ATI RN COMMUNITY HEALTH PROCTORED EXAM 2019 TEST BANK
2 VERSIONS NGN MIXED QUESTIONS AND CORRECT
ANSWERS|AGRADE
1. A Community health nurse is providing teaching about nutrition guidelines to a group
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 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 reporting safety
B. 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. client who has lived in a country where tuberculosis is endemic
B. 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 4 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 4 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. 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 clients 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 notified to follow up on these
report ?
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 responses, this is your choice, and I'll support whatever decision you make. The nurses
response is example of which of the following ethical principles?
A. beneficence
B. Nonmaleficence
C. Veracity
D. autonomy
Answer: D. autonomy
12. A nurse manager that clinic is reviewing the preventive services offered to clients. Which of
the following activities should the nurse identify as secondary prevention activity?
A. Advocate 4 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: B. provide a smoking cessation class
13. An occupational health nurse is discussing how 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 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. 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 partner refuses to assist the client with
feeding. The partner insist that the client feed himself without help. Which of the following is the
priority action of the nurse should take?
A. Determine the client's ability to self-feed
B. Refer the clients 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 has ambulatory and Exhibits manic behavior
B. a client who has rigid abdomen and manifestations of shock
C. A client who has a femur fracture and a 2 + pedal pulse
D. A client who has a superficial partial thickness burn injuries over 5% of his body
Answer: B. a client who has rigid abdomen and manifestations of shock
18. A client arrives at a mental health clinic and tell the nurse that there she has no purpose in
life. Which of the following is the nurses 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. Opiods cause a decrease in respiratory rate
C. anabolic steroids stimulate the immune system
D. Amphetamines alleviate symptoms of depression
Answer: B. Opiods cause a decrease in respiratory rate
20. A nurse case manager is providing discharge planning for a client. The nurse is functioning
and 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 clients treatments
D. Enforce OSHA standards in the workplace
Answer: C. evaluate the cost effectiveness of clients treatments
22. A home health nurse is making 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?
A. A red light is kept on in the bedroom at night
B. an extension cord extends across the floor from the electrical outlet to a floor lamp
C. the water heater is set at 130 degrees Fahrenheit
D. A rubber backed bath mat 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 the electrical outlet to a 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 and
select an appropriate resources 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: B. the website provides a peer review process for publishing information
24. Public Health nurses address in 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 adolescent
D. 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: C. Lean Forward while walking with crutches
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. Community Health Clinic is planting 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: D. collect data to identify learner current knowledge base
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. Community Health nurses 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
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 clients dietary preferences
D. develop a nutritional program
Answer: A. Teach the client about appropriate food choices
34. A nurse is assessing an outbreak of mumps among school-age children. Use 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 Rip's 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 educated 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 clients 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 and 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 a 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 all 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
First Take?
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 referral 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
C. Methylphenidate a client who has COPD and reports oxygen saturation of 90%
D. a client who reports feeling a vibration and 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 or 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: A. Providing referrals for legal counseling
46. 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. he was relevant nonverbal communication techniques
Answer: 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
47. A community health nurse is teaching a group of older clients about hypertension. The nurse
should identify the 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 rural health region. Which of the
following data should the nurse identify as an age 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
B. General 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 the provider bills
D. 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 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 their defense mechanisms and behaviours
Ballin treatment
D. attending Al-Anon 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 their defense mechanisms and
behavior Ballin 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 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 to 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 exclamation should the nurse give to the parent about the
disease?
A. One dose of the immunization give children life-long protection from hepatitis
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 assisted care facilities developing a disaster plan. Which of the following
is the first action the nurse to 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 an 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: B. suggest an assistive Personnel visits daily to provide client care
60. A nurse is 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
Community health ATI
1. During a home health visit a school age child who has muscular dystrophy confides in the
nurse that he was struck by his parents. which of the following actions should the nurse take
first?
A. report the incident to local authorities
B. check the child for injuries
C. refer the parent to a social service agency
D. enrol the parent in anger management classes.
Answer: B. check the child for injuries
2. 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. give positive feedback to students who make appropriate choices.
B. help students recognize the value of making healthy food choices
C. provide students with resources about making wise choices independently
D. determine student’s motivation to learn about healthy food choices.
Answer: D. determine student’s motivation to learn about healthy food choices.
3. A nurse manger in local community health agency is creating a 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. investigate potential health and environmental issues
B. initiate support groups for parents of autistic children
C. provide wound care for clients in their homes
D. participate in local health surveillance activities
E. provide health related education to community groups
Answer: A. investigate potential health and environmental issues
B. initiate support groups for parents of autistic children
D. participate in local health surveillance activities
E. provide health related education to community groups
4. A community health nurse is planning an educational program for a group of women who are
postmenopausal. which of the following outcomes is appropriate for this program?
A. clients will schedule bone density screening
B. clients will arrange for mammograms every 3 years
C. clients will start hormone replacement therapy
D. clients will significantly decrease caloric intake
Answer: A. clients will schedule bone density screening
5. 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. provide the client with a printed recipe
B. observe the client during preparation of traditional foods
C. use cookbooks to include traditional foods in meal plans
D. explain diabetes exchange list
Answer: B. observe the client during preparation of traditional foods
6. 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 client’s home
B. wear a mask when within 3 feet of the client
C. encourage the client to use a hepa filter in the house
D. double bag soiled dressing in polyethylene bags.
Answer: D. double bag soiled dressing in polyethylene bags.
7. An occupational health nurse is discussing health promotion with a client who has a history of
obesity. which of the following comments indicates the client is using rationalization as a coping
mechanism?
A. I have lots of health problems from being obese
B. I am obese it’s in my genes
C. I have difficulty resisting the items in vending machines
D. I know you don’t like me because I am obese
Answer: B. I am obese it’s in my genes
8. 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. mortality rate
C. informant interviews
D. housing quality
Answer: D. housing quality
9. A community health nurse is educating a parent about the importance of hepatitis B
immunization. which of the following explanations should the nurse give the parent about the
disease?
A. one dose of the immunization gives children lifelong 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
10. 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. a client who has superficial partial thickness burn injuries over 5% of his body
B. a client who has a femur fracture with a 2+ pedal pulse
C. a client who is ambulatory and exhibits manic behavior
D. a client who has a rigid abdomen with manifestations of shock.
Answer: D. a client who has a rigid abdomen with manifestations of shock.
11. A nurse is working with a community health care team to devise strategies for preventing
violence in the community. which of the following interventions is an example of tertiary
prevention?
A. presenting community education programs about stress management
B. developing resources for victims of abuse
C. urging community leaders to make nonviolence a priority
D. assessing for risk factors of intimate partner abuse during health examinations
Answer: B. developing resources for victims of abuse
12. Public health nurse take
A. alert the family members of coworkers about possible exposure to anthrax
B. place the employee under quarantine for 14 days
C. refer coworkers who might have been exposed to a provider for prophylactic antibiotics
D. instruct the client to wear a mask at work
Answer: C. refer coworkers who might have been exposed to a provider for prophylactic
antibiotics
13. A community health nurse is providing teaching to a group of clients who have alcohol use
disorder. which of the following findings should the nurse include in the teaching as a
manifestation of alcohol withdrawal?
A. bradycardia
B. hypothermia
C. increased appetite
D. insomnia
Answer: D. insomnia
14. A nurse is caring for a client who is homeless. which of the following actions should the
nurse take first?
A. determine the clients understanding of her living situation
B. assist the client to develop goals for obtaining shelter
C. discuss the risks of being homeless with the client
D. develop client teaching using a variety of strategies
Answer: A. determine the clients understanding of her living situation
15. A community health nurse observes the accumulation of garbage at a neighbourhood
playground. which of the following actions should the nurse take first to promote a clean and
safe environment?
A. meet with community members to discuss methods of playground maintenance
B. partner city officials with community members to improve the playground condition
C. work with local businesses to sponsor more trash receptacles in the playground
D. engage neighbourhood families to monitor the playground for further trash buildup
Answer: A. meet with community members to discuss methods of playground maintenance
16. 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. have the client’s daughter communicate information about the procedure
B. arrange for a member of the client’s community to interpret the teaching
C. identify the clients spoken dialect prior to contacting an interpreter
D. use professional terminology when providing education prior to the procedure
Answer: C. identify the clients spoken dialect prior to contacting an interpreter
17. a nurse at a local health department is caring for several clients. which of the following
infections should the nurse report to the state health department?
A. chlamydia
B. herpes simplex virus
C. group B Streptococcus B haemolytic
D. human papillornavirus
Answer: A. chlamydia
18. a clinic nurse is assessing a client who has measles. which of the following findings should
the nurse expect?
A. kolpik spots inside the mouth
B. persistent low grade temperature
C. muscle aches and tenderness
D. rash confined to the trunk of the body
Answer: A. kolpik spots inside the mouth
19. a community health nurse is planning a program for adolescents about preventing STIs.
which of the following actions should the nurse take first?
A. collect data to identify barriers to learning
B. establish methods to evaluate program outcomes
C. obtain visual aids that feature adolescents
D. provide computer based education
Answer: A. collect data to identify barriers to learning
20. A nurse is counseling a client who has a new diagnosis of chlamydia. which of the following
information should the nurse include in the teaching? (select all that apply)
A. you should avoid sexual contact until therapy is complete
B. notify anyone with whom you have had sexual contact over the past 2 months
C. you will need to take an antiviral medication for 30 days
D. once your complete treatment you will have an acquired immunity against chlamydia
E. you might experience painful urination until the infection has resolved
Answer: A. you should avoid sexual contact until therapy is complete
B. notify anyone with whom you have had sexual contact over the past 2 months
E. you might experience painful urination until the infection has resolved
21. 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 with information about respite care
C. educate the family regarding the progression of dementia
D. engage the family in informal conversation
Answer: D. engage the family in informal conversation
22. A parish nurse is counseling a family following a client’s recent diagnosis of 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. offer to accompany the client and the clients partner during health care provider visits
D. ask family members about the impact of the disease on relationships within the family
Answer: D. ask family members about the impact of the disease on relationships within the
family
23. A nurse is caring for a client who is having difficulty performing activities of daily living. the
nurse is functioning in which of the following roles when arranging for an occupational therapist
to visit the client.
A. Administrator
B. nurse consultant
C. case manager
D. clinician
Answer: C. case manager
24. a nurse is working in a shelter following a disaster. which of the following is the priority
action for the nurse to take?
A. create diversionary activities for children
B. address the physical needs of clients
C. help clients gather needed supplies
D. explore feelings the clients are experiencing
Answer: B. address the physical needs of clients
25. A community health nurse is planning a smoking cessation class. which of the following
factors will have the greatest effect on the success of the class?
A. presenters teaching strategies
B. presenter’s credibility
C. client’s motivation
D. client’s education level
Answer: C. client’s motivation
26. A home health nurse is caring for a client who has chemotherapy induced nausea that has
been resistant to relief form pharmacological measures. which of the following interventions
should the nurse initiate (select all that apply)?
A. use seasonings to enhance the flavour of foods
B. provide sips of room temperature ginger ale between meals
C. maintain the head of the clients bed in an elevated position after eating
D. offer 120 ml (4 oz.) of cold 2% milk as a meal replacement
E. assist the client in using guided imagery
Answer: B. provide sips of room temperature ginger ale between meals
C. maintain the head of the clients bed in an elevated position after eating
27. A nurse is preparing an educational program about breastfeeding for a group of new parents.
the nurse should use which of the following instructional strategies to promote psychomotor
learning
A. review flashcards that identify holding technique with the group
B. show the group a video on breastfeeding techniques
C. facilitate a discussion group about the benefits of breastfeeding
D. provide dolls for the participants to demonstrate positioning
Answer: D. provide dolls for the participants to demonstrate positioning
28. A nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster
preparedness efforts when performing which of the following actions
A. implementing a disaster triage plan with a local medical facility
B. functioning as a manager at a temporary shelter
C. assisting with the identification of a biological agent
D. organizing a mass casualty drill for community members
Answer: D. organizing a mass casualty drill for community members
29. A 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she
is unable to pay for the treatment. which of the following actions by the nurse will facilitate
obtaining appropriate treatment?
A. help the client apply for Medicare
B. explore options for alternative therapies
C. arrange for medication through local agencies
D. send the client to the nearest facility for further evaluation
Answer: C. arrange for medication through local agencies
30. A public health nurse is addressing community leaders at a forum about community
improvement. the nurse should identify which of the following groups as being the fastest
growing segment of the homeless population.
A. people who have substance use disorders
B. families who have children
C. adolescent runaways
D. men who are unemployed
Answer: B. families who have children
31. A nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing
for HIV. which of the following information should the nurse include?
A. the test monitors progression of the disease
B. the test measures antibodies to the virus
C. the test results are accurate 24 hr. after exposure to the virus
D. a positive result requires initiating immunoglobulin administration
Answer: B. the test measures antibodies to the virus
32. 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. consultant
B. systems allocator
C. advocate
D. coordinator
Answer: C. advocate
33. A faith based organization asks a community health nurse to develop a mobile meal program
for older the following actions should the nurse plan to take first.
A. determine potential funding sources for the program
B. inquire about the availability of volunteers
C. identify alternative solutions to address concerns
D. perform a needs assessment
Answer: D. perform a needs assessment
34. Several nurses are developing a parish nurse group to help address the primary and secondary
health care needs of the congregation. which of the following services should the nurses plan to
provide to the congregation?
A. organize an influenza immunization clinic with the American red cross
B. perform wound care in the home of members
C. provide end of life care for members who are terminal
D. facilitate discharge from the facility to the home
Answer: A. organize an influenza immunization clinic with the American red cross
35. A community health nurse is caring for client in a culturally diverse community. which of the
following actions demonstrates accurate cultural knowledge about a specific cultural group?
A. touching the hair of an African American client during an assessment
B. offering to shake hands when meeting an Asian client of the opposite gender
C. maintaining eye contact when interviewing a native American client
D. including both hot and cold food items on a Hispanic client’s menu
Answer: D. including both hot and cold food items on a Hispanic client’s menu
36. A community health nurse is providing screening for lipid disorders. which of the following
is the primary goal of this activity?
A. early detection of disease
B. client enrolment in prevention programs
C. promotion of appropriate lifestyle changes
D. identification of family history of medical problems
Answer: A. early detection of disease
37. A school nurse is implementing health screening. which of the following assessment finding
should the nurse recognize as the highest priority?
A. a child who has a BMI of 18
B. an adolescent who has scoliosis
C. an adolescent who has psoriasis
D. a child who has nits
Answer: D. a child who has nits
38. Which of the following should the nurse include
A. should be placed beside the child’s bed
B. house hold contacts will receive prophylactic antibiotics
C. transmission will be emitted because of herd immunity
D. the child is most contagious after the rash develops
Answer: B. house hold contacts will receive prophylactic antibiotics
39. A home health nurse is scheduled for a first time visit to a client. which of the following
should the nurse perform first?
A. blood pressure screening
B. mental status examination
C. review of the neighbourhood
D. family history
Answer: B. mental status examination
40. 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. conducting counseling for at risk parents
B. assessing a family for marital discord
C. teaching parenting techniques to new parents
D. providing treatment for a young adult who has a substance use disorder
Answer: C. teaching parenting techniques to new parents
41. A newly hired occupational health nurse is assessing hazards in the work environment. which
of the following actions will help the nurse detect potential physical hazards?
A. track rates of illness caused by infection among employees
B. survey workers about job related emotional stress
C. identify industrial toxins that are present in the environment
D. measure noise levels at various locations in the facility
Answer: D. measure noise levels at various locations in the facility
42. A school nurse is planning safety education for a group of adolescents. the nurse should give
priority to which of the following topics as the leading cause of death for this age group
A. motor vehicle safety
B. sports injury prevention
C. substance abuse prevention
D. gun safety
Answer: A. motor vehicle safety
43. A nurse of a community clinic is preparing an educational guide about cultural variances in
expression of pain. which of the following information should the nurse include?
A. middle eastern cultural practices include hiding pain from close family members
B. native American cultural practices include being outspoken about pain
C. Puerto Rican cultural practices include the view that outspoken expressions of pain are
shameful
D. Chinese cultural practices include enduring pain to prevent family dishonour
Answer: D. Chinese cultural practices include enduring pain to prevent family dishonour
44. The partner of an older adult client who has Alzheimer’s disease reports that he is not eating.
the nurse . client partner refuses to assist the client with feeding. the partner insists the client feed
himself without help. which of the priority action the nurse should take?
A. arrange for meals on wheels’ assistance
B. determine the client’s ability to self-feed
C. direct the home health aide to assist with meals
D. refer the clients partner to an Alzheimer’s support group
Answer: B. determine the client’s ability to self-feed
45. A nurse working in an infectious disease clinic is caring for a client has a new diagnosis of
Lyme disease. which of the following agencies is responsible for voluntarily reporting cases of
this disease to the centres for disease control and prevention
A. office of the surgeon general
B. state health department
C. hospital infection control department
D. local red cross chapter
Answer: B. state health department
46. A nurse is providing teaching to a 50-year-old female client. which of the following
statements should the nurse include in the teaching?
A. you should have a complete eye examination every 2 years until the age of 64
B. you should have your hearing screened every 5 years
C. you should have your stool tested for blood every other year until the age of 74
D. you should have your fasting blood glucose level checked every 6 years
Answer: C. you should have your stool tested for blood every other year until the age of 74
47. A nurse is discussing short and long term goals with a client who has alcohol use disorder
and is being admitted to a treatment facility. which of the following statements is appropriate for
the nurse to include in the discussion?
A. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms
during treatment
B. remaining physically active will help to minimize drowsiness and chills associated with initial
alcohol withdrawal.
C. attending Al anon meetings will help you identify a role model to assist you with making
needed changes
D. you will begin learning functional skills to replace defense mechanisms and behavior while in
treatment
Answer: C. attending Al anon meetings will help you identify a role model to assist you with
making needed changes
48. 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 vaccine
B. the virus
C. the school
D. the children
Answer: D. the children
49. 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 events experienced by the veterans
C. change the meetings sites frequently
D. teach the clients to practice deep breathing exercises
Answer: C. change the meetings sites frequently
50. Client states my life has no meaning right now.
A. have you been thinking about harming yourself
B. how long have you been feeling this way
C. tell me what is going on with you right now
D. do you really think your life has no purpose
Answer: A. have you been thinking about harming yourself
51. 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 their teaching?
A. the need for supplemental folic acid is greatest during the third trimester
B. the incidence of high birth weight infants is higher in adolescent pregnancy
C. pregnant adolescent need to gain less weight than adult mothers
D. caffeinated beverages should be replaced with caffeine-free beverages
Answer: D. caffeinated beverages should be replaced with caffeine-free beverages
52. Nurse expect
A. oliguria
B. diplopia
C. hypoglycaemia
D. dizziness
Answer: D. dizziness
53. 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
325,986. which of the following is the incidence rate in the state for the year?
A. about 300 reported cases per 100,000 population
B. about 1 reported case per 10,000 population
C. about 10 reported cases per 1000 population
D. about 3 reported cases per 10,000 population
Answer: C. about 10 reported cases per 1000 population
54. A home health nurse is visiting a client who had a stroke 2 months ago. which of the
following findings should the nurse report to the interprofessional care team?
A. the client dresses her affected side first.
B. the client bears weight on their arms when using crutches
C. the client coughs when swallowing her medications
D. the client’s caregiver fills a pill organizer weekly
Answer: C. the client coughs when swallowing her medications
55. 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? SATA
Answer: Learn more about the client’s ethnic values
Uses relevant nonverbal communication techniques
Review the client’s current health practices
56. A community health nurse has recognized an outbreak of influenza at a local school. Which
of the following actions is a secondary level of prevention?
Answer: Check for possible exposure to influenza.
57. A community health nurse is providing teaching about nutrition guidelines to a group of
adolescents. Which of the following information should the nurse including in the teaching?
Answer: Appetite naturally increases during the adolescent years
58. A public health nurse learns that a client in an agricultural community is being treated for
active TB. Which of the following actions should the nurse take to prevent the spread of TB
within the community?
Answer: Ensure the client adherence to the medication regimen
59. A community health nurse is caring for a 20 year old college student who has a new
diagnosis of herpes. The client reports having unprotected sex with multiple individuals. Which
of the following actions should the nurse take?
Answer: Ask the client for the contact information of recent sexual partners
60. A school nurse realizes that a student who has asthma visits the health office two to three
times every day to use his rescue inhaler. Which of the following interventions should the nurse
plan to implement first?
Answer: Encourage the student’s parent to identify and reduce environmental triggers
61. A newly hired occupational health nurse is assessing hazards in the work environment.
Which of the following actions will help the nurse detect potential physical hazards?
Answer: Measures noise levels at various locations in the facility
62. 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 addition teaching?
Answer: I should notify the local fire department that oxygen is being used in my home
63. A community health nurse observes the continual accumulation of garbage at a
neighbourhood playground. Which of the following actions should the nurse take first to promote
a clean and safe environment?
Answer: Meet with community members to discuss methods of playground maintenance
64. A nurse manager in a local community health agency is creating a job description for a new
nurse who will practice community oriented nursing. Which of the following should the nurse
include in the job description? SATA
Answer: Investigate potential health and environmental issues
Initiate support groups for parents of autistic children
Provide health related education to community groups
Participate in local health surveillance activities.
65. A home health nurse is conducting an initial intake assessment for a client who has
hypothyroidism. Which of the following assessment findings is associated with this disease?
Answer: Muscle weakness
66. 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 in
selecting appropriate resources for the client?
Answer: The website provides a peer review process for publishing information
67. A home health nurse is schedule for a first time visit to a client. Which of the following
should the nurse perform first?
Answer: Mental status exam
68. 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?
Answer: Environmental protection agency
69. Upon performing routine screenings, a school nurse identifies three classrooms with students
who have pediculosis. Using principles of epidemiology, which of the following is the next
action the nurse should take?
Answer: Review class rosters to determine whether a common host exists in the three
classrooms
70. 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?
Answer: A client who has a rigid abdomen with manifestations of shock
71. A community health nurse notes that six new cases of DM have been reported in the past 3
months. In the previous year, five cases were reported. The population of the community is
15,000 people. What is the prevalence proportion for the community?
Answer: 0.9/100,000
72. A nurse at a shelter is assisting with client triage after a tornado destroyed a community.
Which of the following clients should receive priority care?
Answer: An adult who is short of breath
73. Several nurses affiliated with a church are developing a parish nurse group to help address
the primary and secondary health care needs of the congregation. Which of the following is
appropriate to include in regard to care they could provide?
Answer: Organize an influenza immunization clinic with the American Red Cross.
74. A nurse in a clinic is caring for a client who has DM and states, “I don’t think I am using my
blood sugar machine correctly.” Which of the following actions should the nurse take first?
Answer: Ask the client to perform the procedure
75. A home health nurse is providing teaching to a client who has chronic obstructive pulmonary
disease and is experiencing weight loss. Which of the following should the nurse include in the
teaching?
Answer: Begin meals with high calorie foods
76. A home health nurse is providing teaching to a client who is prescribed dopidogrel
bisulphate. The nurse should include that which of the following over the counter meds can
cause a medication interaction while taking dopidogrel bisulphate?
Answer: Aspirin
77. A community health nurse is providing teaching to a client who has a new diagnosis of
hepatitis C. Which of the following information should the nurse include?
Answer: Consume a high carbohydrate, moderate fat diet
78. A hospice nurse is caring for a client who is experiencing acute air hunger. Which of the
following actions should the nurse take?
Answer: Obtain ABG’s
79. 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?
Answer: The children
80. A nurse at a local health department s caring for several clients. Which of the following
infections should the nurse report to the state health department?
Answer: Group B streptococcus B- haemolytic
81. A home health nurse is teaching a client who has a new diagnosis of heart failure about
digoxin. For which of the following adverse effects should the nurse instruct the client to monitor
and report to the provider?
Answer: Halo vision
82. A nurse is caring for a client who is having difficulty performing activities of daily living.
The nurse is functioning roles when arranging for an occupational therapist to visit the client?
Answer: Case manager
83. 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?
Answer: Help the client apply for Medicare
Explore options for alternative therapies
Send the client to the nearest facility for further evaluation
Arrange for the medication through local agencies
84. A community health nurse is teaching a group of parents about home safety of newborns.
Which of the following statements by a parent indicates an understanding of the teaching?
Answer: “I will change the batteries in our smoke detectors once a year.”
“I will place my baby’s crib on the side of the room opposite of the heat vent.”
“I will make sure that the slats on the baby’s crib are no more than 4 inches apart.”
85. A nurse is instructing a child who has asthma how to use a metered dose inhaler (MDI). After
depressing the canister, in which order should the client continue to use the MDI?
Answer: Breathe out slowly
Inhale slowly
Hold your breathe
Remove inhaler
86. A home health nurse is conducting an initial assessment for a client who is prescribed
warfarin. Which of the following clinical findings is associated with thrombocytopenia?
Answer: Black tarry stools
87. A nurse is discussing short and long-term goals with a client who has alcohol use disorder
and is being admitted to a treatment facility. Which of the following statements is appropriate for
the nurse to include in the discussion?
Answer: “You will begin learning functional skills to replace defense mechanisms and behavior
while in treatment.”
88. Which of the following should the nurse include in a cultural assessment?
Answer: Family relationships
89. A home health nurse is teaching a client who is newly diagnosed with diabetes mellitus.
Which of the following statements by the client indicates an understanding of the teaching?
Answer: “I will use a mirror to inspect my feet daily.”
90. A home health nurse is developing a protocol for providing care to clients who have a central
venous access device. Which of the following instructions should the nurse include?
Answer: Scrub the catheter port for 15 seconds prior to access.
91. A nurse is providing teaching to a 50-year-old female client. Which of the following
statements should the nurse include in the teaching?
Answer: “You should have your vision screened every 2 years until age of 64.”
92. A community health nurse is planning a smoking cessation class. Which of the following
factors will have the greatest effect on the class’s success?
Answer: Clients’ motivation
93. 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?
Answer: Determine potential environmental health hazards.
94. 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 intake?
Answer: Speech-language therapist
95. A nurse has provided a training session about disease prevention for staff at a community
summer camp. When asked to provide an example of vector-borne illness, which of the
following responses indicates the teaching has been effective?
Answer: Lyme disease
96. A nurse is caring for a client who is homeless. Which of the following actions should the
nurse take first?
Answer: Determine the client’s understanding of her living situation.
97. A nurse in a paediatric clinic is evaluating a child who has Fifth disease. Which of the
following findings is associated with this diagnosis?
Answer: Facial rash
98. A nurse is preparing a presentation about disease management for a group of older adults
who have osteoarthritis. Which of the following guidelines should the nurse include?
Answer: Remove hot dishes from oven with both hands.
99. A nurse is teaching a client who has a new prescription for home oxygen therapy. Which of
the following statements by the client indicates an understanding of the teaching?
Answer: “I will disconnect the humidifier when using portable oxygen.”
100. 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 is considered a tertiary
prevention strategy?
Answer: Providing a class on living with arthritis
101. A home health nurse is reviewing messages from a group of clients. Which of the following
clients should the nurse contact first?
Answer: A client who reports that her new colostomy stoma appears purple
102. A nurse is planning an education program for new inmates in a correctional facility. Which
of the following topics is most important for the nurse to include in the teaching?
Answer: Communicable disease prevention
103. 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.)
Answer: Teaching a class about the risks of cigarette smoking
Organizing a program to promote skateboard safety
Lobbying for fusing for health promotion efforts
