ATI RN COMMUNITY HEALTH PROCTORED
2019 EXAM 53 QUESTIONS WITH VERIFIED
CORRECT SOLUTIONSA+ GRADE ASSURED
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?
1. report the incident to local authorities
2. check the child for injuries
3. refer the parent to a social service agency
4. enroll the parent in anger management classes.
Answer: 2. 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?
1. give positive feedback to students who make appropriate choices.
2. help students recognize the value of making healthy food choices
3. provide students with resources about making wise choices independently
4. determine student’s motivation to learn about healthy food choices.
Answer: 4. 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)
1. investigate potential health and environmental issues
2. initiate support groups for parents of autistic children
3. provide wound care for clients in their homes
4. participate in local health surveillance activities
5. provide health related education to community groups
Answer: 1. investigate potential health and environmental issues
2. initiate support groups for parents of autistic children
4. participate in local health surveillance activities
5. 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?
1. clients will schedule bone density screening
2. clients will arrange for mammograms every 3 years
3. clients will start hormone replacement therapy
4. clients will significantly decrease caloric intake
Answer: 1. 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?
1. provide the client with a printed recipe
2. observe the client during preparation of traditional foods
3. use cookbooks to include traditional foods in meal plans
4. explain diabetes exchange list
Answer: 2. 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?
1. remove fresh flowers from the client’s home
2. wear a mask when within 3 feet of the client
3. encourage the client to use a hepa filter in the house
4. double bag soiled dressing in polyethylene bags.
Answer: 4. 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?
1. I have lots of health problems from being obese
2. I am obese it’s in my genes
3. I have difficulty resisting the items in vending machines
4. I know you don’t like me because i am obese
Answer: 2. 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?
1. demographic data
2. mortality rate
3. informant interviews
4. housing quality
Answer: 4. 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?
1. one dose of the immunization gives children lifelong protection from hepatitis B
2. hepatitis B spreads easily among children through casual contact
3. many people who acquire acute hepatitis B develop chronic hepatitis
4. people who have had a hepatitis B infection still need the immunization
Answer: 3. 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.
1. a client who has superficial partial thickness burn injuries over 5% of his body
2. a client who has a femur fracture with a 2+ pedal pulse
3. a client who is ambulatory and exhibits manic behavior
4. a client who has a rigid abdomen with manifestations of shock.
Answer: 4. 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?
1. presenting community education programs about stress management
2. developing resources for victims of abuse
3. urging community leaders to make nonviolence a priority
4. assessing for risk factors of intimate partner abuse during health examinations
Answer: 2. developing resources for victims of abuse
12. public health nurse take
1. alert the family members of coworkers about possible exposure to anthrax
2. place the employee under quarantine for 14 days
3. refer coworkers who might have been exposed to a provider for prophylactic antibiotics
4. instruct the client to wear a mask at work
Answer: 3. 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?
1. bradycardia
2. hypothermia
3. increased appetite
4. insomnia
Answer: 4. insomnia
14. a nurse is caring for a client who is homeless. which of the following actions should the
nurse take first?
1. determine the clients understanding of her living situation
2. assist the client to develop goals for obtaining shelter
3. discuss the risks of being homeless with the client
4. develop client teaching using a variety of strategies
Answer: 1. determine the clients understanding of her living situation
15. a community health nurse observes the accumulation of garbage at a neighborhood
playground. which of the following actions should the nurse take first to promote a clean and
safe environment?
1. meet with community members to discuss methods of playground maintenance
2. partner city officials with community members to improve the playground condition
3. work with local businesses to sponsor more trash receptacles in the playground
4. engage neighborhood families to monitor the playground for further trash buildup
Answer: 1. 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?
1. have the client’s daughter communicate information about the procedure
2. arrange for a member of the client’s community to interpret the teaching
3. identify the clients spoken dialect prior to contacting an interpreter
4. use professional terminology when providing education prior to the procedure
Answer: 3. 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?
1. chlamydia
2. herpes simplex virus
3. group B Streptococcus B hemolytic
4. human papillornavirus
Answer: 1. chlamydia
18. a clinic nurse is assessing a client who has measles. which of the following findings should
the nurse expect?
1. koplik spots inside the mouth
2. persistent low grade temperature
3. muscle aches and tenderness
4. rash confined to the trunk of the body
Answer: 1. koplik 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?
1. collect data to identify barriers to learning
2. establish methods to evaluate program outcomes
3. obtain visual aids that feature adolescents
4. provide computer based education
Answer: 1. 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)
1. you should avoid sexual contact until therapy is complete
2. notify anyone with whom you have had sexual contact over the past 2 months
3. you will need to take an antiviral medication for 30 days
4. once your complete treatment you will have an acquired immunity against chlamydia
5. you might experience painful urination until the infection has resolved
Answer: 1. you should avoid sexual contact until therapy is complete
2. notify anyone with whom you have had sexual contact over the past 2 months
5. 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?
1. encourage the family to join a support group
2. provide the family with information about respite care
3. educate the family regarding the progression of dementia
4. engage the family in informal conversation
Answer: 4. engage the family in informal conversation
22. a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease.
which of the following actions should the nurse take first?
1. discuss the benefits of eating a well-balanced diet with the client’s family
2. assist the client and the clients partner with finding an affordable exercise program
3. offer to accompany the client and the clients partner during health care provider visits
4. ask family members about the impact of the disease on relationships within the family
Answer: 4. 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.
1. Administrator
2. nurse consultant
3. case manager
4. clinician
Answer: 3. 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?
1. create diversionary activities for children
2. address the physical needs of clients
3. help clients gather needed supplies
4. explore feelings the clients are experiencing
Answer: 2. 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?
1. presenters teaching strategies
2.. presenter’s credibility
3. client’s motivation
4.. client’s education level
Answer: 3. 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)?
1. use seasonings to enhance the flavor of foods
2. provide sips of room temperature ginger ale between meals maintain the head of the clients
bed in an elevated position after eating
3. offer 120 ml (4 oz.) of cold 2% milk as a meal replacement
4. assist the client in using guided imagery
Answer: 2. provide sips of room temperature ginger ale between meals 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
1. review flashcards that identify holding technique with the group
2. show the group a video on breastfeeding techniques
3. facilitate a discussion group about the benefits of breastfeeding
4. provide dolls for the participants to demonstrate positioning
Answer: 4. 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
1. implementing a disaster triage plan with a local medical facility
2. functioning as a manager at a temporary shelter
3. assisting with the identification of a biological agent
4. organizing a mass casualty drill for community members
Answer: 4. 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?
1. help the client apply for Medicare
2. explore options for alternative therapies
3. arrange for medication through local agencies
4. send the client to the nearest facility for further evaluation
Answer: 3. 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.
1. people who have substance use disorders
2. families who have children
3. adolescent runaways
4. men who are unemployed
Answer: 2. 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?
1. the test monitors progression of the disease
2. the test measures antibodies to the virus
3. the test results are accurate 24 hr. after exposure to the virus
4. a positive result requires initiating immunoglobulin administration
Answer: 2. 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
1. consultant
2. systems allocator
3. advocate
4. coordinator
Answer: 3. 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.
1. determine potential funding sources for the program
2. inquire about the availability of volunteers
3. identify alternative solutions to address concerns
4. perform a needs assessment
Answer: 4. 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?
1. organize an influenza immunization clinic with the American red cross
2. perform wound care in the home of members
3. provide end of life care for members who are terminal
4. facilitate discharge from the facility to the home
Answer: 1. 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?
1. touching the hair of an African American client during an assessment
2. offering to shake hands when meeting an Asian client of the opposite gender
3. maintaining eye contact when interviewing a native American client
4. including both hot and cold food items on a Hispanic client’s menu
Answer: 4. 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?
1. early detection of disease
2. client enrollment in prevention programs
3. promotion of appropriate lifestyle changes
4. identification of family history of medical problems
Answer: 1. 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?
1. a child who has a BMI of 18
2. an adolescent who has scoliosis
3. an adolescent who has psoriasis
4. a child who has nits
Answer: 4. a child who has nits
38. which of the following ___________ should the nurse include
1. should be placed beside the child’s bed
2. house hold contacts will receive prophylactic antibiotics
3. transmission will be emitted because of herd immunity
4. the child is most contagious after the rash develops
Answer: 2. 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?
1. blood pressure screening
2. mental status examination
3. review of the neighborhood
4. family history
Answer: 2. 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?
1. conducting counseling for at risk parents
2.. assessing a family for marital discord
3. teaching parenting techniques to new parents
4. providing treatment for a young adult who has a substance use disorder
Answer: 3. 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?
1. track rates of illness caused by infection among employees
2. survey workers about job related emotional stress
3. identify industrial toxins that are present in the environment
4. measure noise levels at various locations in the facility
Answer: 4. 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
1. motor vehicle safety
2. sports injury prevention
3. substance abuse prevention
4. gun safety
Answer: 1. 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?
1. middle eastern cultural practices include hiding pain from close family members
2. native American cultural practices include being outspoken about pain
3. Puerto Rican cultural practices include the view that outspoken expressions of pain are
shameful
4. Chinese cultural practices include enduring pain to prevent family dishonor
Answer: 4. Chinese cultural practices include enduring pain to prevent family dishonor
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?
1. arrange for meals on wheels’ assistance
2. determine the client’s ability to self-feed
3. direct the home health aide to assist with meals
4. refer the clients partner to an Alzheimer’s support group
Answer: 2. 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 centers for disease control and prevention
1. office of the surgeon general
2. state health department
3. hospital infection control department
4. local red cross chapter
Answer: 2. 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?
1. you should have a complete eye examination every 2 years until the age of 64
2. you should have your hearing screened every 5 years
3. you should have your stool tested for blood every other year until the age of 74
4. you should have your fasting blood glucose level checked every 6 years
Answer: 3. 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?
1. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms
during treatment
2. remaining physically active will help to minimize drowsiness and chills associated with
initial alcohol withdrawal.
3. attending Al anon meetings will help you identify a role model to assist you with making
needed changes
4. you will begin learning functional skills to replace defense mechanisms and behaviors while
in treatment
Answer: 3. 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.
1. the vaccine
2. the virus
3. the school
4. the children
Answer: 4. 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?
1. provide coffee and snacks during the meetings
2. avoid discussing the traumatic events experienced by the veterans
3. change the meetings sites frequently
4. teach the clients to practice deep breathing exercises
Answer: 3. change the meetings sites frequently
50. client states my life has no meaning right now.
1. have you been thinking about harming yourself
2. how long have you been feeling this way
3. tell me what is going on with you right now
4. do you really think your life has no purpose
Answer: 1. 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?
1. the need for supplemental folic acid is greatest during the third trimester
2. the incidence of high birth weight infants is higher in adolescent pregnancy
3. pregnant adolescent need to gain less weight than adult mothers
4. caffeinated beverages should be replaced with caffeine-free beverages
Answer: 4. caffeinated beverages should be replaced with caffeine-free beverages
52. 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?
1. about 300 reported cases per 100,000 population
2. about 1 reported case per 10,000 population
3. about 10 reported cases per 1000 population
4. about 3 reported cases per 10,000 population
Answer: 3. about 10 reported cases per 1000 population
53. 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?
1. the client dresses her affected side first.
2. the client bears weight on their arms when using crutches
3. the client coughs when swallowing her medications
4. the client’s caregiver fills a pill organizer weekly
Answer: 3. the client coughs when swallowing her medications
