
a. Develop response strategies specific to older adults
b. Verify dates of the annual community-wide mass causality drill
c. Determine potential environmental health hazards
d. Identify materials needed for staff and resident education.
Answer: c. Determine potential environmental health hazards
53. A nurse at a rural clinic is interviewing a family who has different cultural beliefs than the
nurse. The family reports seeing a folk healer. Which of the following statements should the
nurse make?
a. Describe how you hope the treatments will affect your health
b. Alternative health practices could be dangerous and should be avoided
c. Many folk medicine treatments work by providing a placebo effect
d. I can refer you to a medical practitioner for your health care needs
Answer: a. Describe how you hope the treatments will affect your health
54. A nurse is working with a case manager for a client who participates in a health
maintenance organization. The nurse should identify that a health maintenance organization
provides which of the following payment structures?
a. The client pays the insurer a percentage of the total cost for each service rendered by the
provider
b. The provider is paid a fixed sum for the client on a monthly or yearly bases
c. The client is participating in a fee-for service health care insurance program
d. The provider bills the client directly predetermined percentage for the cost of services.
Answer: b. The provider is paid a fixed sum for the client on a monthly or yearly bases
55. A nurse working in a 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 CDC?
a. State health department
b. Local red cross chapter
c. Hospital infection control department
d. Office of the surgeon general
Answer: a. State health department
56. A home health nurse is discussing electrical hazards with a client. Which of the following
statements should the nurse include?
a. You should cover electrical cords with an area rug
b. You should pull on the cord when unplugging items
c. You should limit your use of extension cords
d. You should secure extension cords with clear packaging tape.
Answer: c. You should limit your use of extension cords
57. 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. Client who has a finger fracture with a 2+ pedal pulse
b. A client who has superficial partial thickness burns injuries over 5% of his body
c. A client who is ambulatory in exhibits manic behavior
d. A client who has rigid abdomen with manifestations of shock
Answer: d. A client who has rigid abdomen with manifestations of shock
58. A nurse is in a clinic is reviewing home safety precautions with a client who is to begin
radioactive iodine therapy. Which of the following statements by the client indicates an
understanding of the teaching?
a. I will use a toilet that is not used by others in my family
b. I will wait one week after treatment to use a laxative
c. I will allow my granddaughter to visit for 4 hours daily
d. I will use cloth handkerchiefs instead of tissues
Answer: a. I will use a toilet that is not used by others in my family
59. A nurse in a antepartum clinic is reviewing the medical records for 4 clients. Which of the
following infectious conditions should the nurse report to the CDC?
a. Gonorrhea
b. Bactria vaginosis
c. Genital herpes simplex virus
d. HPV
Answer: a. Gonorrhea
