2019 ATI Community Health Proctored Exam Form A, B, C With Answers-260 Solved Questions

ATI COMMUNITY HEALTH PROCTORED EXAM 2019 Form A B C
ATI COMMUNITY HEALTH PROCTORED EXAM FORM A 2019
1. A nurse is planning a primary prevention strategy for reducing obesity in a community.
Which of the following strategies should the nurse use?
A. Conduct health screenings for obesity at local clinics
B. Educate children about nutrition and exercise at a daycare centre
C. Refer clients to a weight management program
D. Provide referrals for bariatric surgery
Answer: B. Educate children about nutrition and exercise at a daycare centre
2. A community health nurse is developing health promotion activities for a community.
Which of the following is the highest priority action?
A. Provide free health screenings
B. Educate the community on healthy lifestyle choices
C. Distribute educational materials on various health topics
D. Participate in community assessment to identify community health problems
Answer: D. 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?
A. A 79-year-old client with an exacerbation of COPD
B. A 50-year-old client scheduled for wound dressing change
C. A 34-year-old client who requires follow-up on blood glucose monitoring
D. A 45-year-old client with a controlled hypertension check-up
Answer: A. 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?
A. Descriptive epidemiology
B. Experimental epidemiology
C. Analytic epidemiology

D. Clinical epidemiology
Answer: C. 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?
A. Haemoglobin level of 11.2 g/dL
B. White blood cell count of 10,000/mm³
C. Sputum specimen that is positive for tuberculosis
D. Blood glucose level of 110 mg/Dl
Answer: C. 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?
A. An ambulatory client whose nose is bleeding and who reports feeling dizzy
B. A client with a suspected fractured wrist
C. A client with minor abrasions to the arms and legs
D. A client who reports feeling anxious and upset
Answer: A. 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?
A. Offer a vegetarian diet to all clients
B. Include both hot and cold food items on a Hispanic client’s menu
C. Avoid spicy foods in all dietary plans
D. Provide only cold beverages during mealtime
Answer: B. 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)?
A. Provide education to the client about the diagnosis)
B. Inform the client about the provider’s responsibility to provide information)
C. Tell the client to follow the provider's advice without question
D. Assist the client in preparing questions for the provider

E. Affirm the client’s decision about the treatment plan
Answer: A. Provide education to the client about the diagnosis)
B. Inform the client about the provider’s responsibility to provide information)
D. Assist the client in preparing questions for the provider
E. 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?
A. Refer the client to a public homeless shelter
B. Provide the client with a list of job openings
C. Assist the client in applying for housing assistance
D. Educate the client on financial management
Answer: A. 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?
A. Smoking occasionally is acceptable during pregnancy
B. Caffeinated beverages should be replaced with caffeine-free
C. Alcohol consumption is safe in moderation
D. Exercise is harmful and should be avoided during pregnancy
Answer: B. 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?
A. Fire safety drills and evacuation procedures
B. Immunization protocol for various biological agents
C. Procedure for handling child custody disputes
D. Guidelines for organizing field trips
Answer: B. 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-old child?
A. Safe use of bicycles and helmets
B. Avoidance of alcohol and tobacco

C. Use of seat belts in automobiles
D. Supervision during playground activities
Answer: C. Use of 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?
A. Red rash on the face and trunk
B. Koplik spots in the oral mucosa
C. Swollen parotid glands
D. Yellowing of the skin and eyes
Answer: B. 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?
A. Slightly yellow sclera
B. Cloudy vision in one eye
C. Decreased peripheral vision
D. Difficulty reading small print
Answer: B. Cloudy vision in one eye
15. Which of the following is an example of the responsibilities of public health nursing
A. Coordinating flu vaccination clinics
B. Educating the public on safe food handling
C. Informing state health officials of a potential meningitis outbreak
D. Providing counseling services to families
Answer: C. 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?
A. "Clients must sign a release form to obtain copies of their records."
B. "I should ensure that all client information is kept private and secure."
C. "Demographic data that identify a client can be released without consent."

D. "HIPAA guidelines apply to electronic and paper records equally."
Answer: C. "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?
A. Redness at injection site of 5 mm
B. Induration at infection site of 8 mm
C. Redness at infection site of 10 mm
D. Induration at infection site of 4 mm
Answer: B. 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
A. "Smoking just a few times won’t affect my health."
B. "Using e-cigarettes is safer than using tobacco."
C. "As long as I stop smoking while I am young, none of those diseases will affect me."
D. "Smoking increases my risk of lung disease and heart problems."
Answer: D. "Smoking increases my risk of lung disease and heart problems."
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
A. "I should avoid using candles around oxygen."
B. "I should use wool blankets on my bed when oxygen is in use."
C. "I will keep oxygen tanks away from heat sources."
D. "I will not smoke or let others smoke around oxygen equipment."
Answer: B. "I should use wool blankets on my bed when oxygen is in use."
20. A nurse is providing teaching to the wife of a client who has had a stroke regarding
health-related services that will be provided in the home. Which of the following statements
by the wife indicates that the teaching has been effective?
A. "The occupational therapist will give my husband medication for his pain."
B. "The physical therapist will teach my husband exercises to increase hand dexterity."
C. "The social worker will provide transportation for appointments."

D. "The dietitian will assist with speech exercises to improve swallowing."
Answer: B. "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
A. After a disaster occurs
B. During disaster preparedness activities
C. Only when an evacuation is required
D. During disaster recovery efforts
Answer: B. 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
A. "I should avoid sharing food with others."
B. "I will wear a mask when I'm in an enclosed area with other people."
C. "I need to avoid using public transportation."
D. "I can be around people without worrying as long as I feel well."
Answer: B. "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
A. Nonmaleficence
B. Justice
C. Autonomy
D. Beneficence
Answer: C. 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
A. A family member of the clients

B. Skilled in health-related interpretation
C. Able to speak slowly and clearly
D. Certified in general translation
Answer: B. 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
A. Scheduling appointments at a hospital
B. Offering health screenings at a community centre
C. Providing online resources in English
D. Referring clients to specialty care outside the community
Answer: B. Offering health screenings at a community centre
26. Which of the following activities is the responsibility of a case manager?
A. Perform direct wound care on clients
B. Evaluate cost-effectiveness of client treatments
C. Conduct family counseling sessions
D. Administer medications
Answer: B. Evaluate cost-effectiveness of client treatments
27. A nurse uses a secondary prevention intervention when doing which of the following
A. Providing vaccinations in a clinic
B. Performing hypertension screening in a community centre
C. Educating on healthy lifestyle choices
D. Assisting with physical therapy
Answer: B. Performing hypertension screening in a community centre
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
A. Provide pamphlets on mammography
B. Schedule mammograms for all employees
C. Determine employee knowledge level of breast self-examination
D. Organize an awareness seminar

Answer: C. 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
A. Elderly individuals
B. Veterans
C. Families with children
D. Single adults
Answer: C. 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
A. Conducting smoking cessation classes
B. Monitoring employees for workplace injuries
C. Providing rehabilitation for injured workers
D. Performing annual health screenings
Answer: A. 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
A. "Is there a family member who can help you get around?"
B. "How would you feel about me contacting a local service that helps older adults with
transportation?"
C. "Would you consider moving to a retirement community that provides transportation?"
D. "Perhaps you should consider online grocery delivery."
Answer: B. "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
A. Arranging for in-home physical therapy
B. Coordinating follow-up appointments with the orthopaedic specialist

C. Discussing payment options with various pharmacies
D. Educating the client on home exercises
Answer: C. Discussing payment options with various pharmacies
33. What patient would the Home Health Nurse send to the doctor first
A. Client with mild headache
B. Client with abdominal pain
C. Client with intermittent leg cramps
D. Client with occasional dizziness
Answer: B. Client with 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
A. Identify restaurants where the clients have recently eaten
B. Collect water samples from public facilities
C. Inspect the food supply chain for contamination
D. Conduct surveys on food preparation practices
Answer: A. 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
A. Chronic illness with possible remission
B. Expected recovery within six months
C. Documented need for palliative care
D. Acute, treatable illness
Answer: C. 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
A. The client pays for each service individually.
B. The insurer is billed for each service at a discounted rate.
C. The client pays a percentage of the total costs for each service rendered by the provider.

D. The client pays a fixed amount periodically regardless of services used.
Answer: D. The client pays a fixed amount periodically regardless of services used.
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
A. Apply ice directly to the bite site
B. Make a small incision at the bite site
C. Apply a constricting band above the bite while maintaining circulation below the bite
D. Elevate the limb above heart level
Answer: C. 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
A. Paediatric dental offices
B. School nurse's offices
C. WIC program intake offices
D. Local grocery stores
Answer: C. 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
A. The virus has mutated significantly since 1980
B. The vaccine does not confer life-long immunity
C. The vaccine was only partially effective
D. Smallpox virus is no longer a threat
Answer: B. 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
A. Individual health histories
B. Resources available to address health care issues

C. Only the socioeconomic data of residents
D. General weather patterns in the area
Answer: B. 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
A. Organizing a community awareness event about the effects of bullying
B. Implementing a conflict resolution program for students
C. Surveying students to identify risk factors for bullying
D. Developing an anti-violence policy for the school
Answer: C. 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
A. Symmetrical waistline
B. Unilateral scapular hump when the child bends at the waist
C. Even shoulder height
D. Bilateral symmetry of the scapula
Answer: B. 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
A. The family will perform the care themselves
B. The body should be cremated within 24 hours
C. The family will remain with the body until burial
D. The head of the body should be elevated
Answer: C. 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
A. Stop taking medication once symptoms resolve
B. Provide sputum cultures until three come back negative
C. Avoid physical activity until fully recovered

D. Isolation precautions are not necessary at home
Answer: B. Provide sputum cultures until three come back negative
45. A public health nurse has received a report of several infants who attend the same daycare
being diagnosed with respiratory syncytial virus (RSV). Which of the following actions
should the nurse take first
A. Isolate the infants to prevent further spread
B. Provide the staff with information regarding measures to minimize disease transmission
C. Notify the parents of all daycare attendees
D. Conduct a health inspection of the daycare
Answer: B. 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?
A. Managing chronic diseases
B. Preventing workplace injuries
C. Communicable disease prevention
D. Mental health resources
Answer: C. 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?
A. Wash hair with cold water after treatment
B. Combs should be placed in boiling water for 10 min
C. Lice cannot survive on bed linens longer than 2 hours
D. Shaving the child’s hair is the only effective solution
Answer: B. 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?
A. Pulse rate of 72 bpm
B. Sodium level of 119
C. Respiratory rate of 16 per minute

D. Blood pressure of 130/85 mm Hg
Answer: B. 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?
A. Developing a community evacuation plan
B. Recommending that each family has batteries, a radio, and a flashlight
C. Organizing a community food drive
D. Setting up a temporary shelter in the community
Answer: B. 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
5-years-old child who has impetigo contagious. The child has siblings living in the home.
Which of the following recommendations is appropriate?
A. Provide the child with separate towels and linens
B. Disinfect all toys with bleach daily
C. Use a face mask when interacting with the child
D. Avoid bathing the child for one week
Answer: A. Provide the child with separate towels and linens
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?
A. Avoid hiking during tick season
B. Use insect repellent only on clothing
C. Wear protective clothing
D. Avoid wooded areas
Answer: C. 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?
A. Provide regular blood pressure screenings
B. Organize a flu immunization clinic with the American Red Cross

C. Offer crisis counseling services
D. Conduct nutrition workshops
Answer: B. 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?
A. Incidence rate
B. Prevalence rate
C. Case control study
D. Mortality rate
Answer: B. Prevalence rate
54. Which of the following activities would the school nurse perform in the role a consultant?
A. Administering immunizations to students
B. Recommending policy changes to minimize the spread of influenza
C. Providing counseling to students
D. Conducting health screenings
Answer: B. Recommend policy changes to minimize the spread of influenza
55. A client presents to the emergency department after being exposed to anthrax. The nurse
should recognize that the
A. Mortality rate is always high
B. Treatment is only supportive
C. Chances of recovery are good if improvement is seen in 3 to 5 days
D. Vaccination must be given within 24 hours
Answer: C. 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?
A. Severe head laceration
B. Broken arm with minor bleeding
C. Rigid abdomen with symptoms of shock
D. Superficial burns on hands
Answer: C. 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
A. The hot water heater is set at 130°F
B. The client has grab bars in the shower
C. An extension cord extends across the floor from the electrical outlet to a floor lamp
D. Smoke detectors are installed and functioning
Answer: A. The hot water heater is set at 130°F
C. An extension cord extends across the floor from the electrical outlet to a floor lamp
58. Primary Goal of Community Health Nursing
A. Conducting research to improve health
B. Treating individual health problems
C. Enhancing the health of individuals, families, and communities
D. Reducing costs of healthcare services
Answer: C. Enhancing the health of 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”
A. Agree with the statement
B. Ignore the statement
C. Recommend changing the language that stereotypes one ethnic group
D. Note that this stereotype may apply in some cases
Answer: C. Recommend changing the language that stereotypes one ethnic group
60. Patient having trouble with peripheral vision-what best for nurse to do orient patient to
Answer: 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. 1Rheumatoid 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 centre 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 xerophthalmiapreschooler 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

ATI COMMUNITY HEALTH PROCTORED EXAM 2019 FORM B
1. A home health nurse is providing teaching to the guardian of a child who has leukaemia
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 dishonour.
Answer: D. Chinese cultural practices include enduring pain to prevent family dishonour.
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 centre about nutrition and exercise
B. Measure the BMI of older adults at a community centre
C. Encourager enrolment and attendance at a weight0-reduction program
D. Distribute health risk appraisal questionnaires at community functions
Answer: A. Educate children at a day care centre 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 centre
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 flavour 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. Hyperglycaemia
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 centre
Answer: D. Offer health screenings at a community centre
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 choose a non-family member as the designated power of attorney
B. The living will be 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 choose 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. Nonmalefiecence

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. Hypoglycaemia
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. Tachypnoea
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 approximate 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 behavior
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 practioner 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 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 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 an 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

ATI Community Health Proctored 2019 Form C
1. A community health nurse is providing teaching about nutrition guidelines to a group of
adolescents. Which of the following information should the nurse include in teaching?
A. Adolescents have a decrease need for calcium due to high milk intake
B. Appetite naturally increases during the adolescent years
C. 75% of adult bone mass is developed during the adolescent years
D. Empty calories provide 70% of the total calories consumed by adolescents

Answer: B. Appetite naturally increases during the adolescent years
2. An occupational health nurse is caring for a client who does not speak the same language
as the nurse. Which of the following actions should the nurse take first?
A. Validate the clients understanding of communicated information
B. Determine the client’s primary language
C. Use common words and phrases when speaking to the client
D. Obtain a translator that is the same gender
Answer: B. Determine the client’s primary language
3. A case manager is caring for a client who is being discharged following a total hip
arthroplasty. Which of the following actions is an example of the nurse functioning in the
negotiator role?
A. Providing social service with the list of needed referrals
B. Reporting safety concerns to the Home Health agency
C. Discuss payment options with various pharmacies
D. Schedule appointments for physical therapy services
Answer: C. Discuss payment options with various pharmacies
4. A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing.
Which of the following clients should the nurse manager include as an example of a client
who might manifest a false positive reading?
A. A client who has lived in a country where tuberculosis is endemic
B. A client who has undergone radiation therapy within last 3 years
C. A client who has acquired immune deficiency syndrome
D. A client who has received the Bacille Calmette-Guerin vaccine within the last 10 years
Answer: D. A client who has received the Bacille Calmette-Guerin vaccine within the last 10
years
5. A school nurse is planning primary prevention activities for the new school year. Which of
the following should the nurse include? (Select all that apply)
A. Lobbying for funding for health promotion efforts
B. Recommending a seating arrangement for a child in a body cast
C. Teaching a class about the risks of cigarette smoking

D. Create a plan of care for children who have a diagnosis of diabetes mellitus
E. Organizing a program to promote skateboard safety
Answer: A. Lobbying for funding for health promotion efforts
C. Teaching a class about the risks of cigarette smoking
E. Organizing a program to promote skateboard safety
6. A recently hired occupational health nurse is assessing hazards in the work environment.
Which of the following actions will help the nurse detect physical hazards?
A. Identify industrial toxins that are present in the environment
B. Measure noise levels at various locations in the facility
C. Track rates of illness caused by infection among employees
D. Survey workers about job-related emotional stress
Answer: B. Measure noise levels at various locations in the facility
7. A hospice nurse is planning care for a client who follows traditional American Indian
practices. Which of the following actions should the nurse take?
A. Discuss safe use of herbal medications
B. Provide direct eye contact when communicating with the client’s family
C. Face the client’s bed towards the east
D. Develop a list of appropriate hot and cold food choices
Answer: A. Discuss safe use of herbal medications
8. A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement?
A. Provide coffee and snacks during the meetings
B. Avoid discussing the traumatic event experienced by the veterans
C. Teach the clients to practice deep breathing exercises
D. Change the meeting sites frequently
Answer: C. Teach the clients to practice deep breathing exercises
9. A group of technicians from a local automotive repair shop presents to an urgent care clinic
with reports of dizziness, headaches, and nausea. After providing need to care for the clients
which of the following government agencies should the nurse notify to follow up on these
reports?

A. OSHA
B. Centre for Disease Control
C. Environmental Protection Agency
D. Department of Health and Human Services
Answer: A. OSHA
10. A nurse is providing teaching to a 50-year-old female client. Which of the following
statement should the nurse include in teaching?
A. You should have your fasting blood glucose level checked every 6 years
B. You should have your hearing screen every 5 years
C. You should have complete eye examination every two years until the age of 64
D. You should have your stool tested for blood every other year until the age of 74
Answer: C. You should have complete eye examination every two years until the age of 64
11. A nurse is caring for a client who asks, “Can I decide not to continue with
chemotherapy?” The nurse response is, “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?
A. Beneficence
B. Nonmaleficence
C. Veracity
D. Autonomy
Answer: D. Autonomy
12. A nurse manager at a clinic is reviewing the preventive services offered to clients. Which
of the following activities should the nurse identify as secondary prevention activity?
A. Advocate for laws that prohibit texting while driving
B. Provide a smoking cessation class
C. Refer a client who is recovering from substance abuse disorder to a social service program
D. Encourage a pregnant client to participate in prenatal care
Answer: D. Encourage a pregnant client to participate in prenatal care

13. An occupational health nurse is discussing health promotion with a client who has a
history of obesity. Which of the following comment indicates the client is using
rationalization as a coping mechanism?
A. I am obese because it is in my genes
B. I know you don’t like me because I’m obese
C. I have lots of health problems from being obese
D. I have difficulty resisting the items in vending machine
Answer: A. I am obese because it is in my genes
14. A home health nurse is evaluating an older client. Which of the following assessment
findings should the nurse report as a possible indicator of elder abuse?
A. The client attends Alcoholics Anonymous meetings
B. The client exhibits extreme thirst
C. The client receives in home meal delivery
D. The client reports that his son no longer visits
Answer: B. The client exhibits extreme thirst
15. A nurse in a health department is participating in an immunization clinic. The nurse
should identify that which of the following children requires an alteration in the standard
immunization schedule?
A. An 18-month-old toddler who has failure to thrive
B. A three-year-old toddler has leukaemia
C. A four-month-old infant who has Down syndrome
D. A 12-month-old infant who has sickle cell disease
Answer: D. A 12-month-old infant who has sickle cell disease
16. The partner of an older adult client who has Alzheimer’s disease reports that he is not
eating. The home health aide tells the nurse that the client’s partner refuses to assist the client
with feeding. The partner insists that the client feeds himself without help. Which of the
following is the priority action the nurse should take?
A. Determine the client’s ability to self-feed
B. Refer the client’s partner to an Alzheimer’s support group
C. Arrange for meals-on-wheels assistance
D. Direct the home health aide to assist with meals

Answer: A. Determine the client’s ability to self-feed
17. The first response team is working at the location of a bombing incident. A nurse triaging
in the group of clients should give treatment priority through which of the following clients?
A. A client who is ambulatory and exhibits manic behavior
B. A client who has a rigid abdomen and manifestations of shock
C. A client who has a femur fracture and a 2 + pedal pulse
D. A client who has superficial partial thickness burn injuries over 5% of his body
Answer: B. A client who has a rigid abdomen and manifestations of shock
18. A client arrives at a mental health clinic and tell the nurse that she has no purpose in life.
Which of the following is the nurse’s priority response?
A. How long have you been feeling this way?
B. Do you really think your life has no purpose?
C. Tell me what is going on with you right now?
D. Have you been thinking about harming yourself?
Answer: D. Have you been thinking about harming yourself?
19. A community health nurse is teaching a group of adolescent clients about substance use
disorders. Which of the following statements by a client indicates an understanding of the
teaching?
A. Barbiturates cause an increase in heart rate
B. Opioids cause a decrease in respiratory rate
C. Anabolic steroids stimulate the immune system
D. Amphetamines alleviate symptoms of depression
Answer: B. Opioids cause a decrease in respiratory rate
20. 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. Systems allocator
B. Coordinator
C. Consultant
D. Advocate

Answer: B. Coordinator
21. 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 the case
manager?
A. Teach smoking cessation support group
B. Perform employee risk assessments
C. Evaluate the cost effectiveness of client’s treatments
D. Enforce OSHA standards in the workplace
Answer: C. Evaluate the cost effectiveness of client’s treatments
22. A home health nurse is making a home safety evaluation visit for an older client who was
recently discharged from the facility after receiving a diagnosis of diabetes mellitus. Which of
the following findings indicate a need for corrective intervention? SATA
A. A red light is kept on in the bedroom at night
B. An extension cord extends across the floor from an outlet to the floor lamp
C. The water heater is set at 130 degrees Fahrenheit
D. A rubber backed bathmat is on the floor outside the shower
E. The floors of the house are made of wood.
Answer: B. An extension cord extends across the floor from an outlet to the floor lamp
C. The water heater is set at 130 degrees Fahrenheit
23. A community health nurse is planning to use web-based information resources in the care
of a client who is undergoing dialysis. Which of the following criteria should the nurse
consider selecting an appropriate resource for the client?
A. The website is sponsored by Health Care political action committee
B. The website provides a peer review process for publishing information
C. The website is hosted by a dialysis equipment Marketing Group
D. The website is updated every 5 years
Answer: D. The website is updated every 5 years
24. A public health nurse addresses community leaders at a forum about Community
Improvement. The nurse should identify that which of the following groups is being the
fastest growing segment of the homeless population?

A. Families who have children
B. Men who are unemployed
C. People who have substance use disorders
D. Adolescent Runaways
Answer: A. Families who have children
25. A home health nurse is teaching a client about the safe use of crutches. Which of the
following information should the nurse include in the teaching?
A. Wipe the rubber crutch tips to remove moisture
B. Wear leather soled shoes when walking with crutches
C. Lean forward while walking with crutches
D. Support body weight on the axillae
Answer: A. Wipe the rubber crutch tips to remove moisture
26. A community health nurse is caring for a client who has a new diagnosis of gonorrhoea.
Which of the following actions should the nurse take?
A. Obtain a blood culture
B. Change the client about application of imiquimod cream
C. Notify the State Health Department
D. Administer metronidazole 500 mg PO
Answer: C. Notify the State Health Department
27. A community health clinic is planning annual goals. Which of the following outcomes
addresses the ethical principle of distributive justice?
A. Clients verbalize their right to refuse treatment
B. Clients understand the right to confidentiality
C. Clients receive Medicare benefits when eligible
D. Clients demonstrate completion of advance directives
Answer: C. Clients receive Medicare benefits when eligible
28. A community health nurse is planning a program for young adults about STI prevention.
Which of the following actions should the nurse take preparing for this program?
A. Identify topics with Health Department nurses
B. Develop content appropriate to learner needs

C. Arrange for computer-assisted learning
D. Collect data to identify learner current knowledge base
Answer: B. Develop content appropriate to learner needs
29. 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 are reported. The population of the
community is 15000 people. Which of the following is the prevalence proportion for the
community?
A. 73.3/100,000
B. 0.9/100,000
C. 40.0/100,000
D. 33.3/100,000
Answer: A. 73.3/100,000
30. A community health nurse is teaching a group of parents about manifestations of alcohol
withdrawal. Which of the following manifestations should the nurse include in teaching?
A. Hypotension
B. Hyperglycaemia
C. Seizures
D. Somnolence
Answer: C. Seizures
31. A Community Health nurse is working with a migrant population. The nurse should
recognize that which of the following interventions is necessary to provide care to the
population?
A. Providing health services at work sites
B. Treating clients on a fee-for-service basis
C. Requiring clients to show a work visa before they receive care
D. Offering health screenings at a community centre
Answer: A. Providing health services at work sites
32. A nurse is working with parent suspected of child abuse recognizes that the social factor
most predictive of abusive behavior is which of the following?
A. Inadequate living conditions

B. Social isolation
C. Relationship difficulties
D. Prior exposure to violence
Answer: D. Prior exposure to violence
33. A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus.
Which of the following actions should the nurse take first?
A. Teach the client about appropriate food choices
B. Refer the client to diabetes mellitus support group
C. Identify the client’s dietary preferences
D. Develop a nutritional program
Answer: C. Identify the client’s dietary preferences
34. A nurse is assessing an outbreak of mumps among school-age children. Using the
epidemiological triangle, the nurse should recognize that which of the following is the host?
A. The virus
B. The children
C. The vaccine
D. The school
Answer: B. The children
35. 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. National Institutes of Health
B. Environmental Protection Agency
C. Centres for Disease Control and prevention
D. Department of Health and Human Resources
Answer: B. Environmental Protection Agency
36. A nurse educator is teaching a group of newly licensed nurses about maintaining client
confidentiality according to HIPAA regulations. Which of the following statements by a
newly licensed nurse indicates an understanding of the teaching?
A. We should share our computer passwords with our manager

B. A client’s diagnosis can be posted on the communication board inside the client’s room
C. HIPAA rules vary from state to state
D. HIPAA rules allow clients to receive a copy of their medical records
Answer: D. HIPAA rules allow clients to receive a copy of their medical records
37. During a home health visit, a school-age child who has muscular dystrophy confides in
the nurse that he was struck by his parent. Which of the following actions should the nurse
take first?
A. Report the incident to local authorities
B. Check the client for injuries
C. Refer the parent to Social Service Agency
D. Enrol the parent in anger management classes
Answer: B. Check the client for injuries
38. A nurse is caring for a client who is homeless. Which of the following actions should the
nurse take first?
A. Determine the client’s understanding of her living situation
B. Discuss the risks of being homeless with the client
C. Assist the client to develop goals for obtaining shelter
D. Develop client teaching using a variety of strategies
Answer: A. Determine the client’s understanding of her living situation
39. A nurse in a clinic is reviewing home safety precautions with a client who is to begin
radioactive iodine therapy. Which of the following statements of the client indicates an
understanding of the teaching?
A. I will wait one week after treatment to use a laxative
B. I will allow my granddaughter to visit for 4 hours daily
C. I will use cloth handkerchiefs instead of tissues
D. I will use a toilet that is not used by others in my family
Answer: D. I will use a toilet that is not used by others in my family
40. A nurse is conducting a community assessment. Which of the following information
should the nurse include as part of the windshield survey?
A. Demographic data

B. Informant interviews
C. Housing quality
D. Mortality rate
Answer: C. Housing quality
41. During a routine school visit to physical education class, a nurse receives multiple reports
of shortness of breath, coughing, and nausea. Which of the following actions should the nurse
take first?
A. Establish a triage area
B. Notify the parents of the students
C. Contact the local Health Department
D. Administer oxygen therapy
Answer: A. Establish a triage area
42. 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. Occupational therapist
B. Respiratory therapist
C. Dietitian
D. Speech language therapist
Answer: D. Speech language therapist
43. 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 reports that her new colostomy stoma appears purple
B. A mother who reports that her son vomited after a dose of Methylphenidate
C. A client who has COPD and reports oxygen saturation of 90%
D. A client who reports feeling a vibration in his new internal arteriovenous graft for dialysis
Answer: A. A client reports that her new colostomy stoma appears purple
44. A school nurse is planning safety education for a group of adolescents. The nurse should
give priority to which of the following topics as leading cause of death for this age group?
A. Gun safety
B. Sports injury prevention

C. Motor vehicle safety
D. Substance abuse prevention
Answer: C. Motor vehicle safety
45. A nurse in a community health centre is counseling a group of clients who are currently
experiencing intimate partner abuse. Which of the following strategies is a priority for the
nurse to include in the counseling?
A. Providing referrals for legal counseling
B. Identifying a primary support person
C. Using stress management techniques
D. Developing an escape plan
Answer: C. Using stress management techniques
46. A public health nurse is assisting a client who is a recent immigrant. The client refuses
assistance from community resources. Which of the following actions should the nurse take
to provide culturally appropriate care?
A. Explain that the client must use the available resources
B. Learn more about the client Ethnic values
C. Review the client’s current health practices
D. Use a family member as an interpreter when discussing services
E. Use relevant nonverbal communication techniques
Answer: B. Learn more about the client Ethnic values
C. Review the client’s current health practices
47. A community health nurse is teaching a group of older clients about hypertension. The
nurse should identify that which of the following clients has a barrier to learning?
A. Fear of public speaking
B. Low literacy
C. Limited experience
D. Lack of credibility
Answer: B. Low literacy

48. A nurse is reviewing data for communicable diseases in a rural health region. Which of
the following data should the nurse identify as factor affecting the spread of communicable
diseases?
A. An increase in migrant farm workers living in the community
B. An antigenic shift in the composition of strain of influenza
C. A decrease in the number of ambulatory clinics in the area
D. A change in the prevalence of older adults obtaining the pneumococcal vaccine
Answer: D. A change in the prevalence of older adults obtaining the pneumococcal vaccine
49. 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 are responsible for voluntarily
reporting cases of this disease to the Centres for Disease Control and prevention?
A. Office of the Surgeon General
B. Local Red Cross chapter
C. Hospital infection control Department
D. State Health Department
Answer: D. State Health Department
50. A nurse is working with a case manager for a client who participates in health
maintenance organization. The nurse should identify that a health maintenance organization
provides which of the following payment structures?
A. The provider is paid a fixed sum for the client on a monthly or yearly basis
B. The client pays the insurer percentage of the total cost for each service rendered by the
provider
C. The client is participating in a fee-for-service health care insurance program
D. The provider bills the client directly for the predetermined percentage of the cost of
services
Answer: A. The provider is paid a fixed sum for the client on a monthly or yearly basis
51. A nurse is discussing short and long-term goals with a client who has alcohol use disorder
and has been admitted to a treatment facility. Which of the following statements is
appropriate for the nurse to include in the discussion?
A. Remaining physically active will help to minimize drowsiness and chills associated with
initial alcohol withdrawal

B. He will be taking a once weekly dose of disulfiram to help control withdrawal symptoms
during treatment
C. He will begin learning functional skills to replace his defense mechanisms and behavior
while in treatment
D. Attending AA meetings will help you identify a role model to assist you with making
needed changes
Answer: C. He will begin learning functional skills to replace his defense mechanisms and
behavior while in treatment
52. 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 determine the effectiveness of
the plan?
A. Use in-services to have the staff discussed various disaster scenarios
B. Test staff to determine their knowledge of the principles of the plan
C. Analyse findings from a facility tabletop disaster simulation
D. Review how the staff implements the plan during a hands-on practice drill
Answer: D. Review how the staff implements the plan during a hands-on practice drill
53. A parish nurse is planning activities for a faith-based community. Which of the following
activities should the nurse include?
A. Offer primary care to uninsured members
B. Change a negative pressure wound therapy dressing
C. Teach stress management strategies
D. Provide case management
Answer: C. Teach stress management strategies
54. A community health nurse is educating a parent about the importance of hepatitis B
immunization. Which of the following explanations should the nurse give to the parent about
the disease?
A. One dose of the immunization gives children life-long protection from hepatitis B
B. Hepatitis B spreads easily among children through casual contact
C. Many people who acquire acute hepatitis B develop chronic hepatitis
D. People who have had a Hepatitis B infection still need the immunization
Answer: C. Many people who acquire acute hepatitis B develop chronic hepatitis

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. Verify dates on the annual community-wide mass casualty drill
B. Determine potential environmental health hazards
C. Develop response strategies specific to older adults
D. Identify materials needed for staff and resident education
Answer: B. Determine potential environmental health hazards
56. A home health nurse is providing teaching to a client who has diabetes mellitus about
proper disposal of insulin syringes. Which of the following statements by the client indicates
an understanding of the teaching?
A. I will discard the syringes in a metal container
B. I will store use syringes in a biohazard bag before discarding
C. I will take containers of used syringes to the local recycling centre
D. I will wear gloves when I discard the syringes
Answer: A. I will discard the syringes in a metal container
57. A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which
of the following statements by the client indicates teaching has been effective?
A. I will have a repeat tuberculin skin test every 6 weeks
B. I will be contagious until I have completed the full medication regimen
C. I will be taking medication daily for least 6 months
D. I will need to have a special HEPA filter installed in my home
Answer: C. I will be taking medication daily for least 6 months
58. A community health nurse is in the initial phase of planning a smoking cessation program.
Which of 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 smoking cessation programs
Answer: A. Determine the prevalence of smoking in the community

59. 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. Teach the partner about getting enough rest
B. Suggest an assistive personnel visits daily to provide client care
C. Encourage the partner to invite family members to assist with client care
D. Explore possible solutions with the partner
Answer: A. Teach the partner about getting enough rest
60. A nurse volunteering at a local community centre is addressing a variety of health needs
with a group of older adult clients. Which of the following interventions should the nurse
identify as a tertiary prevention strategy?
A. Holding a cooking class that focuses on low sodium meals
B. Calculating the BMI of all clients
C. Providing a class on living with arthritis
D. Distributing literature regarding signs and manifestations of a stroke
Answer: C. Providing a class on living with arthritis

Some of another version of the test:
1. A community health nurse observes the accumulation of garbage at a neighbourhood
playground. Which of the following actions should the nurse take to promote a clean and safe
environment?
A. Work with local businesses to sponsor more trash receptacles in the playground
B. Meet with community members to discuss methods of playground maintenance
C. Partner city officials with community members to improve playgrounds condition
D. Engage neighbourhood families to monitor the playground for further trash buildup
Answer: B. Meet with community members to discuss methods of playground maintenance
2. A 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 during the visit?
A. Educate the family regarding the progression of dementia
B. Engage the family in informal conversation
C. Provide the family with info about respite care

D. Encourage the family to join a support group
Answer: B. Engage the family in informal conversation
3. Manifestation of alcohol withdrawal:
A. Bradycardia
B. Hypothermia
C. Insomnia
D. Increased appetite
Answer: C. Insomnia
4. Enzyme-linked immunosorbent assay testing for HIV. What info should the nurse include?
A. The test measures serum antibodies to the virus
B. Test results are accurate 24 hr after exposure to the virus
C. Positive result requires initiating immunoglobulins
D. Test monitors progression of the disease
Answer: A. The test measures serum antibodies to the virus
5. A nurse is working with a community healthcare team to devise strategies for preventing
violence in the community. Example of tertiary prevention?
A. Assess risk factors of intimate partner abuse during health exams
B. Present education programs about stress management
C. Urge community leaders to make nonviolence a priority
D. Develop resources for victims of abuse
Answer: D. Develop resources for victims of abuse
6. Several nurses are developing a parish nurse group to help adjust the primary and
secondary health care needs of a 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. perform wound care in the home of members
C. facilitate discharge from the facility to the home
D. organize an influenza immunization clinic with American Red Cross
Answer: D. organize an influenza immunization clinic with American Red Cross

7. A client who has diabetes mellitus asks a 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. Explain the diabetes exchange list
B. use cookbooks to include traditional foods and meal plans
C. observe the client during preparation of traditional foods
D. provide the client with printed recipes
Answer: C. observe the client during preparation of traditional foods
8. A school nurse is implementing Health screenings. Which of the following assessment
findings should the nurse recognize as the highest priority?
A. A child who has nits
B. An Adolescent who has scoliosis
C. and Adolescent who has psoriasis
D. a child who has a BMI of 18
Answer: A. A child who has nits
9. A 35 year old client who has a diagnosis of tuberculosis informs the provider’s office that
she is unable to pay for the treatment. Which of the following actions by the nurse will
facilitate obtaining appropriate treatment?
A. Explore options for alternative Therapies
B. arrange for medication through local agencies
C. send the clients to the nearest facility for further evaluation
D. help the client apply for Medicare
Answer: D. help the client apply for Medicare
10. A home health nurses scheduled for first-time visit to a client. Which of the following
should the nurse perform first?
A. Mental status examination
B. review of the neighbourhood
C. family history
D. blood pressure screening
Answer: A. Mental status examination

11. A nurse is working in a shelter following a disaster. Which of the following is the priority
action for the nurse to take?
A. Explore feelings the clients are experiencing
B. create diversionary activities for children
C. help clients gather needed supplies
D. address the physical needs of clients
Answer: D. address the physical needs of clients
12. 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. Household contacts will receive prophylactic antibiotics
B. transmission will be limited because of the herd immunity
C. the child is most contagious after the rash develops
D. a dehumidifier should be placed beside the child’s bed
Answer: A. Household contacts will receive prophylactic antibiotics
13. A community nurse is planning a smoking cessation class. Which of the following factors
will have the greatest effect on the success of the class?
A. Client education level
B. presenters teaching strategies
C. presenters credibility
D. clients motivation
Answer: D. clients motivation
14. 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 plan to take first?
A. Provide students with resources about making wise choices independently
B. help students recognize the value of making healthy food choices
C. give positive feedback to students who make appropriate choices
D. determine student’s motivation to learn about healthy food choices
Answer: A. Provide students with resources about making wise choices independently
D. determine student’s motivation to learn about healthy food choices

15. 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 menu
C. touching the hair of an African American client during an assessment
D. offering to shake hands when meeting an Asian client of the opposite gender
Answer: B. including both hot and cold food items on a Hispanic client menu
16. A nurse manager in a local community health agency is creating job description for a new
nurse who will practice community-oriented nursing. Which of the following should the
nurse include in the job description? Select all that apply
A. provide wound care for clients in their homes
B. participate in local Health surveillance activities
C. initiate support groups for parents of autistic children
D. provide health-related education to community groups
E. Investigate potential health and environmental issues
Answer: B. participate in local Health surveillance activities
C. initiate support groups for parents of autistic children
D. provide health-related education to community groups
E. Investigate potential health and environmental issues
17. The community health nurse is interviewing a client who reports intimate partner abuse.
Which of the following actions should the nurse take?
A. Assist the client to create a plan of Escape
B. ask 3 nurses of the same gender as the client to participate in the interview
C. communicate disapproval of the partners actions
D. record a summary of the clients description of the event
Answer: D. record a summary of the clients description of the event
18. 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 rules when arranging for an occupational
therapist to visit the client?
A. Administrator

B. nurse consultant
C. case manager
D. Clinician
Answer: C. case manager
19. A nurse in a mobile Health 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 for the member of the client’s community to interpret the teaching
B. identify the clients spoken dialect prior to contacting an interpreter
C. have the clients daughter communicate information about the procedure
D. use professional terminology when providing education prior to the procedure
Answer: B. identify the clients spoken dialect prior to contacting an interpreter
20. A parish nurse is counseling a family following a client’s recent diagnosis for heart
disease. Which of the following actions should the nurse take first?
A. Discuss the benefits of eating a well-balanced diet with the client’s family
B. assist the client and the clients partner with finding an affordable exercise program
C. Ask family members about the impact of the disease and relationships within the family
D. offer to accompany the client and the client partner during healthcare provider visits
Answer: C. Ask family members about the impact of the disease and relationships within the
family
21. A nurse is preparing an educational program about breastfeeding for a group of new
parents. The nurse should use which of the following is structural strategies to promote
psychomotor learning?
A. facilitated Discussion Group about the benefits of breastfeeding
B. provide dolls for the participants to demonstrate positioning
C. show the group of video on breastfeeding techniques
D. review flashcards identify holding techniques with the group
Answer: B. provide dolls for the participants to demonstrate positioning

22. A Community Health Clinic nurse manager is reviewing the incidence rate of chlamydia
in the state. In a given year 3144 new cases were reported and the population was estimated
at 325986. Which of the following is the incidence rate in the state for the year?
A. about 10 reported cases per 1000 population
B. about three reported cases per 10,000 population
C. about 300 reported cases per 100,000 population
D. about one reported case per 10,000 population
Answer: A. about 10 reported cases per 1000 population
23. In the last month, three cases of tuberculosis have been referred to the health department.
Which of the following is a priority information for the community health nurse to obtain
from each client?
A. Household members
B. health history
C. Demographics
D. Occupation
Answer: A. Household members
24. 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. The incidence of higher birth weight infants is higher in adolescent pregnancy
B. pregnant adolescents need to gain less weight than adult mothers
C. Caffeinated beverages should be replaced with caffeine-free beverages
D. the need for supplemental folic acid is greatest during the third trimester
Answer: C. Caffeinated beverages should be replaced with caffeine-free beverages
25. 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. providing treatment for a young adult who has substance use disorder
C. teaching parenting techniques to new parents
D. conducting counseling for at-risk parents
Answer: C. teaching parenting techniques to new parents

26. A community health nurse is providing screening for lipid disorders. Which of the
following is the primary goal of this activity?
A. Client enrolment and prevention programs
B. early detection of disease
C. identification of family history of medical problems
D. promotion of appropriate Lifestyle Changes
Answer: B. early detection of disease
27. A community health nurse is planning a program for adolescents about preventing STIs.
Which of the following actions should the nurse take first?
A. Establish methods to evaluate program outcomes
B. obtain visual aids that feature adolescence
C. provide computer-based education
D. collect data to identify barriers to learning
Answer: D. collect data to identify barriers to learning
28. A community health nurse is planning an educational program for a group of women who
are post-menopausal. which of the following outcomes is appropriate for this program?
A. Clients will schedule bone density screens
B. clients will start hormone replacement therapy
C. clients will arrange for a mammogram every 3 years
D. clients will significantly decrease caloric intake
Answer: A. Clients will schedule bone density screens
29. A home health nurse manager is caring for a client who has methicillin-resistant
staphylococcus aureus. Which of the following actions should the nurse take?
A. remove fresh flowers from the clients room
B. double bag soil dressing in polyethylene bags
C. wear a mask when within 3 feet of the client
D. Advise the client to use a HEPA filter in the house
Answer: B. double bag soil dressing in polyethylene bags

30. A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the
following information should the nurse include in teaching?
A. Notify anyone with whom you had sexual contact over the past 2 months
B. you might experience painful urination until the infection has resolved
C. once you complete treatment, you’ll have an acquired immunity against chlamydia
D. you will need to take an antiviral medication for 30 days
E. you should avoid sexual contact until therapy is complete
Answer: A. Notify anyone with whom you had sexual contact over the past 2 months
B. you might experience painful urination until the infection has resolved
E. you should avoid sexual contact until therapy is complete
31. A clinic nurse is assessing a client who has the measles. Which of the following findings
should the nurse expect?
A. Muscle aches and tenderness
B. persistent low-grade temperature
C. rash confined to the trunk of the body
D. kolpik spots inside the mouth
Answer: D. kolpik spots inside the mouth
32. A nurse at a shelter assisting with client triage after tornado destroyed a community.
Which of the following clients should receive Priority Care?
A. A school-age client who has a head abrasion
B. an adult client who is short of breath
C. an infant client who is crying
D. an older adult client who has a fractured arm
Answer: B. an adult client who is short of breath
33. A government official reports to the health department that an employee was possibly
exposed to Anthrax. Which of the following actions should the public health nurse take?
A. Refer co-workers who might have been exposed to a provider for prophylactic antibiotics
B. Alert all of the family members of co-workers about their possible exposure to anthrax
C. instruct the client to wear a mask at work
D. place the employee under quarantine for 14 days

Answer: A. Refer co-workers who might have been exposed to a provider for prophylactic
antibiotics
34. A home health nurse is visiting a client who has had a stroke 2 months ago. Which of the
following findings should the nurse report to the interprofessional care team?
A. the client Bears weight on her arms when using the crutches
B. the clients caregiver bills a pill organizer weekly
C. the client coughs when swallowing her medications
D. the client dresses her affected side first
Answer: C. the client coughs when swallowing her medications