ATI COMMUNITY HEALTH REAL EXAM QUESTIONS AND CORRECT
ANSWERS 2023-2024 UPDATE ALREADY A GRADED|RASMUSSEN
UNIVERSITY
1. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which
of the following strategies should the nurse use?
Answer: educate children about nutrition and exercise at a daycare center
2. A community health nurse is developing health promotion activities for a community. Which
of the following is the highest priority action?
Answer: participate in community assessment to identify community health problems
3. A home health nurse is scheduling client visits for the day. Which of the following clients
should the nurse plan to visit first?
Answer: a 79-year-old client with an exacerbation of COPD
4. A state public health nurse is asked to determine which country has the most people living in it
with a diagnosis of Alzheimer’s disease. Which of the following measures will determine this
information?
Answer: analytic epidemiology
5. A community health nurse is reviewing laboratory results for his case load of clients. Which of
the following is the highest priority finding?
Answer: a sputum specimen that is positive for tuberculosis
6. A nurse is triaging victims of a commuter train crash. Which of the following clients should be
transported to the Emergency Department first?
Answer: an ambulatory client whose nose is bleeding and who reports feeling dizzy
7. 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?
Answer: include both hot and cold food items on a Hispanic client’s menu
8. A nurse is caring for a client who has questions about his treatment plan. Which of the
following should the nurse perform as a client advocate (select all that apply)?
Answer: provide education to the client about the diagnosis inform the client about the
provider’s responsibility to provide information assist the client in preparing questions for the
provider affirm the client’s decision about the treatment plan
9. A nurse is working with a client who is homeless. Which of the following is the first step that
the nurse should take to advocate for this client?
Answer: refer the client to a public homeless shelter
10. 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 this teaching?
Answer: caffeinated beverages should be replaced with caffeine-free
11. A community health nurse is writing an emergency response plan for a day care. Which of the
following should be included in the plan?
Answer: immunization protocol for various biological agents
12. A community health nurse is preparing to teach accident and injury prevention. Which of the
following would be the priority topic for a family with a 10-year-oldchild?
Answer: use if seat belts in automobiles
13. A child is brought to the school nurse by her teacher who thinks the child may have
contracted rubeola. Which of the following findings supports this diagnosis?
Answer: koplik spots in the oral mucosa
14. A home health nurse is performing an eye assessment and vision screening on an older adult
client recently assigned to her care. Which of the following findings indicates a need for an
intervention?
Answer: slightly yellow sclera
15. Which of the following is an example of the responsibilities of public health nursing
Answer: informing state health officials of a potential meningitis outbreak
16. A nurse is providing a staff development program on HIPPA regulations to the staff at a
community health clinic. Which of the following comments by one of the attendees would
indicate a need for further teaching?
Answer: “Demographic data that identify a client can be released without consent”
17. A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the
following indicates a positive reaction to the test?
Answer: Induration at infection site of 8 mm
18. After presenting several teaching sessions to a group of high school students about the
harmful effects of tobacco use, a nurse valuates the teaching to be effective when a student states
which of the following
Answer: “As long as I stop smoking while I am young, none of those diseases will affect me”
19. A home health nurse is educating a client diagnosed with COPD about home oxygen use.
Which of the following statements by the client indicates a need for additional teaching
Answer: “I should use wool blankets on my bed when oxygen in use”
20. A nurse is providing teaching to the wife of a client who has had a stroke regarding healthrelated services that will be provided in the home. Which of the following statements by the wife
indicates that the teaching has been effective?
Answer: “The physical therapist will teach my husband exercises to increase hand dexterity”
21. A nurse is assisting with the development of a disaster management plan for a local
community. During which of the following times should an evacuation plan be disclosed to the
public
Answer: During disaster preparedness activities
22. A community health nurse is teaching a client who has tuberculosis about modes of disease
transmission. The nurse recognizes that the client understands the concept when the client makes
which of the following statements
Answer: “I will wear a mask when I’m in an enclosed area with other people”
23. 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’s response is an example of which of the following ethical principles
Answer: Autonomy
24. A community health nurse is working with a family in which only the children speak English.
The nurse should select a translator who is
Answer: Skilled in health-related interpretation
25. A community health nurse working with a migrant population recognizes that which of the
following is necessary to provide care to this population
Answer: Offering health screenings at a community center
26. Which of the following activities is the responsibility of a case manager?
Answer: Evaluate cost effectiveness of client treatments
27. A nurse uses a secondary prevention intervention when doing which of the following
Answer: Performing hypertension screening in a community center
28. An occupational health nurse is planning a program on early detection of breast cancer for
female employees at a local business. Which of the following is the first action the nurse should
take
Answer: Determine employee knowledge level of breast self-examination
29. While addressing community leaders at a forum for establishing community improvement
initiatives, a public health nurse identifies which of the following groups as the fastest growing
segment of the homeless population
Answer: Families with children
30. A nurse is working in an occupational health setting. Which of the following is a primary
prevention activity for the nurse
Answer: Conducting smoking cessation classes
31. A parish nurse is visiting an older adult client who was recently widowed. The client tells the
nurse that he no longer has a way to get to the grocery store or the doctor. Which of the following
responses by the nurse is appropriate
Answer: “How would you feel about me contacting a local service that helps older adults with
transportation?”
32. 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
Answer: Discussing payment options with various pharmacies
33. What patient would the Home Health Nurse send to the doctor first
Answer: Abdominal pain
34. A community health nurse is evaluating an outbreak of hepatitis A among adult clients in his
community. Which of the following should the nurse do to identify the cause of the disease
Answer: Identify restaurants where the clients have recently eaten
35. A nurse working for a home hospice organization recognizes that clients must meet which of
the following criteria to qualify for hospice care
Answer: Documented need for palliative care
36. A nurse is working with a case manager for a client who participates in a health maintenance
organization. Which of the following is characteristic of the payment structure provided under
this system
Answer: The client pays the insurer a percentage of the total costs for each service rendered by
the provider
37. A nurse is providing education to a troop of local Boy Scouts regarding first aid for
venomous snake bites in the event that transport to the hospital is delayed. Which of the
following would be appropriate information to include in teaching about bites to an extremity
Answer: Apply a constricting band above the bite while maintaining circulation below the bite
38. In reviewing goals of “healthy people” nurse determines the community has a significant
problem preventing dental caries in children. To bring about change
Answer: WIC program intake offices
39. A nurse is providing teaching to a community group regarding smallpox. Which of the
following is an appropriate response in relation to why people who received a single vaccination
prior to 1980 are no longer considered protected
Answer: The vaccine does not confer life-long immunity
40. A community health nurse is conducting a community assessment. Which of the following
data should be included as a component of the assessment
Answer: Resources available to address health care issues
41. A school nurse is creating a plan to address an increase in violence among high school
students. Which of the following is a secondary prevention strategy that the schools nurse can
implement
Answer: Surveying students to identify risk factors for bullying
42. A school nurse is assessing the spinal alignment of students at a grade school. Which of the
following findings indicates a child should be assessed further for scoliosis
Answer: Unilateral scapular hump when the child bends at the waist
43. A nurse is preparing to provide postmortem care for a client who is Chinese American.
Which of the following should the nurse consider when providing care
Answer: The family will remain with the body until burial
44. A community health nurse is teaching a client who has active tuberculosis about disease
management. Which of the following information should be included in the teaching
Answer: Provide sputum cultures until three come back negative
45. A public health nurse has received a report of several infants who attend the same day care
being diagnosed with respiratory syncytial virus (RSV). Which of the following actions should
the nurse take first
Answer: Provide the staff with information regarding measures to minimize disease
transmission
46. A nurse planning and education program for new inmates in a correctional facility. Which of
the following topic is most important for the nurse to include in the teaching?
Answer: Communicable disease prevention
47. A school nurse is planning an educational for parents about head lice. The nurse should
include which of the following in the program?
Answer: Combs should be placed in boiling water for 10 min.
48. A home health nurse is assessing a client who was diagnosed with congestive heart failure.
Which of the following assessment finding should be reported to the provider?
Answer: Sodium level of 119
49. A nurse is educating a community about disaster planning for an upcoming hurricane season.
Which of the following is an example of personal preparedness?
Answer: Recommending that each family has batteries, a radio and a flashlight
50. A community health nurse is providing instruction about infection control to the family of 5years-old child who has impetigo contagious. The child has siblings living in the home. Which of
the following recommendations is appropriate?
Answer: Provide the child with separate towels and lines
51. A client tells a nurse that she is planning a hiking trip. Which of the following measures
should the nurse recommend minimizing the client’s risk for contracting Rocky Mountain
spotted fever?
Answer: Wear protective clothing
52. 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?
Answer: Organize a flu immunization clinic with the American Red Cross.
53. A public health nurse is tracking reports of flu-like illness in the local school system. This is
an example of which of the following approaches?
Answer: Prevalence rate
54. Which of he following activities would the school nurse perform in the role a consultant?
Answer: Recommend policy chances to minimizes the spread of influenza
55. A client presents to the emergency department after being exposed to anthrax. The nurse
should recognize that the
Answer: Chances of recovery are good if improvement is seen in 3 to 5 days.
56. 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 conditions?
Answer: Rigid abdomen with symptoms of shock
57. 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)
Answer: The hot water heater is set at 130 F.
An extension cord extends across the floor from the electrical outlet to floor lamp.
58. Primary Goal of Community Health Nursing
Answer: Enhance the individuals, families and communities
59. Nurse is working with interdisciplinary group to write procedures for assessment of clients
from multiracial inner city population. “Remember that all Hispanic clients may not wish to give
personal med information to a stranger”
Answer: Recommend changing the language that stereotypes one ethnic group
60. Patient having trouble with peripheral vision- what best for nurse to do
Answer: orient patient to surroundings (something about the environment)
61. Risk for constipation - immobility, older
Answer: adults, dehydration, narcotics or BP medications
62. Population-focused nursing practice
Answer: Community diagnosis
63. SIDS-prevention
Answer: supine position, sleep on back
64. Primary prevention of Asthma
Answer: Take bronchodilator first
65. Rheumatoid Arthritis Resources
Answer: The arthritis association
66. Necessary when a person is in need of psychiatric treatment, presents a danger to self or
others, or is unable to meet his or her own basic needs
Answer: Involuntary admission criteria
67. Child injury v/s abuse
Answer: Abuse
68. Nurse is performing an intake interview at a prenatal clinic on a patient who is at 6 weeks
gestation
Answer: Supervision of the renovation of an old house the family just purchased due to
teratogen defect
69. The community health nurse attempting to address the issue of child abuse in a large
metropolitan area primary prevention program
Answer: High school child development and parenting classes
70. Scheduling home visits, which is best for the home health charge nurse to assign to the LPN
Answer: A bedfast client who needs daily irrigation of stage 4 pressure ulcer
71. Occupational Health Act
Answer: Location of the workplace as relates to health facilities
72. Nurse has to conduct community Dx to determine nursing needs and problems
Answer: Community-based practice.
73. Pregnant woman not getting enough what vitamin may cause neural tube defects
Answer: Folic acid
74. Plans formulated for solving community problems
Answer: Community organization
75. Training of potential leaders in the community
Answer: Core group formation
76. PHN bag is an important tool for care during a home visit
Answer: prevent the spread of infection
77. Prenatal consult asked HHN if she can have her delivery at home advised her against a home
delivery
Answer: Her OB score is G5P3
78. 6 months pregnant, comes to the center for consult and what med is contraindicated
Answer: Retinol 2000,000 IU
79. Type of family-nurse contact offers with the best opportunity to observe family dynamics
Answer: Home visit
80. Philosophy of public health nursing
Answer: worth and dignity of man
81. Abuse
Answer: Advise the mother to call the police if violent behavior occurs again
82. 70-year-old male client at nursing home after a hip replacement and at risk for decubitus
ulcers because
Answer: Thinning of the skin with loss of elasticity
83. Vietnamese child during a HH visit and nurse notices round swellings on child's back. Mom
says she rubbed a coin on his oiled skin
Answer: The purpose is to rid the body of disease
84. Core business of public health
Answer: Disease control, health protection, health public policy, injury prevention
85. Herbal plant given for fever, headache and cough
Answer: Langundi
86. Pillars of primary health care
Answer: Provision of medical care and emergency treatment
87. If there were 250 deaths and 36,114 live births registered in Region III, with a total
population of 200,000, the fetal death rate would be
Answer: 6.9 per 1000 live births
88. Type of water supply facility composed of system with piped distribution network and
household taps
Answer: Level III
89. Pandemic occurrence of a disease
Answer: The simultaneous occurrence of epidemic of the same disease in several countries
90. 5 year old child given Retinol capsule every 6 months to prevent xerophthalmia-preschooler
dose
Answer: 200,000 IU
91. In the Philippines, condition most frequent cause of death associated with schistosomiasis
Answer: Liver cirrhosis
92. Operation Timbang is which level of prevention of health problem
Answer: Primary
93. In conducting a census, the method of population assignment based on the usual place of
residence of the people
Answer: De facto
94. Method of family planning not immediately used by a breastfeeding mother
Answer: Combined OCP
95. 3 year old boy with severe pneumonia or very severe disease
Answer: fast breathing
96. Very important part of the community health nursing planning process
Answer: Evaluation of structures and qualifications of health care team
97. An advantage of a home visit
Answer: Provides an opportunity to do first hand appraisal of the home situation
98. The different clients of the community health nurse
Answer: Individual
Family Population group
Community
99. Dependency ratio
Answer: Compares the number of economically dependent with the economically productive
group in population
100. According to Maslow’s hierarchy of needs, developing one’s potential is
Answer: Self-actualization
101. Newborn Screening act is
Answer: R.A 9288
102. He defined public health as the science and art of preventing disease, prolonging life,
promoting health and efficiency through organized community effort
Answer: Winslow
103. Woman brought her 2 month old baby to the health center for immunization - infant’s
temperature registered 38 degrees C
Answer: Proceed with the infant’s immunizations
104. When is Rabies awareness month celebrated
Answer: March
105. 6 year old boy entering school for the first time
Answer: Foreseeable crisis
106. Severe dehydration
Answer: Sunken eyes Skin pinch goes back slowly Abnormally sleepy or difficult to awaken
107. Element of formula one aims to ensure quality and affordability of health services
Answer: Health regulation
