2023-2024 ATI Community Health Practice Exam Version-1-5 With Answers-399 Solved Questions

ATI COMMUNITY HEALTH EXAM (18 LATEST VERSIONS)
1000+ QUESTIONS AND CORRECT ANSWERS
2023-2024 UPDATE EACH VERSION IS A+ GRADED WITH EXPERT
GUIDED FEEDBACK
VERSIONS 1-5
VERSION 1
1. A case management nurse at an acute care facility is conducting an initial visit with a client
to identify needs prior to discharge home. After developing a working relationship with the
client, the nurse is engaging in the referral process. Which of the following actions should the
nurse take first?
A) Identify referrals that the client needs.
B) Discuss discharge instructions with the client.
C) Contact the physician for further orders.
D) Arrange transportation for the client.
Answer: A) Identify referrals that the client needs.
2. A case manager in a rehabilitation facility is discussing discharge plans with a client who
has a pressure injury and requires a special bed at home. Which of the following statements
should the nurse make first?
A) You will need to manage your pressure injury at home.
B) A social worker can help you with the cost of supplies.
C) Your family will need to assist you with care.
D) We can provide you with a list of suppliers for the bed.
Answer: B) A social worker can help you with the cost of supplies.
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) Discuss payment options with various pharmacies.
B) Provide education on hip precautions.

C) Arrange follow-up appointments with the healthcare provider.
D) Assess the client's home environment for safety.
Answer: A) Discuss payment options with various pharmacies.
4. A case manager is performing discharge planning for a client who experienced a traumatic
leg amputation and has a new prosthesis. Which of the following assessments should the
nurse identify as the priority?
A) Assess the client's emotional status.
B) Evaluate the client's home environment.
C) Discuss the client's pain management plan.
D) Review the client's rehabilitation plan.
Answer: B) Evaluate the client's home environment.
5. A case manager is planning home health care for a client who has a major burn injury.
Which of the following interventions should the case manager plan to make?
A) Schedule follow-up appointments with the physician.
B) Assess the client's need for wound care supplies.
C) Educate the client on nutritional needs.
D) Arrange physical therapy sessions.
Answer: B) Assess the client's need for wound care supplies.
6. A community health clinic is planning annual goals. Which of the following outcomes
addresses the ethical principle of distributive justice?
A) Clients receive Medicare benefits when eligible.
B) The clinic offers sliding scale fees.
C) Resources are allocated based on need.
D) All clients receive equal treatment.
Answer: A) Clients receive Medicare benefits when eligible.
7. A community health nurse encounters a client who has a suspected bioterrorism-related
illness. Which of the following actions should the nurse take?
A) Notify the local health department.
B) Don personal protective equipment.
C) Provide the client with reassurance.

D) Conduct a physical assessment.
Answer: B) Don personal protective equipment.
8. A community health nurse is assigned to implement a disaster plan for the area. Which of
the following actions should the nurse include as part of the response phase?
A) Conduct community disaster drills.
B) Assess community resources.
C) Develop a communication plan.
D) Create an evaluation of the disaster plan.
Answer: A) Conduct community disaster drills.
9. A community health nurse is determining available and needed supplies in the event of a
bioterrorism attack. The nurse should be aware that community members exposed to anthrax
will need access to which of the following medications?
A) Doxycycline.
B) Ciprofloxacin.
C) Amoxicillin.
D) Vancomycin.
Answer: B) Ciprofloxacin.
10. A community health nurse is developing an education program on substance use disorders
for a group of adolescents. Which of the following information should the nurse include
when discussing nicotine and smoking?
A) Smoking can be easily stopped.
B) Tolerance to nicotine does develop quickly.
C) Nicotine has no long-term effects.
D) Most adolescents do not become addicted.
Answer: B) Tolerance to nicotine does develop quickly.
11. A community health nurse is developing strategies to prevent or improve mental health
issues in the local area. In which of the following situations is the nurse implementing a
tertiary prevention strategy?
A) Teaching a client who has schizophrenia about medication interactions.
B) Conducting a support group for individuals with anxiety.

C) Screening for depression in the community.
D) Providing stress management workshops.
Answer: A) Teaching a client who has schizophrenia about medication interactions.
12. A community health nurse is educating the public on the agents of bioterrorism. Which of
the following agents should the nurse include as Category A biological agents? (SATA)
A) Plague
B) Tularemia
C) Botulism
D) West Nile virus
E) Anthrax
Answer: A) Plague
B) Tularemia
C) Botulism
E) Anthrax
13. A community health nurse is implementing health programs with several populations in
the local area. In which of the following situations is the nurse using primary prevention?
A) Providing influenza immunizations to employees at a local preschool.
B) Conducting screenings for high blood pressure.
C) Creating a support group for new mothers.
D) Teaching safe sex practices to adolescents.
Answer: A) Providing influenza immunizations to employees at a local preschool.
14. 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 report improved mood.
B) Clients will schedule bone density screenings.
C) Clients will increase physical activity.
D) Clients will engage in support groups.
Answer: B) Clients will schedule bone density screenings.
15. A community health nurse is planning strategies to address childhood obesity in the area.
Which of the following actions should the nurse take first?

A) Collaborate with schools to increase physical activity.
B) Provide nutrition education to children and their families.
C) Develop a community garden program.
D) Organize a health fair focused on obesity prevention.
Answer: B) Provide nutrition education to children and their families.
16. 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) Appetite naturally increases during the adolescent years.
B) Calcium intake is less important during adolescence.
C) High-protein diets are unnecessary for growth.
D) Fast food should be consumed regularly for energy.
Answer: A) Appetite naturally increases during the adolescent years.
17. A community health nurse is teaching a group of clients about available resources to assist
with recovery following a stroke. Which of the following resources should the nurse
recommend for clients who are experiencing dysphagia?
A) Occupational therapist.
B) Physical therapist.
C) Speech-language pathologist.
D) Nutritionist.
Answer: C) Speech-language pathologist.
18. A community health nurse is teaching a group of older adult clients about hypertension.
The nurse should identify which of the following as a client-related barrier to learning?
A) Previous knowledge of the condition.
B) Low literacy.
C) Availability of resources.
D) Support from family members.
Answer: B) Low literacy.
19. A faith community nurse is planning care for a client who has been diagnosed with endstage breast cancer. Which of the following interventions should the nurse include in the
plan?

A) Encourage aggressive treatment options.
B) Provide quiet time during visits for prayer and meditation.
C) Focus solely on physical symptoms.
D) Limit family involvement during visits.
Answer: B) Provide quiet time during visits for prayer and meditation.
20. A faith community nurse is preparing to meet with the family of an adolescent who has
leukemia. Which of the following actions should the nurse plan to take?
A) Discuss treatment options in detail.
B) Determine how the adolescent’s health has affected family roles.
C) Provide educational materials about leukemia.
D) Recommend support groups without further discussion.
Answer: B) Determine how the adolescent’s health has affected family roles.
21. A faith-based organization asks a community health nurse to develop a mobile meal
program for older adults who are no longer driving. Which of the following actions should
the nurse plan to take first?
A) Develop a budget for the program.
B) Perform a needs assessment.
C) Identify volunteers for meal delivery.
D) Establish partnerships with local grocery stores.
Answer: B) Perform a needs assessment.
22. 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 with a laceration on the arm.
B) A client who is crying and anxious.
C) A client who has a rigid abdomen with manifestations of shock.
D) A client with a fractured leg.
Answer: C) A client who has a rigid abdomen with manifestations of shock.
23. 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 needed care to the

clients, which of the following government agencies should the nurse notify to follow up on
these reports?
A) Environmental Protection Agency.
B) Occupational Safety and Health Administration.
C) Centers for Disease Control and Prevention.
D) Food and Drug Administration.
Answer: B) Occupational Safety and Health Administration.
24. 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 feel like a burden to my family.
B) I know that everything will be better soon.
C) I have been spending more time with my friends.
D) I am planning a vacation next year.
Answer: B) I know that everything will be better soon.
25. 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) Assist the client in using guided imagery.
B) Provide sips of room temp ginger ale between meals.
C) Maintain the head of the client's bed in an elevated position after eating.
D) Encourage the client to eat large meals to prevent nausea.
E) Suggest deep breathing exercises.
Answer: A) Assist the client in using guided imagery
B) Provide sips of room temp ginger ale between meals
C) Maintain the head of the client's bed in an elevated position after eating.
26. A home health nurse is caring for a client who has MRSA. Which of the following actions
should the nurse take?
A) Use standard precautions only.
B) Double bag soiled dressings in polyethylene bags.
C) Wear gloves only when changing the dressing.
D) Disinfect the client's home with bleach.

Answer: B) Double bag soiled dressings in polyethylene bags.
27. A home health nurse is discussing electrical hazards with a client. Which of the following
statements should the nurse include?
A) You should secure extension cords with clear packing tape.
B) It's safe to use a multi-plug adapter for several devices.
C) You can run cords under carpets for safety.
D) Extension cords are a permanent solution for your devices.
Answer: A) You should secure extension cords with clear packing tape.
28. A home health nurse is discussing portals of entry with a group of newly hired assistive
personnel. Which of the following locations should the nurse include as a portal of entry?
(SATA)
A) Skin
B) Genitourinary tract
C) Mucous membranes
D) Gastrointestinal tract
E) Respiratory tract
Answer: A) Skin
B) Genitourinary tract
C) Mucous membranes
29. A home health nurse is educating a client who has COPD and is to start using home
oxygen via nasal cannula. Which of the following statements should the nurse identify as an
indication that the client understands the teaching?
A) I will only use my oxygen when I am short of breath.
B) I should check the flow rate of my oxygen each day.
C) I can smoke as long as I am not near the oxygen tank.
D) I will keep my oxygen tank in my bathroom.
Answer: B) I should check the flow rate of my oxygen each day.
30. A home health nurse is performing a home safety evaluation for a newly admitted client.
Which of the following findings requires action by the nurse? (SATA)
A) An extension cord extends across the floor of the living room.

B) The water heater is set at 54.4°C.
C) There are loose rugs in the hallways.
D) Smoke detectors are installed in the home.
E) The client has multiple medications on the counter.
Answer: A) An extension cord extends across the floor of the living room
B) The water heater is set at 54.4°C
31. A home health nurse is preparing to teach the family of a client who has a new diagnosis
of HIV about infection control. Which of the following factors should the nurse identify as an
educator-related barrier to learning?
A) Lack of prior knowledge about HIV.
B) Reliance on written notes during the teaching session.
C) Family members being present during the teaching.
D) Distractions from the environment.
Answer: B) Reliance on written notes during the teaching session.
32. A home health nurse is visiting a client who has right-sided weakness following a recent
stroke. The client states, "I’m not sure how I will buy my groceries since I can’t go back to
work." Which of the following actions should the nurse take?
A) Suggest the client ask friends for help.
B) Initiate a referral for the client to a local social worker.
C) Teach the client about assistive devices.
D) Encourage the client to try online grocery shopping.
Answer: B) Initiate a referral for the client to a local social worker.
33. 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) Suggest assistive personnel visit daily to provide client care.
B) Recommend support groups for caregivers.
C) Assess the partner's coping mechanisms.
D) Provide educational materials on caregiver stress.
Answer: A) Suggest assistive personnel visit daily to provide client care.

34. 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) Encourage the client to abandon traditional practices.
C) Provide standard medical treatments without discussion.
D) Restrict the use of traditional healers.
Answer: A) Discuss safe use of herbal medications.
35. A hospice nurse is planning care for a client who follows traditional American Indian
practices. Which of the following actions should the nurse plan to take?
A) Discuss safe use of herbal medications.
B) Encourage the client to seek only Western medical interventions.
C) Disregard traditional practices during care planning.
D) Limit family involvement in care decisions.
Answer: A) Discuss safe use of herbal medications.
36. A newly hired occupational health nurse at an industrial facility is performing an initial
workplace assessment. Which of the following information should the nurse determine when
conducting a work site survey?
A) Employee satisfaction ratings.
B) Work practices of employees.
C) Historical accident reports only.
D) The number of employees present.
Answer: B) Work practices of employees.
37. A newly hired public health nurse is familiarizing himself with the levels of disaster
management. Which of the following actions is a component of disaster prevention?
A) Conducting emergency drills.
B) Identifying community vulnerabilities.
C) Assessing the effectiveness of response plans.
D) Providing emergency services during a disaster.
Answer: B) Identifying community vulnerabilities.

38. A nurse at a community clinic is conducting a well-child visit with a preschool-age child.
The nurse should identify which of the following manifestations as a possible indication of
child neglect? (SATA)
A) Underweight.
B) Poor hygiene.
C) Frequent absences from school.
D) Engaging in risky behaviors.
Answer: A) Underweight
B) Poor hygiene
39. A nurse at a community mental health center is caring for a client who has antisocial
personality disorder. Which of the following actions should the nurse include in the plan of
care?
A) Allow the client to manipulate others.
B) Assist the client to identify acceptable outlets of anger.
C) Focus solely on medication management.
D) Encourage the client to isolate themselves.
Answer: B) Assist the client to identify acceptable outlets of anger.
40. 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) Influenza.
B) Tuberculosis.
C) Chlamydia.
D) Common cold.
Answer: C) Chlamydia
41. 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?
A) A child with a laceration on the arm.
B) An adult client who is short of breath.
C) An elderly client with a sprained ankle.
D) A teenager who is anxious and crying.
Answer: B) An adult client who is short of breath.

42. A nurse at an urban community health agency is developing an education program for city
leaders about homelessness. Which of the following groups should the nurse include as the
fastest-growing segment of the homeless population?
A) Single men.
B) Veterans.
C) Families with children.
D) Elderly individuals.
Answer: C) Families with children
43. A nurse case manager is providing discharge planning for a client. The nurse is
functioning in which of the following roles when delivering medical equipment to the client's
home?
A) Advocate.
B) Coordinator.
C) Educator.
D) Evaluator.
Answer: B) Coordinator.
44. A nurse developing a community health program is determining barriers to community
resource referrals. Which of the following factors should the nurse include as an example of a
resource barrier?
A) Lack of knowledge about available resources.
B) Limited transportation options.
C) Costs associated with services.
D) Cultural differences.
Answer: C) Costs associated with services.
45. A nurse in a community clinic is assessing a client who reports injecting heroin 1 hour
ago. Which of the following findings should the nurse expect?
A) Euphoria.
B) Bradycardia.
C) Mydriasis.
D) Hypotension.

Answer: A) Euphoria.
46. A nurse is advocating for local leaders to place a newly approved community health clinic
in an area of the city that has fewer resources than other areas. The nurse is advocating for the
leaders to uphold which of the following ethical principles?
A) Autonomy.
B) Beneficence.
C) Justice.
D) Distributive justice.
Answer: D) Distributive justice.
47. A nurse is assessing an outbreak of mumps among school-age children. Using the
epidemiological triangle, the nurse should recognize which of the following as the host?
A) The mumps virus.
B) The environment where the outbreak is occurring.
C) The children.
D) The vaccination rates in the community.
Answer: C) The children.
48. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following findings should the nurse identify as a manifestation of withdrawal?
A) Hypotension.
B) Diaphoresis.
C) Bradycardia.
D) Constipation.
Answer: B) Diaphoresis.
49. A nurse is caring for a client who is from a different culture than himself. When beginning
the cultural assessment, which of the following actions should the nurse take first?
A) Gather data about the client's cultural beliefs.
B) Ask the client if they want to discuss cultural preferences.
C) Provide education about the nurse's own culture.
D) Review the client's medical history.
Answer: A) Gather data about the client's cultural beliefs.

50. A nurse is caring for a client who is homeless. Which of the following actions should the
nurse take first?
A) Assess the client's physical health.
B) Determine the client's understanding of her living situation.
C) Provide resources for housing.
D) Offer to connect the client with social services.
Answer: B) Determine the client's understanding of her living situation.
51. A nurse is collecting data to identify health needs in the local community. Which of the
following examples should the nurse identify as secondary data? (SATA)
A) Birth statistics.
B) Previous health survey results.
C) Health records.
D) Focus group discussions.
Answer: A) Birth statistics
B) Previous health survey results
C) Health records.
52. A nurse is completing a needs assessment and beginning analysis of data. Which of the
following actions should the nurse take first?
A) Identify gaps in services.
B) Compile collected data into a database.
C) Analyze community demographics.
D) Develop a report of findings.
Answer: B) Compile collected data into a database.
53. A nurse is conducting a community assessment. Which of the following data collection
methods is the nurse using when having direct conversations with individual members of the
community?
A) Focus groups.
B) Surveys.
C) Key informant interviews.
D) Community forums.

Answer: C) Key informant interviews.
54. A nurse is conducting health screenings at a statewide health fair and identifies several
clients who require referral to a provider. Which of the following statements by a client
indicates a barrier to accessing health care?
A) "I don’t have a car to get to the clinic."
B) "I can’t take off during the day, and the local after-hours clinic is no longer in operation."
C) "I don't have insurance."
D) "I am not sure how to find a provider."
Answer: B) "I can’t take off during the day, and the local after-hours clinic is no longer in
operation."
55. A nurse is creating partnerships to address health needs within the community. The nurse
should be aware that which of the following characteristics must exist for partnerships to be
successful? (SATA)
A) Flexibility among partners when considering new ideas.
B) Adherence of partners to ethical principles.
C) Willingness of partners to negotiate roles.
D) Uniformity in partner goals.
Answer: A) Flexibility among partners when considering new ideas
B) Adherence of partners to ethical principles
C) Willingness of partners to negotiate roles.
56. A nurse is developing a community health education program for a group of clients who
have a new diagnosis of diabetes mellitus. Which of the following learning strategies should
the nurse include for clients who are auditory learners?
A) Providing written materials.
B) Facilitating small group discussions.
C) Using visual aids.
D) Demonstrating skills.
Answer: B) Facilitating small group discussions.
57. A nurse is developing a health screening program for clients who are at risk for
hypertension. Which of the following actions should the nurse take first?

A) Develop educational materials on hypertension.
B) Conduct a survey to identify the community need for hypertension screening.
C) Schedule the screening events.
D) Collaborate with local health providers.
Answer: B) Conduct a survey to identify the community need for hypertension screening.
58. 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) Providing nutrition education.
B) Immunizing the clients against influenza.
C) Offering exercise programs.
D) Conducting health screenings.
Answer: B) Immunizing the clients against influenza.
59. A nurse is participating in an outreach program to combat the rise of encephalitis in the
community due to an increased population of mosquitoes. Which of the following activities
should the nurse perform to implement mosquito control strategies?
A) Distribute insect repellent to community members.
B) Release a media announcement asking residents to remove areas of standing water.
C) Organize community cleanup days.
D) Conduct educational sessions on mosquito-borne diseases.
Answer: B) Release a media announcement asking residents to remove areas of standing
water.
60. A nurse is planning a community health program. Which of the following actions should
the nurse include as part of the evaluation plan?
A) Gather participant feedback.
B) Compare program impact to similar programs.
C) Assess staff satisfaction.
D) Review budgetary expenses.
Answer: B) Compare program impact to similar programs.

61. 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) Develop educational materials on healthy eating.
B) Determine students’ motivation to learn about healthy food choices.
C) Create a fun activity around healthy food options.
D) Involve parents in the program.
Answer: B) Determine students’ motivation to learn about healthy food choices.
62. A nurse is preparing a community health program on communicable diseases. When
discussing modes of transmission, the nurse should include which of the following illnesses
as airborne?
A) Chickenpox.
B) Tuberculosis.
C) Influenza.
D) Norovirus.
Answer: C) Influenza.
63. A nurse is preparing an education program on disease transmission for employees at a
local daycare facility. When discussing the epidemiological triangle, the nurse should include
which of the following factors as agents? (SATA)
A) Toxins.
B) Bacteria.
C) Viruses.
D) Stressors.
Answer: A) Toxins
B) Bacteria.
64. A nurse is preparing an educational program on cultural perspectives in nursing. The
nurse should include that which of the following factors are influenced by an individual's
culture? (SATA)
A) Nutritional practices.
B) Family structure.
C) Health care interactions.

D) Views about illness.
Answer: A) Nutritional practices
B) Family structure
C) Health care interactions
D) Views about illness.
65. A nurse is preparing to conduct a windshield survey. Which of the following data should
the nurse collect as a component of this assessment? (SATA)
A) Ethnicity of community members.
B) Natural community boundaries.
C) Presence of public protection.
D) Availability of recreational facilities.
Answer: A) Ethnicity of community members
B) Natural community boundaries
C) Presence of public protection.
66. 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) The child should stay home from school for at least 2 weeks.
B) Household contacts will receive prophylactic antibiotics.
C) The child will require hospitalization.
D) Symptoms will resolve in 1 week.
Answer: B) Household contacts will receive prophylactic antibiotics.
67. 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 need a mammogram every 5 years.
C) You should have a Pap smear every year.
D) You do not need a colonoscopy until age 60.
Answer: A) You should have a complete eye examination every 2 years until the age of 64.
68. A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which
of the following statements by the client indicates the teaching has been effective?

A) I will take my medications until I feel better.
B) I will be contagious until I have completed the full medication regimen.
C) I can stop taking the medication if my symptoms improve.
D) I need to wear a mask only when I am in public.
Answer: B) I will be contagious until I have completed the full medication regimen.
69. 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) Assess clients for withdrawal and passivity during home health visits.
B) Provide community resources for education.
C) Conduct screenings for mental health issues.
D) Educate clients on healthy relationships.
Answer: A) Assess clients for withdrawal and passivity during home health visits.
70. A nurse is reviewing information about the local health department to prepare for an
interview. Which of the following services should the nurse expect the local health
department to provide? (SATA)
A) Providing education to achieve community health goals.
B) Coordinating directives from state personnel.
C) Conducting research studies.
D) Offering direct patient care services.
Answer: A) Providing education to achieve community health goals
B) Coordinating directives from state personnel.
71. A nurse is reviewing the various roles of a community health nurse. Which of the
following actions is an example of a nurse functioning as a consultant?
A) Conducting health screenings in the community.
B) Developing a health education program.
C) Updating state officials about health needs of the local community.
D) Providing direct care to clients.
Answer: C) Updating state officials about health needs of the local community.

72. A nurse is speaking with several clients at a health fair. Which of the following statements
should the nurse assess further?
A) I have to turn my head completely to see things that are beside me.
B) I sometimes feel dizzy when I stand up quickly.
C) I have difficulty seeing at night.
D) I find it hard to read small print.
Answer: A) I have to turn my head completely to see things that are beside me.
73. A nurse is talking to a client who asks for additional information about hospice. Which of
the following statements should the nurse make?
A) Hospice is only for clients who are in the last days of life.
B) A component of hospice care is to control the client's manifestations.
C) Hospice care is not available in hospitals.
D) You can receive hospice care only if you are at home.
Answer: B) A component of hospice care is to control the client's manifestations.
74. A nurse is teaching a client who has a terminal illness about hospice care. Which of the
following statements by the client indicates an understanding of the teaching? (SATA)
A) I can discontinue hospice care whenever I want.
B) I will receive care from a variety of interprofessional team members.
C) I can receive care in the hospital or at home.
D) Hospice care focuses only on pain management.
Answer: A) I can discontinue hospice care whenever I want
B) I will receive care from a variety of interprofessional team members
C) I can receive care in the hospital or at home.
75. A nurse is teaching 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 requires fasting for 12 hours.
B) The test measures serum levels of HIV antibodies.
C) The test results will be available in 24 hours.
D) The test is performed only once.
Answer: B) The test measures serum levels of HIV antibodies.

76. A nurse is using the I PREPARE mnemonic to assess a client's potential environmental
exposures. Which of the following questions should the nurse ask when assessing for "A" in
the mnemonic?
A) "What do you like to do for fun?"
B) "What kind of work do you do?"
C) "What types of chemicals do you use at home?"
D) "Have you noticed any changes in your health?"
Answer: A) "What do you like to do for fun?"
77. 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) Teaching parenting techniques to new parents.
B) Providing counseling for victims of domestic violence.
C) Assessing families for signs of abuse.
D) Collaborating with local shelters for survivors.
Answer: A) Teaching parenting techniques to new parents.
78. 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) Fee-for-service payment.
B) The provider pays a fixed sum for the client on a monthly or yearly basis.
C) Payment based on the number of services provided.
D) Clients are billed for each individual service.
Answer: B) The provider pays a fixed sum for the client on a monthly or yearly basis.
79. A nurse is working with a client who has systemic lupus erythematosus and recently lost
her health insurance. Which of the following actions should the nurse take in the
Implementation phase of the case management process?
A) Assess the client's financial resources.
B) Coordinating services to meet the client's needs.
C) Evaluating the effectiveness of services provided.
D) Developing a care plan for the client.

Answer: B) Coordinating services to meet the client's needs.
80. A nurse manager at a clinic is reviewing the preventative services offered to clients.
Which of the following activities should the nurse identify as a secondary prevention
activity?
A) Conducting health education workshops.
B) Advocating for laws that prohibit texting while driving.
C) Providing screenings for early detection of diseases.
D) Immunizing clients against common infections.
Answer: C) Providing screenings for early detection of diseases.
81. A nurse manager at a community agency is developing an orientation program for newly
hired nurses. When discussing the differences between community-based and communityoriented nursing, the nurse should include which of the following situations as an example of
community-based nursing? (SATA)
A) A home health nurse performing wound care for a client who is immobile.
B) A school nurse teaching a student who has asthma about medications.
Answer: A) A home health nurse performing wound care for a client who is immobile
B) A school nurse teaching a student who has asthma about medications.
82. A nurse manager in a community health clinic is reviewing secondary prevention
activities with a group of nurses during orientation. Which of the following activities should
the nurse manager include as an example of secondary prevention?
A) Educating the community about healthy lifestyle choices.
B) Conducting a health fair with blood pressure screenings.
C) Test a client who has a family history for DM.
D) Providing vaccinations to at-risk populations.
Answer: C) Test a client who has a family history for DM.
83. 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 a history of tuberculosis.
B) A client who has received the Bacille Calmette-Guerin vaccine within the last 10 years.

C) A client who is immunocompromised.
D) A client who has recently traveled to an area with high TB rates.
Answer: B) A client who has received the Bacille Calmette-Guerin vaccine within the last 10
years.
84. 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 use to determine the
effectiveness of the plan?
A) Survey staff on their understanding of the plan.
B) Review how the staff implements the plan during a hands-on practice drill.
C) Conduct a tabletop exercise to discuss the plan.
D) Evaluate the outcomes of past drills.
Answer: B) Review how the staff implements the plan during a hands-on practice drill.
85. A nurse working in a community health center is providing teaching to a client who has
alcohol use disorder. Which of the following treatment methods should the nurse include in
the teaching?
A) Treatment with naloxone.
B) Disulfiram therapy.
C) Acamprosate therapy.
D) Cognitive-behavioral therapy.
Answer: B) Disulfiram therapy.
86. 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 the CDC?
A) Local health department.
B) State health department.
C) Federal Drug Administration.
D) National Institutes of Health.
Answer: B) State health department.
87. 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) Review employee incident reports.
B) Conduct interviews with employees.
C) Measure noise levels at various locations in the facility.
D) Evaluate the ventilation systems in the building.
Answer: C) Measure noise levels at various locations in the facility.
88. A school nurse is assessing a child and discovers Koplik spots on the child's buccal
mucosa. Which of the following actions should the nurse take?
A) Administer the MMR vaccine immediately.
B) Isolate the child from others.
C) Review the immunization records of the client's classmates.
D) Notify the parents to seek immediate care.
Answer: C) Review the immunization records of the client's classmates.
89. A school nurse is discussing stress management techniques with a group of adolescents.
Which of the following activities reported by an adolescent should the nurse identify as the
priority?
A) Journaling about their feelings.
B) Scratching or piercing the skin.
C) Engaging in sports.
D) Practicing relaxation techniques.
Answer: B) Scratching or piercing the skin.
90. 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) A child with a cold.
C) A child who is slightly overweight.
D) A child who has a sore throat.
Answer: A) A child who has nits.
91. A school nurse is planning health promotion and disease prevention activities for the
upcoming school year. In which of the following situations is the nurse planning a secondary
prevention strategy?

A) Providing vaccinations to students
B) Routinely checking students for pediculosis throughout the school year.
C) Teaching healthy eating habits to students
D) Organizing a program on physical activity
Answer: B) Routinely checking students for pediculosis throughout the school year.
92. 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 efforts.
B) Teaching a class about the risks of cigarette smoking.
C) Organizing a program to promote skateboard safety.
D) Conducting health screenings for students.
Answer: A) Lobbying for funding for health promotion efforts
B) Teaching a class about the risks of cigarette smoking
C) Organizing a program to promote skateboard safety.
93. 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) Drug overdose
B) Motor vehicle safety.
C) Drowning
D) Suicide
Answer: B) Motor vehicle safety.
94. A school nurse is scheduling visits with a physical therapist for a child who has cerebral
palsy. In which of the following roles is the nurse functioning?
A) Educator
B) Advocate
C) Case manager.
D) Consultant
Answer: C) Case manager.
95. 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) Use a translation app
B) Determine the client's primary language.
C) Ask a bilingual colleague for assistance
D) Provide written materials in multiple languages
Answer: B) Determine the client's primary language.
96. An occupational health nurse is consulting with senior management of a local industrial
facility. When discussing work-related illness and injury, the nurse should include which of
the following factors as physical agents? (SATA)
A) Noise
B) Lighting
C) Stress
D) Temperature extremes
Answer: A) Noise
B) Lighting.
97. 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 don't eat that much junk food.
C) I have tried to lose weight several times.
D) Everyone in my family is overweight.
Answer: A) I have lots of health problems from being obese.
98. An occupational health nurse is preparing for an initial meeting with a committee that is
planning a health fair for an industrial work site. The nurse should instruct the committee
members to take which of the following actions first?
A) Determine the health concerns of the employees.
B) Create a budget for the event.
C) Schedule the health fair date.
D) Recruit volunteers to help.
Answer: A) Determine the health concerns of the employees.

99. Several nurses are developing a parish nurse group to help address the primary and
secondary health care needs for 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) Provide counseling services for mental health.
C) Conduct weekly health screenings for chronic diseases.
D) Offer nutrition classes for families.
Answer: A) Organize an influenza immunization clinic with the American Red Cross.
100. 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) Enroll the parent in anger management classes.
Answer: B) Check the child for injuries.
101. 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 students’ motivation to learn about healthy food choices.
Answer: D) Determine students’ motivation to learn about healthy food choices.
102. 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? (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.
103. 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.
104. A nurse is working with a care 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 is participating in a fee-for-service health care insurance program.
B) The provider is paid a fixed sum for the client on a monthly or yearly basis.
C) The client pays the insurer a percentage of the total costs for each service rendered by the
provider.
D) The provider bills the client directly for a predetermined percentage of the cost of
services.
Answer: B) The provider is paid a fixed sum for the client on a monthly or yearly basis.
105. 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.

106. 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.
107. 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.
108. 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.
109. 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.

110. 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.
111. 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.
112. A public health nurse takes which of the following actions?
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.
113. 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.

114. 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) 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 client's understanding of her living situation.
115. 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?
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 neighborhood families to monitor the playground for further trash buildup.
Answer: A) Meet with community members to discuss methods of playground maintenance.
116. 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 client's spoken dialect prior to contacting an interpreter.
D) Use professional terminology when providing education prior to the procedure.
Answer: C) Identify the client's spoken dialect prior to contacting an interpreter.
117. 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 hemolytic.
D) Human papillomavirus.
Answer: A) Chlamydia.

118. A clinic nurse is assessing a client who has measles. Which of the following findings
should the nurse expect?
A) Koplik 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) Koplik spots inside the mouth.
119. 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.
120. 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 you complete treatment, you will have 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.
121. 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.
122. 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 client’s partner with finding an affordable exercise program.
C) Offer to accompany the client and the client’s partner during healthcare 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.
123. 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.
124. 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.
125. 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.
126. 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? (Select all that apply)
A) Use seasonings to enhance the flavor of foods.
B) Provide sips of room temperature ginger ale between meals.
C) Maintain the head of the client’s 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 client’s bed in an elevated position after eating.
127. 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 techniques 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.
128. 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.
129. 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) 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.
130. 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.
131. 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 hours after exposure to the virus.
D) A positive result requires initiating immunoglobulin administration.
Answer: B) The test measures antibodies to the virus.
132. 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.
133. A faith-based organization asks a community health nurse to develop a mobile meal
program for older adults. Which of 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.
134. 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.
135. A community health nurse is caring for a 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.
136. 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 enrollment in prevention programs.
C) Promotion of appropriate lifestyle changes.
D) Identification of family history of medical problems.
Answer: A) Early detection of disease.
137. A school nurse is implementing health screening. Which of the following assessment
findings 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.
138. Which of the following statements should the nurse include in education about the child
with a communicable disease?
A) Should be placed beside the child’s bed.
B) Household contacts will receive prophylactic antibiotics.
C) Transmission will be limited because of herd immunity.
D) The child is most contagious after the rash develops.
Answer: B) Household contacts will receive prophylactic antibiotics.
139. 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 neighborhood.
D) Family history.
Answer: B) Mental status examination.
140. In the last month, three cases of tuberculosis have been referred to the health
department. Which of the following is the priority information for the community health
nurse to obtain from each client?
A) Demographics
B) Household members
C) Occupation
D) Health history
Answer: B) Household members
141. 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
142. 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
143. 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
144. 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 dishonor
Answer: D) Chinese cultural practices include enduring pain to prevent family dishonor
145. The partner of an older adult client who has Alzheimer’s disease reports that he is not
eating. The nurse finds that the partner refuses to assist the client with feeding and insists the
client feed himself without help. Which is 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 client's partner to an Alzheimer’s support group
Answer: B) Determine the client’s ability to self-feed
146. A nurse is planning priority actions for a community health initiative. Which of the
following should the nurse prioritize?
A) Encourage enrollment and attendance at weight reduction programs
B) Educate children at a day care center about nutrition and exercise
C) Distribute health risk appraisal questionnaires at community functions
D) Measure the BMI of older adults at a community senior center
Answer: B) Educate children at a day care center about nutrition and exercise
147. 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 the Centers 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
148. 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
149. 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 behaviors
while in treatment
Answer: C) Attending Al-Anon meetings will help you identify a role model to assist you
with making needed changes
150. 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
151. 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 meeting sites frequently
D) Teach the clients to practice deep breathing exercises
Answer: C) Change the meeting sites frequently
152. A client states, "My life has no meaning right now." Which of the following responses
should the nurse provide?
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?
153. 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 adolescents 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.
154. A nurse expects which of the following findings in a patient with dehydration?
A) Oliguria
B) Diplopia
C) Hypoglycemia
D) Dizziness
Answer: A) Oliguria
155. A community health clinic nurse manager is reviewing the incidence rate of chlamydia
in the state. In a given year, 3,144 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 1,000 population
D) About 3 reported cases per 10,000 population
Answer: C) About 10 reported cases per 1,000 population
156. 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.

VERSION 2
ATI COMMUNITY HEALH PROCTORED STUDY GUIDE

ADHD teaching
▪ Consistent daily routine and limit distractions
○ Advocating for a newly approved community health clinic in an area of the
city that has fewer resources is known as distributive justice
○ Alcohol abstinence medications
▪ Disulfiram used to maintain abstinence when no longer experiencing
manifestations of withdrawal
▪ Naltrexone
▪ Acamprosate
○ Medications for alcohol withdrawal
▪ Diazepam
▪ Clonidine
▪ Carbamazepine
▪ Chlordiazepoxide
▪ Phenobarbital
▪ Naltrexone
○ Alcohol withdrawal symptoms tend to appear 2-3 days after stopping
▪ Hallucinations
▪ Severe hypertension
▪ Cardiac dysrhythmias
▪ Delirium
▪ Death
○ Alcohol symptoms that tend to appear 4-12 hours after stopping
▪ Abdominal cramps
▪ Vomiting
▪ Tremors

▪ Restlessness
▪ Inability to sleep
▪ TACHYCARDIA
▪ HYPERTENSION
▪ Hallucinations
▪ Anxiety
▪ Increased respirations
▪ Fever
▪ Tonic colonic seizures
▪ Diaphoresis
○ African Indian health medications and beliefs seek SHAMAN for healing
of an infection
○ ANTHRAX exposure
▪ Ciproflaxin is the treatment of choice and should be used
prophylactically
○ Asian health beliefs steam removes toxins from the body—heated blanket
(ying and yang theory)
○ Autonomy means respecting a client’s right to choose and refuse
○ Beneficence is maximizing benefits and minimizing possible harm
○ Breast cancer prevention includes yearly exams beginning at 40 years old
○ Calculating disease incidence and prevalence cases / population total X
1000
○ Indications of digoxin toxicity
▪ Hypokalemia
▪ Fatigue
▪ Weakness
▪ Vision changes
▪ GI affects
○ Caregiver burden responses fatigue, difficulty sleeping, illness

○ Care of migrant workers health problems
1) Dental disease
2) Tuberculosis
3) Chronic conditions
4) Stress and anxiety
5) Leukemia
6) Iron deficiency anemia
7) Cancer
8) Lack of parental care
○ Caribbean nations health beliefs and medicine voodoo and witchcraft
○ Caring for a client with GONORRHEA
▪ Notionally notifiable disease
▪ Women are frequently ASYMPTOMATIC
▪ Yearly screening for women over 25 with risk factors
▪ At risk population—pregnant women—should be screening at 1st
prenatal visit and identify and treat all partners
▪ Administer erythromycin to all infants following delivery
▪ Ceftriaxone IM or azithromycin PO
▪ It is the providers responsibility to report
▪ State notification is voluntary
▪ If left untreated can lead to PID and cause infertility
▪ Medication Ceftriaxone
○ Case management nurses identify referrals that clients need, promote
interpersonal service and increase involvement, decrease cost by improving
outcomes, provide education to optimize health participation, and advocate
for services and client rights
○ Case managers provide referral information, facilitate movement through
health care system, negotiate and collaborate
○ Category A biological agents

▪ Tularemia
▪ Botulism
○ Christian religion medicine and health beliefs believe in faith healing
○ Hospice care is to control manifestations
○ Clients rights
1) Right to information disclosure
2) Right to privacy
3) Right to informed consent
4) Right to confidentiality
5) Right to participate in treatment decisions
○ Colds and other illnesses are not contraindications for getting
immunizations
○ What identifies as secondary data
▪ Birth statistics
▪ Previous health survey results
▪ Health records
○ Clients who have ringworm clean all surfaces
○ Community based means management of acute and chronic conditions
where individuals and families live, work, and attend school
○ Community oriented is at risk individuals, families, groups within the
community. One must determine health needs, intervene at individual/
family/ and group level to improve the health of the community
○ Always compile collected data into a data base first
○ Components of disaster prevention include identifying community
vulnerabilities
○ The method used to have conversations with someone within the
community is known as key informant reviews
○ Contraindications for patients with HIV during pregnancy
▪ Episiotomy

▪ Forceps
▪ Internal fetal monitoring
○ Dehydration impairs motor control
○ Demographics of homeless populations
▪ Families with children
▪ Mental illness
▪ Veterans
▪ Substance abusers
▪ Runaway youth
▪ Intimate partner abuse victims
▪ HIV and AIDS clients
▪ Older adults
○ Females need 2000 calories a day and males need 4000 calories a day
○ Iron intake should be 11-15mg extra/day
○ Adolescents should take in 1300mg of calcium a day
○ Distributive justice is fair distribution of the benefits and burdens in society
○ Domains of learning
▪ Affective involves change of attitude and development of values
▪ Cognitive involves knowledge of development of intellectual skills
▪ Psychomotor involves performance of a skill
○ Early manifestations of ANTHRAX
▪ Dry cough
▪ Mild chest pain
▪ Fever
▪ Fatigue
○ Eastern Chinese/ Asian medicine beliefs an imbalance in nature is believed to
cause disease
○ Endocrine disorder Somptropin
▪ Monitor growth patterns

▪ Rotate injection sites
▪ Mix gently do not shake prior to administration
▪ Obtain baseline weight and height
○ Epidemiological principles include analyzing incidence and track outcomes of
interventions for a particular disease or condition
○ Epidemiological triangle
▪ Agents
• Chemical: drugs and toxins
• Physical: noise and temperature
• Infections: viruses and bacteria
▪ Environment
• Physical: geography, water/food supply, presence of
reservoirs/vectors
• Social: access to health care, increase work environment,
poverty
▪ Host
• Age
• Gender
▪ Genetics
• Ethnicity
• Immunological status
• Physiological status
• Occupation
○ Nurses function as a consultant when the update state officials about health
needs of the local community
○ Resource barriers include cost associated with services
○ TORCH infections signs and symptoms
▪ Joint pain
▪ Malaise

▪ Rash
▪ Tender lymph nodes
○ Exposure to ANTHRAX
▪ Give IV Ciproflaxin prophylactically to stop disease progression
▪ Signs and symptoms
• Headache
• Fever
• Muscle aches
• Chest pain
• Severe dyspnea
• Shock
○ Faith and parish nurses cannot do anything physical to a patient—no wound
care, hospice, homecare, med giving (they are just a liaison)
○ The 1st step in developing a community health plan is to identify the
population specifics
○ HEPATITIS A
▪ Ingest contaminated water, Close personal contact with infected people,
Fecal-oral route of transmission
○ HEPATITIS B
▪ Blood, Unprotected sex with infected people, born to infected mom,
contact with infected blood, injection drug users
○ HEPATITIS C
▪ Blood, drug abuse, and sex with infected persons
○ HEPATITIS and CIRRHOSIS
▪ Contact precautions as needed
▪ High carb, high calorie, low-moderate fat, and high protein diet
▪ Small frequent meals
▪ No alcohol
▪ Limit physical activity

▪ Avoid sex until hep antibody test is negative
▪ Proper hand hygiene
○ How to apply HIPPA log off computer before leaving, never share ID or
password, never leave medical records where people can see them, shred any
printed information about client, do not use or view social media in clinical
setting, and never post about clinical stuff
○ HIPPA rules
▪ Only staff assigned to the patient may view/read client’s health record
▪ Client have the right to read or obtain copy of their health records
▪ Nurses may not photocopy any part of medical record except for
authorized exchange of doctors between facilities and providers
▪ Staff must keep records/names of client in secured place
▪ Electronic records must be password protected
▪ No sharing info to family members without code in person, email, or
phone call
▪ Talking about a client must be in a private setting so no one can overhear
○ Hispanic health/medicine beliefs avoid direct eye contact, use therapeutic
touch, use face/ hand and body gestures, respect them wanting to use
traditional therapies
○ HIV/AIDS and decreased CD4 T lymphocyte determines the stage of the
disease and the lower the number the worse the disease
○ HPV teaching—do not have to notify state or local departments, teach how to
apply cream to lesions
○ Radioactive Iodine Therapy
▪ Client is radioactive
▪ No pregnant people should be around them
▪ No breastfeeding
▪ Keep distance of at least 6 ft and limit visitors to 30 minutes
▪ Drink lots of fluid

▪ Maintain good hygiene to prevent infection
○ Hazards in the occupational environment—exposure to chemicals, worker
inexperience/age/pregnancy, lifting heavy loads, constant sitting, stress ,
burnout, violence, temperature extremes, noise extremes, no having correct
protective equipment
○ Primary prevention education and immunizations
○ Secondary Prevention screening for lice/TB/cancer/Hypertension, or safety
checks (home safety and outbreak control)
○ Tertiary Prevention rehab, support groups, counseling, therapy, disease
management
○ Pregnant women cannot receive MMR, Rubella (can develop infection),
Herpes
Zoster, or Varicella
○ Pregnant women can receive TDaP
○ When completing a work site survey include work practice of employees
○ Infants get the MMR and Rotavirus immunization at 12 months
○ Clients who have MRSA should complete full course of antibiotics and avoid
overuse of antimicrobials
○ INHALED ANTHRAX is not transmitted person to person
○ Long term exposure to ASBESTOS can lead to mesothelioma and lung
conditions.
○ Justice situation is determining eligibility for health care services based on
income and fiscal responsibility
○ Leading cause of death among adolescents is motor vehicle accidents
○ Local disaster plans are organized by the office of emergency management
○ Signs and symptoms of MEASLES
▪ mild to moderate fever
▪ conjunctivitis
▪ fatigue

▪ cough
▪ runny nose
▪ red eyes
▪ sore throat
▪ rash
▪ KOPILKO SPOTS—appear in the mouth 2 days before rash
▪ Red/reddish brown rash on face then spreading downward
▪ Spike in fever with rash
○ Manifestations of child neglect—underweight and poor hygiene
○ Manifestations of SYSTEMIC INFECTION
▪ Fever
▪ Malaise
▪ Tachycardia
▪ Tachypnea
○ Manifestations of TUBERCULOSIS
▪ Persistent cough
▪ Fatigue
▪ Night sweats
▪ Purulent sputum
○ Mantoux test with an induration of 5mm should be considers a positive test
for someone that is immunocompromised
○ Mantoux test with an induration of 10mm or greater that is palpable, raised or
hardened is a positive skin test
○ A positive Mantoux test identifies that the client has developed and immunity
to TB but does not determine active TB
○ Mexican culture medicine and health beliefs hot-cold therapy of balance in
relation to health and illness that accompanies belief in framework
○ MRSA is contact precaution

○ Native American health and medicine beliefs use of religion, avoiding eye
contact, use of spiritual practices, use of healing practices
○ Isoniazid (TB med) report manifestations of tingling in hands
○ Nonmaleficence means to do no harm
○ Nonpharmacological measures used to reduce nausea include
▪ Eat cold or room temperature foods
▪ High carb and low fat
▪ Avoid fried foods
▪ Do not eat prior to chemotherapy or radiation
▪ Sit up for one hour following meals
▪ Ginger
○ Normal Lab values
▪ Albumin—3.5-5.0
▪ BUN—10-20
▪ Calcium—9-10.5
▪ Glucose—70-110
▪ GFR—90-120
▪ HbA1c—7%
▪ Hct males 42%-52% females 37%—47%
▪ HDL males —60 females —70
▪ Hgb males 14-18 females 12-16
▪ LDL —100
▪ Magnesium—1.8-3
▪ Platelets—120,000-450,000
▪ Potassium—3.5-5.0
▪ PT—11-13.5
▪ Sodium—135-145
▪ White blood cells—5,000-10,000

○ Patients with TUBERCULOSIS should provide sputum samples every 4
weeks to monitor effectiveness of the medications
○ Interventions for TUBERCULOSIS
▪ N95 or HEPA mask
▪ Negative airflow room
▪ Airborne precautions
▪ Patient must wear mast when being transported
▪ Cough and expectorate sputum into tissues and discard in provided
sacks
▪ Eat foods high in protein, iron and vitamin C
○ Orthodox Judaism diet avoids dairy and meat at same time and they do not eat
pork
○ If an outbreak is ever suspected 1st determine incidence rate
○ Parish nursing promotes health and wellness within populations of faith
communities, work with pastoral care staff/ professional health care
members/ volunteer to provide holistic approach to healing. Function as
personal health counselors, health educators, liaisons between faith and
community and local resources, facilitate support groups, and spiritual
support
○ PERTUSSIS education
▪ Droplet precautions
▪ Also known as whooping cough
▪ Incubation period of 7-10 days
▪ Signs and symptoms of a common cold
▪ Antibiotics
○ PERTUSSIS interventions
▪ Wear a mask when providing care within 3 ft of the patient
▪ Surgical mask when transporting

▪ Wear gown when performing care that may result in secretion
contamination
○ Evaluation plan for community health program should include a comparison
of their program to similar programs
○ Primary prevention activities determine solutions, establish goals, give
responsibilities to individuals, determine resources, screen and educate,
determine funding and develop a budget, plan for evaluation
○ What is a portal of exit in the mode of transmission—skin, GU tract, and
mucous membranes
○ Windshield survey (assessment included)—ethnicity, natural community
boundaries, presence of public protection
○ Prevent TORCH infections by avoiding the consumption of undercooked
meat while pregnant
○ Primary Prevention for rural or migrant farm workers—educate on measures
to reduce exposure to pesticides, teach accident prevention, prenatal care,
and mobilize prevention services
○ Secondary Prevention for rural or migrant farm workers—SCREENING—
pesticide exposure, skin cancer, chronic preventable diseases, communicable
diseases
○ Tertiary Prevention for rural or migrant farm workers—treat for symptoms of
pesticide exposure, mobilize primary care and emergency services
○ Primary symptom of SYPHILIS—chancre
○ Prioritizing client care
▪ Actual problems before potential problems (administer meds before
ambulating a patient at risk)
▪ Acute (new injury) before Chronic
▪ Systemic before Local (life before limb)
○ Developing a disaster plan
▪ Set up alternative communication

▪ Highlight possible evacuation routes
▪ Identify local and distant meeting places
▪ Create disaster kits
▪ Identify at risk population
▪ Identify community disaster warning systems and how to access
▪ Identify 1st responders
▪ Make a list of agencies for all levels of disaster
▪ Triage
▪ Gather equipment and check often
○ Priority findings in school health screenings Abuse evidence
▪ Vision and hearing
▪ Height and weight changes
▪ Scoliosis
▪ Infestations
○ Process evaluation for quality improvement groups—focus groups,
satisfaction surveys, written audits, interviews
○ The prompt use of benzodiazepines can prevent serious complications of
DELIRIUM TREMENS
○ Provide culturally appropriate care by addressing clients by last name until
told otherwise, introducing yourself and explain position, be authentic and
honest about what you don’t know about a culture, use culturally sensitive
language, don’t make assumptions about the client, encourage them to ask
questions, find out what the client knows about their condition and
treatment, respect beliefs/ practices/ and values, show respect for client’s
support system
○ Providing teaching to someone to speak a different language interpreters
should not be a family member, should have knowledge of health care and
terminology, client preference should be considered (age and sex), should

not be from the same community, teaching material should be available in
the client’s primary language
○ Providing teaching to family of patient with SUBSTANCE ABUSE
DISORDER eliminate any codependent behavior, primary goal is
abstinence, discuss feelings to help recover
○ HERPES ZOSTER manifestations include linear cluster of fluid-containing
vesicles with some crusting
○ PTSD interventions
▪ Therapeutic relationship with client
▪ Asses for suicide ideation and use precautions when necessary
▪ use multiple strategies to reduce anxiety
▪ Allow time to express feelings
○ Public health nurses review morbidity and mortality data for the community
○ Rationalization is coming up with reasons that avoid the true reason
○ Signs and symptoms of ABUSE
▪ Child
• Unexplained injuries
• Unusual fear of nurses or others
• Injuries/wounds not mentioned in health history
• Fractures, including other healed fractures
• Presence of wounds/fractures/ injuries in various stages of
healing
• Subdural hematomas
• Trauma to genitalia
• Malnourishment or dehydration
• General poor hygiene or inappropriate dress for weather
conditions Considered a bad child
▪ Adult
• Unexplained or repeated physical injuries

• Physical neglect and unmet basic needs
• Rejection of assistance by caregiver
• Financial mismanagement Depression
○ Recommended saturated fat intake in no more than 75% of daily caloric
intake
○ Referral client barriers include lack of motivation, inadequate info about
community resources, inadequate understanding of the need for referral,
accessibility needs, priorities, finances, cultural factors
○ Referral resource barriers include attitudes of health care personnel, cost of
service, physical accessibility of resources, time limitations, limited
expertise working with culturally diverse populations
○ Diseases reportable to CDC
▪ GONORRHEA
▪ VARICELLA
▪ SYPHILIS
○ Reportable to the State Health Department
▪ Suspected cases of child abuse/neglect
▪ Elder abuse/neglect
▪ SYPHILIS
○ RHEUMATOID ARTHRITIS teaching Hydroxychloroquine
▪ Advise the patient to get baseline eye exams and follow up eye exams
every 6 months with ophthalmologist
▪ Stop medication and notify provider if blurry vision occurs
○ Secondary prevention for school nurse routine checking for lice throughout
the school year
○ Goals of screening provide accurate reliable results, inexpensive and quick
administration to large groups, produce few side effects
○ Secondary data is use of existing data to determine prevalence of disease
○ Tuberculosis medications

▪ Isoniazid
• Take on an empty stomach
• Watch for hepatoxicity and neurotoxicity
• Tingling extremities
• Vitamin B6
• Do not consume alcohol while taking
▪ Pyrazinamide
• Observe for hepatoxicity
• Drink glass of water with each dose and lots throughout the day
• Report yellowing of skin
• Report pain or swelling of joints
• Report loss of appetite
• Report malaise
• Do not consume alcohol while taking
▪ Rifampin
• Observe for hepatoxicity
• Urine secretions will be orange
• Report yellowing of skin
• Report swelling of joints
• Report loss of appetite
• Report malaise
• Do not consume alcohol while taking
▪ Ethambutol
• Monitor for vison changes
○ TUBERCULOSIS patients who have received bacillus Calmette-Gurerin
vaccine within the past year can have a false positive Mantoux test.
○ Signs and symptoms of TUBERCULOSIS
▪ Persistent cough for more than 3 weeks
▪ Chest pain

▪ Weakness
▪ Anorexia
▪ Hemoptysis
▪ Dyspnea
▪ Night sweats
▪ Fever
▪ Chills
○ Use of crutches—don’t alter the crutch after fitting, follow prescribed
crutch gait, support body weight at the hand grips with elbows flexed 30*,
position crutches on unaffected wide when sitting or rising from a chair
○ Safe disposal of insulin syringes—put in strong plastic container, do no
recycle needles, throw container in trash, seal container ¾ full with duct
tape, facilities throw them in sharps container
○ Test for HIV/AIDS
▪ ELISA
▪ Western Blot
▪ Indirect Immunoassay test
○ Triage mass casualty tagging
▪ Red
▪ Yellow
▪ Green
▪ Black –expectorant and cannot be saved
○ Make sure when using web-based information, the sites are credible; no
.com websites, use appropriate terminology, EBSCO/ CDC/ NICBH are good
websites, evidence-based practice is validated by peer review
○ Vaccines
▪ 6 weeks-6 years 5 DTaP shots
▪ 11-12 years meningococcal conjugate
▪ 60+ years herpes zoster

○ Disease that can be treated during labor or immediately following
▪ GONOHRREA
▪ CHLAMYDIA
▪ HIV
▪ GROUP BETA STREP
○ Teaching for TUBERCULOSIS precautions—wash hands after coughing
and wear a mask in public areas
○ HMO is an insurance group that provided health services for a fixed annual
fee and there is an agreed upon payment level
○ Most preventable cause of death is smoking
○ The nurse is acting as a consultant with providing information to families,
admins, teachers, and parent-teacher groups to decisions that promote the
health of students.
○ The nurse is performing as a case manager when coordinating
comprehensive services for students with complex needs
○ The nurse is performing as a counselor when developing a trusting
relationship with students and providing support on issues affecting their
lives
○ Windshield survey
▪ Nurse and other driver drive through the community assessing
components
▪ Time consuming
▪ Provide descriptive overview of the community
▪ Results limited because its only based on visualization and doesn’t
include community member input
▪ The nurse is looking for
• Pets and animals
• Evidence of drug use/substance use
• Origin, race, ethnicity of population

• General appearance
• Natural man-made boundaries
• Housing details
• Social systems: hospitals, clinics, dentist, parks, worship places,
stores, public protection, and transport
▪ Measures
• Population: ethnicity
• Housing
• Social: public resources and protection
• Natural environment
• Place
○ Women’s health screenings cholesterol should remain between 45-65
○ Fecal occult test should begin after 50 years of age
○ Women’s health after menopause—increase iron/ B12/ and fluids,
mammogram every year-2 years, colon cancer screening, regular doctor
visits, skin assessment, immunization, vision checks
○ All written educational material should be written on a 6th grade level

VERSION 3
ATI COMMUNITY HEALTH EXAM (100 Q&A)
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) Educate children about nutrition and exercise at a daycare center
B) Implement a weight loss program for adults
C) Screen for obesity in children at schools
D) Provide cooking classes for families
Answer: A) Educate children about nutrition and exercise at a daycare center

2. A community health nurse is developing health promotion activities for a community.
Which of the following is the highest priority action?
A) Implement a walking program for seniors
B) Conduct a health fair with screenings
C) Participate in community assessment to identify community health problems
D) Distribute health education materials
Answer: C) 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 45-year-old client recovering from surgery
B) A 60-year-old client with diabetes
C) A 79-year-old client with an exacerbation of COPD
D) A 30-year-old client with a respiratory infection
Answer: C) 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) Analytic epidemiology
C) Experimental epidemiology
D) Public health surveillance
Answer: B) 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) A positive rapid strep test
B) An elevated blood glucose level
C) A sputum specimen that is positive for tuberculosis
D) A high cholesterol level
Answer: C) A sputum specimen that is positive for tuberculosis

6. A nurse is triaging victims of a commuter train crash. Which of the following clients
should be transported to the Emergency Department first?
A) A client with a broken arm who is in mild pain
B) An ambulatory client whose nose is bleeding and who reports feeling dizzy
C) A client with minor lacerations who is stable
D) A client who is anxious but otherwise stable
Answer: B) 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) Include both hot and cold food items on a Hispanic client’s menu
B) Provide a standard menu for all clients
C) Recommend a vegetarian diet for all clients
D) Avoid discussing dietary restrictions
Answer: A) 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) Assist the client in preparing questions for the provider
D) 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
C) Assist the client in preparing questions for the provider
D) 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 information about local resources
C) Assist the client in finding employment
D) Connect the client with mental health services

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) Caffeinated beverages should be replaced with caffeine-free
B) Exercise should be avoided during pregnancy
C) Weight gain during pregnancy is not important
D) All medications are safe during pregnancy
Answer: A) 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) Evacuation routes for emergencies
B) Immunization protocol for various biological agents
C) Fire drill procedures
D) Procedures for handling food allergies
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) Use of seat belts in automobiles
B) Bicycle safety
C) Drowning prevention
D) Fire safety
Answer: A) 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) High fever and cough
B) Koplik spots in the oral mucosa
C) Rash that appears after 3 days
D) Red eyes and sensitivity to light
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) Blurred vision when reading
C) Increased sensitivity to light
D) Occasional floaters in vision
Answer: A) Slightly yellow sclera
15. Which of the following is an example of the responsibilities of public health nursing?
A) Providing direct patient care in a hospital
B) Educating patients about their medication
C) Informing state health officials of a potential meningitis outbreak
D) Conducting health assessments in a private practice
Answer: C) Informing state health officials of a potential meningitis outbreak
16. A nurse is providing a staff development program on HIPAA 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) “Demographic data that identify a client can be released without consent.”
B) “I need to ensure that client records are kept confidential.”
C) “I should only share client information with authorized personnel.”
D) “Clients have the right to access their own medical records.”
Answer: A) “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) Induration at the infection site of 5 mm
B) Induration at the infection site of 8 mm
C) Erythema without induration
D) No reaction at the infection site
Answer: B) Induration at the 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 evaluates the teaching to be effective when a student
states which of the following?
A) “Smoking only a few cigarettes won’t harm me.”
B) “As long as I stop smoking while I am young, none of those diseases will affect me.”
C) “Using e-cigarettes is safer than smoking traditional cigarettes.”
D) “Tobacco use can lead to serious health problems.”
Answer: D) “Tobacco use can lead to serious health 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 use wool blankets on my bed when oxygen is in use.”
B) “I need to keep the oxygen tank upright and secure.”
C) “I should avoid using oil-based lotions on my skin.”
D) “I need to ensure good ventilation when using oxygen.”
Answer: A) “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 physical therapist will teach my husband exercises to increase hand dexterity.”
B) “The nurse will only check my husband’s vital signs.”
C) “My husband won’t need any assistance with daily activities.”
D) “Speech therapy is not necessary for my husband.”
Answer: A) “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) During disaster preparedness activities
B) Only during an actual disaster
C) After a disaster has occurred
D) During routine health screenings

Answer: A) 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 can spread the disease through sharing utensils.”
B) “I will wear a mask when I’m in an enclosed area with other people.”
C) “I don’t need to worry; I’m on medication now.”
D) “It’s safe to be around my family without precautions.”
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) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
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) Familiar with the local community
B) Skilled in health-related interpretation
C) A family member of the client
D) Available at the time of the appointment
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) Offering health screenings at a community center
B) Providing care only in emergency situations
C) Focusing solely on maternal and child health
D) Offering services during regular business hours only

Answer: A) Offering health screenings at a community center
26. Which of the following activities is the responsibility of a case manager?
A) Conduct routine health assessments
B) Evaluate cost effectiveness of client treatments
C) Provide direct patient care
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) Educating a community about healthy lifestyles
B) Performing hypertension screening in a community center
C) Providing immunizations to children
D) Encouraging regular exercise in a fitness program
Answer: B) Performing hypertension screening in a community center
28. An occupational health nurse is planning a program on early detection of breast cancer for
female employees at a local business. Which of the following is the first action the nurse
should take?
A) Develop educational materials about mammography
B) Determine employee knowledge level of breast self-examination
C) Schedule a mammography van to visit the workplace
D) Provide information about breast cancer risk factors
Answer: B) 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) Veterans
B) Families with children
C) Single adults
D) Elderly individuals
Answer: B) 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 blood pressure of employees
C) Assessing the safety of work environments
D) Providing first aid training
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) “You can call a taxi service.”
B) “How would you feel about me contacting a local service that helps older adults with
transportation?”
C) “You should ask your family for help.”
D) “It’s important to stay home and rest.”
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) Coordinating follow-up appointments
B) Discussing payment options with various pharmacies
C) Teaching the client about post-operative care
D) Arranging physical therapy services
Answer: B) Discussing payment options with various pharmacies
33. What patient would the Home Health Nurse send to the doctor first?
A) A client with a skin rash
B) A client with abdominal pain
C) A client with a headache
D) A client with a sore throat
Answer: B) A 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) Conduct interviews with affected clients
B) Identify restaurants where the clients have recently eaten
C) Review vaccination records
D) Analyze water sources in the area
Answer: B) 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) Diagnosis of a terminal illness with a life expectancy of six months or less
B) Documented need for palliative care
C) Preference for home-based care
D) Availability of family support
Answer: B) 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 a flat fee for all services received
B) The client pays the insurer a percentage of the total costs for each service rendered by the
provider
C) The client pays nothing for preventive services
D) The provider is paid per visit by the client
Answer: B) The client pays the insurer a percentage of the total costs for each service
rendered by the provider
37. A nurse is providing education to a troop of local Boy Scouts regarding first aid for
venomous snake bites in the event that transport to the hospital is delayed. Which of the
following would be appropriate information to include in teaching about bites to an
extremity?
A) Apply a constricting band above the bite while maintaining circulation below the bite

B) Immerse the affected extremity in ice water
C) Keep the affected limb still and below heart level
D) Apply a tourniquet tightly above the bite
Answer: C) Keep the affected limb still and below heart level
38. In reviewing the goals of "Healthy People," a nurse determines the community has a
significant problem preventing dental caries in children. To bring about change, the nurse
should:
A) Increase funding for dental clinics
B) Initiate a fluoride varnish program in schools
C) Conduct community awareness campaigns about dental hygiene
D) Collaborate with WIC program intake offices
Answer: D) Collaborate with 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 vaccine does not confer life-long immunity.
B) New strains of the virus have emerged.
C) The vaccine has been discontinued since then.
D) The vaccine's effectiveness decreases with age.
Answer: A) 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) Resources available to address health care issues
B) The number of healthcare providers in the area
C) Average income levels of the population
D) Prevalence of chronic diseases
Answer: A) 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 school nurse can
implement?

A) Implementing conflict resolution programs
B) Surveying students to identify risk factors for bullying
C) Providing counseling services to affected students
D) Conducting parent workshops on violence prevention
Answer: B) 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 shoulder height
B) Unilateral scapular hump when the child bends at the waist
C) A straight spine when viewed from behind
D) Mild back pain during physical activity
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 body should be washed immediately after death
B) The family will remain with the body until burial
C) The body should be cremated
D) No one should touch the body after death
Answer: B) 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 medication as soon as symptoms resolve
B) Provide sputum cultures until three come back negative
C) Avoid contact with anyone during treatment
D) Discontinue treatment after two weeks
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) Provide the staff with information regarding measures to minimize disease transmission

B) Inform parents to keep sick children at home
C) Educate staff on the signs and symptoms of RSV
D) Schedule a vaccination clinic for infants
Answer: A) Provide the staff with information regarding measures to minimize disease
transmission
46. 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?
A) Nutrition and exercise
B) Mental health awareness
C) Communicable disease prevention
D) Substance abuse recovery
Answer: C) Communicable disease prevention
47. A school nurse is planning an educational program for parents about head lice. The nurse
should include which of the following in the program?
A) Combs should be placed in boiling water for 10 min.
B) Children should not share hats or hair accessories
C) It is safe to use any shampoo to treat lice
D) Lice can only be transmitted in schools
Answer: A) 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 findings should be reported to the provider?
A) Weight gain of 1 lb over 24 hours
B) Sodium level of 119
C) Mild shortness of breath during exertion
D) Blood pressure of 120/80
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 community evacuation plans
B) Recommending that each family has batteries, a radio, and a flashlight

C) Organizing shelter locations for evacuees
D) Providing training on emergency response
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
a 5-year-old child who has impetigo. 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) Allow the child to share towels with siblings
C) Keep the child away from school for one day
D) Use topical antibiotics on all siblings
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 to minimize the client’s risk for contracting Rocky Mountain
spotted fever?
A) Use insect repellent on exposed skin
B) Wear protective clothing
C) Avoid hiking during the day
D) Stay on marked trails
Answer: B) 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) Conduct health screenings
B) Organize a flu immunization clinic with the American Red Cross
C) Provide diagnostic services
D) Prescribe medications for chronic illnesses
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) Morbidity rate
D) Attack rate
Answer: B) Prevalence rate
54. Which of the following activities would the school nurse perform in the role of a
consultant?
A) Conduct health assessments of students
B) Recommend policy changes to minimize the spread of influenza
C) Provide direct care to students
D) Educate parents about health issues
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) Chances of recovery are poor with immediate treatment
B) Chances of recovery are good if improvement is seen in 3 to 5 days
C) Disease is always fatal
D) Client will require long-term hospitalization
Answer: B) 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) Open fracture with minimal bleeding
B) Rigid abdomen with symptoms of shock
C) Minor laceration
D) Burn injury with blisters
Answer: B) 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) An extension cord extends across the floor from the electrical outlet to a floor lamp.

C) Area rugs are securely fastened to the floor.
D) Smoke detectors are installed and functional.
Answer: A) The hot water heater is set at 130°F.
B) An extension cord extends across the floor from the electrical outlet to a floor lamp.
58. Primary Goal of Community Health Nursing:
A) Reduce healthcare costs
B) Enhance the individuals, families, and communities
C) Increase access to health services
D) Provide individual patient care
Answer: B) Enhance the individuals, families, and communities
59. A nurse is working with an interdisciplinary group to write procedures for the assessment
of clients from a multiracial inner-city population. “Remember that all Hispanic clients may
not wish to give personal medical information to a stranger.” What should the nurse do?
A) Encourage staff to ask direct questions
B) Recommend changing the language that stereotypes one ethnic group
C) Instruct staff to avoid discussing personal issues
D) Emphasize the importance of confidentiality
Answer: B) Recommend changing the language that stereotypes one ethnic group
60. A patient is having trouble with peripheral vision. What is the best action for the nurse to
take?
A) Orient the patient to surroundings by describing the environment
B) Provide the patient with a cane for mobility
C) Encourage the patient to use both eyes for vision
D) Advise the patient to avoid crowded places
Answer: A) Orient the patient to surroundings by describing the environment.
61. Risk for constipation - immobility, older:
A) Adults, dehydration, narcotics, or BP medications
B) Lack of fiber in the diet
C) Sedentary lifestyle
D) Increased fluid intake

Answer: A) Adults, dehydration, narcotics, or BP medications
62. Population-focused nursing practice:
A) Individual assessments
B) Community diagnosis
C) Family health assessments
D) One-on-one patient education
Answer: B) Community diagnosis
63. SIDS prevention:
A) Sleep on stomach
B) Supine position, sleep on back
C) Use a soft mattress
D) Co-sleep with parents
Answer: B) Supine position, sleep on back
64. Primary prevention of asthma:
A) Avoid known triggers
B) Take bronchodilator first
C) Use an inhaler during an attack
D) Monitor peak flow regularly
Answer: A) Avoid known triggers
65. Rheumatoid Arthritis Resources:
A) Local pharmacy
B) The Arthritis Association
C) Physical therapy clinics
D) Online health forums
Answer: B) 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:
A) Voluntary admission
B) Involuntary admission criteria

C) Emergency treatment
D) Psychiatric evaluation
Answer: B) Involuntary admission criteria
67. Child injury vs. abuse:
A) Accident
B) Abuse
C) Neglect
D) Maltreatment
Answer: B) Abuse
68. A nurse is performing an intake interview at a prenatal clinic on a patient who is at 6
weeks gestation. Which of the following is significant?
A) Regular exercise routine
B) Supervision of the renovation of an old house the family just purchased due to teratogen
defect
C) Healthy diet
D) Prenatal vitamins
Answer: B) 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:
A) Individual counseling sessions
B) Primary prevention program
C) High school child development and parenting classes
D) Support groups for parents
Answer: C) High school child development and parenting classes
70. When scheduling home visits, which is best for the home health charge nurse to assign to
the LPN?
A) A post-operative client
B) A bedfast client who needs daily irrigation of a stage 4 pressure ulcer
C) A client with diabetes management

D) A client needing medication education
Answer: B) A bedfast client who needs daily irrigation of a stage 4 pressure ulcer
71. Occupational Health Act:
A) Location of the workplace as it relates to health facilities
B) Employee health insurance requirements
C) Guidelines for workplace safety
D) Regulations for hazardous materials
Answer: A) Location of the workplace as it relates to health facilities
72. A nurse has to conduct a community diagnosis to determine nursing needs and problems.
What is the focus?
A) Individual patient care
B) Community-based practice
C) Hospital-based interventions
D) Family health assessments
Answer: B) Community-based practice
73. A pregnant woman not getting enough of which vitamin may cause neural tube defects?
A) Vitamin A
B) Vitamin C
C) Folic acid
D) Vitamin D
Answer: C) Folic acid
74. Plans formulated for solving community problems:
A) Community assessment
B) Community organization
C) Health education programs
D) Public health policies
Answer: B) Community organization
75. Training of potential leaders in the community is referred to as:
A) Community development

B) Core group formation
C) Leadership training
D) Capacity building
Answer: B) Core group formation
76. The public health nurse's bag is an important tool for care during a home visit because it:
A) Contains educational materials
B) Helps with medication administration
C) Prevents the spread of infection
D) Includes emergency supplies
Answer: C) Prevents the spread of infection
77. A prenatal consultant asked the home health nurse if she can have her delivery at home.
The nurse advised her against a home delivery because:
A) She lives far from a hospital
B) She has no support during delivery
C) Her OB score is G5P3
D) Home births are illegal
Answer: C) Her OB score is G5P3
78. A 6-month pregnant woman comes to the center for a consult. Which medication is
contraindicated?
A) Aspirin
B) Retinol 200,000 IU
C) Acetaminophen
D) Iron supplements
Answer: B) Retinol 200,000 IU
79. The type of family-nurse contact that offers the best opportunity to observe family
dynamics is:
A) Office visit
B) Telephone follow-up
C) Home visit
D) Group sessions

Answer: C) Home visit
80. The philosophy of public health nursing emphasizes:
A) Individual health
B) Community wellness
C) Worth and dignity of man
D) Evidence-based practice
Answer: C) Worth and dignity of man
81. In cases of suspected abuse, what should the nurse advise the mother?
A) Ignore the behavior
B) Talk to the child
C) Call the police if violent behavior occurs again
D) Seek family counseling
Answer: C) Call the police if violent behavior occurs again
82. A 70-year-old male client in a nursing home after a hip replacement is at risk for
decubitus ulcers because:
A) Poor nutrition
B) Immobility
C) Thinning of the skin with loss of elasticity
D) Lack of hydration
Answer: C) Thinning of the skin with loss of elasticity
83. During a home health visit, a nurse notices round swellings on a Vietnamese child's back.
The mother says she rubbed a coin on his oiled skin. What is the purpose of this practice?
A) To treat a skin infection
B) To improve circulation
C) To rid the body of disease
D) To promote healing
Answer: C) To rid the body of disease
84. What is the core business of public health?
A) Health education

B) Community outreach
C) Disease control, health protection, health public policy, injury prevention
D) Individual patient care
Answer: C) Disease control, health protection, health public policy, injury prevention
85. What herbal plant is given for fever, headache, and cough?
A) Ginger
B) Langundi
C) Eucalyptus
D) Peppermint
Answer: B) Langundi
86. What are the pillars of primary health care?
A) Emergency treatment and hospitalization
B) Provision of medical care and emergency treatment
C) Preventive care and rehabilitation
D) Family planning and nutrition education
Answer: B) 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, what would the fetal death rate be?
A) 4.0 per 1000 live births
B) 6.9 per 1000 live births
C) 7.2 per 1000 live births
D) 3.5 per 1000 live births
Answer: B) 6.9 per 1000 live births
88. What type of water supply facility is composed of a system with a piped distribution
network and household taps?
A) Level I
B) Level II
C) Level III
D) Level IV
Answer: C) Level III

89. What does the term pandemic refer to in relation to a disease?
A) The outbreak of a disease in a specific location
B) The simultaneous occurrence of an epidemic of the same disease in several countries
C) A localized outbreak that does not spread
D) The prevention of a disease outbreak
Answer: B) The simultaneous occurrence of an epidemic of the same disease in several
countries
90. What is the preschooler dose of Retinol capsules given every 6 months to prevent
xerophthalmia in a 5-year-old child?
A) 100,000 IU
B) 200,000 IU
C) 300,000 IU
D) 150,000 IU
Answer: B) 200,000 IU
91. In the Philippines, what is the most frequent cause of death associated with
Schistosomiasis?
A) Liver cirrhosis
B) Kidney failure
C) Lung cancer
D) Heart disease
Answer: A) Liver cirrhosis
92. Operation Timbang is which level of prevention of health problems?
A) Primary
B) Secondary
C) Tertiary
D) Quaternary
Answer: A) Primary
93. In conducting a census, what is the method of population assignment based on the usual
place of residence of the people?

A) De jure
B) De facto
C) Estimated
D) Reported
Answer: B) De facto
94. Which method of family planning is not immediately recommended for a breastfeeding
mother?
A) Condoms
B) IUD
C) Combined OCP
D) Natural methods
Answer: C) Combined OCP
95. For a 3-year-old boy with severe pneumonia or very severe disease, which symptom
would be indicative?
A) Coughing
B) Fast breathing
C) Fever
D) Chest pain
Answer: B) Fast breathing
96. What is a very important part of the community health nursing planning process?
A) Assessment of community needs
B) Evaluation of structures and qualifications of the health care team
C) Budgeting for resources
D) Implementation of services
Answer: B) Evaluation of structures and qualifications of the health care team
97. What is an advantage of a home visit?
A) Provides an opportunity for immediate treatment
B) Reduces transportation costs
C) Provides an opportunity to do a firsthand appraisal of the home situation
D) Allows for group education

Answer: C) Provides an opportunity to do a firsthand appraisal of the home situation
98. Who are the different clients of the community health nurse?
A) Individuals
B) Families
C) Population groups
D) Communities
Answer: A) Individual
B) Family
C) Population group
D) Community
99. What is the dependency ratio?
A) Compares the number of economically active individuals
B) Compares the number of economically dependent individuals with the economically
productive group in the population
C) Measures the total population growth rate
D) Compares different age groups in the population
Answer: B) Compares the number of economically dependent with the economically
productive group in the population
100. According to Maslow’s hierarchy of needs, what does developing one’s potential refer
to?
A) Esteem
B) Self-actualization
C) Belongingness
D) Safety
Answer: B) Self-actualization
101. What is the Newborn Screening Act?
A) R.A 9288
B) R.A 10130
C) R.A 8344
D) R.A 7600

Answer: A) R.A 9288
102. Who defined public health as the science and art of preventing disease, prolonging life,
promoting health and efficiency through organized community effort?
A) Winslow
B) WHO
C) Florence Nightingale
D) Hippocrates
Answer: A) Winslow
103. A woman brings her 2-month-old baby to the health center for immunization. The
infant’s temperature is registered at 38 degrees C. What should the nurse do?
A) Postpone the immunizations
B) Proceed with the infant’s immunizations
C) Administer antipyretics first
D) Refer to a physician
Answer: B) Proceed with the infant’s immunizations
104. When is Rabies Awareness Month celebrated?
A) January
B) March
C) June
D) October
Answer: B) March
105. What type of crisis does a 6-year-old boy entering school for the first time represent?
A) Developmental crisis
B) Situational crisis
C) Foreseeable crisis
D) Traumatic crisis
Answer: C) Foreseeable crisis
106. What are signs of severe dehydration?
A) Dry mouth and cracked lips

B) Sunken eyes, skin pinch goes back slowly, abnormally sleepy or difficult to awaken
C) Increased thirst
D) Frequent urination
Answer: B) Sunken eyes, skin pinch goes back slowly, abnormally sleepy or difficult to
awaken
107. What element of the Formula One aims to ensure quality and affordability of health
services?
A) Health financing
B) Health regulation
C) Health service delivery
D) Health workforce
Answer: B) Health regulation

VERSION 4
ATI COMMUNITY HEALTH FINAL EXAM
1. Differences between community-based and community-oriented nursing: Which of the
following situations is an example of community-based nursing? (Select all that apply)
A) A home health nurse performing wound care for a client who is immobile
B) An occupational health nurse providing classes on body mechanics at a local industrial
plant
C) A school nurse teaching a student who has asthma about medications
D) A parish nurse teaching a class on low sodium cooking techniques
E) A mental health nurse discussing stress management techniques with a support group
Answer: A) A home health nurse performing wound care for a client who is immobile
C) A school nurse teaching a student who has asthma about medications
2. Advocating for community health clinic placement: The nurse is advocating for local
leaders to uphold which ethical principle?
A) Autonomy
B) Beneficence
C) Distributive justice

D) Nonmaleficence
Answer: C) Distributive justice
3. Factors as agents in the epidemiological triangle: When discussing the epidemiological
triangle, which of the following factors should the nurse include as agents? (Select all that
apply)
A) Resource availability
B) Ethnicity
C) Toxins
D) Bacteria
E) Altered Immunity
Answer: C) Toxins
D) Bacteria
4. Learning strategies for auditory learners: Which of the following strategies should the
nurse include for clients who are auditory learners?
A) Facilitating small group discussions
B) Using visual aids
C) Providing written materials
D) Conducting lectures
Answer: A) Facilitating small group discussions
5. Primary prevention situation: In which of the following situations is the nurse using
primary prevention?
A) Providing influenza immunizations to employees at a local preschool
B) Conducting health screenings for diabetes
C) Managing chronic illness in patients
D) Providing education for clients with heart disease
Answer: A) Providing influenza immunizations to employees at a local preschool
6. Windshield Survey Data Collection: Which of the following data should the nurse collect
as a component of this assessment? (Select all that apply)
A) Ethnicity of community members
B) Individuals who hold power within the community

C) Natural community boundaries
D) Prevalence of disease
E) Presence of public protection
Answer: A) Ethnicity of community members
B) Individuals who hold power within the community
C) Natural community boundaries
E) Presence of public protection
7. Cultural Perspectives in Nursing: The nurse should include which of the following factors
that are influenced by an individual’s culture?
A) Nutritional practices
B) Family structure
C) Health care interactions
D) Biological variations
E) Views about illness
Answer: A) Nutritional practices
B) Family structure
C) Health care interactions
E) Views about illness
8. Needs Assessment Data Analysis: Which of the following actions should the nurse take
first?
A) Compile collected data into a database
B) Analyze the data for trends
C) Present the findings to stakeholders
D) Identify data collection methods
Answer: A) Compile collected data into a database
9. Cultural Assessment: When beginning the cultural assessment, which of the following
actions should the nurse take first?
A) Gather data about the client’s cultural beliefs
B) Build rapport with the client
C) Assess the client’s family history
D) Review the client’s medical records

Answer: A) Gather data about the client’s cultural beliefs
10. Community Health Program Evaluation: Which of the following actions should the nurse
include as part of the evaluation plan?
A) Compare program impact to similar programs
B) Conduct follow-up surveys with participants
C) Assess participant satisfaction
D) Review program costs and funding
Answer: A) Compare program impact to similar programs
11. A nurse is conducting a community assessment. Which of the following data collection
methods is the nurse using when having direct conversations with individual members of the
community?
A) Key informant interviews
B) Surveys
C) Focus groups
D) Community forums
Answer: A) Key informant interviews
12. A nurse is using the I PREPARE mnemonic to assess a client’s potential environmental
exposures. Which of the following questions should the nurse ask when assessing for “A” in
the mnemonic?
A) “What do you like to do for fun?”
B) “Have you been exposed to any chemicals?”
C) “Where do you live?”
D) “What is your occupation?”
Answer: B) “Have you been exposed to any chemicals?”
13. A nurse is reviewing information about the local health department to prepare for an
interview. Which of the following services should the nurse expect the local health
department to provide?
A) Managing the Women, Infants, and Children program
B) Providing education to achieve community health goals
C) Coordinating directives from state personnel

D) Reporting communicable diseases to the CDC
E) Licensing of registered nurses
Answer: B) Providing education to achieve community health goals
C) Coordinating directives from state personnel
14. A nurse is conducting health screenings at a statewide health fair and identifies several
clients who require referral to a provider. Which of the following statements by a client
indicates a barrier to accessing health care?
A) “I can't take off during the day, and the local after-hours clinic is no longer in operation.”
B) “I don’t have health insurance.”
C) “I don’t understand the healthcare system.”
D) “I live too far from the nearest hospital.”
Answer: A) “I can't take off during the day, and the local after-hours clinic is no longer in
operation.”
15. A nurse at a community clinic is conducting a well-child visit with a preschool-age child.
The nurse should identify which of the following manifestations as a possible indication of
child neglect.
A) Underweight
B) Healing of a spiral fracture of the arm
C) Genital irritation
D) Burns on the palms of the hands
D) Poor hygiene
Answer: A) Underweight
E) Poor hygiene
16. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following finding should the nurse identify as a manifestation of withdrawal?
A) Diaphoresis
B) Bradycardia
C) Hypotension
D) Increased appetite
Answer: A) Diaphoresis

17. A community health nurse is developing an education program on substance use disorders
for a group of adolescents. Which of the following information should the nurse include
when discussing nicotine and smoking?
A) Tolerance to nicotine develops quickly.
B) Nicotine is not addictive.
C) Smoking is a safe way to use nicotine.
D) Withdrawal symptoms are mild.
Answer: A) Tolerance to nicotine develops quickly.
18. A community health nurse is developing strategies to prevent or improve mental health
issues in the local area. In which of the following situations is the nurse implementing a
tertiary prevention strategy?
A) Teaching a client who has schizophrenia about medication interactions.
B) Conducting a mental health screening program.
C) Offering stress management workshops to the community.
D) Educating the public about mental health resources.
Answer: A) Teaching a client who has schizophrenia about medication interactions.
19. A nurse at an urban community health agency is developing an education program for city
leaders about homelessness. Which of the following groups should the nurse include as the
fastest-growing segment of the homeless population?
A) Families and Children
B) Single men
C) Veterans
D) Individuals with mental illness
Answer: A) Families and Children
20. A nurse is creating partnerships to address health needs within the community. The nurse
should be aware that which of the following characteristics must exist for partnerships to be
successful?
A) Being a leading partner with decision-making authority
B) Flexibility among partners when considering new ideas
C) Adherence of partners to ethical principles
D) Varying goals for the different partners

E) Willingness of partners to negotiate roles
Answer: B) Flexibility among partners when considering new ideas
C) Adherence of partners to ethical principles
E) Willingness of partners to negotiate roles
21. A nurse is reviewing the various roles of a community health nurse. Which of the
following actions is an example of a nurse functioning as a consultant?
A) Updating state officials about health needs of the local community.
B) Conducting a health education workshop.
C) Participating in a health fair.
D) Assessing community resources.
Answer: A) Updating state officials about health needs of the local community.
22. A case management nurse at an acute care facility is conducting an initial visit with a
client to identify needs prior to discharge home. After developing a working relationship with
the client, the nurse is engaging in the referral process. Which of the following actions should
the nurse take first?
A) Identify referrals that the client needs.
B) Gather information about the client's preferences.
C) Contact referral services.
D) Evaluate the client's understanding of the discharge plan.
Answer: A) Identify referrals that the client needs.
23. A nurse is collecting data to identify health needs in the local community. Which of the
following examples should the nurse identify as secondary data? (SATA)
A) Birth statistics
B) Previous health survey results
C) Windshield survey
D) Community forum
E) Health records
Answer: A) Birth statistics
B) Previous health survey results
E) Health records

24. A nurse is talking to a client who asks for additional information about hospice. Which of
the following statements should the nurse make?
A) “A component of hospice care is to control the client’s manifestations.”
B) “Hospice care is only for patients with cancer.”
C) “You must stop all treatments to receive hospice care.”
D) “Hospice care is provided only in the hospital.”
Answer: A) “A component of hospice care is to control the client’s manifestations.”
25. A school nurse is scheduling visits with a physical therapist for a child who has cerebral
palsy. In which of the following roles is the nurse functioning?
A) Case manager
B) Advocate
C) Educator
D) Health promoter
Answer: A) Case manager
26. An occupational health nurse is consulting with senior management of a local industrial
facility. When discussing work-related illness and injury, the nurse should include which of
the following as physical agents? (SATA)
A) Noise
B) Age
C) Lighting
D) Viruses
E) Stress
Answer: A) Noise
C) Lighting
27. A newly hired occupational health nurse at an industrial facility is performing an initial
workplace assessment. Which of the following information should the nurse determine when
conducting a work site survey?
A) Work practices of employees
B) Employee personal health history
C) Local healthcare resources
D) Employee job satisfaction

Answer: A) Work practices of employees
28. A school nurse is planning health promotion and disease prevention activities for the
upcoming school year. In which of the following situations is the nurse planning a secondary
prevention strategy?
A) Routinely checking students for pediculosis throughout the school year
B) Conducting health education sessions on nutrition
C) Implementing a school-wide exercise program
D) Providing immunizations to students
Answer: A) Routinely checking students for pediculosis throughout the school year
29. A nurse is preparing a community health program on communicable diseases. When
discussing modes of transmission, the nurse should include which of the following illnesses
as airborne?
A) Influenza
B) Hepatitis A
C) Norovirus
D) Tuberculosis
Answer: A) Influenza
30. A home health nurse is discussing portals of entry with a group of newly hired assistive
personnel. Which of the following locations should the nurse include as a portal of entry?
(SATA)
A) Respiratory secretions
B) Skin
C) Genitourinary tract
D) Saliva
E) Mucus membranes
Answer: B) Skin
C) Genitourinary tract
E) Mucus membranes
31. A newly hired PHN is familiarizing himself with the levels of disaster management.
Which of the following actions is a component of disaster prevention?

A) Identifying community vulnerabilities
B) Conducting emergency response drills
C) Establishing evacuation routes
D) Providing disaster education
Answer: A) Identifying community vulnerabilities
32. A community health nurse is educating the public on the agents of bioterrorism. Which of
the following agents should the nurse include as category A biological agents? (SATA)
A) Hantavirus
B) Typhus
C) Plague
D) Tularemia
E) Botulism
Answer: C) Plague
D) Tularemia
E) Botulism
33. A community health nurse is determining available and needed supplies in the event of a
bioterrorism attack. The nurse should be aware that community members exposed to anthrax
will need access to which of the following medications?
A) Ciprofloxacin
B) Amoxicillin
C) Doxycycline
D) Vancomycin
Answer: A) Ciprofloxacin
34. A nurse is working with a client who has SLE and recently lost her health insurance.
Which of the following actions should the nurse take in the implementation phase of the case
management process?
A) Coordinating services to meet the client’s needs
B) Assessing the client's health status
C) Developing a care plan
D) Evaluating client outcomes
Answer: A) Coordinating services to meet the client’s needs

35. A nurse developing a community health program is determining barriers to community
resource referrals. Which of the following factors should the nurse include as an example of
resource barrier?
A) Costs associated with services
B) Cultural differences
C) Lack of awareness of resources
D) Transportation issues
Answer: A) Costs associated with services
Quiz 1
1. Which of the following interventions is an example of population-based care?
A) Advertising a teen smoke prevention program on television
B) Conducting a health assessment for individual patients
C) Providing personalized dietary plans
D) Treating chronic illness in a clinical setting
Answer: A) Advertising a teen smoke prevention program on television
2. The three core functions of public health include:
A) Education, legislation, and advocacy
B) Assessment, policy development, and assurance
C) Research, evaluation, and implementation
D) Prevention, intervention, and care
Answer: B) Assessment, policy development, and assurance
3. Primary prevention focuses on:
A) Early detection and treatment
B) Promoting and protecting health
C) Rehabilitation and management of disease
D) Research and evaluation of health programs
Answer: B) Promoting and protecting health

4. The comprehensive, nationwide health promotion and disease prevention agenda designed
to serve as a roadmap for improving the health of all people in the United States is known as:
A) Healthy People 2020
B) National Health Initiative
C) Public Health Action Plan
D) Community Health Improvement Plan
Answer: A) Healthy People 2020
5. The four key elements in the systematic approach to health improvement include:
A) Goals, objectives, determinants of health, and health status
B) Resources, stakeholders, strategies, and evaluation
C) Awareness, prevention, treatment, and recovery
D) Policy, research, education, and advocacy
Answer: A) Goals, objectives, determinants of health, and health status
6. A public health nurse organizes a community in the development of a blood pressure
screening. This screening is considered:
A) Primary prevention
B) Secondary level prevention
C) Tertiary prevention
D) Health promotion
Answer: B) Secondary level prevention
7. A public health nurse has completed an assessment of a local community using The
PHNAT Tool. The analysis of the “Determinants of Health” data reveals that many of the
older adults are not “aging in place” and are migrating out of the community due to
unaffordable housing. Which Determinant of Health presents this data for the public health
nurse?
A) Biological factors
B) Social environment
C) Health services
D) Behavioral factors
Answer: B) Social environment

8. All interventions in public health practice are implemented on three practice levels. These
three practice levels include:
A) Individual/family, community, and system level
B) Population, organizational, and community level
C) Local, state, and national level
D) Individual, community, and health sector
Answer: A) Individual/family, community, and system level
9. Which description best describes the focus of the public health nurse in the twenty-first
century?
A) Individual care
B) Population
C) Community engagement
D) Health policy
Answer: B) Population
10. The twentieth century separation of the curative and health promoting behaviors of the
public health nurse was the result of:
A) Economic factors
B) Technological advancements
C) Political tensions
D) Cultural shifts
Answer: C) Political tensions
11. Nursing leader Martha Franklin led the movement to primarily support:
A) Registered Nurses
B) Nurse Educators
C) African American Nurses
D) Public Health Nurses
Answer: C) African American Nurses
12. The purpose of the National Organization of Public Health Nurses was to:
A) Advocate for nursing education
B) Control the practice and standards of public health nurses

C) Provide scholarships for nursing students
D) Support research in public health
Answer: B) Control the practice and standards of public health nurses
13. The guiding framework for the PHNAT is?
A) A Systematic Approach to Health Improvement
B) Community Health Assessment
C) Evidence-Based Practice
D) Public Health Policy Framework
Answer: A) A Systematic Approach to Health Improvement
14. A public health nurse is using the PHNAT. During the assessment, the public health nurse
notes the open spaces in a community. These observations are considered which part of the
determinants of health?
A) Social Environment
B) Physical Environment
C) Economic Factors
D) Health Services
Answer: B) Physical Environment
15. A nurse is providing teaching to a client who has a new prescription for carbamazepine
(Tegretol). Which of the following should the nurse include in the teaching?
A) This medication will help prevent seizures during alcohol withdrawal.
B) This medication should be taken on an empty stomach.
C) You may experience dizziness; avoid driving until you know how it affects you.
D) It is safe to stop taking this medication if you feel better.
Answer: C) You may experience dizziness; avoid driving until you know how it affects you.
16. A nurse is assisting in the discharge planning for a client following alcohol detoxification.
The nurse should anticipate prescriptions for which of the following medications to promote
long-term abstinence from alcohol? (Select all that apply)
A) Benzodiazepines
B) Antidepressants
C) Disulfiram (Antabuse)

D) Naltrexone (Vivitrol)
E) Acamprosate (Campral)
Answer: C) Disulfiram (Antabuse)
D) Naltrexone (Vivitrol)
E) Acamprosate (Campral)
17. A nurse is evaluating a client's understanding of a new prescription for clonidine
(Catapres). Which of the following statements by the client indicates an understanding of the
teaching?
A) I can stop taking this medication anytime I want.
B) While taking this medication, I should keep a pack of sugarless gum.
C) This medication will help me lose weight.
D) I need to monitor my blood pressure daily.
Answer: B) While taking this medication, I should keep a pack of sugarless gum.
18. A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum
(Nicorette). Which of the following is appropriate to include in the teaching?
A) You can chew the gum as needed.
B) This gum is safe to use while eating.
C) Avoid eating 15 minutes prior to chewing the gum.
D) You should chew the gum quickly for maximum effect.
Answer: C) Avoid eating 15 minutes prior to chewing the gum.
19. A nurse is discussing the use of methadone (Dolphine) with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates a need for further
teaching?
A) Methadone is used to treat opioid addiction.
B) This medication can cause sedation.
C) Methadone can be taken at home after detox.
D) Methadone increases the client's risk for acetaldehyde syndrome.
Answer: D) Methadone increases the client's risk for acetaldehyde syndrome.

20. A nurse is assisting the parents of a school-age child who has oppositional defiant
disorder in identifying strategies to promote positive behavior. Which of the following is an
appropriate strategy for the nurse to recommend? (Select all that apply)
A) Use harsh discipline techniques.
B) Ignore all negative behaviors.
C) Develop a reward system for acceptable behavior.
D) Encourage the child to participate in school sports.
E) Be consistent when addressing unacceptable behavior.
Answer: C) Develop a reward system for acceptable behavior
D) Encourage the child to participate in school sports
E) Be consistent when addressing unacceptable behavior.
21. A nurse is performing an admission assessment on an adolescent client who has
depression. Which of the following is an expected finding?
A) Excessive optimism
B) Substance abuse
C) Heightened self-esteem
D) Irritability
E) Aggressiveness
Answer: B) Substance abuse
D) Irritability
E) Aggressiveness
22. A nurse working in a pediatric clinic is caring for a preschool-aged child who has a new
diagnosis of ADHD. When teaching the parent about this disorder, which of the following
statements should the nurse include in the teaching?
A) Your child will outgrow this disorder.
B) Medication is not necessary for managing symptoms.
C) This disorder does not affect academic performance.
D) Because of this disorder, your child is at an increased risk for injury.
Answer: D) Because of this disorder, your child is at an increased risk for injury.
23. A nurse is obtaining a health history from the parents of a 12-year-old client who has
conduct disorder. Which of the following are expected findings? (Select all that apply)

A) Bullying of others
B) Threats of suicide
C) Law-breaking activities
D) Excessive shyness
E) Poor academic performance
Answer: A) Bullying of others
B) Threats of suicide
C) Law-breaking activities
24. A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For
which of the following indications should the nurse assess?
A) Inability to sit still
B) Repetitive counting
C) Difficulty making eye contact
D) Excessive talking
Answer: C) Difficulty making eye contact
25. A nurse is caring for a client who is experiencing a crisis. Which of the following
medications might the provider prescribe?
A) Fluoxetine (Prozac)
B) Paroxetine (Paxil)
C) Sertraline (Zoloft)
D) Clonazepam (Klonopin)
E) Lorazepam (Ativan)
Answer: B) Paroxetine (Paxil)
E) Lorazepam (Ativan)
26. A nurse is conducting chart reviews of multiple clients at a community mental health
facility. Which of the following would be an example of a client experiencing a maturational
crisis?
A) Divorce
B) Marriage
C) Job loss
D) Death of a loved one

Answer: B) Marriage
27. A nurse assesses a client at a community mental health facility using the SAD PERSONS
tool. The nurse knows that this tool provides which of the following data related to a client?
A) Risk of self-harm
B) Suicide potential
C) Coping mechanisms
D) Substance use history
Answer: B) Suicide potential
28. A client says, "I plan to commit suicide." Which of the following should be the nurse's
priority assessment?
A) History of suicidal behavior
B) Lethality of the method and availability of means
C) Support systems in place
D) Client’s feelings about life
Answer: B) Lethality of the method and availability of means
29. A nurse is assessing a client who is suicidal. Which of the following is appropriate for the
nurse to ask the client? (Select all that apply)
A) Do you have a plan?
B) Have you thought about hurting yourself?
C) Do you feel that life is not worth living?
D) What do you do for fun?
E) Have you experienced a recent change in your mood?
Answer: A) Do you have a plan?
B) Have you thought about hurting yourself?
C) Do you feel that life is not worth living?
E) Have you experienced a recent change in your mood?
30. A nurse is caring for a client who is on suicide precautions. Which of the following
interventions should the nurse include in the plan of care?
A) Allow the client to have personal items for comfort.
B) Keep the client in a private room.

C) Monitor the client every 30 minutes.
D) Ensure that the client swallows medications.
Answer: D) Ensure that the client swallows medications.
31. A nurse is conducting a class for a group of newly licensed nurses on identifying risk
factors for suicide. Which of the following individuals should the nurse include as having the
highest risk for suicide? (Select all that apply)
A) Elderly men
B) Adolescents
C) Native Americans
D) Clients who have a depressive disorder
Answer: B) Adolescents
C) Native Americans
D) Clients who have a depressive disorder
32. A nurse is conducting group therapy with a group of clients. Which of the following
statements made by a client is an example of aggressive communication?
A) "I think we should consider other options."
B) "I feel ignored in this group."
C) "Can we talk about my concerns?"
D) "You'd better listen to me."
Answer: D) "You'd better listen to me."
33. A nurse is caring for a client who is speaking in a loud voice with clenched fists. Which
of the following actions should the nurse take?
A) Confront the client directly about their behavior.
B) Request that other staff members remain close by.
C) Encourage the client to sit down and relax.
D) Leave the room to give the client space.
Answer: B) Request that other staff members remain close by.
34. A nurse is assessing a client in an inpatient mental health unit. Which of the following
findings should the nurse expect if the client is in the PR assaultive stage of violence? (Select
all that apply)

A) Calm demeanor
B) Defensive responses to questions
C) Euphoria
D) Rapid breathing
E) Facial grimacing
F) Agitation
Answer: B) Defensive responses to questions
D) Rapid breathing
E) Facial grimacing
F) Agitation
35. A nurse is caring for a client in an inpatient mental health facility who gets up from a
chair and throws it across the day room. Which of the following is the priority nursing
action?
A) Call for security.
B) Restrain the client immediately.
C) Move the client away from others.
D) Talk to the client about their behavior.
Answer: C) Move the client away from others.
36. A nurse is caring for a client who is screaming at staff members and other clients. Which
of the following is a therapeutic response by the nurse to this client?
A) "Stop screaming, and walk with me outside."
B) "Why are you screaming?"
C) "You need to calm down immediately."
D) "I can't help you if you keep yelling."
Answer: A) "Stop screaming, and walk with me outside."
37. A charge nurse is leading a peer group discussion about family and community violence.
Which of the following statements by a member of the group indicates a need for further
teaching?
A) "Children who witness violence are at risk for developing behavioral issues."
B) "Violence can occur in any socioeconomic group."
C) "Entering an intimate relationship increases the risk for violence."

D) "Substance abuse can exacerbate violent behavior."
Answer: C) "Entering an intimate relationship increases the risk for violence."
38. A nurse is caring for an adult client who is the victim of intimate partner abuse. The client
does not wish to report the violence to law enforcement authorities. Which of the following
nursing actions is the highest priority?
A) Advise the client about the location of women's shelters.
B) Encourage the client to speak to the authorities.
C) Provide information on legal rights.
D) Discuss safety planning options.
Answer: A) Advise the client about the location of women's shelters.
39. A nurse is preparing to assess an infant who has shaken baby syndrome. Which of the
following is an expected finding?
A) Hyperactivity
B) Respiratory distress
C) Retinal hemorrhage
D) Altered level of consciousness
E) An increase in head circumference
Answer: B) Respiratory distress
C) Retinal hemorrhage
D) Altered level of consciousness
E) An increase in head circumference
40. A nurse working in an emergency department is assessing a child who reports abdominal
pain. When conducting a head-to-toe assessment, which of the following findings should alert
the nurse to possible abuse? (Select all that apply)
A) Bruising on arms
B) Signs of neglect
C) Behavioral changes
D) Frequent injuries
E) Areas of ecchymosis on torso
Answer: E) Areas of ecchymosis on torso

41. A nurse is preparing a community education seminar about family violence. When
discussing the types of violence, the nurse should include which of the following?
A) Emotional abuse includes verbal threats.
B) Intentionally causing an older adult to fall is an example of physical violence.
C) Financial exploitation is a form of emotional abuse.
D) Coercion is a type of physical violence.
Answer: B) Intentionally causing an older adult to fall is an example of physical violence.
42. A nurse is discussing silent rape reactions with a newly licensed nurse. Which of the
following should the nurse identify as a characteristic of this type of reaction? (Select all that
apply)
A) Sudden development of phobias
B) Increased sexual activity
C) Increased level of anxiety during the interview
D) Disinterest in personal appearance
E) Unwillingness to discuss the sexual assault
Answer: A) Sudden development of phobias
C) Increased level of anxiety during interview
E) Unwillingness to discuss the sexual assault
43. A nurse is assessing a client who is the victim of sexual assault. Which of the following
findings indicate the client is experiencing an initial impact reaction of rape-trauma
syndrome? (Select all that apply)
A) Difficulty sleeping
B) Feelings of guilt
C) Emotional numbness
D) Emotional outburst
E) Difficulty making decisions
Answer: D) Emotional outburst
E) Difficulty making decisions
44. A nurse is discussing the care of a client following a sexual assault with a newly licensed
nurse. Which of the following statements indicates the need for further teaching?
A) "I should provide a safe environment for the client."

B) "I can support the client's choices regarding reporting the assault."
C) "I can expect manifestations of rape-trauma syndrome to be similar to bipolar disorder."
D) "I should encourage the client to talk about the event at their own pace."
Answer: C) "I can expect manifestations of rape-trauma syndrome to be similar to bipolar
disorder."
45. A nurse is caring for a client who was recently raped. The client states, "I never should
have been out on the street alone at night." Which of the following is an appropriate response
by the nurse?
A) "You shouldn't blame yourself for what happened."
B) "Many people walk alone at night."
C) "You believe this wouldn't have happened if you hadn't been out alone?"
D) "It's important to learn from this experience."
Answer: C) "You believe this wouldn't have happened if you hadn't been out alone?"
46. A community health nurse is leading a discussion about rape with a neighborhood task
force. Which of the following statements by a neighborhood citizen indicates the need for
further teaching?
A) "Rape can occur in any community."
B) "Most sexual assaults are committed by someone the victim knows."
C) "Victims often experience feelings of guilt or shame."
D) "The majority of rapists are unknown to the victim."
Answer: D) "The majority of rapists are unknown to the victim."

VERSION 5
COMMUNITY ATI