2023-2024 ATI Community Health Practice Exam Version-14-18 With Answers-310 Solved Questions

VERSIONS 14-18
VERSION 14
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) Provide nutrition counseling for individuals with a BMI over 30.
B) Educate children about nutrition and exercise at a daycare center.
C) Organize a support group for adults struggling with obesity.
D) Screen for obesity-related diseases in the community.
Answer: B) 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) Provide immunizations at local health clinics.
B) Educate residents about the importance of regular physical activity.
C) Organize a blood pressure screening event.
D) Participate in a community assessment to identify community health problems.
Answer: D) Participate in a community assessment to identify community health problems.
3. A home health nurse is scheduling client visits for the day. Which of the following clients
should the nurse plan to visit first?
A) A 79-year-old client with an exacerbation of COPD.
B) A client with a wound dressing change.
C) A client who needs assistance with medication administration.
D) A client requiring a physical therapy assessment.
Answer: A) A 79-year-old client with an exacerbation of COPD.
4. A state public health nurse is asked to determine which country has the most people living
in it with a diagnosis of Alzheimer’s disease. Which of the following measures will determine
this information?
A) Prevalence rate.
B) Incidence rate.

C) Analytic epidemiology.
D) Mortality rate.
Answer: C) Analytic epidemiology.
5. A community health nurse is reviewing laboratory results for his case load of clients.
Which of the following is the highest priority finding?
A) Hemoglobin level of 12 g/dL.
B) Sputum specimen that is positive for tuberculosis.
C) Blood glucose level of 150 mg/dL.
D) Blood pressure reading of 140/90 mm Hg.
Answer: B) Sputum specimen that is positive for tuberculosis.
6. A nurse is triaging victims of a commuter train crash. Which of the following clients
should be transported to the Emergency Department first?
A) An ambulatory client whose nose is bleeding and who reports feeling dizzy.
B) A client with a minor abrasion on the forearm.
C) A client with a broken leg.
D) A client with a dislocated shoulder.
Answer: A) An ambulatory client whose nose is bleeding and who reports feeling dizzy.
7. A community health nurse is caring for clients in a culturally diverse community. Which of
the following actions demonstrates accurate cultural knowledge about a specific cultural
group?
A) Include both hot and cold food items on a Hispanic client’s menu.
B) Encourage a Japanese client to eat dairy products.
C) Recommend a high-protein diet to an Italian client.
D) Serve spicy foods to an elderly client from Scandinavia.
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) Refuse to discuss any concerns about the provider’s plan.
E) Affirm the client’s decision about the treatment plan.
Answer: A) Provide education to the client about the diagnosis
B) Inform the client about the provider’s responsibility to provide information
C) Assist the client in preparing questions for the provider
E) Affirm the client’s decision about the treatment plan.
9. A nurse is working with a client who is homeless. Which of the following is the first step
that the nurse should take to advocate for this client?
A) Help the client apply for financial assistance.
B) Refer the client to a public homeless shelter.
C) Arrange a medical check-up for the client.
D) Provide information on employment services.
Answer: B) 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 options.
B) Herbal supplements are safe during pregnancy.
C) Weight gain should be limited to less than 10 pounds.
D) Exercise should be avoided.
Answer: A) Caffeinated beverages should be replaced with caffeine-free options.
11. A community health nurse is writing an emergency response plan for a daycare. Which of
the following should be included in the plan?
A) Immunization protocol for various biological agents.
B) Directions to the nearest hospital.
C) Emergency contact numbers of parents.
D) Routine cleaning procedures.
Answer: A) Immunization protocol for various biological agents.
12. A community health nurse is preparing to teach accident and injury prevention. Which of
the following would be the priority topic for a family with a 10-year-old child?
A) Safe use of power tools.

B) Importance of bicycle helmets.
C) Fire safety in the home.
D) Use of seat belts in automobiles.
Answer: D) 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) Swollen salivary glands.
B) Koplik spots in the oral mucosa.
C) Red, swollen eyes with yellow discharge.
D) Rash on the hands and feet.
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) Presbyopia.
C) Loss of peripheral vision.
D) Dry eyes.
Answer: A) Slightly yellow sclera.
15. Which of the following is an example of the responsibilities of public health nursing?
A) Treating patients in a hospital emergency room.
B) Managing clients in a long-term care facility.
C) Informing state health officials of a potential meningitis outbreak.
D) Conducting vision screening in a private clinic.
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) “We cannot disclose client information without consent.”
B) “Medical records must be stored securely.”

C) “Demographic data that identify a client can be released without consent.”
D) “Clients have the right to access their own health information.”
Answer: C) “Demographic data that identify a client can be released without consent.”
17. A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the
following indicates a positive reaction to the test?
A) Induration at injection site of 5 mm.
B) Induration at injection site of 8 mm.
C) Redness at injection site of 10 mm.
D) Absence of induration.
Answer: B) Induration at injection 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) “Using e-cigarettes is safer than smoking.”
B) “As long as I stop smoking while I am young, none of those diseases will affect me.”
C) “Tobacco can lead to serious health problems, even if I quit later in life.”
D) “Smoking occasionally won’t harm my health.”
Answer: C) “Tobacco can lead to serious health problems, even if I quit later in life.”
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 keep flammable materials away from my oxygen tank.”
B) “I should use wool blankets on my bed when oxygen is in use.”
C) “I should avoid smoking while on oxygen therapy.”
D) “I should ensure my oxygen tubing is secured to avoid tripping.”
Answer: B) “I should use wool blankets on my bed when oxygen is in use.”
20. A nurse is providing teaching to the wife of a client who has had a stroke regarding
health-related services that will be provided in the home. Which of the following statements
by the wife indicates that the teaching has been effective?
A) “The occupational therapist will help my husband with speech exercises.”
B) “The social worker will perform exercises to improve his range of motion.”

C) “The physical therapist will teach my husband exercises to increase hand dexterity.”
D) “The dietitian will administer medications for his blood pressure.”
Answer: C) “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 response activities.
B) During disaster recovery activities.
C) During disaster preparedness activities.
D) During disaster impact phase.
Answer: C) 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 will only need to wear a mask when I’m outdoors.”
B) “I will wear a mask when I’m in an enclosed area with other people.”
C) “I will only avoid public places during cold weather.”
D) “I don’t need to wear a mask if I’m feeling well.”
Answer: B) “I will wear a mask when I’m in an enclosed area with other people.”
23. A nurse is caring for a client who asks, “Can I decide not to continue with
chemotherapy?” The nurse responds, “This is your choice and I’ll support whatever decision
you make.” The nurse’s response is an example of which of the following ethical principles?
A) Beneficence.
B) Nonmaleficence.
C) Justice.
D) Autonomy.
Answer: D) Autonomy.
24. A community health nurse is working with a family in which only the children speak
English. The nurse should select a translator who is:

A) A family member.
B) Skilled in health-related interpretation.
C) Available immediately, regardless of experience.
D) Only necessary when parents request it.
Answer: B) Skilled in health-related interpretation.
25. A community health nurse working with a migrant population recognizes that which of
the following is necessary to provide care to this population?
A) Scheduling appointments at a local clinic.
B) Offering health screenings at a community center.
C) Referring them to private health insurance providers.
D) Conducting home visits only.
Answer: B) Offering health screenings at a community center.
26. Which of the following activities is the responsibility of a case manager?
A) Administering client medications.
B) Conducting physical assessments.
C) Evaluating cost-effectiveness of client treatments.
D) Diagnosing client conditions.
Answer: C) Evaluate cost-effectiveness of client treatments.
27. A nurse uses a secondary prevention intervention when doing which of the following?
A) Teaching clients about smoking cessation.
B) Performing hypertension screening in a community center.
C) Administering immunizations to children.
D) Providing physical therapy for stroke recovery.
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) Provide brochures on breast self-examination.
B) Schedule mammograms for all employees.
C) Determine employee knowledge level of breast self-examination.

D) Create a monthly self-exam reminder system.
Answer: C) Determine employee knowledge level of breast self-examination.
29. While addressing community leaders at a forum for establishing community improvement
initiatives, a public health nurse identifies which of the following groups as the fastest
growing segment of the homeless population?
A) Elderly individuals.
B) Single adult men.
C) Veterans.
D) Families with children.
Answer: D) 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) Treating work-related injuries.
C) Conducting workplace accident investigations.
D) Screening for hearing loss.
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) “Maybe you could find a neighbor to help.”
B) “Let’s look into getting you a driver’s license.”
C) “How would you feel about me contacting a local service that helps older adults with
transportation?”
D) “Would you consider moving closer to family?”
Answer: C) “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) Assisting the client with daily exercises.
B) Scheduling follow-up appointments.
C) Discussing payment options with various pharmacies.
D) Providing health education about hip care.
Answer: C) Discussing payment options with various pharmacies.
33. Which patient would the Home Health Nurse send to the doctor first?
A) Patient with a mild sore throat.
B) Patient with a minor skin rash.
C) Patient with a new-onset abdominal pain.
D) Patient with seasonal allergies.
Answer: C) 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) Review water quality reports.
B) Identify restaurants where the clients have recently eaten.
C) Conduct surveys on sanitation practices.
D) Interview clients about recent travel.
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) A life expectancy of more than one year.
B) Eligibility for Medicare only.
C) A documented need for palliative care.
D) A physician recommendation for active treatment.
Answer: C) Documented need for palliative care.
36. A nurse is working with a case manager for a client who participates in a health
maintenance organization (HMO). Which of the following is characteristic of the payment
structure provided under this system?
A) The client pays only for services outside the HMO network.

B) The client pays the insurer a percentage of the total costs for each service rendered by the
provider.
C) The client pays a fixed fee monthly, regardless of the number of services used.
D) The client is billed directly for all services provided by the HMO.
Answer: C) The client pays a fixed fee monthly, regardless of the number of services used.
37. A nurse is providing education to a troop of local Boy Scouts regarding first aid for
venomous snake bites in the event that transport to the hospital is delayed. Which of the
following would be appropriate information to include in teaching about bites to an
extremity?
A) Suck out the venom.
B) Apply a constricting band above the bite while maintaining circulation below the bite.
C) Elevate the bitten extremity.
D) Apply ice directly to the bite.
Answer: B) Apply a constricting band above the bite while maintaining circulation below the
bite.
38. In reviewing 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 fluoride in community water.
B) Provide education in schools.
C) Collaborate with local dentists.
D) Use WIC program intake offices for intervention.
Answer: D) WIC program intake offices.
39. A nurse is providing teaching to a community group regarding smallpox. Which of the
following is an appropriate response in relation to why people who received a single
vaccination prior to 1980 are no longer considered protected?
A) The virus has mutated significantly.
B) The vaccine does not confer lifelong immunity.
C) The disease has developed resistance to the vaccine.
D) The vaccine requires regular boosters.
Answer: B) The vaccine does not confer lifelong 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) The rate of unemployment.
B) Political views of community leaders.
C) Resources available to address health care issues.
D) Entertainment options within the community.
Answer: C) 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) Surveying students to identify risk factors for bullying
B) Conducting workshops on conflict resolution
C) Providing counseling services
D) Developing a peer mediation program
Answer: A) 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) Unequal shoulder height
B) Unilateral scapular hump when the child bends at the waist
C) Curvature of the spine when standing straight
D) Presence of a noticeable gait
Answer: B) Unilateral scapular hump when the child bends at the waist
43. A nurse is preparing to provide postmortem care for a client who is Chinese American.
Which of the following should the nurse consider when providing care?
A) The family will remain with the body until burial
B) The body should be cleaned and dressed before the family arrives
C) The body should be covered immediately after death
D) The family prefers cremation over burial
Answer: A) 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) Provide sputum cultures until three come back negative
B) You can stop taking medication when symptoms resolve
C) Isolation is not necessary once treatment begins
D) Tuberculosis is not contagious
Answer: A) 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) Notify the health department
B) Provide the staff with information regarding measures to minimize disease transmission
C) Contact the parents of all infants in the daycare
D) Advise the daycare to close for a week
Answer: B) 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
B) Mental health
C) Communicable disease prevention
D) Substance abuse
Answer: C) Communicable disease prevention
47. A school nurse is planning an educational session 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 stay home until all lice are gone
C) Over-the-counter shampoos are the best treatment
D) Only the child with lice needs treatment
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 2 lbs in one week
B) Sodium level of 119
C) Increased fatigue
D) Slight edema in the ankles
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) Creating an emergency contact list
B) Stocking up on non-perishable food items
C) Recommending that each family has batteries, a radio, and a flashlight
D) Attending community workshops on disaster preparedness
Answer: C) 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 contagious 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) Keep the child isolated from siblings
C) Bathe the child every day with soap
D) Allow the child to share toys with 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 containing DEET
B) Wear protective clothing
C) Avoid hiking in the morning
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) Organize a flu immunization clinic with the American Red Cross
B) Offer free health screenings without physician consent
C) Provide home health care services
D) Administer medications to congregation members
Answer: A) 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) Mortality 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 screenings for all students
B) Recommend policy changes to minimize the spread of influenza
C) Provide first aid during school events
D) Create health education materials for students
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 good if improvement is seen in 3 to 5 days
B) Client should be isolated immediately
C) Treatment is only effective if started within 24 hours
D) Client is not contagious
Answer: A) 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) Rigid abdomen with symptoms of shock
B) Open fractures
C) Lacerations requiring sutures
D) Minor abrasions
Answer: A) 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) The client has a small area rug in the bathroom.
D) The client has multiple medications stored in the kitchen cabinet.
E) The bathroom is well-lit and has grab bars installed.
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) Enhance the individuals, families, and communities
B) Provide primary care services only
C) Focus solely on disease prevention
D) Conduct health education programs
Answer: A) Enhance the individuals, families, and communities.
59. Nurse is working with interdisciplinary group to write procedures for assessment of
clients from multiracial inner city population. “Remember that all Hispanic clients may not
wish to give personal med information to a stranger”
Answer: 1. Cultural Sensitivity in Assessment Procedures
Recommendation: Change the language in procedures to avoid stereotypes about Hispanic
clients. Use inclusive language that acknowledges individual differences and emphasizes the
importance of building trust with all clients.
2. Orientation for Patients with Peripheral Vision Issues

Best Practice: Use verbal descriptions and tactile cues to help orient the patient to their
surroundings. Ensure the environment is well-lit and free of obstacles to enhance safety.
3. Risk for Constipation in Older Adults
Contributing Factors:
Immobility: Encourage regular physical activity.
Dehydration: Promote adequate fluid intake.
Medications: Monitor the impact of narcotics and blood pressure medications.
4. Community Diagnosis and SIDS Prevention
Focus: Educate caregivers on the importance of placing infants in a supine position to reduce
the risk of Sudden Infant Death Syndrome (SIDS).
5. Primary Prevention of Asthma
Action: Instruct patients to use bronchodilators prior to activities that may trigger symptoms.
6. Resources for Rheumatoid Arthritis
Referral: Connect patients with the Arthritis Foundation for resources and support.
7. Involuntary Admission Criteria
Criteria: Necessary when individuals are a danger to themselves or others or cannot meet
basic needs due to psychiatric conditions.
8. Child Injury vs. Abuse
Evaluation: Assess the context of injuries and patterns to distinguish between accidental
injuries and potential abuse.
9. Prenatal Intake Interview
Approach: During the intake for a patient at 6 weeks gestation, gather comprehensive health
history and support system information.
10. Supervision of Home Renovation
Consideration: Monitor renovations to ensure the environment is safe and free from
teratogens that could affect pregnancy.
11. Community Health Nurse and Child Abuse Prevention
Program Focus: Implement primary prevention programs such as high school child
development and parenting classes to educate and prevent child abuse.
12. Home Health Nurse Assignments
Best Assignment for LPN: A bedfast client requiring daily irrigation of a stage 4 pressure
ulcer.
13. Occupational Health Act
Focus: Address workplace health in relation to nearby health facilities.

14. Community Needs Assessment
Action: Conduct community diagnoses to determine nursing needs and problems.
15. Folic Acid and Neural Tube Defects
Important Note: Insufficient folic acid intake during pregnancy can lead to neural tube
defects.
16. Community Organization and Leadership Training
Goal: Facilitate training for potential leaders and form core groups to address community
problems.
17. Importance of PHN Bag
Use: The Public Health Nurse bag is essential for preventing infection during home visits.
18. Contraindicated Medications for Pregnant Women
Contraindication: Retinol (200,000 IU) is not advised during pregnancy.
19. Observing Family Dynamics
Best Opportunity: Home visits provide the best chance to observe family interactions and
dynamics.
20. Philosophy of Public Health Nursing
Principle: Recognizes the worth and dignity of every individual.
21. Addressing Domestic Violence
Advice: Instruct the mother to call the police if violent behavior occurs again.
22. Risk Factors for Decubitus Ulcers
Contributing Factors: Thinning skin and loss of elasticity increase the risk in a 70-year-old
post-hip replacement patient.
23. Cultural Practices in Child Care
Observation: Noting the practice of rubbing a coin on a child's back (a traditional method for
health) should be approached with cultural sensitivity.
24. Core Business of Public Health
Focus Areas: Disease control, health protection, health public policy, and injury prevention.
25. Herbal Medicine
Use: Langundi is an herbal plant commonly used for fever, headache, and cough.
26. Pillars of Primary Health Care
Services Provided: Include medical care and emergency treatment.
27. Fetal Death Rate Calculation
Calculation: Given 250 deaths and 36,114 live births, the fetal death rate would be 6.9 per
1,000 live births.

28. Water Supply Facilities
Classification: Level III water supply includes piped distribution networks and household
taps.
29. Pandemic Definition
Definition: A pandemic refers to the simultaneous occurrence of an epidemic of the same
disease in multiple countries.
30. Preventive Dose for Xerophthalmia
Dosage: A 3-year-old child should receive 200,000 IU of Retinol every 6 months.
31. Leading Cause of Death Related to Schistosomiasis
Condition: Liver cirrhosis is frequently associated with schistosomiasis in the Philippines.
32. Operation Timbang
Level of Prevention: This initiative is classified as primary prevention.
33. Census Method
Population Assignment Method: De facto method is based on the usual place of residence.
34. Family Planning During Breastfeeding
Method Not Used: Combined oral contraceptives (OCP) are not typically used immediately
by breastfeeding mothers.
35. Importance of Evaluation in Community Health Planning
Key Process: Evaluation of the healthcare team's structures and qualifications is essential.
36. Advantage of Home Visits
Benefit: Home visits allow for firsthand appraisal of the client's living situation.
37. Types of Clients for Community Health Nurse
Categories: Individual, family, population group, and community.
38. Dependency Ratio
Definition: Compares the number of economically dependent individuals to the economically
productive population.
39. Maslow’s Hierarchy of Needs
Level: Self-actualization represents the development of one’s potential.
40. Newborn Screening Act
Legislation: R.A. 9288 addresses newborn screening.
41. Definition of Public Health by Winslow
Description: Public health is defined as the science and art of preventing disease, prolonging
life, and promoting health through organized community efforts.
42. Immunization Guidelines for Infants

Action: Proceed with immunizations for an infant with a temperature of 38 degrees C, unless
contraindications are present.
43. Rabies Awareness Month
Celebration: March is designated as Rabies Awareness Month.
44. Signs of Severe Dehydration
Symptoms: Sunken eyes, slow skin pinch return, and abnormal sleepiness indicate severe
dehydration in a child.
45. Health Regulation
Element of Quality: Ensures quality and affordability of health services.

VERSION 15
ATI COMMUNITY HEALTH STUDY GUIDE NON PROCTORED A 2023-2024
UPDATE ALREADY A GRADED WITH EXPERT FEEDBACK
ATI Community Health Study Guide
Non-Proctored A
1. A nurse is preparing to administer medication to a client who has active tuberculosis.
Which of the following precautionary measures should the nurse take?
A) Wear gloves
B) Wear protective eyewear
C) Use disposable equipment
D) Use an N95 respirator
Answer: D) Use an N95 respirator
Rationale:
A) standard precautions, contact precautions, med admin
B) precaution when irrigating
C) standard precautions, contact precautions
D) airborne precautions

2. A nurse is providing education regarding lead exposure to a group of clients who live in a
housing development built in 1986. Which of the following client statements indicates an
understanding of the teaching?
A) “I will use a dry-sanding technique when preparing to repaint my front door.”
B) “I will vacuum our wood floors every week.”
C) “I will increase the amount of red meat and milk in my child’s diet.”
D) “I will use hot tap water to prepare my baby’s formula.”
Answer: C) “I will increase the amount of red meat and milk in my child’s diet.”
Rationale:
A) A wet-sanding technique should be used to prevent aerosolizing lead
B) wet mop wood floors to prevent aerosolizing lead
C) iron and calcium helps to prevent lead absorption from their environment
D) They should use cold tap water because hot water will dissolve lead more quickly
3. A community health nurse is teaching a client who is overweight about steps to take to
begin an exercise program. The nurse should identify that which of the following statements
is an indication that the client understands the teaching?
A) “I will need to purchase exercise equipment before I can start.”
B) “I should try to preform aerobic exercise for an hour a day, 5 days a week.”
C) “I will see my doctor before beginning an exercise program.”
D) “I should avoid participating in weight-lifting exercises.”
Answer: C) “I will see my doctor before beginning an exercise program.”
Rationale:
A) There are several types of exercise that don’t require special equipment
B) When beginning a new exercise program, the client should try to get about 30 min of
aerobic activity 3-5 times a week.
C) They should get a complete physical exam and obtain approval.
D) A balance of aerobic and strength training is desired.

4. A home health nurse is visiting an older adult client and notes that unwashed dishes are
piled up and newspapers cover the front steps. Which the nurse ask the client to determine if
the client is socially isolated?
A) “Why haven’t you brought in your newspaper?”
B) “Do you need help completing your housework?”
C) “How often do you have visitors come to see you?”
D) “Have you considered moving to an assisted living facility?
Answer: C) “How often do you have visitors come to see you?”
5. A school nurse is conducting visual acuity testing for a school-age child using a Snellen
letter chart. Which of the following actions should the nurse take?
A) Allow the child to keep her glasses on during the testing.
B) Have the child stand 5 feet away from the Snellen letter chart.
C) Progress to the next line once the child reads two symbols correctly.
D) Begin the test by instructing the child to use both eyes to read the chart.
Answer: A) Allow the child to keep her glasses on during the testing.
Rationale:
A) This is correct for the Snellen test
B) They should stand 10 feet away and placed at eye level.
C) They have to read at least four symbols before moving on.
D) Cover right eye first, left eye second, then read with both eyes.
6. Community leaders have requested a meeting with a community health nurse to discuss
creating a mobile meals program. Which of the following information should the community
health nurse assess first?
A) The leadership support of the community
B) The accessibility of residences
C) The availability of volunteers
D) The need for the program
Answer: D) The need for the program
A) Should be assessed but not the first thing.
B) Should be assessed but not the first thing.
C) Should be assessed but not the first thing.
D) Helps in the planning stage of the program, which is first.

7. A nurse manager at a community health clinic is presenting an in service for nurses about
assessing clients who have experienced violence. Which of the following statements by a
nurse indicates an understanding of the teaching?
A) “I do not need to ask about violence at future visits once I determine that a client is not at
risk.”
B) “I should not document the name of the person the client accuses of the violence in the
client’s medical record.”
C) “I should ask the client directly about any experiences of violence during each
assessment.”
D) “It is better to assume that clients will disclose violence on their own if they feel
comfortable.”
Answer: C) “I should ask the client directly about any experiences of violence during each
assessment.”
Rationale:
Option A is incorrect because ongoing assessments for risk of violence should be performed
at every visit, as clients’ situations may change.
Option B can be context-dependent; while there are times when confidentiality is critical, it’s
generally essential to document any disclosures accurately to ensure comprehensive care and
legal protection.
Option C is the best answer because actively asking clients about their experiences with
violence is a best practice. Directly inquiring about such matters shows sensitivity, supports
the client in discussing their experiences, and helps ensure their safety and well-being.
Option D is incorrect because it assumes clients will volunteer information, which is often
not the case, especially in situations involving violence where clients may fear repercussions
or feel shame.
8. A public health nurse is working in a community that has a population of 24096. There are
20096 existing cases of heart disease within the population. The nurse can determine which
of the following from this information?
A) Mortality Rate
B) Attack rate
C) Prevalence proportion
D) Incidence proportion

Answer: C) Prevalence proportion
A) The mortality cannot be determined because the number of affected people who died is
unknown.
B) The attack rate cannot be calculated because the population has not been exposed to a
specific agent.
C) The prevalence proportion can be calculated by using the number of people who were
affected at a given time and the total population.
D) The incidence proportion cannot be calculated because the number of people newly
diagnosed with heart disease over a period of time is not known.
9. A nurse on the scene following a mass casualty explosion is triaging a client who has a
large, open occipital wound and the following findings: respiratory rate 6/min, agonal pattern,
capillary refill time 4.5 sec, nonresponsive to painful stimuli. Which of the following actions
should the nurse take?
A) Turn the client to left semi-fowler’s position and begin assessing the next client.
B) Place a firm pressure dressing to the occiput and open the airway.
C) Apply a cervical spine collar and perform a focused neurological exam.
Answer: A) Turn the client to left semi-fowler’s position and begin assessing the next client.
Rationale:
A) Principles of triage indicate that clients who have extensive injuries and a low- probability
of survival do not receive treatment. Therefore, the nurse should provide only comfort
measures before moving on to assess the next client.
B) The nurse should not perform this action for the client because it does not meet
prioritization guidelines following a mass casualty incident.
C) The nurse should not perform this action for the client because it does not meet
prioritization guidelines following a mass casualty incident.
10. A nurse is a county health dept is caring for a who states, "I've been drinking too much in
the evening since my friend died las year". Which of the following responses should the nurse
make?
A) "It sounds like you are probably an alcoholic."
B) "Don't you think your family is being affected by your drinking?"
C) "Can I give you some information about Alcoholics Anonymous?"
D) "I don't think your friend would have approved of your drinking."

Answer: C) "Can I give you some information about Alcoholics Anonymous?"
Rationale:
A) The nurse is making a judgmental statement, which can make the client defensive. This
statement will not encourage further communication with the feel client.
B) The nurse is making a judgmental statement, which can make the client feel guilty. This
statement will not encourage further communication with the client.
C) The nurse is giving information to the client, which conveys a sense of caring. This also
allows the nurse to provide additional information on resources that can help the client.
D) The nurse is making a judgmental statement, which can make the client feel guilty. This
statement will not encourage further communication with the client.
11. A nurse is conducting a home visit for an older adult client. The nurse should identify
which of the following findings as an indicator of possible neglect?
A) Lives alone
B) Taking outdated prescriptions
C) Has a BMI of 25
D) Presence of alcohol in the home
Answer: B) Taking outdated prescriptions
Rationale:
A) The fact that the client lives alone is not an indicator of possible neglect because many
older adults live alone. However, if the client has a lack of access to basic necessities, such as
food and water, then these findings would require further assessment.
B) The client taking outdated prescriptions is an example of inadequate medical care and is
an indicator of possible neglect.
C) A BMI of 25 to 30 indicates that the client is overweight. Weight loss and malnourishment
are indicators of possible neglect.
D) The presence of alcohol in the home is not an indicator of neglect. However, the nurse
should assess the type and amount of alcohol that the client consumes to determine if further
intervention is needed.
12. A case manager at a home health agency is obtaining equipment for a clients home use.
Which of the following actions is a relation of client confidentiality?
A) The case manager used a computer at the agency with an automatic signoff mechanism.

B) The case manager left a clipboard with the client's prescription information face up on the
office desk.
C) The case manager sent a fax to the equipment company on a machine using programmed
speed dial.
D) The case manager shared the client's name with the equipment company.
Answer: B) The case manager left a clipboard with the client's prescription information face
up on the office desk.
Rationale:
A) The automatic sign-off is a safety mechanism that helps to safeguard client information.
The computer will automatically sign off a user's account after a predetermined length of time
so personal health information is not left visible to the public.
B) When using a clipboard, the case manager should place the clipboard on the desk face
down so that a client's personal health information is no other individuals.
C) Fax machines with programmed speed dial keys can help eliminate a misdial, preventing
the misdirecting of personal health information to the wrong location.
D) The case manager can share the client's name with the equipment company because they
will be a part of this client's health care team. Only those who will have direct involvement in
the client's care can have access to a client's personal health information.
13. A community health nurse is conducting a needs assessment of a community. The nurse
should identify that which of the following methods will yield direct data?
A) Health surveys
B) Medical records
C) Informant interviews
D) Morbidity/mortality statistics
Answer: C) Informant interviews
Rationale:
A) Health surveys will yield secondary data.
B) Medical records will yield secondary data.
C) The nurse should identify that informant interviews with community members or leaders
will provide direct data. This information can help the nurse identify services needed by the
community.
D) Vital statistics will yield secondary data.

14. A nurse in a community center is preparing to administer eight tuberculin skin test to
multiple clients to screen for tuberculosis. Which of the following actions should the nurse
take?
A) Prepare the outer aspect of the upper arm for the injection.
B) Inject 0.1 mL of purified protein derivative.
C) The nurse should create a wheal that is approximately 6 mm in diameter.
Answer: B) Inject 0.1 mL of purified protein derivative.
Rationale:
A) The nurse should prepare the inner aspect of the forearm for the injection. Insert the
needle at a 45° angle.
B) The nurse should inject the purified protein derivative intradermally, which requires a 5°
to 15° angle.
C) The nurse should inject 0.1 mL of purified protein derivative to form the wheal. Create a
wheal that measures about 15 mm in diameter.
15. A home health nurse is evaluating a caregiver to take me for providing care to a client
who has a calling turkeys to me. Which of the following statements by the caregiving the
keys in understanding of the procedure?
A) "I should remove the soiled ties before replacing them with clean ones."
B) "I will use tap water to clean the inner cannula."
C) "I should use a slip knot to secure the tracheostomy ties."
D) "I will cut a four inch by four inch gauze to use as a dressing."
Answer: B) "I will use tap water to clean the inner cannula."
Rationale:
A) The caregiver should leave the old ties in place until the new ones are secured to prevent
accidental displacement of the tracheostomy tube.
B) The caregiver can use tap water when performing tracheostomy care.
C) The caregiver should use a square knot when securing the ties to avoid accidental
displacement of the tracheostomy tube.
D) The caregiver should fold the 4 inch x 4 inch (10 cm x 10 cm) gauze dressing before
placing it at the tracheostomy site. Cutting the gauze can result in fine fibres being aspirated.
16. A hospice nurse is caring for a client who is at the end of life he has developed dyspnea
and noisy breathing. Which of the following actions should the nurse take?

A) Suction the client's oropharynx.
B) Administer the client's pain medication intramuscularly.
C) Use a fan in the client's room.
Place the client in Trendelenburg position.
Answer: C) Use a fan in the client's room.
Rationale:
A) Suctioning is uncomfortable and distressing for a client and is not effective for a client
who is at the end of life.
B) The nurse should not administer the client's pain medication intramuscularly because of
decreased circulation, which results in poor absorption of the medication.
C) A fan moves the air, which stimulates the client's trigeminal nerve and can minimize the
sensation of dyspnea.
D) The nurse should position the client with the head of the bed elevated. This increases chest
expansion and decreases dyspnea.
17. A nurse is planning to teach a community group about the meningococcal vaccine. The
nurse should identify that which of the following client should receive the vaccine?
A) A client who is traveling to northern Europe
B) An infant who has bronchiolitis
C) An infant who is 4 weeks old
D) A client who is moving into a college dormitory
Answer: D) A client who is moving into a college dormitory
Rationale:
A) Individuals traveling to northern Europe are not at an increased risk for meningococcal
meningitis.
B) The meningococcal vaccine is not recommended for an infant who has bronchiolitis.
C) The minimum age for immunization with the meningococcal vaccine is 8 weeks.
D) Individuals living in crowded areas, such as dormitories, should receive the
meningococcal vaccine.
18. A community health nurse is working with a community where is the incidence of
violence has increased. Which of following actions should the tertiary prevention strategy?
A) Provide open education sessions to teach parenting skills.
B) Provide victims of violence with referral information to crisis lines.

C) Identifying community risk factors for violence is a primary prevention strategy.
D) Assess for evidence of violence during routine encounters.
Answer: B) Provide victims of violence with referral information to crisis lines.
Rationale:
A) Providing open education sessions to teach parenting skills is a primary prevention
strategy that can assist in preventing new episodes of child maltreatment.
B) Referring victims of violence to available community resources is a tertiary prevention
strategy. The community health nurse should be aware of all available community resources.
Identify potential community risk factors for violence.
C) Identifying influential factors, such as high unemployment levels, lack of neighborhood
support systems, and lack of community cohesiveness, can assist the nurse with developing
ways to intervene before further violence occurs.
D) The nurse can assess for evidence of violence, such as unexplained injuries, depression, or
malnourishment, during community encounters with individuals. This secondary strategy can
assist the nurse to intervene and prevent further violence.
19. A community health nurse is made aware that several children, who are from the same
family and did not receive immunizations, has contracted measles. Which of the following
actions should the nurse take?
A) Report this information to the state health department.
B) Therefore, the nurse should report this occurrence to the state health department, which
then determines if it will report to the CDC.
C) Speak to the guardians about getting the children immunized after they are disease free.
D) Provide the infected children's names to the parents and guardians of children who might
have been exposed.
Answer: A) Report this information to the state health department.
Rationale:
A) The CDC lists measles as a nationally notifiable disease. Requirements for reporting
diseases are state mandated, rather than federally mandated.
B) Encourage the family to keep the children isolated during the incubation period. The
period of incubation is 10 to 20 days. The children need to remain isolated for the period of
communicability, which is from 4 days before to 5 days after the rash appears.
C) A measles infection provides a lifelong immunity, so the children will not need the
immunization after they are disease free.

D) The nurse cannot provide the names of the children to other children's parents and
guardians because it is a violation of privacy. However, due to the highly contagious nature of
the disease, the nurse should inform the school nurse that there are known cases and students
might have been exposed. Prevention measures, such as referrals of children at risk, teaching
proper handwashing, and immunization clinics, should be initiated.
20. A public health nurse is planning a community health promotion program for
hypertension prevention. Which of the following prevention sure the nurse include as a
tertiary prevention strategy?
A) Provide education about risk factors for hypertension.
B) Conduct a hypertension screening clinic for the community.
C) Implement an exercise program for clients who have hypertension.
Answer: C) Implement an exercise program for clients who have hypertension.
Rationale:
A) The nurse should implement primary prevention strategies for a healthy population to
prevent or delay hypertension, which can include providing community education about risk
factors and early intervention.
B) The nurse should implement secondary prevention strategies for early detection and
treatment for clients who are at risk for developing hypertension, which can include
conducting a hypertension screening clinic for the community. Each clients who have a
family history of hypertension how to monitor blood pressure. The nurse should implement
secondary prevention strategies for early detection and treatment for clients who are at risk
for developing hypertension, which can include teaching clients who have a family history of
hypertension to monitor their blood pressure.
C) The nurse should implement tertiary prevention strategies for clients who have
hypertension to promote the highest level of functioning possible, which can include regular
exercise to maintain an active lifestyle.
21. A nurse is preparing a community education program about health care needs during
pregnancy the nurse should include which of the following vaccines is safe to administer to a
client who is pregnant?
A) Herpes zoster
B) Tetanus, diphtheria, pertussis (Tdap)
C) Varicella

D) Measles, mumps, and rubella
Answer: B) Tetanus, diphtheria, pertussis (Tdap)
Rationale:
A) The herpes zoster vaccine is contraindicated during pregnancy.
B) The nurse should include that a client who is pregnant should receive the Tdap vaccine
between 27 and 36 weeks of gestation.
C) The varicella vaccine is contraindicated during pregnancy.
D) The measles, mumps, and rubella vaccine is contraindicated during pregnancy.
22. Hey School Nurse is notified that a school age child has pertussis. Which of the following
actions should the school nurse take? Select all that apply
A) Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first
present
B) Encourage family members to obtain prophylactic treatment
C) Quarantine the children in the child's
D) Recommend that the child receive a pneumococcal vaccine in 28 days
E) Check the immunization status of the child's classmates
Answer: A) Instruct the parent to keep the child at home for 2 weeks after the initial
symptoms first present
B) Encourage family members to obtain prophylactic treatment
E) Check the immunization status of the child's classmates
Rationale:
A) Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first
present is correct. The child should be kept at home until the coughing stage has passed
because the disease is most communicable in this stage.
B) Encourage family members to obtain prophylactic treatment is correct. Individuals who
have been exposed to pertussis should be treated prophylactically with erythromycin,
clarithromycin, or azithromycin.
C) Quarantine the children in the child's class is incorrect. While the nurse should place the
client on droplet precautions, it is not necessary to quarantine the children in the child's class.
D) Recommend that the child receive a pneumococcal vaccine in 28 days is incorrect. A
pneumococcal vaccine is not effective against pertussis.

E) Check the immunization status of the child's classmates is correct. The immunization
status of the child's classmates should be checked to identify the children who are at risk for
acquiring the infection.
23. A community health nurse is caring for an adolescent who is seeking help for an
unplanned pregnancy. Which of the following actions should the nurse take first?
A) Recommend that the adolescent meet with the school guidance counselor to discuss
educational options.
B) Help the client obtain a provider for prenatal care.
C) Educate the client about contraceptives to prevent future unplanned pregnancies.
D) Provide information on parenting classes so the client can learn about caring for a
newborn.
Answer: B) Help the client obtain a provider for prenatal care.
Rationale:
A) While discussing educational options is important, it is not the immediate priority. The
health and safety of the client and foetus take precedence over educational concerns at this
stage.
B) The adolescent is experiencing an unplanned pregnancy, which poses risks for both the
client and the foetus. Therefore, ensuring that the client receives appropriate prenatal care is
the priority action. This addresses immediate health needs and helps mitigate potential
complications.
C) Although education on contraception is crucial for preventing future unplanned
pregnancies, this can be addressed after ensuring that the client receives necessary prenatal
care for the current pregnancy.
D) Providing information about parenting classes is valuable, but it is not the immediate
priority. The focus should be on securing prenatal care first to ensure the health of both the
client and the foetus.
24. A community health nurse is working in a mobile healthcare clinic. Which of the
following client should the nurse assess first?
A) A client who has a superficial partial-thickness burn to the hand.
B) A client who has a temperature of 38.3° C (101° F).
C) A client who has COPD and an oxygen saturation of 90%.
D) A client who has a new onset of confusion and slurred speech.

Answer: D) A client who has a new onset of confusion and slurred speech.
Rationale:
A) While burns need attention, a superficial partial-thickness burn is considered nonurgent
compared to the neurological changes presented in option D.
B) Although this temperature indicates a mild fever, it is not an urgent finding. Therefore, it
can be addressed after more critical conditions are assessed.
C) An oxygen saturation of 90% may be typical for someone with COPD, and while it should
be monitored, it is not urgent compared to the acute changes seen in option D.
D) Acute changes in mental status and speech can indicate a neurological issue, which
requires immediate assessment and intervention. This client’s symptoms suggest a potential
emergency, making it the priority.
25. A public health nurse is monitoring medication compliance with a group of migrant
workers were being treated for tuberculosis. The nurse should use information from which of
the following resources to assist with this process?
A) Agency for Healthcare Quality and Research (AHRQ)
B) Migrant Clinicians Network (MCN)
C) Centers for Disease Control and Prevention (CDC)
D) U.S. Preventive Services Task Force (USPSTF)
Answer: B) Migrant Clinicians Network (MCN)
Rationale:
A) While the AHRQ provides evidence-based clinical guidelines, it is not specifically focused
on the unique challenges faced by migrant workers in adhering to long-term TB treatment.
B) The MCN specifically addresses the needs of migrant workers, including tracking their
medical histories and ensuring continuity of care for tuberculosis treatment. This resource is
particularly useful for monitoring medication compliance in a population that frequently
changes locations.
C) The CDC provides valuable information regarding public health guidelines and disease
prevention but does not specifically track individual patient care or medication compliance
for migrant workers.
D) The USPSTF focuses on preventive services and recommendations for screening and care,
but it does not address the continuity of treatment for specific populations like migrant
workers with tuberculosis.

26. A nurse is developing an educational program about bio terrorism and smallpox. The
nurse should include in the teaching that the smallpox rash is expected to first appear in
which of the following locations?
A) Face
B) Posterior shoulders
C) Abdomen
D) Lower extremities
Answer: A) Face
Rationale:
A) The nurse should teach that the smallpox rash is expected to first appear on the face.
B) The nurse should teach that the smallpox rash is expected to first appear on the face before
spreading to areas such as the posterior shoulders.
C) The nurse should teach that the smallpox rash is expected to first appear on the face before
spreading through the trunk, including the abdomen.
D) The nurse should teach that the smallpox rash usually appears on the extremities last.
27. A public health nurse is participating in a disaster preparedness planning committee for a
local community that is at risk for hurricanes. Which of the following information should the
nurse contribute to the plan?
A) A list of residents who have experienced a hurricane in the past and will not need
evacuation.
B) A list of areas within the community where residents speak multiple languages.
C) How to activate the local medical facilities' emergency-management plans.
D) The name of the individual who is necessary to implement the plan.
Answer: B) A list of areas within the community where residents speak multiple languages.
Rationale:
A) This information is not useful, as prior experience does not guarantee that these residents
will not need assistance during a new disaster. A comprehensive evacuation plan is necessary
for all residents.
B) Including information about language diversity in the community is essential for effective
communication during a disaster. It will help ensure that all residents receive critical
information about evacuation and safety measures, particularly those who may have language
barriers.

C) While important, the nurse's role is more about community-level preparedness rather than
the specifics of activating hospital plans. The community disaster plan should focus on public
health and safety for residents.
D) A disaster plan should be comprehensive and functional regardless of specific individuals
present during the disaster. Therefore, focusing on personnel names is not as critical as
ensuring the plan is actionable by the community at large.
28. A nurse is giving a presentation about family violence a look at community center. Which
of the following information should the nurse include?
A) Socially active parents and guardians are at greater risk for becoming violent.
B) Partner violence occurs more frequently in lower socioeconomic households.
C) Child maltreatment is linked to family financial strain.
D) Child maltreatment is more common in homes where partner violence is present.
E) Children who are abused are less likely to become abusers.
Answer: D) Child maltreatment is more common in homes where partner violence is present.
Rationale:
A) This statement is inaccurate; isolation from social supports is more closely linked to
increased risk of violence than social activity.
B) While partner violence can occur across all socioeconomic levels, it is not limited to lower
socioeconomic households. Studies show that partner violence exists in various income
levels.
C) Although financial strain can contribute to stressors that may lead to child maltreatment,
this statement does not encompass the broader relationship between child maltreatment and
partner violence.
D) There is a well-established correlation between partner violence and child maltreatment.
Homes experiencing partner violence often have a higher incidence of child abuse and
neglect.
E) This statement is false. Research indicates that children who experience abuse are more
likely to become abusers in the future, perpetuating the cycle of violence.
29. Hey School Nurse is serving on a community disaster planning committee looking at
school shooting scenarios. Which of the following actions should the nurse plan to take
during the response please?
A) Conduct ongoing assessments to identify potential hazards.

B) Provide disaster training to school personnel.
C) Perform triage and provide hands-on care as needed to victims.
D) Serve as a liaison between available community resources and those in need.
Answer: C) Perform triage and provide hands-on care as needed to victims.
Rationale:
A) This action is more appropriate for the prevention phase of disaster planning. It focuses on
identifying risks before an incident occurs rather than responding to an active situation.
B) Providing training is part of the preparedness phase, aimed at ensuring staff are ready
before a disaster occurs, not during the response phase.
C) During the response phase of disaster planning, the school nurse plays a critical role in
triage and providing immediate care to victims. This includes coordinating the first-aid
response and addressing the immediate health needs of those affected.
D) This role is more relevant during the recovery phase, where coordination of resources and
support for affected individuals takes precedence after the immediate response is managed.
30. A community health nurse is planning a presentation for adults will have a family history
of Alzheimer's disease. Which of the following behaviors for the nurse include as an early
manifestation of Alzheimer's disease?
A) Withdrawal from social activities
B) Forgetting the location of common objects
C) Experiencing incontinence
D) Neglecting personal hygiene is a later manifestation of Alzheimer's disease.
Answer: B) Forgetting the location of common objects
Rationale:
A) Withdrawal from social activities is a later manifestation of Alzheimer's disease.
B) Forgetting the location of common objects is an early manifestation of Alzheimer's
disease.
C) Incontinence is a later manifestation of Alzheimer's disease.
D) Neglecting personal hygiene is a later manifestation of Alzheimer’s disease.
31. A nurse at a county health clinic is caring for a client who has recently assume the role of
primary caregiver for their parent. Which of the following client statements indicates that
they are experiencing real comfy?
A) "I feel overwhelmed with not having enough time for my mom as well as my children."

B) "I hope my siblings will be able to visit and help care for mom for a few days."
C) "I am glad that my job is flexible, so I can accommodate my mom's needs."
D) "I don't think my partner likes having to help more with the household chores."
Answer: A) "I feel overwhelmed with not having enough time for my mom as well as my
children."
Rationale:
A) This statement indicates that the client is experiencing role conflict. They are juggling
multiple demanding roles—caregiver to their parent and parent to their children—leading to
feelings of being overwhelmed and stressed.
B) This statement suggests that the client is seeking support and exploring options to alleviate
some caregiving responsibilities, which may indicate role strain but does not directly point to
experiencing role conflict.
C) This reflects a positive adaptation to the caregiver role, showing that the client is
managing their responsibilities effectively rather than indicating any conflict or stress.
D) This statement suggests potential role ambiguity and challenges in the partnership related
to shared responsibilities, but it does not specifically indicate role conflict experienced by the
client.
32. A nurse is assessing a new client at a public health clinic. Which of the following areas
sure the nurse address as part of the cultural assessment?
A) Immunization status
B) Sexual activity
C) cultural assessment
D) Food allergies
Answer: C) cultural assessment
Rationale:
A) A client's immunization status is not part of a cultural assessment.
B) A client's sexual activity is not part of a cultural assessment.
C) A cultural assessment focuses on beliefs, values, meanings, and behavior of Illness
practices people within a client's cultural, ethnic, or religious group. This includes culturallybased practices that relate to health and illness.
D) Allergies are a result of a particular client's hypersensitivity to a substance, not of cultural
beliefs or practices.

33. A hospice nurse is teaching about expected grief reactions with the family of a client who
has an stage pancreatic cancer. Which of the following information should the nurse include?
A) "It is common to experience a persistent state of sadness while grieving."
B) "Disturbances in your self-esteem is an expected grief reaction."
C) "You will feel a sense of hopelessness throughout the grieving process."
D) "A component of healthy grieving is the ability to openly express your anger."
Answer: D) "A component of healthy grieving is the ability to openly express your anger."
Rationale:
A) The nurse should teach the family that they should expect emotions to fluctuate frequently
while grieving. A persistent state of sadness is an indication of clinical depression.
B) The nurse should teach the family that their self-esteem is not altered while grieving.
Disturbances in self-esteem is an indication of clinical depression.
C) The nurse should teach the family that they should continue experiencing feelings of hope
while grieving. A sense of hopelessness is an indication of clinical depression.
D) The nurse should teach the family that they will experience feelings of anger, guilt, shame,
and doubt while grieving. The ability to openly express their feelings of anger is an expected
grief reaction.
34. A school nurse is discussing levels of prevention with a teacher. Which of the following
activities should the nurse identify as a primary prevention strategy?
A) Provide nutritional enrolment for students who have diabetes.
B) Report suspected child neglect to the proper authorities.
C) Conduct vision and hearing screening for kindergarten enrolment.
D) Demonstrate proper handwashing techniques.
Answer: D) Demonstrate proper handwashing techniques.
Rationale:
A) This is an example of tertiary prevention, which begins once a disease is apparent and
focuses on limiting disease progression and managing disability.
B) This is an example of secondary prevention, aimed at detecting and addressing conditions
in their early stages before symptoms become fully apparent.
C) This is also an example of secondary prevention, as it involves early detection and
treatment of conditions to prevent worsening.
D) This is an example of primary prevention, which aims to promote health and prevent the
development of disease. Proper handwashing helps prevent the spread of infections.

35. A nurse is assessing the risks and benefits of meal delivery services for an older adult
client who lives alone and has no transportation. Which of the following ethical principles is
the nurse demonstrating?
A) Distributive justice
B) Respect for autonomy
C) Fidelity
D) Beneficence
Answer: D) Beneficence
Rationale:
A) This principle involves fairly determining the allocation of resources among clients when
services are limited. The nurse would be demonstrating distributive justice if they were
deciding which clients should receive meal delivery services based on limited availability.
B) Respect for autonomy involves honouring the client’s personal choices. The nurse would
demonstrate this principle by asking the client if they want meal delivery services and
respecting the client’s decision.
C) Fidelity refers to following through on commitments. The nurse would demonstrate
fidelity by initiating a referral for meal delivery if it was determined the client needs the
service.
D) Beneficence involves promoting the client’s well-being. By assessing whether meal
delivery services would help maintain the client’s health, the nurse is acting in the client’s
best interest, demonstrating the principle of beneficence.
36. An occupational health nurse in a factory is performing a routine tuberculosis screening
and identifies an employee who has a positive Mantoux tuberculin test. Which of the
following actions should the nurse plan to take?
A) Instruct the employee that they will need to obtain a chest x-ray.
B) Initiate an employee immunization program.
C) Instruct the employee to wear an N95 respiratory mask.
D) Administer prophylactic penicillin to other employees.
Answer: A) Instruct the employee that they will need to obtain a chest x-ray.
Rationale:
A) A positive Mantoux tuberculin skin test indicates possible exposure to tuberculosis. A
chest x-ray is required to determine if the infection is active or dormant.

B) There is no available immunization for tuberculosis in most countries, so this option is not
applicable.
C) N95 masks are worn by healthcare providers to protect themselves from exposure when
working with clients who have active tuberculosis. This is not necessary for the employee
unless they have an active infection.
D) Penicillin is not used in prophylactic treatment for tuberculosis. Individuals with latent TB
may receive isoniazid or rifampin instead.
37. The community health nurse is working to meet the healthcare needs of residents in a
rural community. Which of the following characteristics should the nurse identify as a barrier
to healthcare resources for this population?
A) Less autonomy in providing client care
B) Disinterest by members of the population in providing input for community health
programs
C) Lack of cohesiveness among community members
D) Unavailability of outreach services
Answer: D) Unavailability of outreach services
Rationale:
A) Health care providers in rural areas typically have greater autonomy in their practice due
to limited access to specialist support. This is not a barrier but rather a characteristic of rural
healthcare.
B) Rural residents are generally as interested in health promotion as those in urban areas, so
disinterest is not a common barrier.
C) Rural communities often have strong networks and cohesion among residents, which
provides mutual support. Lack of cohesiveness is generally not an issue in these areas.
D) Outreach services, such as mobile clinics and health education programs, are often limited
in rural areas, making it challenging for residents to access healthcare. This unavailability is a
key barrier to healthcare for rural populations.
38. A community health nurse is providing teaching about health promotion to a group of
adolescents. Which of the following topics is the most important for the nurse to include in an
attempt to lower adolescent mortality rates?
A) Underage smoking
B) Safer sex practices

C) Safety belt use
D) Heart-healthy diet
Answer: C) Safety belt use
Rationale:
A) While underage smoking can lead to serious health issues later in life, it is not a leading
cause of death among adolescents.
B) Although safer sex practices reduce the risk of pregnancy and sexually transmitted
infections, they do not directly address the primary cause of adolescent deaths.
C) Motor vehicle accidents are the leading cause of death among adolescents. Teaching safety
belt use is critical in reducing mortality rates in this age group.
D) An unhealthy diet can lead to chronic health conditions over time but does not address the
immediate risks leading to adolescent mortality.
39. A nurse at a county health department is caring for a client who is at 28 weeks of
gestation. Which of the following factors is a risk for future child maltreatment?
A) The client refers to the unborn foetus by name.
B) The client works part-time at a local restaurant.
C) The client has changed providers three times during their pregnancy.
D) The client has recurring nightmares about the unborn fetus.
Answer: C) The client has changed providers three times during their pregnancy.
Rationale:
A) Referring to the unborn fetus by name indicates acceptance of the fetus, which reduces the
risk of future maltreatment.
B) Employment generally supports economic stability, which can reduce the risk of future
maltreatment.
C) Frequently changing healthcare providers can be a risk factor for future child
maltreatment, as it may suggest underlying issues such as partner violence, which is
associated with a higher risk of child maltreatment.
D) Experiencing nightmares during pregnancy is common and not considered a risk factor for
child maltreatment.
40. A community health nurse suspects an outbreak of scabies in the local area. Which action
should the nurse take first?
A) Educate the community about disease transmission.

B) Determine the incidence rate.
C) Institute prophylactic treatment.
D) Discuss treatment plans with the clients’ families.
Answer: B) Determine the incidence rate
Rationale:
A) While educating the community on disease transmission is essential for prevention, it is
not the initial step in managing an outbreak.
B) The first action in the nursing process is to assess the situation. Determining the incidence
rate helps the nurse assess the scope of the outbreak and provides a baseline for comparison
with previous data.
C) Although prophylactic treatment may help prevent further spread, it should follow
assessment and confirmation of the outbreak.
D) Treatment discussions are essential for adherence but should occur after assessing the
outbreak’s extent and confirming cases.
41. A nurse is caring for a client who has a positive gonorrhea culture. Which of the following
actions should the nurse take?
A) Instruct the client that recent sexual partners will need to be treated.
B) Instruct the client to return for a blood test in 1 month.
C) Administer penicillin G 2.4 million units IM once.
D) Teach the client how to apply imiquimod 5% cream to the lesions.
Answer: A) Instruct the client that recent sexual partners will need to be treated.
Rationale:
A) The nurse should instruct the client that any sexual partners from the past 60 days should
be referred for evaluation and treatment of gonorrhea to prevent reinfection and further
transmission.
B) Gonorrhea is typically detected through vaginal, cervical, or urine specimens, not blood
tests. Blood tests are usually used for detecting infections like HIV and syphilis.
C) Penicillin G is indicated for the treatment of syphilis, not gonorrhea.
D) Imiquimod 5% cream is used for treating human papillomavirus (HPV) lesions, not
gonorrhea.

42. A community health nurse (CHN) is assigned to lead a county-level environmental task
force. Which of the following activities should the nurse direct the task force to complete
first?
A) Review community-specific epidemiological data.
B) Recommend updates to local environmental policies.
C) Create program goals that align with Healthy People objectives.
D) Distribute environmental health education materials to community members.
Answer: A) Review community-specific epidemiological data.
Rationale:
A) The first step in the nursing process is assessment. Reviewing community-specific
epidemiological data is part of conducting a community assessment, which helps identify
environmental health concerns and informs the task force’s subsequent actions.
B) While updating policies may be necessary, it should follow the assessment phase to ensure
that recommendations address identified community needs.
C) Setting goals aligned with Healthy People objectives is important, but it should be based
on data gathered from the initial assessment.
D) Education is a crucial step in addressing environmental health concerns but should be
informed by the data obtained during the community assessment phase.
43. A community health nurse (CHN) is providing care to a client who has stopped taking
their prescribed blood pressure medication. Which of the following actions should the nurse
take first?
A) Advise the client that adherence to the medication regimen will promote healthy
outcomes.
B) Determine the client’s reason for discontinuing the medication.
C) Discuss the consequences of discontinuing the medication with the client.
D) Educate the client about the benefits of the medication.
Answer: B) Determine the client’s reason for discontinuing the medication.
Rationale:
B) The nursing process begins with assessment. Determining why the client stopped the
medication helps the nurse understand potential barriers to adherence and tailor further
interventions effectively.
A) Advising on adherence is important, but assessing the client’s reasons for discontinuation
is a necessary first step to address specific issues they may face.

C) Although important, discussing the consequences should follow assessment, so that the
nurse can address the client’s particular concerns or barriers.
D) Education is essential, but it is more effective once the nurse understands the client’s
perspective and reasons for non-adherence.
44. A community health nurse (CHN) is conducting a program regarding crime reduction
strategies for older adult clients at the senior center. Which of the following statements
indicates an understanding of the information?
A) “When I am in my car, I will keep my personal items on the seat beside me.”
B) “When I open my front door, I will ask for identification if the person is someone I do not
know.”
C) “I should store my purchases in the back seat when I am out shopping.”
D) “I should remove the identification tag that is on my key ring.”
Answer: D) “I should remove the identification tag that is on my key ring.”
Rationale:
A) This statement reflects a misunderstanding. Clients should be informed to keep personal
items out of sight to reduce the risk of theft.
B) While asking for identification is important, the best practice is not to open the door at all
for strangers and to use a peephole or optical viewer instead.
C) This statement indicates a misunderstanding as well. Clients should be advised to place
purchases in the trunk of the car to keep them out of sight and minimize the risk of theft.
D) This statement demonstrates an understanding of crime reduction strategies. Removing
identifying tags from keys helps prevent potential burglars from gaining access to the client’s
home if the keys are lost or stolen.
45. A community health nurse (CHN) is discussing the role of a faith community nurse with a
chaplain. Which of the following information should the nurse include in the discussion?
A) The faith community nurse can provide pharmacological pain management for clients who
have a terminal illness.
B) The faith community nurse can plan workplace safety training for employees in a local
factory.
C) The faith community nurse can provide wound care for clients in their homes.
D) The faith community nurse can facilitate substance abuse support groups.
Answer: D) The faith community nurse can facilitate substance abuse support groups.

Rationale:
A) This statement is incorrect, as pharmacological pain management is primarily the role of
home health or hospice nurses.
B) This is not within the scope of a faith community nurse; it falls under the responsibilities
of an occupational health nurse.
C) This is also incorrect, as wound care is typically performed by home health or wound care
nurses, not faith community nurses.
D) This statement accurately reflects a role of a faith community nurse. They often provide
emotional and spiritual support, and facilitating support groups is a key component of their
responsibilities in addressing health and wellness in the community.
46. A home health nurse is teaching a client’s family about preventing the transmission of C.
difficile. Which of the following transmission-based precautions should the nurse include in
the teaching?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective environment
Answer: A) Contact precautions
Rationale:
A) This is the correct answer. Contact precautions are essential when caring for a client with
Clostridium difficile (C. difficile) because the bacteria can be transmitted via contaminated
surfaces, hands, and equipment. Implementing contact precautions involves using gloves and
gowns when entering the room and ensuring proper hand hygiene.
B) This is incorrect. Droplet precautions are used for diseases like diphtheria or mumps, not
for C. difficile.
C) This is also incorrect. Airborne precautions are used for diseases such as varicella or
tuberculosis, which is not applicable for C. difficile transmission.
D) This is incorrect as well. Protective environment precautions are utilized for patients who
are highly susceptible to infections, such as those undergoing chemotherapy, but they do not
apply to preventing the transmission of C. difficile.
47. An adult child of a client who is terminally ill and at the end of life approaches a hospice
nurse and asks, “What can I do to help relieve my father’s pain?”

A) “Give your father brief hand massages.”
B) “Increase the illumination in your father’s room.”
C) “Avoid using analgesics unless your father exhibits nonverbal signs of pain.”
D) “Administer citalopram when your father is agitated."
Answer: A) "Give your father brief hand massages."
Rationale:
A) Correct. This approach can provide comfort and relieve pain and stress in palliative care
settings.
B) Incorrect. Dimming the lights is generally more calming and can help reduce anxiety and
pain.
C) Incorrect. Regular use of analgesics is important in hospice care to manage pain
proactively.
D) Incorrect. Citalopram is an antidepressant and not suitable for acute pain management; the
focus should be on pain relief strategies.
48. A public health nurse is lobbying Congress to increase funding for health screenings
provided to migrant farm workers. Which concept is the nurse demonstrating?
A) Advocacy
B) Principlism
C) Deontology
D) Communitarianism
Answer: A) Advocacy
Rationale:
A) Correct. The nurse is supporting a specific course of action (increased funding for health
screenings) for the benefit of a vulnerable group (migrant farm workers).
B) Incorrect. While the nurse's actions may align with ethical principles, this specific activity
focuses more on advocacy than on principlism.
C) Incorrect. Deontology emphasizes moral duties and rules rather than lobbying for specific
actions or changes in policy.
D) Incorrect. Although there is a community aspect in advocating for migrant farm workers,
the primary action described is advocacy rather than a balance of individual rights and social
responsibilities.

49. A community health nurse is participating in a quality improvement plan for a local health
department. Which of the following techniques should the nurse use for process evaluation of
the facility?
A) Focus groups
B) Written audits
C) Satisfaction survey
D) Interviews
E) Values self-study
Answer: A) Focus groups
B) Written audits
C) Satisfaction survey
D) Interviews
Rationale:
A) Focus groups is correct. The nurse should include focus groups, which are small groups
of individuals who use the health department services, for process evaluation of the facility.
This information allows for review of the facility's strengths and weaknesses in the quality of
client care delivery.
B) Written audits is correct. The nurse should include written audits, which are written
evaluations of the quality of care provided by the health department, for process evaluation of
the facility. This information allows for review of the facility's strengths and weaknesses in
the quality of client care delivery.
C) Satisfaction survey is correct. The nurse should include satisfaction surveys, which are
assessments of clients' perception of their care made via telephone or written questionnaires,
for process evaluation of the facility.
D) Interviews is correct. The nurse should include interviews of clients who use the health
department's services for process evaluation of the facility.
E) Values self-study is incorrect. A values self-study is performed as the first step in quality
assurance when the health department determines the needs of the community, the services to
offer, and develops a philosophy and overall objectives for the facility.
50. A nurse is preparing an educational program about influenza for a group of community
health nurses. Which of the following activities should the nurse include as an example of
tertiary prevention?
A) Offer classes to elementary school teachers about handwashing.

B) Provide information to occupational nurses about the reasons for employees to not come
to work.
C) Administer antiviral medications within 48 hours to clients who have manifestations of
influenza.
D) Provide immunizations at long-term care facilities.
Answer: C) Administer antiviral medications within 48 hours to clients who have
manifestations of influenza.
Rationale:
A) Incorrect. This activity represents primary prevention aimed at preventing disease
occurrence.
B) Incorrect. This is more related to secondary prevention, which aims to prevent the spread
of existing infections.
C) Correct. This is an example of tertiary prevention, which focuses on managing and
reducing the impact of an existing illness, such as minimizing complications from influenza.
D) Incorrect. This activity is a form of primary prevention, aimed at preventing the
occurrence of influenza in susceptible populations.

Non-Proctored B
1. A home health nurse is visiting with an older adult client. Which of the following
observations indicate the need for home modification?
A) The home has power strips that have breakers.
B) The client uses an electric toaster oven for cooking.
C) There are two rocking chairs in the living room.
D) The bathtub has a seat and a hand-held shower head.
Answer: C) There are two rocking chairs in the living room.
Rationale:
rocking chairs and swivel chairs will require a modification. The nurse should block the
chairs to keep them stable so that the client can easily get in and out.
2. A case manager is planning an educational program for a client who has diabetes mellitus.
Which of the following activities should the nurse include when using the psychomotor
domain of learning?

A) Review a color diagram of the food pyramid with the client.
B) Show the client a video about how to monitor blood glucose levels.
C) Observe the client's technique for drawing up insulin.
D) Encourage the client to discuss their feelings of self-worth.
Answer: Observe the client's technique for drawing up insulin
3. A case manager is developing a discharge plan for a client who has spinal cord injury and
is in a rehab facility. Which of the following actions should the nurse take first?
A) Hold a care conference with the client to discuss treatment options.
B) Contact service providers to determine the availability of services offered.
C) Determine the client's ability to perform self-care.
D) Evaluate the client's satisfaction with the case manager's services.
Answer: C) Determine the client's ability to perform self-care.
Rationale:
The first action the nurse should take when using the nursing process is to assess the client's
needs. Determining a client's needs is the first step of the case management process which
allows the case manager to plan client-centered care.
4. A school nurse is teaching health promotion to a group of staff members who sit at a desk
and use a computer for 8hr at a time. Which of the following information is the priority for
the nurse to include
A) "Take a walk after work."
B) "Point and flex your toes periodically."
C) "Have your visual acuity assessed regularly."
D) "Adjust your chair so that your elbows are at desk height."
Answer: B) "Point and flex your toes periodically."
Rationale:
the greatest risk to staff members who are immobile for long periods of time is a venous
thromboemobolism. Therefore, the nurse should encourage the staff members to frequently
change the position of their feet and legs.
5. A nurse is assessing a new client. Which of the following information should the nurse
include in the cultural portion of the assessment?
A) Food preferences

B) Employment status
C) History of illnesses
D) Sexual orientation
Answer: A) Food preferences
Rationale:
food preferences are a part of cultural
6. A nurse is collecting demographic data as part of a community assessment. Which of the
following information should the nurse include?
A) Racial distribution
B) Family genograms
C) Number of open water sources
D) Presence of condemned buildings
Answer: A) Racial distribution
Rationale:
racial distribution is part of demographic data. Other types of demographic data include
marital information, population density, and death and birth rates.
7. A nurse is caring for a client who has terminal lung cancer and is receiving hospice care.
Which of the following statements should the nurse ID as an indication that the client is in the
denial stage of the grief process?
A) "I'm looking forward to my daughter's wedding next year."
B) "I don't deserve to die. This just isn't fair."
C) "If I could just make it through this, I'd never smoke again."
D) "I'm going to plan my memorial service next week."
Answer: A) "I'm looking forward to my daughter's wedding next year."
Rationale:
during the denial stage of the grief process, the client rejects the reality of the impending loss.
8. An occupational health nurse is planning to use an interpreter during an educational session
with a group of workers who speak a different language than the nurse. Which of the
following actions should the nurse take?
A) Instruct the interpreter to guide the nurse in providing information in a culturallysensitive manner.

B) Ask the interpreter to add information she feels might be necessary.
C) Choose an interpreter who speaks the workers' language and dialect.
D) Evaluate the interpreter's approach to clients prior to the educational session.
E) Encourage the interpreter to paraphrase the workers' questions and responses.
Answer: C) Choose an interpreter who speaks the workers' language and dialect.
9. A nurse in a clinic is planning teaching for a client who was newly diagnosed with
Hepatitis C. Which of the following instructions should the nurse include in the teaching?
A) Consume a low-carbohydrate diet until symptoms resolve.
B) Schedule an appointment for an immunoglobulin injection.
C) Abstain from sexual intercourse until antibody tests are negative.
D) Wear a mask in public places while receiving treatment.
Answer: C) Abstain from sexual intercourse until antibody tests are negative.
Rationale:
Hep C is transmitted through sexual intercourse. Therefore, the nurse should instruct abstain
from sexual intercourse until antibody tests are negative.
10. AA home health nurse is reviewing several client requests regarding complementary
strategies. The nurse should ID that which of the following alternative therapies is
contraindicated for the client?
A) Hippotherapy for a school-age child who has cerebral palsy
B) Acupressure therapy for a client who has back pain
C) Kava for a client who has cirrhosis
D) Valerian for a client who has anxiety and insomnia
Answer: C) Kava for a client who has cirrhosis
Rationale:
although kava has been used to promote sleep, it can cause severe liver damage, which can
lead to the need for a liver transplant. using kava could worsen the condition of a client who
has cirrhosis. Therefore, the nurse should plan to discuss safer alternatives with the client.
11. AA community health nurse is teaching a client who was newly diagnosed with active
pulmonary tuberculosis about disease transmission. Which of the following info should the
nurse include?
A) Household members should be placed in respiratory isolation.

B) Wear a mask in the home.
C) Household members should take isoniazid for at least 6 months.
D) Have a repeat Mantoux test in 3 months.
Answer: C) Household members should take isoniazid for at least 6 months.
Rationale:
house hold members are at risk for developing the disease. Taking isoniazid prophylactically
for at least 6 months is recommended.
12. A nurse in a rural community is planning Edu for a young adult client who is a migrant
farm worker. Which of the following actions should the nurse include?
A) Provide environmental health information.
B) Refer the client for a tuberculosis screening.
C) Provide skin cancer information.
D) Recommend a dental health screening.
E) Provide forms to apply for Medicare.
Answer: A) Provide environmental health information.
13. AA nurse is teaching a client who has a new diagnosis of hepatitis A about how to prevent
the spread of the virus. Which of the following instruction should the nurse include?
A) "Double-bag tissues used for coughing or blowing the nose."
B) "Clean your bathroom fixtures with a chlorine bleach solution."
C) "Use shared hand towels to dry your hands after washing."
D) "Use barrier contraceptives during sexual contact for 2 weeks after beginning treatment."
Answer: B) "Clean your bathroom fixtures with a chlorine bleach solution."
Rationale:
the client should clean bathroom fixtures with a 10:1 chlorine bleach solution. The hepatitis A
virus spreads via feces and survives on human hangs since it is resistant to soap and
detergents.
14. AA community health nurse is planning to establish a community garden to introduce
new nutritious food options in the area. Which of the following actions should the nurse take
first to initiate the plan?
A) Identify community members who demonstrate an interest in the project.
B) Hold a community information session to inform the residents of the plan.

C) Select residents to take on leadership roles in the project.
D) Monitor the progress of the project to keep the project on course
Answer: A) Identify community members who demonstrate an interest in the project.
Rationale:
the first action the nurse should take when using the nursing process is to assess the
community. By identifying those community members who demonstrate an interest in the
project, the nurse can establish a local support group who will assist in engaging other
community residents with establishing the garden.
15. AA palliative care nurse is teaching a client who has cancer about the services that are
available for the client. Which of the following statements should the nurse ID as an
indication that the client understands the teaching?
A) "If I begin palliative care, I will have to stop my chemotherapy."
B) "I can begin palliative care when I have less than 6 months to live."
C) "This type of care can help me with pain control."
D) "My family will not be involved with this type of care program."
Answer: C) "This type of care can help me with pain control."
Rationale:
Clients who have cancer might require complicated treatments that can cause pain,
disfigurement, and emotional and psychological distress. Palliative care provides support and
management of the disease process regardless of the prognosis, including pain management.
16. AA community health nurse is teaching a group of clients about environmental health
hazards. Which of the following examples should the nurse include as a possible source of
carbon monoxide exposure
A) Washing machines
B) Gas ranges
C) Air conditioners
D) Electric space heaters
Answer: B) Gas ranges
Rationale:
carbon monoxide is an odorless, colorless, tasteless gas that is emitted into the air. Gas
ranges, motor vehicles, and fire places are potential sources for carbon monoxide esposure

17. AA community health nurse is planning a health edu program for adults. The nurse should
plan to take which of the following actions during the program?
A) Use medical terminology throughout the presentation.
B) Provide take-home materials written at a 6th-grade level.
C) Extend the presentation to include as much information as
D) Avoid the use possible. of technology to display images and videos.
Answer: B) Provide take-home materials written at a 6th-grade level.
Rationale:
The AMA and the NIH recommend that take home documents are written at a 6-8 grade level
or lower to promote client understanding of the provided material.
18. An occupational health nurse is assessing a client who reports taking ibuprofen daily. The
nurse should counsel the client about the risk for which of the following adverse effects?
A) Urinary retention
B) Polycythemia
C) Hypokalemia
D) Gastric ulcerations
Answer: D) Gastric ulcerations
Rationale:
daily use of NSAIDs such as ibuprofen, increase the risk for gastric ulceration, perforation,
and hemorrhage.
19. AA public health nurse is developing a presentation for local day care providers about
infectious childhood diseases. Which statements should the nurse include
A) "Respiratory syncytial virus is spread through contact with respiratory secretions from an
infected person."
B) "Rotavirus infections in children peak during the summer months."
C) "Children who have fifth disease will exhibit bloody diarrhea."
D) "Antiviral medications shorten the duration of a shigella infection."
Answer: A) "Respiratory syncytial virus is spread through contact with respiratory secretions
from an infected person."
Rationale:

the nurse should include the statement in the presentation because respiratory syncytial virus
(RSV) is spread by direct contact with respiratory secretions while within 3 feet of a person
who is infected. Manifestations of RSV include dyspnea, tachypnea, coughing and wheezing.
20. AA home health nurse is planning care for the day. Which client should the nurse visit
first
A) An older adult client who was treated in the emergency department last night for a stage 3
pressure injury
B) A school-age child who was treated in the emergency department last night for status
asthmaticus
C) An older adult client who has a newly prescribed antihypertensive medication and needs a
BP check
D) A school-age child whose percuta neous endoscopic gastrostomy (PEG) tube needs
changing
Answer: School age child tx in ED last night for status asthmatics.
Rationale:
when using A,B,C approach to client care, the nurse should determine that the client who
recently experienced status asthmatics is the priority. Status can change rapidly, and at times,
intensive care monitoring is required.
21. AA nurse in a pediatric clinic is providing care to several clients. The nurse should
recognize that which condition is included on the Nationally Notifiable Infectious Condition
list
A) Rotavirus
B) Erythema infectiosum
C) Scarlet fever
D) Varicella
Answer: D) Varicella
Rationale:
the nurse should recognize that varicella is included on the Nationally Notifiable Infections
Conditions list. States voluntarily conduct surveillance and report instances of certain
diseases to the CDC so the data can be compiled and released each year.

22. AA nurse is performing a home visit for a client who has TB. As the nurse is leaving the
clients house a neighbor asks "is it true that my neighbor has TB?", which response should
the nurse make
A) "You should ask the public health department."
B) "Do you have questions about tuberculosis?"
C) "Have you ever been tested for tuberculosis?"
D) "You should take precautions against this infection."
Answer: B) "Do you have questions about tuberculosis?"
Rationale:
the response addresses the neighbor's concerns while protecting the client's confidentiality.
23. AA community health nurse is planning an educational program for farmers about
occupation health risk. Which risk should the nurse include
A) Hypertension
B) Diabetes mellitus
C) Cardiomyopathy
D) Respiratory disorders
Answer: D) Respiratory disorders
Rationale:
farmers are at an increased risk for respiratory disorders due to exposure to agricultural
chemicals, such as herbicides and pesticides. Other health risks for farmers include accidents
with vehicles and machinery, dermatitis, dental problems, and stress and anxiety disorders.
24. AA public health nurse is developing a visual health program by using a community
oriented approach. Which of the following interventions should the nurse include
A) Teach a client who has vision loss about safety in the home environment.
B) Provide genetic counseling to the family of a newborn who has congenital cataracts.
C) Consult with the local school nurse to schedule yearly vision screenings for students.
D) Develop a plan of care for a client who was newly diagnosed with glaucoma.
Answer: C) Consult with the local school nurse to schedule yearly vision screenings for
students.
Rationale:
consulting with the local school nurse to schedule yearly vision screenings for students
focuses on the health care of population rather than illness care for individuals.

There for, this intervention is using a community-oriented approach.
25. AA community health nurse is participating in a group session for clients who have
alcohol and substance use disorders. Which of the following information should the nurse
provide regarding support programs for these individuals
A) Alcoholics Anonymous (AA) is a support group that requires disclosure of attendance to
employers.
B) Narcotics Anonymous (NA) is a one-on-one program that assists clients.
C) Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with
developing a daily recovery program.
D) Narcotics Anonymous (NA) will cure a client from their substance use disorder if they
stays involved with the program.
Answer: Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with
developing a daily recovery program.
Rationale:
AA is a support group that will assist a client who has an addiction to alcohol and other
substances with developing a daily recovery program using a 12 step approach. AA's primary
purpose is to help the client obtain and maintain sobriety.
26. AA nurse is conducting a home visit with a client who reports a history of partner
violence. The nurse should ID that which of the following findings places the client at
greatest risk for partner violence
A) The client is at 13 weeks of gestation.
B) The client states they are leaving their partner.
C) The client recently started a new job.
D) The client visits friends without the partner's knowledge.
Answer: B) The client states they are leaving their partner.
Rationale:
a client's decision to leave their partner places them at greatest risk for partner violence
because the perpetrator can view the client as a possession and fear loss of control. Whether
the client actually leaves the relationship or just threatens to leave, the client is at greatest risk
for violence during this time.

27. AA nurse is developing a genogram for a client to determine edu needs. Which of the
following health risk info should the nurse expect to obtain with this tool
A) Biological
B) Behavioral
C) Social
D) Economic
Answer: A) Biological
Rationale:
a family genogram tracks the incidence of disease over multiple generations of a family and
will identify biological risk factors.
28. AA home health nurse is caring for a client who has breast cancer. Which of the following
assessment findings should the nurse ID as an indication that the client is coping effectively
A) Exhibits anhedonia
B) Makes eye contact
C) Sleeps 14 hr each day
D) Laughs inappropriately
Answer: B) Makes eye contact
29. AA nurse in a clinic is caring for a client who reports taking gingko biloba ... The nurse
should instruct the client that ginkgo biloba can alter the effects of which of the following
medications
A) Warfarin
B) Metoprolol
C) Digoxin
D) Diltiazem
Answer: A) Warfarin
Rationale:
ginkgo biloba can hinder coagulation. Therefore, the nurse should instruct the client that it
can alter the effects of warfarin.
30. AA nurse is caring for a client who has stage IV pancreatic cancer and has received info
regarding available treatment options. Which is the responsibility of the nurse if the client
chooses to forgo treatment and enter hospice care

A) Make the hospice referral in accordance with the client's decision.
B) Verify that the client's health insurance pays for hospice services.
C) Recommend a second opinion from another provider.
D) Assess whether or not the family agrees with the client's decision.
Answer: A) Make the hospice referral in accordance with the client's decision.
31. AA community health nurse ID an increase in the occurrence of osteoporosis- related
fractures in female clients who are experiencing menopause. Which primary prevention
strategy should the nurse implement
A) Advise the clients to avoid live-virus vaccines.
B) Encourage the clients to participate in weight-bearing activities.
C) Educate the clients about the importance of avoiding sun exposure.
D) Instruct at-risk clients to increase their intake of foods high in vitamin E.
Answer: B) Encourage the clients to participate in weight-bearing activities.
32. AA home health nurse is caring for a client who is immunocompromised due to
chemotherapy. Which of the following statements should the nurse make regarding food
safety
A) "Eat any leftovers within one week of preparation."
B) "Keep the inside of your refrigerator at 47 degrees Fahrenheit or below."
C) "Beef is the only meat that is acceptable to eat with a pink center."
D) "Frozen food should be cooked immediately after it is thawed."
Answer: D) "Frozen food should be cooked immediately after it is thawed."
Rationale:
the nurse should inform the client that frozen food should be thawed in a bowl in the
refrigerator and should be cooked as soon as it is thawed.
33. AA community health nurse is conducting a vision screening at a health fair for an older
adult client who has age-related macular degeneration. Which of the following statements
should the nurse ID as an indication that the client is adapting to the changes
A) "I have a prescription bottle magnifier to help me read my pill bottle labels."
B) "I cancelled all of my magazine subscriptions since I can't read them."
C) "I purchased green towels to use in my bathroom."
D) "I have learned that I cannot to go outside when the sun is

Answer: A) "I have a prescription bottle magnifier to help me read my pill bottle labels."
Reasoning bright." - the client can obtain a prescription bottle magnifier, or other low vision
optical devices, to assist with reading the labels on prescriptions, which helps the client to
remain independent.
34. AA school nurse is reviewing the records of four students who are returning to school
after being dx with MRSA. Which of the following actions should the nurse take
A) Coordinate an immunization clinic at the school.
B) Recommend prophylactic treatment for classmates.
C) Report the cases of MRSA to child protective services.
D) Provide education about MRSA throughout the school system.
Answer: D) Provide education about MRSA throughout the school system.
Rationale:
the nurse should provide education about hand hygiene and self-care to help prevent the
spread of MRSA throughout the school and community.
35. AA school nurse is conducting hearing screening procedures in an elementary school.
Which of the following instructions should the nurse provide when performing the Rinne test
A) "After I place the tuning fork on your scalp, tell me if you hear the sound better in one ear
or the same in both ears."
B) "Use your finger to close one ear while I whisper some numbers into your other ear."
C) "After I place this tuning fork behind your ear, tell me when you no longer hear the
sound."
D) "You'll wear headphones and press the button when you hear a sound."
Answer: A) "After I place the tuning fork on your scalp, tell me if you hear the sound better
in one ear or the same in both ears."
36. AA community health nurse is creating a program to reduce violence in the community.
which of the following interventions should the nurse ID as secondary prevention
A) Creating a public service announcement about the warning signs of partner abuse
B) Recognizing and reporting suspected abuse to the appropriate protective services
C) Collaborating with support agencies to ensure the ongoing treatment for abuse
D) Educating individuals and groups about preventing domestic and community abuse
Answer: B) Recognizing and reporting suspected abuse to the appropriate protective services

Rationale:
Secondary prevention is an intervention that focuses on early detection of a health problem to
facilitate early diagnosis and treatment. Recognizing and reporting suspected abuse facilitates
diagnosis and intervention, helping to prevent further abuse.
37. AA home health nurse is conducting a follow-up visit for a client who was recently
discharged from an acute rehab program for alcohol use disorder. Which of the following
actions should the nurse take
A) Tell the client to take naltrexone daily.
B) Instruct the client to take naltrexone buprenorphine for the next 9 to 12 months.
C) Teach the client to avoid foods that contain tyramine.
D) Schedule transcranial magnetic stimulation (TMS) biweekly.
Answer: Tell the client to take naltrexone daily.
Rationale:
the nurse should instruct the client to take naltrexone daily to decrease cravings for alcohol.
Naltrexone is prescribed to assist the client with alcohol withdrawal and prevent relapse.
38. A nurse in an ED is triaging clients following an explosion at a local factory. Which client
should the nurse ID as the priority
A) A client who has superficial burns to 10% of the abdomen
B) A client who has tracheal deviation and shortness of breath
C) A client who has agonal respirations and an open head injury
D) A client who has a fracture of the humerus and a bleeding foot laceration tracheal
Answer: B) A client who has tracheal deviation and shortness of breath
Rationale:
a client who has tracheal deviation and shortness of breath most likely have a pneumothorax
and requires immediate intervention for survival. Therefore, when using the survival
approach to client care, the nurse should give priority to this client.
39. AA public health nurse is providing info to a client who has alcohol use disorder and is
asking about tx. Which statement should the nurse ID as an indication that the client
understands the info
A) "I will not have to completely stop drinking alcohol if I go into an inpatient treatment
program."

B) "Once I make it through detoxification, I will be free of my addiction."
C) "I am not eligible for an outpatient program until I have completed an inpatient program
first."
D) "I can expect to get help with other aspects of my life while in treatment."
Answer: I can expect to get help with other aspects of my life while in treatment.
Rationale:
successful treatment of alcohol use disorder is more likely if the client receives help in other
areas of their life, such as their physical health, psychological wellbeing, and family
interactions.
40. AA community health nurse is working with a group of clients in a rural community who
are unable to afford health insurance. Which action is the best for the nurse to take tot
advocate for these clients
A) Encourage the clients to form various exercise groups based on community interest.
B) Perform weekly blood pressure screenings at the community center.
C) Work with local health care practitioners to establish a free clinic.
D) Provide for guaiac stool testing for clients who have a family history of colon cancer.
Answer: C) Work with local health care practitioners to establish a free clinic.
Rationale:
According to EBP, the nurse should work with local health care practitioners to establish a
free clinic in the rural community. Advocate for comprehensive care for this client population
to address the need for an affordable health care option, which will allow clients who do not
have health insurance to access a variety of primary, secondary, and tertiary location.
41. AA public health nurse is planning care for four clients. Which intervention should the
nurse recognize as tertiary prevention?
A) Providing chemoprophylaxis for malaria to a client who is traveling to mosquito-infested
countries
B) Performing a serological screening for HIV for a client who is pregnant
C) Participating in partner notification for a client who has an STI
D) Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis
jirovecii
Answer: D) Administering antibiotics to a client who has AIDS and was diagnosed with
Pneumocystis jirovecii

42. AA community health nurse has been contacted regarding a client dx of influenza type A
in adult day care. Which action should the nurse take to assist in the prevention of an
outbreak
A) Administer antiviral medication to clients at the facility.
B) Schedule immunizations for clients at the facility.
C) Recommend that the day care center close for 2 weeks.
D) Give immune globulin to clients at the facility who have early manifestations of influenza.
Answer: A) Administer antiviral medication to clients at the facility.
Rationale:
antiviral medication are administered to individuals who have been exposed to influenza type
A to provide immediate protection and to help prevent an outbreak.
43. AA home health nurse is evaluating a partner’s understanding of postop care of client who
had a total hip arthroplasty. Which of statement by the partner indicates an understanding of
the prescribed care
A) "I will let my partner skip exercises on days when the pain is increased."
B) "I will inspect the incision site every other day."
C) "I will place a heating pad at the incision site to help manage pain."
D) "I will remind my partner to use a walker when moving around in the house."
Answer: D) "I will remind my partner to use a walker when moving around in the house."
Rationale:
the client should use a walker when ambulating. The walker provides stability and support for
the client, decreasing the risk for falls.
44. A community health nurse is planning to develop a community health program. Which of
the following actions should the nurse take first
A) Review the literature.
B) Develop a budget.
C) Obtain resources.
D) Determine the need
Answer: D) Determine the need
Rationale:

when using the nursing process, the first step the nurse should take is to assess or determine
the need for a community program.
45. AA community health nurse is assessing a group of clients for risk factors of violent
behavior. Which finding should the nurse ID as a risk violent behavior
A) A client says they were spanked as a child.
B) A client reports getting a new job.
C) A client has a history of participating in volunteer activities.
D) A client lives in the rural community where they grew up.
Answer: A) A client says they were spanked as a child.
Rationale:
clients who have prior exposure to violence have a greater potential for continuing the violent
and abusive behavior.
46. AA public health nurse is conducting an edu session about Lyme disease for a group of
older adult clients at a senior center. Which statement should the nurse ID as an indication
that the clients understand the teaching
A) "I should get an annual immunization to prevent Lyme disease."
B) "I can take penicillin for 10 to 14 days to manage Lyme disease."
C) "I can get Lyme disease from a mosquito bite."
D) "I will have abdominal pain and diarrhea if I get Lyme disease."
Answer: B) "I can take penicillin for 10 to 14 days to manage Lyme disease."
Rationale:
A client who receives a diagnosis of Lyme disease in the early stages should respond to 10 to
14 days of penicillin or tetracycline therapy.
47. A nurse in an ED is caring for a client who is homeless and has hypothermia.
Which action should the nurse take
A) Notify the local law enforcement agency of the client's situation.
B) Initiate a referral to the facility's social worker.
C) Ask the client why they did not seek shelter sooner.
D) Tell the client everything will work out now that they are in the hospital.
Answer: B) Initiate a referral to the facility's social worker.
Rationale:

the nurse should refer the client to the facility's social worker or to an agency that can assist
the client with finding housing.
48. AA nurse in a community health clinic is preparing to administer an immunization to a
5yr old. Which action should the nurse take
A) Ask the child to pretend to blow up a balloon during the injection.
B) Reassure the child that the injection is not going to hurt.
C) Ask the child's parent to leave the room during the injection.
D) Request that the child count backwards from the number 10 during the injection.
Answer: C) Ask the child's parent to leave the room during the injection.
Rationale:
the nurse should ask the child to pretend to blow up a balloon during the injection. This
serves as a distraction for the child, which decreases pain perception.
49. AA public health nurse is planning an edu program for a group of nurses at community
health department about pertussis
A) Individuals should receive an annual influenza vaccine to minimize the risk for infection
with pertussis.
B) Newborns should receive the first dose of the diphtheria, tetanus, and acellular pertussis
(DTaP) vaccine prior to discharge from the hospital.
C) Individuals who have had pertussis do not require immunization.
D) Individuals transmit the pertussis bacteria through airborne
Answer: A) Individuals should receive an annual influenza vaccine to minimize the risk for
infection with pertussis.
50. AA nurse in a rural health clinic is caring for a client who has HF. The client states "I'm
not going to take any more heart medicine"
A) "Why did you decide to stop your heart medicine?"
B) "Can you tell me more about your decision to stop taking your medicine?"
C) "I think you should speak with your provider before you stop taking your medication."
D) "I understand your feelings, but you should trust your provider."
Answer: B) "Can you tell me more about your decision to stop taking your medicine?"
Rationale:

the nurse is asking an open ended question, which encourages continued communication and
allows the nurse to investigate the reasons why the client has decided to stop taking the
medicine.

VERSION 16
ATI RN COMMUNITY HEALTH ACTUAL EXAM (VERSION 1) QUESTIONS AND
CORRECT ANSWERS 2023-2024
UPDATE ALREADY A GRADED WITH EXPERT FEEDBACK
ATI Community Health Proctored
1. A community health nurse is providing teaching about nutrition guidelines to a group of
adolescents. Which of the following information should the nurse include in teaching?
A) Adolescents have a decrease need for calcium due to high milk intake
B) Appetite naturally increases during the adolescent years
C) 75% of adult bone mass is developed during the adolescent years
D) Empty calories provide 70% of the total calories consumed by adolescents
Answer: B) Appetite naturally increases during the adolescent years
2. An occupational health nurse is caring for a client who does not speak the same language
as the nurse. Which of the following actions should the nurse take first?
A) Validate the clients understanding of communicated information
B) Determine the client's primary language
C) Use common words and phrases when speaking to the client
D) Obtain a translator that is the same gender
Answer: B) Determine the client's primary language
3. A case manager is caring for a client who is being discharged following a total hip
arthroplasty. Which of the following actions is an example of the nurse functioning in the
negotiator role?
A) Providing social service with the list of needed referrals
B) Reporting safety concerns to the Home Health agency
C) Discuss payment options with various pharmacies
D) Schedule appointments for physical therapy services

Answer: C) Discuss payment options with various pharmacies
4. A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing.
Which of the following clients should the nurse manager include as an example of a client
who might manifest a false positive reading?
A) A client who has lived in a country where tuberculosis is endemic
B) A client who has undergone radiation therapy within last 3 years
C) A client who has acquired immune deficiency syndrome
D) A client who has received the Bacille Calmette-Guerin vaccine within the last 10 years
Answer: D) A client who has received the Bacille Calmette-Guerin vaccine within the last 10
years
5. A school nurse is planning primary prevention activities for the new school year. Which of
the following should the nurse include? (Select all that apply)
A) Lobbying for funding for health promotion efforts
B) Recommending a seating arrangement for a child in a body cast
C) Teaching a class about the risks of cigarette smoking
D) Create a plan of care for children who have a diagnosis of diabetes mellitus
E) Organizing a program to promote skateboard safety
Answer: A) Lobbying for funding for health promotion efforts
C) Teaching a class about the risks of cigarette smoking
E) Organizing a program to promote skateboard safety
6. A recently hired occupational health nurse is assessing hazards in the work environment.
Which of the following actions will help the nurse detect physical hazards?
A) Identify industrial toxins that are present in the environment
B) Measure noise levels at various locations in the facility
C) Track rates of illness caused by infection among employees
D) Survey workers about job-related emotional stress
Answer: B) Measure noise levels at various locations in the facility
7. A hospice nurse is planning care for a client who follows traditional American Indian
practices. Which of the following actions should the nurse take?
A) Discuss safe use of herbal medications

B) Provide direct eye contact when communicating with the client's family
C) Face the client’s bed towards the east
D) Develop a list of appropriate hot and cold food choices
Answer: A) Discuss safe use of herbal medications
8. A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement?
A) Provide coffee and snacks during the meetings
B) Avoid discussing the traumatic event experienced by the veterans
C) Teach the clients to practice deep breathing exercises
D) Change the meeting sites frequently
Answer: C) Teach the clients to practice deep breathing exercises
9. A group of technicians from a local automotive repair shop presents to an urgent care clinic
with reports of dizziness, headaches, and nausea. After providing need to care for the clients
which of the following government agencies should the nurse notify to follow up on these
reports?
A) OSHA
B) Center for Disease Control
C) Environmental Protection Agency
D) Department of Health and Human Services
Answer: A) OSHA
10. A nurse is providing teaching to a 50-year-old female client. Which of the following
statement should the nurse include in teaching?
A) You should have your fasting blood glucose level checked every 6 years
B) You should have your hearing screen every 5 years
C) You should have complete eye examination every two years until the age of 64
D) You should have your stool tested for blood every other year until the age of 74
Answer: C) You should have complete eye examination every two years until the age of 64
11. A nurse is caring for a client who asks, “Can I decide not to continue with
chemotherapy?” The nurse response is, “This is your choice, and I'll support whatever

decision you make.” The nurse’s response is an example of which of the following ethical
principles?
A) Beneficence
B) Nonmaleficence
C) Veracity
D) Autonomy
Answer: D) Autonomy
12. A nurse manager at a clinic is reviewing the preventive services offered to clients. Which
of the following activities should the nurse identify as secondary prevention activity?
A) Advocate for laws that prohibit texting while driving
B) Provide a smoking cessation class
C) Refer a client who is recovering from substance abuse disorder to a social service program
D) Encourage a pregnant client to participate in prenatal care
Answer: D) Encourage a pregnant client to participate in prenatal care
13. An occupational health nurse is discussing health promotion with a client who has a
history of obesity. Which of the following comment indicates the client is using
rationalization as a coping mechanism?
A) I am obese because it is in my genes
B) I know you don't like me because I'm obese
C) I have lots of health problems from being obese
D) I have difficulty resisting the items in vending machine
Answer: A) I am obese because it is in my genes
14. A home health nurse is evaluating an older client. Which of the following assessment
findings should the nurse report as a possible indicator of elder abuse?
A) The client attends Alcoholics Anonymous meetings
B) The client exhibits extreme thirst
C) The client receives in home meal delivery
D) The client reports that his son no longer visits
Answer: B) The client exhibits extreme thirst

15. A nurse in a health department is participating in an immunization clinic. The nurse
should identify that which of the following children requires an alteration in the standard
immunization schedule?
A) An 18-month-old toddler who has failure to thrive
B) A three-year-old toddler has leukaemia
C) A four-month-old infant who has Down syndrome
D) A 12- month-old infant who has sickle cell disease
Answer: D) A 12- month-old infant who has sickle cell disease
16. The partner of an older adult client who has Alzheimer's disease reports that he is not
eating. The home health aide tells the nurse that the client’s partner refuses to assist the client
with feeding. The partner insists that the client feeds himself without help. Which of the
following is the priority action the nurse should take?
A) Determine the client's ability to self-feed
B) Refer the client’s partner to an Alzheimer's support group
C) Arrange for meals-on-wheels assistance
D) Direct the home health aide to assist with meals
Answer: A) Determine the client's ability to self-feed
17. The first response team is working at the location of a bombing incident. A nurse triaging
in the group of clients should give treatment priority through which of the following clients?
A) A client who is ambulatory and exhibits manic behavior
B) A client who has a rigid abdomen and manifestations of shock
C) A client who has a femur fracture and a 2 + pedal pulse
D) A client who has superficial partial thickness burn injuries over 5% of his body
Answer: B) A client who has a rigid abdomen and manifestations of shock
18. A client arrives at a mental health clinic and tell the nurse that she has no purpose in life.
Which of the following is the nurse’s priority response?
A) How long have you been feeling this way?
B) Do you really think your life has no purpose?
C) Tell me what is going on with you right now?
D) Have you been thinking about harming yourself?
Answer: D) Have you been thinking about harming yourself?

19. A community health nurse is teaching a group of adolescent clients about substance use
disorders. Which of the following statements by a client indicates an understanding of the
teaching?
A) Barbiturates cause an increase in heart rate
B) Opioids cause a decrease in respiratory rate
C) Anabolic steroids stimulate the immune system
D) Amphetamines alleviate symptoms of depression
Answer: B) Opioids cause a decrease in respiratory rate
20. A nurse case manager is providing discharge planning for a client. The nurse is
functioning in which of the following roles when arranging for the delivery of medical
equipment to the client's home?
A) Systems allocator
B) Coordinator
C) Consultant
D) Advocate
Answer: B) Coordinator
21. A nurse is providing teaching to a newly licensed nurse about case management. The
nurse should include that which of the following tasks is the responsibility of the case
manager?
A) Teach smoking cessation support group
B) Perform employee risk assessments
C) Evaluate the cost effectiveness of client’s treatments
D) Enforce OSHA standards in the workplace
Answer: C) Evaluate the cost effectiveness of client’s treatments
22. A home health nurse is making a home safety evaluation visit for an older client who was
recently discharged from the facility after receiving a diagnosis of diabetes mellitus. Which of
the following findings indicate a need for corrective intervention? SATA
A) A red light is kept on in the bedroom at night
B) An extension cord extends across the floor from an outlet to the floor lamp
C) The water heater is set at 130 degrees Fahrenheit

D) A rubber backed bathmat is on the floor outside the shower
E) The floors of the house are made of wood.
Answer: C) The water heater is set at 130 degrees Fahrenheit
23. A community health nurse is planning to use web-based information resources in the care
of a client who is undergoing dialysis. Which of the following criteria should the nurse
consider selecting an appropriate resource for the client?
A) The website is sponsored by Health Care political action committee
B) The website provides a peer review process for publishing information
C) The website is hosted by a dialysis equipment Marketing Group
D) The website is updated every 5 years
Answer: D) The website is updated every 5 years
24. A public health nurse addresses community leaders at a forum about Community
Improvement. The nurse should identify that which of the following groups is being the
fastest growing segment of the homeless population?
A) Families who have children
B) Men who are unemployed
C) People who have substance use disorders
D) Adolescent Runaways
Answer: A) Families who have children
25. A home health nurse is teaching a client about the safe use of crutches. Which of the
following information should the nurse include in the teaching?
A) Wipe the rubber crutch tips to remove moisture
B) Wear leather soled shoes when walking with crutches
C) Lean forward while walking with crutches
D) Support body weight on the axillae
Answer: A) Wipe the rubber crutch tips to remove moisture
26. A community health nurse is caring for a client who has a new diagnosis of go nor rhea.
Which of the following actions should the nurse take?
A) Obtain a blood culture
B) Change the client about application of imiquimod cream

C) Administer metronidazole 500 mg PO
Answer: A) Wipe the rubber crutch tips to remove moisture
27. A community health clinic is planning annual goals. Which of the following outcomes
addresses the ethical principle of distributive justice?
A) Clients verbalize their right to refuse treatment
B) Clients understand the right to confidentiality
C) Clients Medicare benefits when eligible
D) Clients demonstrate completion of advance directives
Answer: C) Clients Medicare benefits when eligible
28. A community health nurse is planning a program for young adults about STI prevention.
Which of the following actions should the nurse take preparing for this program?
A) Identify topics with Health Department nurses
B) Develop content appropriate to learner needs
C) Arrange for computer-assisted learning
D) Collect data to identify learner current knowledge base
Answer: B) Develop content appropriate to learner needs
29. A community health nurse notes that 6 new cases of diabetes mellitus have been reported
in the past3 months. In the previous year, 5 cases are reported. The population of the
community is 15000 people. Which of the following is the prevalence proportion for the
community?
A) 73.3/100,000
B) 0.9/100,000
C) 40.0/100,000
D) 33.3/100,000
Answer: A) 73.3/100,000
30. A community health nurse is teaching a group of parents about manifestations of alcohol
withdrawal. Which of the following manifestations should the nurse include in teaching?
A) Hypotension
B) Hyperglycemia
C) Seizures

D) Somnolence
Answer: C) Seizures
31. A Community Health nurse is working with a migrant population. The nurse should
recognize that which of the following interventions is necessary to provide care to the
population?
A) Providing health services at work sites
B) Treating clients on a fee-for-service basis
C) Requiring clients to show a work visa before they receive care
D) Offering health screenings at a community center
Answer: A) Providing health services at work sites
32. A nurse is working with parent suspected of child abuse recognizes that the social factor
most predictive of abusive behavior is which of the following?
A) Inadequate living conditions
B) Social isolation
C) Relationship difficulties
D) Prior exposure to violence
Answer: D) Prior exposure to violence
33. A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus.
Which of the following actions should the nurse take first?
A) Teach the client about appropriate food choices
B) Refer the client to diabetes mellitus support group
C) Identify the client’s dietary preferences
D) Develop a nutritional program
Answer: C) Identify the client’s dietary preferences
34. A nurse is assessing an outbreak of mumps among school-age children. Using the
epidemiological triangle, the nurse should recognize that which of the following is the host?
A) The virus
B) The children
C) The vaccine
D) The school

Answer: B) The children
35. Which of the following federal agencies should a community health nurse seek guidance
from regarding a public building that has asbestos leaking from rips in the heating duct
insulation?
A) National Institutes of Health
B) Environmental Protection Agency
C) Centers for Disease Control and prevention
D) Department of Health and Human Resources
Answer: B) Environmental Protection Agency
36. A nurse educator is teaching a group of newly licensed nurses about maintaining client
confidentiality according to HIPAA regulations. Which of the following statements by a
newly licensed nurse indicates an understanding of the teaching?
A) We should share our computer passwords with our manager
B) A client's diagnosis can be posted on the communication board inside the client’s room
C) HIPAA rules vary from state to state
D) HIPAA rules allow clients to receive a copy of their medical records
Answer: D) HIPAA rules allow clients to receive a copy of their medical records
37. During a home health visit, a school-age child who has muscular dystrophy confides in
the nurse that he was struck by his parent. Which of the following actions should the nurse
take first?
A) Report the incident to local authorities
B) Check the client for injuries
C) Refer the parent to Social Service Agency
D) Enroll the parent in anger management classes
Answer: B) Check the client for injuries
38. A nurse is caring for a client who is homeless. Which of the following actions should the
nurse take first?
A) Determine the client's understanding of her living situation
B) Discuss the risks of being homeless with the client
C) Assist the client to develop goals for obtaining shelter

D) Develop client teaching using a variety of strategies
Answer: A) Determine the client's understanding of her living situation
39. A nurse in a clinic is reviewing home safety precautions with a client who is to begin
radioactive iodine therapy. Which of the following statements of the client indicates an
understanding of the teaching?
A) I will wait one week after treatment to use a laxative
B) I will allow my granddaughter to visit for 4 hours daily
C) I will use cloth handkerchiefs instead of tissues
D) I will use a toilet that is not used by others in my family
Answer: D) I will use a toilet that is not used by others in my family
40. A nurse is conducting a community assessment. Which of the following information
should the nurse include as part of the windshield survey?
A) Demographic data
B) Informant interviews
C) Housing quality
D) Mortality rate
Answer: C) Housing quality
41. During a routine school visit to physical education class, a nurse receives multiple reports
of shortness of breath, coughing, and nausea. Which of the following actions should the nurse
take first?
A) Establish a triage area
B) Notify the parents of the students
C) Contact the local Health Department
D) Administer oxygen therapy
Answer: A) Establish a triage area
42. A school nurse is caring for a child who has Muscular Dystrophy and is having difficulty
swallowing at lunch. Which of the following referrals should the nurse initiate?
A) Occupational therapist
B) Respiratory therapist
C) Dietitian

D) Speech language therapist
Answer: D) Speech language therapist
43. A home health nurse is reviewing messages from a group of clients. Which of the
following clients should the nurse contact first?
A) A client reports that her new colostomy stoma appears purple
B) A mother who reports that her son vomited after a dose of Methylphenidate
C) A client who has COPD and reports oxygen saturation of 90%
D) A client who reports feeling a vibration in his new internal arteriovenous graft for dialysis
Answer: A) A client reports that her new colostomy stoma appears purple
44. A school nurse is planning safety education for a group of adolescents. The nurse should
give priority to which of the following topics as leading cause of death for this age group?
A) Gun safety
B) Sports injury prevention
C) Motor vehicle safety
D) Substance abuse prevention
Answer: C) Motor vehicle safety
45. A nurse in a community health center is counseling a group of clients who are currently
experiencing intimate partner abuse. Which of the following strategies is a priority for the
nurse to include in the counseling?
A) Providing referrals for legal counseling
B) Identifying a primary support person
C) Using stress management techniques
D) Developing an escape plan
Answer: C) Using stress management techniques
46. A public health nurse is assisting a client who is a recent immigrant. The client refuses
assistance from community resources. Which of the following actions should the nurse take
to provide culturally appropriate care?
A) Explain that the client must use the available resources
B) Learn more about the client Ethnic values
C) Review the client's current health practices

D) Use a family member as an interpreter when discussing services
E) Use relevant nonverbal communication techniques
Answer: B) Learn more about the client Ethnic values
47. A community health nurse is teaching a group of older clients about hypertension. The
nurse should identify that which of the following clients has a barrier to learning?
A) Fear of public speaking
B) Low literacy
C) Limited experience
D) Lack of credibility
Answer: B) Low literacy
48. A nurse is reviewing data for communicable diseases in a rural health region. Which of
the following data should the nurse identify as factor affecting the spread of communicable
diseases?
A) An increase in migrant farm workers living in the community
B) An antigenic shift in the composition of strain of influenza
C) A decrease in the number of ambulatory clinics in the area
D) A change in the prevalence of older adults obtaining the pneumococcal vaccine
Answer: D) A change in the prevalence of older adults obtaining the pneumococcal vaccine
49. A nurse working in an infectious disease clinic is caring for a client who has a new
diagnosis of Lyme disease. Which of the following agencies are responsible for voluntarily
reporting cases of this disease to the Centers for Disease Control and prevention?
A) Office of the Surgeon General
B) Local Red Cross chapter
C) Hospital infection control Department
D) State Health Department
Answer: D) State Health Department
50. A nurse is working with a case manager for a client who participates in health
maintenance organization. The nurse should identify that a health maintenance organization
provides which of the following payment structures?
A) The provider is paid a fixed sum for the client on a monthly or yearly basis

B) The client pays the insurer percentage of the total cost for each service rendered by the
provider
C) The client is participating in a fee-for-service health care insurance program
D) The provider bills the client directly for the predetermined percentage of the cost of
services
Answer: A) The provider is paid a fixed sum for the client on a monthly or yearly basis
51. A nurse is discussing short and long-term goals with a client who has alcohol use disorder
and has been admitted to a treatment facility. Which of the following statements is
appropriate for the nurse to include in the discussion?
A) Remaining physically active will help to minimize drowsiness and chills associated with
initial alcohol withdrawal
B) He will be taking a once weekly dose of disulfiram to help control withdrawal symptoms
during treatment
C) He will begin learning functional skills to replace his defense mechanisms and behaviors
while in treatment
D) Attending AA meetings will help you identify a role model to assist you with making
needed changes
Answer: C) He will begin learning functional skills to replace his defense mechanisms and
behaviors while in treatment
52. A nurse manager is reviewing the disaster plan at a long-term care facility. Which of the
following is the most comprehensive method for the nurse to determine the effectiveness of
the plan?
A) Use in-services to have the staff discussed various disaster scenarios
B) Test staff to determine their knowledge of the principles of the plan
C) Analyze findings from a facility tabletop disaster simulation
D) Review how the staff implements the plan during a hands-on practice drill
Answer: D) Review how the staff implements the plan during a hands-on practice drill
53. A parish nurse is planning activities for a faith-based community. Which of the following
activities should the nurse include?
A) Offer primary care to uninsured members
B) Change a negative pressure wound therapy dressing

C) Teach stress management strategies
D) Provide case management
Answer: C) Teach stress management strategies
54. A community health nurse is educating a parent about the importance of hepatitis B
immunization. Which of the following explanations should the nurse give to the parent about
the disease?
A) One dose of the immunization gives children life-long protection from hepatitis B
B) Hepatitis B spreads easily among children through casual contact
C) Many people who acquire acute hepatitis B develop chronic hepatitis
D) People who have had a Hepatitis B infection still need the immunization
Answer: C) Many people who acquire acute hepatitis B develop chronic hepatitis
55. A nurse working in an assisted care facility is developing a disaster plan. Which of the
following is the first action the nurse should take?
A) Verify dates on the annual community-wide mass casualty drill
B) Determine potential environmental health hazards
C) Develop response strategies specific to older adults
D) Identify materials needed for staff and resident education
Answer: B) Determine potential environmental health hazards
56. A home health nurse is providing teaching to a client who has diabetes mellitus about
proper disposal of insulin syringes. Which of the following statements by the client indicates
an understanding of the teaching?
A) I will discard the syringes in a metal container
B) I will store use syringes in a biohazard bag before discarding
C) I will take containers of used syringes to the local recycling center
D) I will wear gloves when I discard the syringes
Answer: A) I will discard the syringes in a metal container
57. A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which
of the following statements by the client indicates teaching has been effective?
A) I will have a repeat tuberculin skin test every 6 weeks
B) I will be contagious until I have completed the full medication regimen

C) I will be taking medication daily for least 6 months
D) I will need to have a special HEPA filter installed in my home
Answer: C) I will be taking medication daily for least 6 months
58. A community health nurse is in the initial phase of planning a smoking cessation program.
Which of the following is the first action the nurse should take?
A) Determine the prevalence of smoking in the community
B) Formulate objectives for the smoking cessation program
C) Gain community support for the program
D) Evaluate the methods of successful smoking cessation programs
Answer: A) Determine the prevalence of smoking in the community
59. A hospice nurse is concerned that the partner of a client is experiencing caregiver burden.
Which of the following actions should the nurse take first?
A) Teach the partner about getting enough rest
B) Suggest an assistive personnel visits daily to provide client care
C) Encourage the partner to invite family members to assist with client care
D) Explore possible solutions with the partner
Answer: A) Teach the partner about getting enough rest
60. A nurse volunteering at a local community center is addressing a variety of health needs
with a group of older adult clients. Which of the following interventions should the nurse
identify as a tertiary prevention strategy?
A) Holding a cooking class that focuses on low sodium meals
B) Calculating the BMI of all clients
C) Providing a class on living with arthritis
D) Distributing literature regarding signs and manifestations of a stroke
Answer: C) Providing a class on living with arthritis

VERSION 17

1. A community health nurse observes the accumulation of garbage at a neighborhood
playground. Which of the following actions should the nurse take to promote a clean and safe
environment?
A) Work with local businesses to sponsor more trash receptacles in the playground
B) Meet with community members to discuss methods of playground maintenance
C) Partner city officials with community members to improve playgrounds condition
D) Engage neighborhood families to monitor the playground for further trash buildup
Answer: B) Meet with community members to discuss methods of playground maintenance
2. A nurse is planning the initial home visit for a client who has dementia and lives with his
adult son’s family. Which of the following actions should the nurse take during the visit?
A) Educate the family regarding the progression of dementia
B) Engage the family in informal conversation
C) Provide the family with info about respite care
D) Encourage the family to join a support group
Answer: B) Engage the family in informal conversation
3. Manifestation of alcohol withdrawal:
A) Bradycardia
B) Hypothermia
C) Insomnia
D) Increased appetite
Answer: C) Insomnia
4. Enzyme-linked immunosorbent assay testing for HIV. What info should the nurse include?
A) The test measures serum antibodies to the virus
B) Test results are accurate 24 hr after exposure to the virus
C) Positive result requires initiating immunoglobulins
D) Test monitors progression of the disease
Answer: A) The test measures serum antibodies to the virus
5. A nurse is working with a community healthcare team to devise strategies for preventing
violence in the community. Example of tertiary prevention?
A) Assess risk factors of intimate partner abuse during health exams

B) Present education programs about stress management
C) Urge community leaders to make nonviolence a priority
D) Develop resources for victims of abuse
Answer: D) Develop resources for victims of abuse
6. Several nurses are developing a parish nurse group to help adjust the primary and
secondary health care needs of a congregation. Which of the following Services should the
nurses plan to provide to the congregation?
A) provide end-of-life care for members who are terminal
B) perform wound care in the home of members
C) facilitate discharge from the facility to the home
D) organize an influenza immunization clinic with American Red Cross
Answer: D) organize an influenza immunization clinic with American Red Cross
7. A client who has diabetes mellitus asks a home health nurse to help her adapt some of her
traditional cultural foods to fit her meal plan. Which of the following is the first action the
nurse should take when assisting this client?
A) Explain the diabetes exchange list
B) use cookbooks to include traditional foods and meal plans
C) observe the client during preparation of traditional foods
D) provide the client with printed recipes
Answer: A) Explain the diabetes exchange list
8. A school nurse is implementing Health screenings. Which of the following assessment
findings should the nurse recognize as the highest priority?
A) A child who has nits
B) An Adolescent who has scoliosis
C) and Adolescent who has psoriasis
D) a child who has a BMI of 18
Answer: A) A child who has nits
9. A 35 year old client who has a diagnosis of tuberculosis informs the provider's office that
she is unable to pay for the treatment. Which of the following actions by the nurse will
facilitate obtaining appropriate treatment?

A) Explore options for alternative Therapies
B) arrange for medication through local agencies
C) send the clients to the nearest facility for further evaluation
D) help the client apply for Medicare
Answer: D) help the client apply for Medicare
10. A home health nurses scheduled for first-time visit to a client. Which of the following
should the nurse perform first?
A) Mental status examination
B) review of the neighborhood
C) family history
D) blood pressure screening
Answer: A) Mental status examination
11. A nurse is working in a shelter following a disaster. Which of the following is the priority
action for the nurse to take?
A) Explore feelings the clients are experiencing
B) create diversionary activities for children
C) help clients gather needed supplies
D) address the physical needs of clients
Answer: D) address the physical needs of clients
12. A nurse is providing education to the family of a school-age child who has pertussis.
Which of the following information should the nurse include in the teaching?
A) Household contacts will receive prophylactic antibiotics
B) transmission will be limited because of the herd immunity
C) the child is most contagious after the rash develops
D) a dehumidifier should be placed beside the child's bed
Answer: A) Household contacts will receive prophylactic antibiotics
13. A community nurse is planning a smoking cessation class. Which of the following factors
will have the greatest effect on the success of the class?
A) Client education level
B) presenters teaching strategies

C) presenters credibility
D) clients motivation
Answer: D) clients motivation
14. A nurse is planning a program about healthy eating at an elementary school where most
students select French fries and pizza at lunch every day. Which of the following actions
should the nurse plan to take first?
A) Provide students with resources about making wise choices independently
B) help students recognize the value of making healthy food choices
C) give positive feedback to students who make appropriate choices
D) determine student’s motivation to learn about healthy food choices
Answer: A) determine student’s motivation to learn about healthy food choices
15. A community health nurse is caring for clients in a culturally diverse Community. Which
of the following actions demonstrates accurate cultural knowledge about a specific cultural
group?
A) Maintaining eye contact when interviewing a Native American client
B) including both hot and cold food items on a Hispanic client menu
C) touching the hair of an African American client during an assessment
D) offering to shake hands when meeting an Asian client of the opposite gender
Answer: B) including both hot and cold food items on a Hispanic client menu
16. A nurse manager in a local community health agency is creating job description for a new
nurse who will practice community-oriented nursing. Which of the following should the
nurse include in the job description? Select all that apply
A) provide wound care for clients in their homes
B) participate in local Health surveillance activities
C) initiate support groups for parents of autistic children
D) provide health-related education to community groups
E) Investigate potential health and environmental issues
Answer: B) participate in local Health surveillance activities
C) initiate support groups for parents of autistic children
D) provide health-related education to community groups
E) Investigate potential health and environmental issues

17. The community health nurse is interviewing a client who reports intimate partner abuse.
Which of the following actions should the nurse take?
A) Assist the client to create a plan of Escape
B) ask 3 nurses of the same gender as the client to participate in the interview
C) communicate disapproval of the partners actions
D) record a summary of the clients description of the event
Answer: D) record a summary of the clients description of the event
18. A nurse is caring for a client who is having difficulty performing activities of daily living.
The nurse is functioning in which of the following rules when arranging for an occupational
therapist to visit the client?
A) Administrator
B) nurse consultant
C) case manager
D) Clinician
Answer: C) case manager
19. A nurse in a mobile Health Clinic is caring for a client who requires a tetanus
immunization and is accompanied by his daughter. The client does not speak the same
language as the nurse. Which of the following actions should the nurse take?
A) Arrange for the member of the client’s community to interpret the teaching
B) identify the clients spoken dialect prior to contacting an interpreter
C) have the clients daughter communicate information about the procedure
D) use professional terminology when providing education prior to the procedure
Answer: B) identify the clients spoken dialect prior to contacting an interpreter
20. A parish nurse is counseling a family following a client's recent diagnosis for heart
disease. Which of the following actions should the nurse take first?
A) Discuss the benefits of eating a well-balanced diet with the client's family
B) assist the client and the clients partner with finding an affordable exercise program
C) Ask family members about the impact of the disease and relationships within the family
D) offer to accompany the client and the client partner during healthcare provider visits

Answer: C) Ask family members about the impact of the disease and relationships within the
family
21. A nurse is preparing an educational program about breastfeeding for a group of new
parents. The nurse should use which of the following is structural strategies to promote
psychomotor learning?
A) facilitated Discussion Group about the benefits of breastfeeding
B) provide dolls for the participants to demonstrate positioning
C) show the group of video on breastfeeding techniques
D) review flashcards identify holding techniques with the group
Answer: B) provide dolls for the participants to demonstrate positioning
22. A Community Health Clinic nurse manager is reviewing the incidence rate of chlamydia
in the state. In a given year 3144 new cases were reported and the population was estimated
at 325986. Which of the following is the incidence rate in the state for the year?
A) about 10 reported cases per 1000 population
B) about three reported cases per 10,000 population
C) about 300 reported cases per 100,000 population
D) about one reported case per 10,000 population
Answer: A) about 10 reported cases per 1000 population
23. In the last month, three cases of tuberculosis have been referred to the health department.
Which of the following is a priority information for the community health nurse to obtain
from each client?
A) Household members
B) health history
C) Demographics
D) Occupation
Answer: A) Household members
24. A nurse is providing education to a group of adolescents who are pregnant and attending
High School. Which of the following information should the nurse include in the teaching?
A) The incidence of higher birth weight infants is higher in adolescent pregnancy
B) pregnant adolescents need to gain less weight than adult mothers

C) Caffeinated beverages should be replaced with caffeine-free beverages
D) the need for supplemental folic acid is greatest during the third trimester
Answer: C) Caffeinated beverages should be replaced with caffeine-free beverages
25. A nurse is working to reduce individual and family violence in the local community.
Which of the following actions by the nurse demonstrates a primary prevention strategy to
achieve this goal?
A) Assessing a family for marital Discord
B) providing treatment for a young adult who has substance use disorder
C) teaching parenting techniques to new parents
D) conducting counseling for at-risk parents
Answer: C) teaching parenting techniques to new parents
26. A community health nurse is providing screening for lipid disorders. Which of the
following is the primary goal of this activity?
A) Client enrollment and prevention programs
B) early detection of disease
C) identification of family history of medical problems
D) promotion of appropriate Lifestyle Changes
Answer: B) early detection of disease
27. A community health nurse is planning a program for adolescents about preventing STIs.
Which of the following actions should the nurse take first?
A) Establish methods to evaluate program outcomes
B) obtain visual aids that feature adolescence
C) provide computer-based education
D) collect data to identify barriers to learning
Answer: D) collect data to identify barriers to learning
28. A community health nurse is planning an educational program for a group of women who
are post-menopausal. which of the following outcomes is appropriate for this program?
A) Clients will schedule bone density screens
B) clients will start hormone replacement therapy
C) clients will arrange for a mammogram every 3 years

D) clients will significantly decrease caloric intake
Answer: A) Clients will schedule bone density screens
29. A home health nurse manager is caring for a client who has methicillin-resistant
staphylococcus aureus. Which of the following actions should the nurse take?
A) remove fresh flowers from the clients room
B) double bag soil dressing in polyethylene bags
C) wear a mask when within 3 feet of the client
D) Advise the client to use a HEPA filter in the house
Answer: B) double bag soil dressing in polyethylene bags
30. A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the
following information should the nurse include in teaching?
A) Notify anyone with whom you had sexual contact over the past 2 months
B) you might experience painful urination until the infection has resolved
C) once you complete treatment, you'll have an acquired immunity against chlamydia
D) you will need to take an antiviral medication for 30 days
E) you should avoid sexual contact until therapy is complete
Answer: E) you should avoid sexual contact until therapy is complete
31. A clinic nurse is assessing a client who has the measles. Which of the following findings
should the nurse expect?
A) Muscle aches and tenderness
B) persistent low-grade temperature
C) rash confined to the trunk of the body
D) koplik spots inside the mouth
Answer: D) koplik spots inside the mouth
32. A nurse at a shelter assisting with client triage after tornado destroyed a community.
Which of the following clients should receive Priority Care?
A) A school-age client who has a head abrasion
B) an adult client who is short of breath
C) an infant client who is crying
D) an older adult client who has a fractured arm

Answer: B) an adult client who is short of breath
33. A government official reports to the health department that an employee was possibly
exposed to Anthrax. Which of the following actions should the public health nurse take?
A) Refer co-workers who might have been exposed to a provider for prophylactic antibiotics
B) Alert all of the family members of co-workers about their possible exposure to anthrax
C) instruct the client to wear a mask at work
D) place the employee under quarantine for 14 days
Answer: A) Refer co-workers who might have been exposed to a provider for prophylactic
antibiotics
34. A home health nurse is visiting a client who has had a stroke 2 months ago. Which of the
following findings should the nurse report to the interprofessional care team?
A) the client Bears weight on her arms when using the crutches
B) the clients caregiver bills a pill organizer weekly
C) the client coughs when swallowing her medications
D) the client dresses her affected side first
Answer: C) the client coughs when swallowing her medications

VERSION 18
1. A home health nurse is providing teaching to the guardian of a child who has leukemia
about methods to prevent complications. Which of the following statements by the guardian
indicates an understanding of the teaching?
A) I’m sure my child will feel better now that he can ride his bike
B) I should inspect my child’s mouth for sores
C) I should take my child’s rectal temperature daily
D) I will make sure my child gets his MMR vaccination this week
Answer: B) I should inspect my child’s mouth for sores
2. A school nurse is planning a safety education for a group of adolescent’s. The nurse should
give priority to which of the following topics as the leading cause of death in this age group?
A) Gun safety

B) Motor vehicle safety
C) Substance abuse prevention
D) Sports injury prevention
Answer: B) Motor vehicle safety
3. A case manager is completing discharge planning for a client who has ETOH use disorder
and cirrhosis of the liver. Which of the following actions should the case manager take first?
A) Contact a social worker to assist the client with managing finances.
B) Provide client information on self-help groups for ETOH use disorder
C) Determine which home safety measure the client will need to implement
D) Arrange for a home health nurse to visit the client following discharge.
Answer: B) Provide client information on self-help groups for ETOH use disorder
4. A nurse in a community clinic is preparing and educational guide about cultural variances
in expression of pain. Which of the following information should the nurse include?
A) Puerto Rican cultural practices include the view that outspoken expression of pain is
shameful.
B) Middle eastern cultural practices include hiding pain from close family members
C) Native Americans cultural practices include being outspoken about pain.
D) Chinese cultural practices include enduring pain to prevent family dishonor.
Answer: D) Chinese cultural practices include enduring pain to prevent family dishonor.
5. A faith based organization asks a community health nurse to develop mobile meal program
for older adults who are no longer driving. Which of the following should the nurse plan to
take first?
A) Inquire about availability of volunteers
B) Perform a needs assessment
C) Determine potential funding sources for the program.
D) Identify alternative solutions to address concerns.
Answer: B) Perform a needs assessment
6. A home health nurse is assessing a client who has AIDS. Which of the following responses
by the client indicates a risk for suicide?
A) I know that everything will be better soon

B) I don’t want to lose control of my ability to make decisions.
C) I’m afraid of experiencing pain near the end.
D) I’m relying on my partner more and more for support.
Answer: A) I know that everything will be better soon
7. A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the
following statements by the nurse demonstrates a primary prevention strategy?
A) Avoid direct sunlight b/t 10am-4pm
B) Apply cool tap water soaks for 20 mins to relieve sunburn
C) Use acetaminophen as needed for sunburn
D) Ensure you have a yearly skin examination with your provider
Answer: A) Avoid direct sunlight b/t 10am-4pm
8. A nurse is conducting home visits to postpartum adolescents who participated in prenatal
parenting classes. Which of the following statements indicates an understanding of the
teaching?
A) I warm my baby bottle in the microwave 30 seconds at a time
B) I limit the time her grandparents cuddle my baby to prevent spoiling
C) I carry my baby with me as I move around the house
D) I use baby talk when talking to my baby
Answer: D) I use baby talk when talking to my baby
9. A home health nurse is planning the initial home visit for a client who has dementia and
lives with his adult son’s family. Which of the following actions should the nurse take first
during the visit?
A) Encourage the family to join a support group
B) Provide the family about respite care
C) Engage the family in informal conversation
D) Educate the family regarding the progression of dementia
Answer: D) Educate the family regarding the progression of dementia
10. A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the
following is an example of tertiary prevention.
A) Promoting the use of helmets with children who ride bikes

B) Providing STI testing for students on a college campus
C) Teaching about inhaler use in a client who has asthma
D) Educating adults about breast cancer screening guidelines
Answer: C) Teaching about inhaler use in a client who has asthma
11. A nurse educator is teaching a group of newly licensed nurses about maintaining client
confidentially according to HIPAA regulations. Which of the following statements by a newly
licensed nurse indicates an understanding of the teaching?
A) HIPAA rules vary from state to state
B) We should share our computer password with our managers
C) HIPAA rules allows clients to receive a copy of the medical records
D) A client dx can be posted on the communication board inside the clients room
Answer: C) HIPAA rules allows clients to receive a copy of the medical records
12. A parish nurse is counseling a family following a client’s recent dx with heart diseases.
Which of the following actions should the nurse take first?
A) Assist the client and the client partner finding an affordable exercise program
B) Discuss the benefits of eating a well-balanced diet with the client’s family
C) Ask family about the impact of the disease on relationships within the family
D) Offer to accompany the client and the client’s partner during health care provider visits
Answer: C) Ask family about the impact of the disease on relationships within the family
13. A nurse is assessing an outbreak of mumps among school aged children. Using the
epidemiological triangle, the nurse should recognize that which of the following is the host?
A) The vaccine
B) The school
C) The virus
D) The children
Answer: D) The children
14. A nurse is teaching a to a 50-year old female client. Which of the following statement
should the nurse include in the teaching?
A) You should have a complete eye exam every 2 years until the age of 64.
B) You should have your stool tested for blood every other year until the age of 74

C) You should have your hearing screened every 5 years
D) You should have your fasting Blood glucose level checked every 6 years
Answer: A) You should have a complete eye exam every 2 years until the age of 64.
15. A nurse is working with community health care team to devise strategies for preventing
violence in the community. Which of the following interventions is an example of tertiary
prevention?
A) Urging community leaders to make nonviolence a priority
B) Developing resources for victims of abuse
C) Assessing for risk factors of IPV during health examinations
D) Presenting community education programs about stress management
Answer: B) Developing resources for victims of abuse
16. A nurse care manager is providing discharge planning for a client. The nurse is
functioning in which of the following roles when arranging delivery of medical equipment to
the client home?
A) Advocate
B) System allocator
C) Consultant
D) Coordinator
Answer: D) Coordinator
17. A mental health nurse is scheduling a home health appointment with a client who has
recently lost his partner to a motor vehicle crash. Which of the following statements by the
client indicates a need for immediate nursing intervention?
A) I just feel so angry right now
B) Everything is going to be fine soon’
C) There’s no need for anyone to come see me, including you
D) I’m not going to talk to you about my problems
Answer: B) Everything is going to be fine soon’
18. A nurse is providing teaching to a newly licensed nurse about case management. The
nurse should include which of the following tasks is the responsibility of a case manager?
A) Enforce OSHA standards in the workplace

B) Teach a smoking cessation support group
C) Evaluate the cost effectiveness of client treatments
D) Perform employee risk assessment
Answer: C) Evaluate the cost effectiveness of client treatments
19. A nurse in a community health clinic is assessing a client who has 2 preschoolers, was
recently divorced, and is seeking help for managing depression. Which of the following
statements should the nurse ask first?
A) Are you having any thoughts of hurting yourself
B) Who is available to help you
C) Could you describe how you are feeling today
D) Is there anything that makes you feel less depressed
Answer: D) Is there anything that makes you feel less depressed
20. A nurse is planning a primary prevention strategy for reducing obesity in a community.
Which of the following strategies should the nurse use?
A) Educate children at a day care center about nutrition and exercise
B) Measure the BMI of older adults at a community center
C) Encourager enrollment and attendance at a weight0-reduction program
D) Distribute health risk appraisal questionnaires at community functions
Answer: A) Educate children at a day care center about nutrition and exercise
21. A parish nurse is planning activities for a faith-based community. Which of the activities
should the nurse include?
A) Teach stress management strategies
B) Provide case management
C) Offer primary care to uninsured members
D) Change the negative pressure wound therapy dressing
Answer: A) Teach stress management strategies
22. A nurse is providing teaching to a newly licensed nurse about secondary prevention
strategies related to violence and abuse. Which of the following strategies should the nurse
include in the teaching?
A) Teach a parenting skills class at a child development t center

B) Assess client for withdrawal and passively during home health visits
C) Refer clients to the appropriate community agency if signs of abuse is evident
D) Coordinate a personal defense program at a local agency
Answer: C) Refer clients to the appropriate community agency if signs of abuse is evident
23. A home health nurse is caring for a client who has terminal cancer and no longer wants to
receive enteral feeding tube feeding. Which of the following actions should the nurse take?
A) Request the facility Chaplin to visit the client
B) Ask the client to sign an informed consent
C) Complete an against medical advice form
D) Explain the process for completing a living will.
Answer: A) Request the facility Chaplin to visit the client
24. A home health nurse is caring for a client who has chemotherapy-induced nausea that has
been resistant to relief from pharmacological measures. Which of the following interventions
should the nurse initiate ? (SATA)
A) Offer 120ml(4oz) of cold 2% milk as a meal replacement
B) Maintain the head of the bed in an elevated position after eating
C) Provide sips of room-temperature ginger ale between meals
D) Use seasoning to enhance the flavor of foods
E) Assist the client in using guided imagery
Answer: E) Assist the client in using guided imagery
25. A nurse is teaching a client who has terminal illness about hospice care. Which of the
following statements by the client indicates an understanding of the teaching? (SATA)
A) My provider will recommend that I enter hospice care when I have 1 year left to live
B) I will receive care from a variety of interprofessional team members
C) I can discontinue hospice care whenever I want
D) I will need to have a private insurance because Medicare does not cover hospice care
E) I can receive care in the hospital or at home
Answer: E) I can receive care in the hospital or at home
26. A nurse is participating in a quality improvement committee for home health clients.
Which of the following topics should the nurse recommend for the committee to review?

A) An increase in levels of local air pollution
B) An increase in client falls at home
C) An increase in clients receiving annual flu vaccines
D) An increase in client admission for home health care
Answer: B) An increase in client falls at home
27. A community nurse is teaching a group of parents about manifestations of ETOH
withdrawal. Which of the following manifestations should the nurse include in the teaching?
A) Hyperglycemia
B) Hypotension
C) Seizures
D) Somnolence
Answer: C) Seizures
28. A community health nurse is working with a migrant population. The nurse should
recognize which of the following interventions is necessary to provide care to this
population?
A) Requiring the clients to show a work visa before they receive care
B) Treating clients on a fee-for-service basis
C) Providing health services at work sites
D) Offer health screenings at a community center
Answer: D) Offer health screenings at a community center
29. A case manager in a rehabilitation facility is discussing discharge plans with a client who
has a pressure injury and requires special beds at home.
Which of the following statements should the nurse make first?
A) A social worker can help you with the cost of supplies
B) Describe the place where you are currently living
C) Apply moisture barrier ointment 3 times a day
D) Eat a balanced diet with high protein snacks
Answer: B) Describe the place where you are currently living
30. A nurse is providing teaching to a client about directives regarding end-of- life care.
Which of the following information should the nurse include in the teaching?

A) The client can chose a non-family member as the designated power of attorney
B) The living will binding contract between the client and the provider
C) The client family has the authority to revoke the do-not-resuscitate order at any time
D) The client can verbally choose a health care proxy it two nurses witness the designation.
Answer: A) The client can chose a non-family member as the designated power of attorney
31. A school nurse is planning primary prevention activities for the school year. Which of the
following should the nurse plan to take.
A) Monitor the immunization status of students
B) Provide referrals for students who have asthma
C) Provide first aid for injured students
D) Schedule hearing screening for each grade level
Answer: A) Monitor the immunization status of students
32. A nurse is planning an in-service about isolation precautions for her co- workers. For
which of the following infections should the nurse identify the need for contact precautions.
A) Herpes simplex
B) Pertussis
C) Diphtheria
D) Pulmonary tuberculosis
Answer: A) Herpes simplex
33. A nurse is caring for a client who asks “Can I decide not to continue with chemotherapy?”
the nurse responds “This is your choice, and I’ll support whatever decision you make.” The
nurse response is an example of which of the following?
A) Nonmalefiecence
B) Veracity
C) Autonomy
D) Beneficence
Answer: C) Autonomy
34. A nurse caring for a client who is homeless. Which of the following actions should the
nurse take first?
A) Assist the client to develop goals for obtaining shelter.

B) Discuss the risks of being homeless with the client
C) Develop client teaching using a variety strategies
D) Determine the client’s understanding of her living situation.
Answer: D) Determine the client’s understanding of her living situation.
35. A nurse is serving a state task force for disaster planning. The nurse is engaging in
disaster preparedness efforts when performing which of the following actions?
A) Functioning as a manager at a temporarily shelter
B) Assisting with the identification of biological agent
C) Implementing a disaster triage plan with the local medical facility
D) Organizing a mass causality drill for community members
Answer: D) Organizing a mass causality drill for community members
36. A home health nurse is performing and eye assessment for an older adult client. Which of
the following is the priority for the nurse to report to the provider?
A) Conjunctivitis
B) Hemianopia
C) Decreased near vision
D) Increased sensitivity to glare
Answer: B) Hemianopia
37. A community health nurse encounters a client who has suspected bioterrorism- related
illness. Which of the following actions should the nurse take?
A) Report the client’s condition to the FBI
B) Disinfect contaminated areas of the skin with isopropyl alcohol
C) Move the client to a quarantine area
D) Don personal protective equipment
Answer: D) Don personal protective equipment
38. A nurse in an extended facility enters the room of a client and notices a fire in the trash
can. Which of the following is the nurse’s priority?
A) Move the client to another location
B) Activate the alarm
C) Shut the windows and doors

D) Attempt to extinguish the fire.
Answer: A) Move the client to another location
39. An occupational health nurse is completing a walk-through of a factory to identify
workers at risk for injury. Which of the following workers should the nurse identify at being
at risk?
A) A worker who is standing in place in extended period and rests one foot on a box
B) A worker standing with a wide base support when pulling a cart towards himself
C) A worker who is 7 weeks postoperative following a rotator cuff surgery and is labeling
boxes.
D) A worker who is wearing a back brace and bends at the waist when picking up a pallet.
Answer: D) A worker who is wearing a back brace and bends at the waist when picking up a
pallet.
40. A home health nurse is caring for a client that has C. diff infection. Which of the
following actions should the nurse take?
A) Instruct the client to avoid use of probiotics
B) Us and ETOH-based hand sanitizer following care
C) Obtain a surgical mask for the client to wear when away from home
D) Clean the client’s bathroom with diluted bleach solution
Answer: D) Clean the client’s bathroom with diluted bleach solution
41. A school nurse is caring for a child who has muscular dystrophy and is having difficulty
swallowing at lunch. Which of the following referrals should the nurse initiate?
A) Dietician
B) Speech-language therapist
C) Respiratory therapist
D) Occupational therapist
Answer: B) Speech-language therapist
42. A nurse in a mobile clinic is caring for a client who requires a tetanus immunization and
is accompanied by his daughter. The client does not speak the same language as the nurse.
Which of the following actions should the nurse take?
A) Arrange the member of the client’s community to interpret the teaching

B) Use a professional terminology when providing education prior to the procedure
C) Have the client’s daughter communicate information about the procedure
D) Identify the client’s dialect prior to contacting an interpreter
Answer: D) Identify the client’s dialect prior to contacting an interpreter
43. A community nurse health nurse is working with a task force to decrease community
violence. Which of the following planned interventions should the nurse identify as a primary
prevention strategy?
A) Providing parenting classes for local patients
B) Arranging for a local clinic to provide methadone treatments
C) Providing sexual assault nurse examiner training for nurses in the local clinic
D) Developing protocols for managing victims of violence
Answer: A) Providing parenting classes for local patients
44. An occupational health nurse is assessing agricultural workers for acute effects of
pesticide exposure. Which of the following findings should the nurse expect?
A) Oliguria
B) Dizziness
C) Hypoglycemia
D) Diplopia
Answer: B) Dizziness
45. A nurse is developing health promotion strategies for older adult clients at an assisted
living facility. Which of the following strategies is the priority for the nurse to include?
A) Schedule annual dental examinations for the clients
B) Encouraging the clients to exercise regularly
C) Immunizing the clients against influenza
D) Providing the clients with low-fat diet
Answer: C) Immunizing the clients against influenza
46. A nurse at a community clinic is assessing a client who reports injecting heroin an 1hr
ago. Which of the following should the nurse expect?
A) Nystagmus
B) Tachypnea

C) Euphoria
D) Dilatated pupils
Answer: A) Nystagmus
47. A school nurse is planning primary prevention activities for the new school year. Which
of the following should the nurse include? (SATA)
A) Lobbying for funding for health promotion effects
B) Recommending a seating arrangements for a child in a body cast
C) Creating a plan of care for children who have a diagnosis of DM
D) Organizing a program to promote skateboard safety
E) Teaching a class about the risks of cigarette smoking
Answer: A) Lobbying for funding for health promotion effects
48. A nurse is working for a hospice organization. The nurse should identify that which of the
following criteria must be met for a client to qualify for hospice care?
A) The client has declined additional life-prolonging treatments
B) The client requires inpatient care due to lack of a caregiver
C) The client has documentation that states he has less than 12 months to live
D) The clients insurance provides coverage for palliative care
Answer: D) The clients insurance provides coverage for palliative care
49. A nurse manager at a clinic is reviewing the preventive services offered to clients. Which
of the following activities should the nurse identify as a secondary prevention activity?
A) Encourage a pregnant woman to participate in a prenatal care class
B) Provide smoking cessation class
C) Advocate for laws that prohibit texting while driving
D) Refer a client who is recovering from a substance use disorder to social service program.
Answer: D) Refer a client who is recovering from a substance use disorder to social service
program.
50. A public health nurse is developing protocols to use in emergency shelters following a
disaster. Which of the following should the nurse include as a secondary prevention strategy
for clients who survive a disaster?
A) Providing age appreciate activities for shelter residents

B) Compiling resources available to transition individuals from shelters to a home
C) Interviewing shelter residents to determine the effectiveness of comping behaviors
D) Publishing a listing of shelter locations in local media source
Answer: B) Compiling resources available to transition individuals from shelters to a home
51. A nurse is triaging clients who were involved in a commuter train care. Which of the
following should the nurse choose for transport to the ER first?
A) A client who is exhibiting agonal respirations with fixed or dilated pupils
B) An ambulatory client who has a nosebleed and reports feeling dizzy
C) A client who has a fracture of the humorous with a 2+ radial pulse in the affected arm
D) A client who has full-thickness burns injuries over 30% of his total body surface area
Answer: A) A client who is exhibiting agonal respirations with fixed or dilated pupils
52. A nurse working in an assisted living care facility is developing a disaster plan. Which of
the following is the first action the nurse should take?
A) Develop response strategies specific to older adults
B) Verify dates of the annual community-wide mass causality drill
C) Determine potential environmental health hazards
D) Identify materials needed for staff and resident education.
Answer: C) Determine potential environmental health hazards
53. A nurse at a rural clinic is interviewing a family who has different cultural beliefs than the
nurse. The family reports seeing a folk healer. Which of the following statements should the
nurse make?
A) Describe how you hope the treatments will affect your health
B) Alternative health practices could be dangerous and should be avoided
C) Many folk medicine treatments work by providing a placebo effect
D) I can refer you to a medical PR actioner for your health care needs
Answer: A) Describe how you hope the treatments will affect your health
54. A nurse is working with a case manager for a client who participates in a health
maintenance organization. The nurse should identify that a health maintenance organization
provides which of the following payment structures?

A) The client pays the insurer a percentage of the total cost for each service rendered by the
provider
B) The provider is paid a fixed sum for the client on a monthly or yearly bases
C) The client is participating in a fee-for service health care insurance program
D) The provider bills the client directly predetermined percentage for the cost of services.
Answer: B) The provider is paid a fixed sum for the client on a monthly or yearly bases
55. A nurse working in an infectious disease clinic is caring for a client who has a new
diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily
reporting cases of this disease to CDC?
A) State health department
B) Local red cross chapter
C) Hospital infection control department
D) Office of the surgeon general
Answer: A) State health department
56. A home health nurse is discussing electrical hazards with a client. Which of the following
statements should the nurse include?
A) You should cover electrical cords with an area rug
B) You should pull on the cord when unplugging items
C) You should limit your use of extension cords
D) You should secure extension cords with clear packaging tape.
Answer: C) You should limit your use of extension cords
57. A first response team is working at the location of a bombing incident. A nurse triaging a
group of clients should give treatment priority to which of the following clients?
A) Client who has a finger fracture with a 2+ pedal pulse
B) A client who has superficial partial thickness burns injuries over 5% of his body
C) A client who is ambulatory in exhibits manic behavior
D) A client who has rigid abdomen with manifestations of shock
Answer: D) A client who has rigid abdomen with manifestations of shock

58. A nurse is in a clinic is reviewing home safety precautions with a client who is to begin
radioactive iodine therapy. Which of the following statements by the client indicates an
understanding of the teaching?
A) I will use a toilet that is not used by others in my family
B) I will wait one week after treatment to use a laxative
C) I will allow my granddaughter to visit for 4 hours daily
D) I will use cloth handkerchiefs instead of tissues
Answer: A) I will use a toilet that is not used by others in my family
59. A nurse in a antepartum clinic is reviewing the medical records for 4 clients. Which of the
following infectious conditions should the nurse report to the CDC?
A) Gonorrhea
B) Bactria vaginosis
C) Genital herpes simplex virus
Answer: A) Gonorrhea