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 leukemia
C. A four-month-old infant who has Down syndrome
D. A 12-month-old infant who has sickle cell disease
Answer: D. A 12-month-old infant who has sickle cell disease
16. The partner of an older adult client who has Alzheimer's disease reports that he is not
eating. The home health aide tells the nurse that the client’s partner refuses to assist the client
with feeding. The partner insists that the client feeds himself without help. Which of the
following is the priority action the nurse should take?
A. Determine the client's ability to self-feed
B. Refer the client’s partner to an Alzheimer's support group
C. Arrange for meals-on-wheels assistance
D. Direct the home health aide to assist with meals
Answer: A. Determine the client's ability to self-feed
17. The first response team is working at the location of a bombing incident. A nurse triaging
in the group of clients should give treatment priority through which of the following clients?
A. A client who is ambulatory and exhibits manic behavior
B. A client who has a rigid abdomen and manifestations of shock
C. A client who has a femur fracture and a 2 + pedal pulse
D. A client who has superficial partial thickness burn injuries over 5% of his body
Answer: B. A client who has a rigid abdomen and manifestations of shock
18. A client arrives at a mental health clinic and tell the nurse that she has no purpose in life.
Which of the following is the nurse’s priority response?
A. How long have you been feeling this way?
B. Do you really think your life has no purpose?
C. Tell me what is going on with you right now?
D. Have you been thinking about harming yourself?
Answer: D. Have you been thinking about harming yourself?
19. A community health nurse is teaching a group of adolescent clients about substance use
disorders. Which of the following statements by a client indicates an understanding of the
teaching?
A. Barbiturates cause an increase in heart rate
B. Opioids cause a decrease in respiratory rate
C. Anabolic steroids stimulate the immune system
D. Amphetamines alleviate symptoms of depression
Answer: B. Opioids cause a decrease in respiratory rate
20. A nurse case manager is providing discharge planning for a client. The nurse is
functioning in which of the following roles when arranging for the delivery of medical
equipment to the client's home?
A. Systems allocator
B. Coordinator
C. Consultant
D. Advocate
Answer: B. Coordinator
21. A nurse is providing teaching to a newly licensed nurse about case management. The
nurse should include that which of the following tasks is the responsibility of the case
manager?
A. Teach smoking cessation support group
B. Perform employee risk assessments
C. Evaluate the cost effectiveness of client’s treatments
D. Enforce OSHA standards in the workplace
Answer: C. Evaluate the cost effectiveness of client’s treatments
22. A home health nurse is making a home safety evaluation visit for an older client who was
recently discharged from the facility after receiving a diagnosis of diabetes mellitus. Which
of the following findings indicate a need for corrective intervention? SATA
A. A red light is kept on in the bedroom at night
B. An extension cord extends across the floor from an outlet to the floor lamp
C. The water heater is set at 130 degrees Fahrenheit
D. A rubber backed bathmat is on the floor outside the shower
E. The floors of the house are made of wood.
Answer: B. An extension cord extends across the floor from an outlet to the floor lamp
C. The water heater is set at 130 degrees Fahrenheit
23. A community health nurse is planning to use web-based information resources in the care
of a client who is undergoing dialysis. Which of the following criteria should the nurse
consider selecting an appropriate resource for the client?
A. The website is sponsored by Health Care political action committee
B. The website provides a peer review process for publishing information
C. The website is hosted by a dialysis equipment Marketing Group
D. The website is updated every 5 years
Answer: D. The website is updated every 5 years
24. A public health nurse addresses community leaders at a forum about Community
Improvement. The nurse should identify that which of the following groups is being the
fastest growing segment of the homeless population?
A. Families who have children
B. Men who are unemployed
C. People who have substance use disorders
D. Adolescent Runaways
Answer: A. Families who have children
25. A home health nurse is teaching a client about the safe use of crutches. Which of the
following information should the nurse include in the teaching?
A. Wipe the rubber crutch tips to remove moisture
B. Wear leather soled shoes when walking with crutches
C. Lean forward while walking with crutches
D. Support body weight on the axillae
Answer: A. Wipe the rubber crutch tips to remove moisture
26. A community health nurse is caring for a client who has a new diagnosis of gonorrhea.
Which of the following actions should the nurse take?
A. Obtain a blood culture
B. Change the client about application of imiquimod cream
C. Notify the State Health Department
D. Administer metronidazole 500 mg PO
Answer: C. Notify the State Health Department
27. A community health clinic is planning annual goals. Which of the following outcomes
addresses the ethical principle of distributive justice?
A. Clients verbalize their right to refuse treatment
B. Clients understand the right to confidentiality
C. Clients receive Medicare benefits when eligible
D. Clients demonstrate completion of advance directives
Answer: C. Clients receive Medicare benefits when eligible
28. A community health nurse is planning a program for young adults about STI prevention.
Which of the following actions should the nurse take preparing for this program?
A. Identify topics with Health Department nurses
B. Develop content appropriate to learner needs
C. Arrange for computer-assisted learning
D. Collect data to identify learner current knowledge base
Answer: B. Develop content appropriate to learner needs
29. A community health nurse notes that 6 new cases of diabetes mellitus have been reported
in the past 3 months. In the previous year, 5 cases are reported. The population of the
community is 15000 people. Which of the following is the prevalence proportion for the
community?
A. 73.3/100,000
B. 0.9/100,000
C. 40.0/100,000
D. 33.3/100,000
Answer: A. 73.3/100,000
30. A community health nurse is teaching a group of parents about manifestations of alcohol
withdrawal. Which of the following manifestations should the nurse include in teaching?
A. Hypotension
B. 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
C. Review the client's current health practices
47. A community health nurse is teaching a group of older clients about hypertension. The
nurse should identify that which of the following clients has a barrier to learning?
A. Fear of public speaking
B. Low literacy
C. Limited experience
D. Lack of credibility
Answer: B. Low literacy
48. A nurse is reviewing data for communicable diseases in a rural health region. Which of
the following data should the nurse identify as factor affecting the spread of communicable
diseases?
A. An increase in migrant farm workers living in the community
B. An antigenic shift in the composition of strain of influenza
C. A decrease in the number of ambulatory clinics in the area
D. A change in the prevalence of older adults obtaining the pneumococcal vaccine
Answer: D. A change in the prevalence of older adults obtaining the pneumococcal vaccine
49. A nurse working in an infectious disease clinic is caring for a client who has a new
diagnosis of Lyme disease. Which of the following agencies are responsible for voluntarily
reporting cases of this disease to the 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
Some of another version of the test:
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: D. 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: D. determine student’s motivation to learn about healthy food choices
15. A community health nurse is caring for clients in a culturally diverse Community. Which
of the following actions demonstrates accurate cultural knowledge about a specific cultural
group?
A. Maintaining eye contact when interviewing a Native American client
B. including both hot and cold food items on a Hispanic client menu
C. touching the hair of an African American client during an assessment
D. offering to shake hands when meeting an Asian client of the opposite gender
Answer: B. including both hot and cold food items on a Hispanic client menu
16. A nurse manager in a local community health agency is creating job description for a new
nurse who will practice community-oriented nursing. Which of the following should the
nurse include in the job description? Select all that apply
A. provide wound care for clients in their homes
B. participate in local Health surveillance activities
C. initiate support groups for parents of autistic children
D. provide health-related education to community groups
E. Investigate potential health and environmental issues
Answer: B. participate in local Health surveillance activities
C. initiate support groups for parents of autistic children
D. provide health-related education to community groups
E. Investigate potential health and environmental issues
17. The community health nurse is interviewing a client who reports intimate partner abuse.
Which of the following actions should the nurse take?
A. Assist the client to create a plan of Escape
B. ask 3 nurses of the same gender as the client to participate in the interview
C. communicate disapproval of the partners actions
D. record a summary of the clients description of the event
Answer: D. record a summary of the clients description of the event
18. A nurse is caring for a client who is having difficulty performing activities of daily living.
The nurse is functioning in which of the following rules when arranging for an occupational
therapist to visit the client?
A. Administrator
B. nurse consultant
C. case manager
D. Clinician
Answer: C. case manager
19. A nurse in a mobile Health Clinic is caring for a client who requires a tetanus
immunization and is accompanied by his daughter. The client does not speak the same
language as the nurse. Which of the following actions should the nurse take?
A. Arrange for the member of the client’s community to interpret the teaching
B. identify the clients spoken dialect prior to contacting an interpreter
C. have the clients daughter communicate information about the procedure
D. use professional terminology when providing education prior to the procedure
Answer: B. identify the clients spoken dialect prior to contacting an interpreter
20. A parish nurse is counseling a family following a client's recent diagnosis for heart
disease. Which of the following actions should the nurse take first?
A. Discuss the benefits of eating a well-balanced diet with the client's family
B. assist the client and the clients partner with finding an affordable exercise program
C. Ask family members about the impact of the disease and relationships within the family
D. offer to accompany the client and the client partner during healthcare provider visits
Answer: C. Ask family members about the impact of the disease and relationships within the
family
21. A nurse is preparing an educational program about breastfeeding for a group of new
parents. The nurse should use which of the following is structural strategies to promote
psychomotor learning?
A. facilitated Discussion Group about the benefits of breastfeeding
B. provide dolls for the participants to demonstrate positioning
C. show the group of video on breastfeeding techniques
D. review flashcards identify holding techniques with the group
Answer: B. provide dolls for the participants to demonstrate positioning
22. A Community Health Clinic nurse manager is reviewing the incidence rate of chlamydia
in the state. In a given year 3144 new cases were reported and the population was estimated
at 325986. Which of the following is the incidence rate in the state for the year?
A. about 10 reported cases per 1000 population
B. about three reported cases per 10,000 population
C. about 300 reported cases per 100,000 population
D. about one reported case per 10,000 population
Answer: A. about 10 reported cases per 1000 population
23. In the last month, three cases of tuberculosis have been referred to the health department.
Which of the following is a priority information for the community health nurse to obtain
from each client?
A. Household members
B. health history
C. Demographics
D. Occupation
Answer: A. Household members
24. A nurse is providing education to a group of adolescents who are pregnant and attending
High School. Which of the following information should the nurse include in the teaching?
A. The incidence of higher birth weight infants is higher in adolescent pregnancy
B. pregnant adolescents need to gain less weight than adult mothers
C. Caffeinated beverages should be replaced with caffeine-free beverages
D. the need for supplemental folic acid is greatest during the third trimester
Answer: C. Caffeinated beverages should be replaced with caffeine-free beverages
25. A nurse is working to reduce individual and family violence in the local community.
Which of the following actions by the nurse demonstrates a primary prevention strategy to
achieve this goal?
A. Assessing a family for marital Discord
B. providing treatment for a young adult who has substance use disorder
C. teaching parenting techniques to new parents
D. conducting counseling for at-risk parents
Answer: C. teaching parenting techniques to new parents
26. A community health nurse is providing screening for lipid disorders. Which of the
following is the primary goal of this activity?
A. Client 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: A. Notify anyone with whom you had sexual contact over the past 2 months
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
