ATI PN Community Health Proctored Exam With NGN Version 1-6 With Answers-500 Solved Questions

ATI PN Community Health Proctored Exam with NGN: Version 1 -6
With complete Questions and Answers
ATI PN COMMUNITY HEALTH PROCTORED EXAM
VERSION 1
Chapter 1
1. A nurse manager at a community agency is developing an orientation program for newly
hired nurses. When discussing the differences between community-based and communityoriented nursing, the nurse should include which of the following as examples of communitybased nursing? (Select all that apply.)
A. A home health nurse performing wound care for a client who is immobile
B. An occupational health nurse providing classes on body mechanics at a local industrial
plant
C. A school nurse teaching a student who has asthma about medications
D. A parish nurse teaching class on low-sodium cooking techniques
E. A mental health nurse discussing stress management techniques with a support group
Answer: A. A home health nurse performing wound care for a client who is immobile
C. A school nurse teaching a student who has asthma about medications

2. A nurse is advocating for local community leaders to place a newly approved community
health clinic in an area of the city that has fewer resources than other areas. The nurse is
advocating for the leaders to uphold which of the following ethical principles?
A. distributive justice
B. fidelity
C. respect for autonomy
D. veracity
Answer: A. distributive justice

3. A nurse is preparing an education program on disease transmission for employees at a local
day care facility. When discussing the epidemiological triangle, the nurse should include
which of the following factors as agents? (select all that apply)
A. resource availability

B. ethnicity
C. toxins
D. bacteria
E. altered immunity
Answer: C. toxins
D. bacteria

4. A nurse is developing a community health education program for a group of clients who
have a new diagnosis of DM. Which of the following learning strategies should the nurse
include for clients who are auditory learners?
A. showing informational videos
B. providing equipment to practice hands-on skills
C. supplying outlines for note-taking
D. Facilitating small group discussions
Answer: D. Facilitating small group discussions

5. A community health nurse is implementing health programs with several populations in the
local area. In which of the following situations is the nursing using primary prevention?
A. Performing a home safety check at a client's home
B. teaching healthy nutrition to clients who have HTN
C. providing influenza immunizations to employees at a local preschool
D. implementing a program to notify individuals exposed to a communicable disease
Answer: C. providing influenza immunizations to employees at a local preschool

Chapter 2
1. A nurse is preparing an educational program on cultural perspectives in nursing. The nurse
should include that which of the following factors are influenced by an individual's culture?
(select all that apply)
A. nutritional practices
B. family structure
C. health care interactions
D. biological variations
E. views about illness
Answer: E. views about illness

2. A nurse is caring for a client who is from a different culture than himself. When beginning
the cultural assessment, which of the following actions should the nurse take first?
A. determine the client's perception of his current health status
B. gather data about the client's cultural beliefs
C. determine how the client's culture can affect the effectiveness of nursing actions
D. gather information about previous client interactions with the health care system
Answer: B. gather data about the client's cultural beliefs

3. A nurse is using the I PREPARE mnemonic to assess a client's potential environmental
exposures. Which of the following questions should the nurse ask when assessing for "A" in
the
Answer: The nurse should ask, "What activities do you engage in that could expose you to
environmental hazards?"

1. 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
Answer: “How would you feel about me contacting a local service that helps older adults
with transportation?”

2. 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
Answer: Discussing payment options with various pharmacies

3. What patient would the Home Health Nurse send to the doctor first
Answer: Abdominal pain

4. 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
Answer: Identify restaurants where the clients have recently eaten

5. A nurse working for a home hospice organization recognizes that clients must meet which
of the following criteria to qualify for hospice care
Answer: Documented need for palliative care

6. A nurse is working with a case manager for a client who participates in a health
maintenance organization. Which of the following is characteristic of the payment structure
provided under this system
Answer: The client pays the insurer a percentage of the total costs for each service rendered
by the provider

7. 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
Answer: Apply a constricting band above the bite while maintaining circulation below the
bite
8. In reviewing goals of “healthy people” nurse determines the community has a significant
problem preventing dental caries in children. To bring about change
Answer: WIC program intake offices

9. 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
Answer: The vaccine does not confer life-long immunity

10. A nurse is planning a primary prevention strategy for reducing obesity in a community.
Which of the following strategies should the nurse use?
Answer: Educate children about nutrition and exercise at a daycare centre

11. A community health nurse is developing health promotion activities for a community.
Which of the following is the highest priority action?
Answer: participate in community assessment to identify community health problems

12. A home health nurse is scheduling client visits for the day. Which of the following clients
should the nurse plan to visit first?
Answer: a 79-year-old client with an exacerbation of COPD

13. 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?
Answer: analytic epidemiology

14. A community health nurse is reviewing laboratory results for his case load of clients.
Which of the following is the highest priority finding?
Answer: a sputum specimen that is positive for tuberculosis

15. A nurse is triaging victims of a commuter train crash. Which of the following clients
should be transported to the Emergency Department first?
Answer: an ambulatory client whose nose is bleeding and who reports feeling dizzy

16. 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?
Answer: include both hot and cold food items on a Hispanic client’s menu

17. 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)?
Answer: 1. provide education to the client about the diagnosis
2. inform the client about the provider’s responsibility to provide information
3. assist the client in preparing questions for the provider
4. affirm the client’s decision about the treatment plan

18. 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?
Answer: refer the client to a public homeless shelter

19. 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?
Answer: caffeinated beverages should be replaced with caffeine-free

20. A community health nurse is writing an emergency response plan for a day care. Which
of the following should be included in the plan?
Answer: immunization protocol for various biological agents

21. 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?
Answer: use if seat belts in automobiles

22. 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?
Answer: kolpik spots in the oral mucosa

23. 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?
Answer: slightly yellow sclera

24. Which of the following is an example of the responsibilities of public health nursing
Answer: informing state health officials of a potential meningitis outbreak

25. A nurse is providing a staff development program on HIPPA 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?
Answer: “Demographic data that identify a client can be released without consent”

26. 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?
Answer: Induration at infection site of 8 mm

27. After presenting several teaching sessions to a group of high school students about the
harmful effects of tobacco use, a nurse valuates the teaching to be effective when a student
states which of the following
Answer: “As long as I stop smoking while I am young, none of those diseases will affect
me”

28. 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
Answer: “I should use wool blankets on my bed when oxygen in use”

29. 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?
Answer: “The physical therapist will teach my husband exercises to increase hand dexterity”

30. 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
Answer: During disaster preparedness activities

31. 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
Answer: “I will wear a mask when I’m in an enclosed area with other people”
32. 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
Answer: Autonomy

33. A community health nurse is working with a family in which only the children speak
English. The nurse should select a translator who is
Answer: Skilled in health-related interpretation

34. A community health nurse working with a migrant population recognizes that which of
the following is necessary to provide care to this population
Answer: Offering health screenings at a community centre

35. Which of the following activities is the responsibility of a case manager?
Answer: Evaluate cost effectiveness of client treatments

36. A nurse uses a secondary prevention intervention when doing which of the following
Answer: Performing hypertension screening in a community centre

37. 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
Answer: Determine employee knowledge level of breast self-examination

38. 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
Answer: Families with children

39. A nurse is working in an occupational health setting. Which of the following is a primary
prevention activity for the nurse
Answer: Conducting smoking cessation classes

40. A community health nurse is conducting a community assessment. Which of the
following data should be included as a component of the assessment
Answer: 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 schools nurse can
implement
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: Provide the staff with information regarding measures to minimize disease
transmission

46. A nurse planning and education program for new inmates in a correctional facility. Which
of the following topic is most important for the nurse to include in the teaching?
Answer: Communicable disease prevention

47. A school nurse is planning an educational for parents about head lice. The nurse should
include which of the following in the program?
Answer: 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 finding should be reported to the provider?
Answer: 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?
Answer: 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
5-years-old child who has impetigo contagious. The child has siblings living in the home.
Which of the following recommendations is appropriate?
Answer: Provide the child with separate towels and lines

51. A client tells a nurse that she is planning a hiking trip. Which of the following measures
should the nurse recommend minimizing the client’s risk for contracting Rocky Mountain
spotted fever?
Answer: 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?
Answer: 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?
Answer: Prevalence rate

54. Which of the following activities would the school nurse perform in the role a consultant?
Answer: Recommend policy chances to minimizes the spread of influenza

55. A client presents to the emergency department after being exposed to anthrax. The nurse
should recognize that the
Answer: 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?
Answer: 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)
Answer: The hot water heater is set at 130 F.

An extension cord extends across the floor from the electrical outlet to floor lamp.

58. Primary Goal of Community Health Nursing
Answer: 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: Recommend changing the language that stereotypes one ethnic group

60. Patient having trouble with peripheral vision-what best for nurse to do
Answer: orient patient to surroundings (something about the environment

61. Risk for constipation - immobility,
Answer: older adults, dehydration, narcotics or BP medications

62. Population-focused nursing practice
Answer: Community diagnosis

63. SIDS-prevention
Answer: supine position, sleep on back

64. Primary prevention of Asthma
Answer: Take bronchodilator first

65. Rheumatoid Arthritis Resources
Answer: The arthritis association

66. Necessary when a person is in need of psychiatric treatment, presents a danger to self or
others, or is unable to meet his or her own basic needs
Answer: Involuntary admission criteria

67. Child injury v/s abuse
Answer: Abuse

68. Nurse is performing an intake interview at a prenatal clinic on a patient who is at 6 weeks
gestation
Answer: Supervision of the renovation of an old house the family just purchased due to
teratogen defect

69. The community health nurse attempting to address the issue of child abuse in a large
metropolitan area primary prevention program
Answer: High school child development and parenting classes

70. Scheduling home visits, which is best for the home health charge nurse to assign to the
LPN
Answer: A bedfast client who needs daily irrigation of stage 4 pressure ulcer

71. Occupational Health Act
Answer: Location of the workplace as relates to health facilities

72. Nurse has to conduct community Dx to determine nursing needs and problems
Answer: Community -based practice .

73. Pregnant woman not getting enough what vitamin may cause neural tube defects
Answer: Folic acid

74. Plans formulated for solving community problems
Answer: Community organization

75. Training of potential leaders in the community
Answer: Core group formation

76. PHN bag is an important tool for care during a home visit
Answer: prevent the spread of infection

77. Prenatal consult asked HHN if she can have her delivery at home advised her against a
home delivery

Answer: Her OB score is G5P3

78. 6 months pregnant, comes to the centre for consult and what med is contraindicated
Answer: Retinol 2000,000 IU

79. Type of family-nurse contact offers with the best opportunity to observe family dynamics
Answer: Home visit

80. Philosophy of public health nursing
Answer: worth and dignity of man

81. Abuse
Answer: Advise the mother to call the police if violent behavior occurs again

82. 70-year-old male client at nursing home after a hip replacement and at risk for decubitus
ulcers because
Answer: Thinning of the skin with loss of elasticity

83. Vietnamese child during a HH visit and nurse notices round swellings on child's back.
Mom says she rubbed a coin on his oiled skin
Answer: The purpose is to rid the body of disease

84. Core business of public health
Answer: Disease control, health protection, health public policy, injury prevention

85. Herbal plant given for fever, headache and cough
Answer: Lan gundi

86. Pillars of primary health care
Answer: Provision of medical care and emergency treatment

87. If there were 250 deaths and 36,114 live births registered in Region III, with a total
population of 200,000, the fetal death rate would be
Answer: 6.9 per 1000 live births

88. Type of water supply facility composed of system with piped distribution network and
household taps
Answer: Level III

89. Pandemic occurrence of a disease
Answer: The simultaneous occurrence of epidemic of the same disease in several countries

90. 5 year old child given Retinol capsule every 6 months to prevent xerophthalmiapreschooler dose
Answer: 200,000 IU

91. In the Philippines, condition most frequent cause of death associated with schistosomiasis
Answer: Liver cirrhosis

92. Operation Timbang is which level of prevention of health problem
Answer: Primary

93. In conducting a census, the method of population assignment based on the usual place of
residence of the people
Answer: De facto

94. Method of family planning not immediately used by a breastfeeding mother
Answer: Combined OCP

95. 3 year old boy with severe pneumonia or very severe disease
Answer: fast breathing

96. Very important part of the community health nursing planning process
Answer: Evaluation of structures and qualifications of health care team

97. An advantage of a home visit
Answer: Provides an opportunity to do first hand appraisal of the home situation

98. The different clients of the community health nurse
Answer: Individual
Family
Population group
Community

99. Dependency ratio
Answer: Compares the number of economically dependent with the economically productive
group in population
100. According to Maslow’s hierarchy of needs, developing one’s potential is
Answer: Self-actualization

101. Newborn Screening act is
Answer: R.A 9288

102. He defined public health as the science and art of preventing disease, prolonging life,
promoting health and efficiency through organized community effort
Answer: Winslow
103. Woman brought her 2 month old baby to the health center for immunization - infant’s
temperature registered 38 degrees C
Answer: Proceed with the infant’s immunizations

104. When is Rabies awareness month celebrated
Answer: March

105.6 year old boy entering school for the first time
Answer: Foreseeable crisis

106. Severe dehydration
Answer: Sunken eyes
Skin pinch goes back slowly
Abnormally sleepy or difficult to awaken

107. Element of Formula one aims to ensure quality and affordability of health services
Answer: Health regulation

VERSION 2
Chapter 1

1. A nurse manager at a community agency is developing an orientation program for newly
hired nurses. When discussing the differences between community-based and communityoriented nursing, the nurse should include which of the following as examples of communitybased nursing? (Select all that apply.)
A. A home health nurse performing wound care for a client who is immobile
B. An occupational health nurse providing classes on body mechanics at a local industrial
plant
C. A school nurse teaching a student who has asthma about medications
D. A parish nurse teaching class on low-sodium cooking techniques
E. A mental health nurse discussing stress management techniques with a support group
Answer: A. A home health nurse performing wound care for a client who is immobile
C. A school nurse teaching a student who has asthma about medications

2. A nurse is advocating for local community leaders to place a newly approved community
health clinic in an area of the city that has fewer resources than other areas. The nurse is
advocating for the leaders to uphold which of the following ethical principles?
A. distributive justice
B. fidelity
C. respect for autonomy
D. veracity
Answer: A. distributive justice

3. A nurse is preparing an education program on disease transmission for employees at a local
day care facility. When discussing the epidemiological triangle, the nurse should include
which of the following factors as agents? (select all that apply)
A. resource availability
B. ethnicity

C. toxins
D. bacteria
E. altered immunity
Answer: C. toxins
D. bacteria

4. A nurse is developing a community health education program for a group of clients who
have a new diagnosis of DM. Which of the following learning strategies should the nurse
include for clients who are auditory learners?
A. showing informational videos
B. providing equipment to practice hands-on skills
C. supplying outlines for note-taking
D. Facilitating small group discussions
Answer: D. Facilitating small group discussions

5. A community health nurse is implementing health programs with several populations in the
local area. In which of the following situations is the nursing using primary prevention?
A. Performing a home safety check at a client's home
B. teaching healthy nutrition to clients who have HTN
C. providing influenza immunizations to employees at a local preschool
D. implementing a program to notify individuals exposed to a communicable disease
Answer: C. providing influenza immunizations to employees at a local preschool

Chapter 2

1. A nurse is preparing an educational program on cultural perspectives in nursing. The nurse
should include that which of the following factors are influenced by an individual's culture?
(select all that apply)
A. nutritional practices
B. family structure
C. health care interactions
D. biological variations
E. views about illness
Answer: A. nutritional practices

B. family structure
C. health care interactions
E. views about illness

2. A nurse is caring for a client who is from a different culture than himself. When beginning
the cultural assessment, which of the following actions should the nurse take first?
A. determine the client's perception of his current health status
B. gather data about the client's cultural beliefs
C. determine how the client's culture can affect the effectiveness of nursing actions
D. gather information about previous client interactions with the health care system
Answer: B. gather data about the client's cultural beliefs

3. A nurse is using the I PREPARE mnemonic to assess a client's potential environmental
exposures. Which of the following questions should the nurse ask when assessing for "A" in
the mnemonic?
A. "what do you like to do for fun?"
B. "what year was you residence built?"
C. "what jobs have you had in the past?"
D. what industries are near where you live?"
Answer: A. "what do you like to do for fun?"

4. A nurse is reviewing information about the local health department to prepare for an
interview. Which of the following services should the nurse expect the local health
department to provide? (select all that apply)
A. managing the women, infant, and children program
B. providing education to achieve community health goals
C. coordinating directives from state personnel
D. reporting communicable diseases to the CDC
E. licensing of registered nurses
Answer: B. providing education to achieve community health goals
C. coordinating directives from state personnel

5. A nurse is conducting health screenings at a statewide health fair and identifies several
clients who require referral to a provider. Which of the following statements by a client
indicates a barrier to accessing health care?
A. "I don't drive, and my son is only available to take me places in the mornings"
B. "I can't take off during the day, and the local after-hours clinic is no longer in operation"
C. "only one doctor in my town is a designated provider by my health maintenance
organization"
D. "I would like to schedule an appointment with the local doctor in my town who speaks
Spanish and English."
Answer: B. "I can't take off during the day, and the local after-hours clinic is no longer in
operation"

Chapter 3

1. A nurse is preparing to conduct a windshield survey. Which of the following data should
the nurse collect as a component of this assessment? (select all that apply)
A. ethnicity of community members
B. individuals who hold power within the community
C. natural community boundaries
D. prevalence of disease
E. presence of public protection
Answer: A. ethnicity of community members
C. natural community boundaries
E. presence of public protection

2. A nurse is completing a needs assessment and beginning analysis of data. Which of the
following actions should the nurse take first?
A. Determine health patterns within collected data
B. compile collected data into a database
C. ensure data collection is complete
D. identify health needs of the local community
Answer: B. compile collected data into a database

3. A nurse is planning a community health program. Which of the following actions should
the nurse include as part of the evaluation plan?
A. determine availability of resources to initiate the plan
B. gain approval for the program from local leaders
C. establish a timeline for implementation of interventions
D. compare program impact to similar programs
Answer: D. compare program impact to similar programs

4. A nurse is conducting a community assessment. Which of the following data collection
methods is the nurse using when having direct conversations with individual members of the
community?
A. key informant interviews
B. participant observation
C. focus groups
D. health surveys
Answer: A. key informant interviews

5. A nurse is collecting data to identify health needs in the local community. Which of the
following examples should the nurse identify as secondary data? (select all that apply)
A. birth statistics
B. previous health survey results
C. windshield survey
D. community forum
E. health records
Answer: A. birth statistics
B. previous health survey results
E. health records

Chapter 4

1. A nurse is talking to a client who asks for information about hospice. Which of the
following statements should the nurse make?
A. "clients who require skilled nursing care at home qualify for hospice care"

B. "one function of hospice is to provide teaching to clients about life-sustaining measures"
C. "hospice assists clients to develop the skills they needed to care for themselves
independently"
D. "A component of hospice care is to control the client's manifestations"
Answer: D. "A component of hospice care is to control the client's manifestations"

2. A school nurse is scheduling visits with a physical therapist for a child who has cerebral
palsy. In which of the following roles is the nurse functioning?
A. direct caregiver
B. consultant
C. case manager
D. counsellor
Answer: C. case manager

3. An occupational health nurse is consulting with senior management of a local industrial
facility. When discussing work-related illness and injury, the nurse should include which of
the following factors as physical agents? (select all that apply)
A. noise
B. age
C. lighting
D. viruses
E. stress
Answer: A. noise
C. lighting

4. A newly hired occupational health nurse at an industrial facility is performing an initial
workplace assessment. Which of the following should the nurse determine when conducting a
work site survey?
A. work practices of employees
B. past exposure to specific agents
C. past jobs of individual employees
D. length of time working in current role
Answer: A. work practices of employees

5. A school nurse is planning health promotion and disease prevention activities for the
upcoming school year. In which of the following situations is the nurse planning a secondary
prevention strategy?
A. placing posters with images of appropriate hand hygiene near restrooms
B. routinely checking students for pediculosis throughout the school year
C. implementing age-appropriate injury prevention programs for each grade level
D. working with a dietician to determine carbohydrate counts for students who have DM
Answer: B. routinely checking students for pediculosis throughout the school year

Chapter 5

1. A nurse at a community clinic is conducting a well-child visit with a preschool-age child.
The nurse should identify which of the following manifestations as a possible indication of
child neglect? (Select all that apply)
A. underweight
B. healing spiral fracture of the arm
C. genital irritation
D. burns on the palms of hands
E. poor hygiene
Answer: A. underweight
E. poor hygiene

2. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following findings should the nurse identify as a manifestation of withdrawal?
A. decreased BP
B. diaphoresis
C. pinpoint pupils
D. bradycardia
Answer: B. diaphoresis

3. A community health nurse is developing an education program on substance use disorders
for a group of adolescents. Which of the following information should the nurse include
when discussing nicotine and smoking?
A. smoking is the fifth-most preventable cause of death

B. nicotine is a CNS depressant
C. withdrawal effects from smoking are minimal
D. tolerance to nicotine develops quickly
Answer: D. tolerance to nicotine develops quickly

4. A community health nurse is developing strategies to prevent or improve mental health
issues in the local area. In which of the following situations is the nurse implementing a
tertiary prevention strategy?
A. providing support programs for new parents
B. screening a client whose partner recently died for suicide risk
C. teaching a client who has schizophrenia about medication interactions
D. discussing stress reduction techniques with employees at an industrial site
Answer: C. teaching a client who has schizophrenia about medication interactions

5. A nurse at an urban community health agency is developing an education program for city
leaders about homelessness. Which of the following should the nurse include as the fastestgrowing segment of the homeless population?
A. families with children
B. adolescent runaways
C. intimate partner abuse survivors
D. older adults
Answer: A. families with children

Chapter 6

1. A nurse is preparing a community health program on communicable diseases. When
discussing modes of transmission, the nurse should include which of the following illnesses
as airborne?
A. cholera
B. malaria
C. influenza
D. salmonellosis
Answer: C. influenza

2. A home health nurse is discussing portals of entry with a group of newly hired personnel.
Which of the following locations should the nurse include as a portal of entry? (select all that
apply)
A. respiratory secretions
B. skin
C. GU tract
D. saliva
E. mucous membranes
Answer: E. mucous membranes

3. A newly hired public health nurse is familiarizing himself with the levels of disaster
management. Which of the following actions is a component if disaster prevention?
A. outlining specific roles of community agencies
B. identifying community vulnerabilities
C. prioritizing care of individuals
D. providing stress counseling
Answer: B. identifying community vulnerabilities

4. A community health nurse is educating the public on the agents of bioterrorism. Which of
the following agents should the nurse include as Category A biological agents? (select all that
apply)
A. hantavirus
B. typhus
C. plague
D. tularaemia
E. botulism
Answer: C. plague
D. tularaemia
E. botulism

5. A community health nurse is determining available and needed supplies in the event of a
bioterrorism attack. The nurse should be aware that community members exposed to anthrax
will need access to which of the following medications?
A. metronidazole

B. ciprofloxacin
C. zanamivir
D. fluconazole
Answer: B. ciprofloxacin

Chapter 7

1. A nurse is creating partnerships to address health needs within the community. The nurse
should be aware that which of the following characteristics must exist for partnerships to be
successful? (select all that apply)
A. being a leading partner with decision- making authority
B. flexibility among partners when considering new ideas
C. adherence of partners to ethical principles
D. varying goals for the different partners
E. willingness of partners to negotiate roles
Answer: B. flexibility among partners when considering new ideas
C. adherence of partners to ethical principles

2. A nurse is reviewing the various roles of a community health nurse. which of the following
actions is an example of a nurse functioning as a consultant?
A. advocating for federal funding of local health screening programs
B. updating state officials about health needs of the local community
C. facilitating discussion of a client's ongoing needs with an interprofessional team
D. performing health screenings for high BP at a local health fair
Answer: B. updating state officials about health needs of the local community

3. A case management nurse at an acute care facility is conducting an initial visit with a client
to identify needs prior to discharge home. After developing a working relationship with the
client, the nurse is engaging in the referral process. Which of the following actions should the
nurse take first?
A. monitor the client's satisfaction with the referral
B. provide the client information to referral agencies
C. review available resources with the client
D. identify referrals that the client needs

Answer: D. identify referrals that the client needs

4. A nurse developing a community health program is determining barriers to community
resource referrals. Which of the following factors should the nurse include as an example of a
resource barrier?
A. costs associated with services
B. decreased motivation
C. inadequate knowledge of resources
D. lack of transportation
Answer: A. costs associated with services

5. A nurse is working with a client who has systemic lupus erythematosus and recently lost
her health insurance. Which of the following actions should the nurse take in the
implementation phase of the case management process?
A. coordinating services to meet the client's needs
B. comparing outcomes with original goals
C. determining the client's financial constraints
D. clarifying roles of interprofessional team members
Answer: A. coordinating services to meet the client's needs

ATI COMMUNITY HEALH EXAM
VERSION 2
1. During a home health visit a school age child who has muscular dystrophy confides in the
nurse that he was struck by his parents. Which of the following actions should the nurse take
first?
A. report the incident to local authorities
B. check the child for injuries
C. refer the parent to a social service agency
D. enrol the parent in anger management classes.
Answer: B. check the child for injuries

2. A nurse is planning a program about healthy eating at an elementary school where most
students select French fries and pizza at lunch every day. which of the following actions
should the nurse plan to take first?
A. give positive feedback to students who make appropriate choices.
B. help students recognize the value of making healthy food choices
C. provide students with resources about making wise choices independently
D. determine student’s motivation to learn about healthy food choices.
Answer: D. determine student’s motivation to learn about healthy food choices.

3. A nurse manger in local community health agency is creating a job description for a new
nurse who will practice community oriented nursing. which of the following should the nurse
include in the job description? (select all that apply)
A. investigate potential health and environmental issues
B. initiate support groups for parents of autistic children
C. provide wound care for clients in their homes
D. participate in local health surveillance activities
E. provide health related education to community groups
Answer: A. investigate potential health and environmental issues
B. initiate support groups for parents of autistic children
D. participate in local health surveillance activities
E. provide health related education to community groups

4. A community health nurse is planning an educational program for a group of women who
are postmenopausal. which of the following outcomes is appropriate for this program?
A. clients will schedule bone density screening
B. clients will arrange for mammograms every 3 years
C. clients will start hormone replacement therapy
D. clients will significantly decrease caloric intake
Answer: A. clients will schedule bone density screening

5. A nurse is working with a care manager for a client who participates in a health
maintenance organization. the nurse should identify that a health maintenance organization
provides which of the following payment structures.
A. the client is participating in a fee for service health care insurance program

B. the provider is paid a fixed sum for the client on a monthly or yearly basis
C. the client pays the insurer a percentage of the total costs for each service rendered by the
provider
D. the provider bills the client directly for a predetermined percentage of the cost of services
Answer: C. the client pays the insurer a percentage of the total costs for each service
rendered by the provider

6. A client who has diabetes mellitus asks a home health nurse to help her adapt some of her
traditional cultural foods to fit her meal plan. which of the following is the first action the
nurse should take when assisting this client?
A. provide the client with a printed recipe
B. observe the client during preparation of traditional foods
C. use cookbooks to include traditional foods in meal plans
D. explain diabetes exchange list
Answer: B. observe the client during preparation of traditional foods

7. A home health nurse manager is caring for a client who has methicillin resistant
staphylococcus aureus. which of the following actions should the nurse take?
A. remove fresh flowers from the client’s home
B. wear a mask when within 3 feet of the client
C. encourage the client to use a heap filter in the house
D. double bag soiled dressing in polyethylene bags.
Answer: D. double bag soiled dressing in polyethylene bags.

8. An occupational health nurse is discussing health promotion with a client who has a history
of obesity. which of the following comments indicates the client is using rationalization as a
coping mechanism?
A. I have lots of health problems from being obese
B. I am obese it’s in my genes
C. I have difficulty resisting the items in vending machines
D. I know you don’t like me because I am obese
Answer: B. I am obese it’s in my genes

9. A nurse is conducting a community assessment. which of the following information should
the nurse include as part of the windshield survey?
A. demographic data
B. mortality rate
C. informant interviews
D. housing quality
Answer: D. housing quality

10. A community health nurse is educating a parent about the importance of hepatitis B
immunization. which of the following explanations should the nurse give the parent about the
disease?
A. one dose of the immunization gives children lifelong protection from hepatitis B
B. hepatitis B spreads easily among children through casual contact
C. many people who acquire acute hepatitis B develop chronic hepatitis
D. people who have had a hepatitis B infection still need the immunization
Answer: C. many people who acquire acute hepatitis B develop chronic hepatitis

11. A first response team is working at the location of a bombing incident. a nurse triaging a
group of clients should give treatment priority to which of the following clients.
A. a client who has superficial partial thickness burn injuries over 5% of his body
B. a client who has a femur fracture with a 2+ pedal pulse
C. a client who is ambulatory and exhibits manic behavior
D. a client who has a rigid abdomen with manifestations of shock.
Answer: D. a client who has a rigid abdomen with manifestations of shock.

12. A nurse is working with a community health care team to devise strategies for preventing
violence in the community. which of the following interventions is an example of tertiary
prevention?
A. presenting community education programs about stress management
B. developing resources for victims of abuse
C. urging community leaders to make nonviolence a priority
D. assessing for risk factors of intimate partner abuse during health examinations
Answer: B. developing resources for victims of abuse

13. Public health nurse take
A. alert the family members of coworkers about possible exposure to anthrax
B. place the employee under quarantine for 14 days
C. refer coworkers who might have been exposed to a provider for prophylactic antibiotics
D. instruct the client to wear a mask at work
Answer: C. refer coworkers who might have been exposed to a provider for prophylactic
antibiotics

14. A community health nurse is providing teaching to a group of clients who have alcohol
use disorder. which of the following findings should the nurse include in the teaching as a
manifestation of alcohol withdrawal?
A. bradycardia
B. hypothermia
C. increased appetite
D. insomnia
Answer: D. insomnia

15. A nurse is caring for a client who is homeless. which of the following actions should the
nurse take first?
A. determine the clients understanding of her living situation
B. assist the client to develop goals for obtaining shelter
C. discuss the risks of being homeless with the client
D. develop client teaching using a variety of strategies
Answer: A. determine the clients understanding of her living situation

16. A community health nurse observes the accumulation of garbage at a neighbourhood
playground. which of the following actions should the nurse take first to promote a clean and
safe environment?
A. meet with community members to discuss methods of playground maintenance
B. partner city officials with community members to improve the playground condition
C. work with local businesses to sponsor more trash receptacles in the playground
D. engage neighbourhood families to monitor the playground for further trash buildup
Answer: A. meet with community members to discuss methods of playground maintenance

17. A nurse in a mobile health clinic is caring for a client who requires a tetanus
immunization and is accompanied by his daughter. the client does not speak the same
language as the nurse. which of the following actions should the nurse take?
A. have the client’s daughter communicate information about the procedure
B. arrange for a member of the client’s community to interpret the teaching
C. identify the clients spoken dialect prior to contacting an interpreter
D. use professional terminology when providing education prior to the procedure
Answer: C. identify the clients spoken dialect prior to contacting an interpreter

18. A nurse at a local health department is caring for several clients. which of the following
infections should the nurse report to the state health department?
A. chlamydia
B. herpes simplex virus
C. group B Streptococcus B haemolytic
D. human papillornavirus
Answer: A. chlamydia

19. A clinic nurse is assessing a client who has measles. which of the following findings
should the nurse expect?
A. kolpik spots inside the mouth
B. persistent low grade temperature
C. muscle aches and tenderness
D. rash confined to the trunk of the body
Answer: A. koplik spots inside the mouth

20. A community health nurse is planning a program for adolescents about preventing STIs.
which of the following actions should the nurse take first?
A. collect data to identify barriers to learning
B. establish methods to evaluate program outcomes
C. obtain visual aids that feature adolescents
D. provide computer based education
Answer: A. collect data to identify barriers to learning

21. A nurse is counseling a client who has a new diagnosis of chlamydia. which of the
following information should the nurse include in the teaching? (select all that apply)
A. you should avoid sexual contact until therapy is complete
B. notify anyone with whom you have had sexual contact over the past 2 months
C. you will need to take an antiviral medication for 30 days
D. once your complete treatment you will have an acquired immunity against chlamydia
E. you might experience painful urination until the infection has resolved
Answer: A. you should avoid sexual contact until therapy is complete
B. notify anyone with whom you have had sexual contact over the past 2 months
E. you might experience painful urination until the infection has resolved

22. A home health nurse is planning the initial home visit for a client who has dementia and
lives with his adult son’s family. which of the following actions should the nurse take first
during the visit?
A. encourage the family to join a support group
B. provide the family with information about respite care
C. educate the family regarding the progression of dementia
D. engage the family in informal conversation
Answer: D. engage the family in informal conversation
23. A parish nurse is counseling a family following a client’s recent diagnosis of heart
disease. which of the following actions should the nurse take first?
A. discuss the benefits of eating a well-balanced diet with the client’s family
B. assist the client and the clients partner with finding an affordable exercise program
C. offer to accompany the client and the clients partner during health care provider visits
D. ask family members about the impact of the disease on relationships within the family
Answer: D. ask family members about the impact of the disease on relationships within the
family

24. A nurse is caring for a client who is having difficulty performing activities of daily living.
the nurse is functioning in which of the following roles when arranging for an occupational
therapist to visit the client.
A. Administrator
B. nurse consultant

C. case manager
D. clinician
Answer: C. case manager

25. A nurse is working in a shelter following a disaster. which of the following is the priority
action for the nurse to take?
A. create diversionary activities for children
B. address the physical needs of clients
C. help clients gather needed supplies
D. explore feelings the clients are experiencing
Answer: B. address the physical needs of clients

26. A community health nurse is planning a smoking cessation class. which of the following
factors will have the greatest effect on the success of the class?
A. presenters teaching strategies
B. presenter’s credibility
C. client’s motivation
D. client’s education level
Answer: C. client’s motivation

27. A home health nurse is caring for a client who has chemotherapy induced nausea that has
been resistant to relief form pharmacological measures. which of the following interventions
should the nurse initiate (select all that apply)?
A. use seasonings to enhance the flavour of foods
B. provide sips of room temperature ginger ale between meals
C. maintain the head of the clients bed in an elevated position after eating
D. offer 120 ml (4 oz.) of cold 2% milk as a meal replacement
E. assist the client in using guided imagery
Answer: B. provide sips of room temperature ginger ale between meals
C. maintain the head of the clients bed in an elevated position after eating

28. A nurse is preparing an educational program about breastfeeding for a group of new
parents. the nurse should use which of the following instructional strategies to promote
psychomotor learning

A. review flashcards that identify holding technique with the group
B. show the group a video on breastfeeding techniques
C. facilitate a discussion group about the benefits of breastfeeding
D. provide dolls for the participants to demonstrate positioning
Answer: D. provide dolls for the participants to demonstrate positioning

29. A nurse is serving on a state task force for disaster planning. the nurse is engaging in
disaster preparedness efforts when performing which of the following actions
A. implementing a disaster triage plan with a local medical facility
B. functioning as a manager at a temporary shelter
C. assisting with the identification of a biological agent
D. organizing a mass casualty drill for community members
Answer: D. organizing a mass casualty drill for community members

30. A 35-year-old client who has a diagnosis of tuberculosis informs the providers office that
she is unable to pay for the treatment. which of the following actions by the nurse will
facilitate obtaining appropriate treatment?
A. help the client apply for Medicare
B. explore options for alternative therapies
C. arrange for medication through local agencies
D. send the client to the nearest facility for further evaluation
Answer: C. arrange for medication through local agencies

31. A public health nurse is addressing community leaders at a forum about community
improvement. the nurse should identify which of the following groups as being the fastest
growing segment of the homeless population.
A. people who have substance use disorders
B. families who have children
C. adolescent runaways
D. men who are unemployed
Answer: B. families who have children

32. A nurse is counseling a client who is to undergo enzyme linked immunosorbent assay
testing for HIV. which of the following information should the nurse include?

A. the test monitors progression of the disease
B. the test measures antibodies to the virus
C. the test results are accurate 24 hr. after exposure to the virus
D. a positive result requires initiating immunoglobulin administration
Answer: B. the test measures antibodies to the virus

33. A nurse case manager is providing discharge planning for a client. the nurse is
functioning in which of the following roles when arranging for the delivery of medical
equipment to the client’s home
A. consultant
B. systems allocator
C. advocate
D. coordinator
Answer: C. advocate

34. A faith based organization asks a community health nurse to develop a mobile meal
program for older.__________ the following actions should the nurse plan to take first.
A. determine potential funding sources for the program
B. inquire about the availability of volunteers
C. identify alternative solutions to address concerns
D. perform a needs assessment
Answer: D. perform a needs assessment

35. Several nurses are developing a parish nurse group to help address the primary and
secondary health care needs of the congregation. which of the following services should the
nurses plan to provide to the congregation?
A. organize an influenza immunization clinic with the American red cross
B. perform wound care in the home of members
C. provide end of life care for members who are terminal
D. facilitate discharge from the facility to the home
Answer: A. organize an influenza immunization clinic with the American red cross

36. A community health nurse is caring for client in a culturally diverse community. which of
the following actions demonstrates accurate cultural knowledge about a specific cultural
group?
A. touching the hair of an African American client during an assessment
B. offering to shake hands when meeting an Asian client of the opposite gender
C. maintaining eye contact when interviewing a native American client
D. including both hot and cold food items on a Hispanic client’s menu
Answer: D. including both hot and cold food items on a Hispanic client’s menu

37. A community health nurse is providing screening for lipid disorders. which of the
following is the primary goal of this activity?
A. early detection of disease
B. client enrolment in prevention programs
C. promotion of appropriate lifestyle changes
D. identification of family history of medical problems
Answer: A. early detection of disease

38. A school nurse is implementing health screening. which of the following assessment
finding should the nurse recognize as the highest priority?
A. a child who has a BMI of 18
B. an adolescent who has scoliosis
C. an adolescent who has psoriasis
D. a child who has nits
Answer: D. a child who has nits

39. Which of the following should the nurse include
A. should be placed beside the child’s bed
B. house hold contacts will receive prophylactic antibiotics
C. transmission will be emitted because of herd immunity
D. the child is most contagious after the rash develops
Answer: B. house hold contacts will receive prophylactic antibiotics

40. A home health nurse is scheduled for a first time visit to a client. which of the following
should the nurse perform first?

A. blood pressure screening
B. mental status examination
C. review of the neighborhood
D. family history
Answer: B. mental status examination

41. In the last month three cases of tuberculosis have been referred to the health department.
which of the following is the priority information for the community health nurse to obtain
from each client?
A. demographics
B. house hold members
C. occupation
D. health history
Answer: D. health history

42. A nurse is working to reduce individual and family violence in the local community.
which of the following actions by the nurse demonstrates a primary prevention strategy to
achieve this goal?
A. conducting counseling for at risk parents
B. assessing a family for marital discord
C. teaching parenting techniques to new parents
D. providing treatment for a young adult who has a substance use disorder
Answer: C. teaching parenting techniques to new parents

43. A newly hired occupational health nurse is assessing hazards in the work environment.
which of the following actions will help the nurse detect potential physical hazards?
A. track rates of illness caused by infection among employees
B. survey workers about job related emotional stress
C. identify industrial toxins that are present in the environment
D. measure noise levels at various locations in the facility
Answer: D. measure noise levels at various locations in the facility

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 the leading cause of death for this age group

A. motor vehicle safety
B. sports injury prevention
C. substance abuse prevention
D. gun safety
Answer: A. motor vehicle safety

45. A nurse of a community clinic is preparing an educational guide about cultural variances
in expression of pain. which of the following information should the nurse include?
A. middle eastern cultural practices include hiding pain from close family members
B. native American cultural practices include being outspoken about pain
C. Puerto Rican cultural practices include the view that outspoken expressions of pain are
shameful
D. Chinese cultural practices include enduring pain to prevent family dishonour
Answer: D. Chinese cultural practices include enduring pain to prevent family dishonour
46. The partner of an older adult client who has Alzheimer’s disease reports that he is not
eating. the nurse _____ client partner refuses to assist the client with feeding. the partner
insists the client feed himself without help. which of the priority action the nurse should take?
A. arrange for meals on wheels’ assistance
B. determine the client’s ability to self-feed
C. direct the home health aide to assist with meals
D. refer the clients partner to an Alzheimer’s support group
Answer: B. determine the client’s ability to self-feed

47. A nurse is planning priority
A. encourage enrolment and attendance at weight reduction programs
B. educate children at a day care center about nutrition and exercise
C. distribute health risk appraisal questionnaires at community functions
D. measure the BMI of older adults at a community senior center
Answer: C. distribute health risk appraisal questionnaires at community functions

48. A nurse working in an infectious disease clinic is caring for a client has a new diagnosis
of Lyme disease. which of the following agencies is responsible for voluntarily reporting
cases of this disease to the centers for disease control and prevention

A. office of the surgeon general
B. state health department
C. hospital infection control department
D. local red cross chapter
Answer: B. state health department

49. A nurse is providing teaching to a 50-year-old female client. which of the following
statements should the nurse include in the teaching?
A. you should have a complete eye examination every 2 years until the age of 64
B. you should have your hearing screened every 5 years
C. you should have your stool tested for blood every other year until the age of 74
D. you should have your fasting blood glucose level checked every 6 years
Answer: C. you should have your stool tested for blood every other year until the age of 74

50. A nurse is discussing short and long term goals with a client who has alcohol use disorder
and is being admitted to a treatment facility. which of the following statements is appropriate
for the nurse to include in the discussion?
A. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms
during treatment
B. remaining physically active will help to minimize drowsiness and chills associated with
initial alcohol withdrawal.
C. attending Al anon meetings will help you identify a role model to assist you with making
needed changes
D. you will begin learning functional skills to replace defense mechanisms and behaviours
while in treatment
Answer: C. attending Al anon meetings will help you identify a role model to assist you with
making needed changes

51. A nurse is assessing an outbreak of mumps among school age children. using the
epidemiological triangle. the nurse should recognize that which of the following is the host.
A. the vaccine
B. the virus
C. the school
D. the children

Answer: D. the children

52. A community health nurse is working with a group of homeless veterans who have
posttraumatic stress disorder. which of the following interventions should the nurse
implement?
A. provide coffee and snacks during the meetings
B. avoid discussing the traumatic events experienced by the veterans
C. change the meetings sites frequently
D. teach the clients to practice deep breathing exercises
Answer: C. change the meetings sites frequently

53. Client states my life has no meaning right now.
A. have you been thinking about harming yourself
B. how long have you been feeling this way
C. tell me what is going on with you right now
D. do you really think your life has no purpose
Answer: A. have you been thinking about harming yourself

54. A nurse is providing education to a group of adolescents who are pregnant and attending
high school. which of the following information should the nurse include in their teaching?
A. the need for supplemental folic acid is greatest during the third trimester
B. the incidence of high birth weight infants is higher in adolescent pregnancy
C. pregnant adolescent need to gain less weight than adult mothers
D. caffeinated beverages should be replaced with caffeine-free beverages
Answer: D. caffeinated beverages should be replaced with caffeine-free beverages

55. Nurse expect
A. oliguria
B. diplopia
C. hypoglycaemia
D. dizziness
Answer: D. dizziness

56. A community health clinic nurse manager is reviewing the incidence rate of chlamydia in
the state. in a given year, 3144 new cases were reported and the population was estimated at
325,986. which of the following is the incidence rate in the state for the year?
A. about 300 reported cases per 100,000 population
B. about 1 reported case per 10,000 population
C. about 10 reported cases per 1000 population
D. about 3 reported cases per 10,000 population
Answer: C. about 10 reported cases per 1000 population

57. A home health nurse is visiting a client who had a stroke 2 months ago. which of the
following findings should the nurse report to the interprofessional care team?
A. the client dresses her affected side first.
B. the client bears weight on their arms when using crutches
C. the client coughs when swallowing her medications
D. the client’s caregiver fills a pill organizer weekly
Answer: C. the client coughs when swallowing her medications

VERSION 3
ATI COMMUNITY HEALH PROCTORED STUDY GUIDE
ADHD teaching
▪ Consistent daily routine and limit distractions
o Advocating for a newly approved community health clinic in an area of the city
that has fewer resources is known as distributive justice
o Alcohol abstinence medications
▪ Disulfiram~ used to maintain abstinence when no longer experiencing
manifestations of withdrawal
▪ Naltrexone
▪ Acamprosate
o Medications for alcohol withdrawal
▪ Diazepam
▪ Clonidine
▪ Carbamazepine
▪ Chlordiazepoxide

o

o

o
o
o
o
o
o
o
o

o
o

▪ Phenobarbital
▪ Naltrexone
Alcohol withdrawal symptoms tend to appear 2-3 days after stopping
▪ Hallucinations
▪ Severe hypertension
▪ Cardiac dysrhythmias
▪ Delirium
▪ Death
Alcohol symptoms that tend to appear 4-12 hours after stopping
▪ Abdominal cramps
▪ Vomiting
▪ Tremors
▪ Restlessness
▪ Inability to sleep
▪ TACHYCARDIA
▪ HYPERTENSION
▪ Hallucinations
▪ Anxiety
▪ Increased respirations
▪ Fever
▪ Tonic colonic seizures
▪ Diaphoresis
African Indian health medications and beliefs~ seek SHAMAN for healing
of an infection
ANTHRAX exposure
▪ Ciproflaxin is the treatment of choice and should be used prophylactically
Asian health beliefs~ steam removes toxins from the body—heated blanket
(ying and yang theory)
Autonomy means respecting a client’s right to choose and refuse
Beneficence is maximizing benefits and minimizing possible harm
Breast cancer prevention includes yearly exams beginning at 40 years old
Calculating disease incidence and prevalence cases / population total X 1000
Indications of digoxin toxicity
▪ Hypokalemia
▪ Fatigue
▪ Weakness
▪ Vision changes
▪ GI affects
Caregiver burden responses~ fatigue, difficulty sleeping, illness
Care of migrant workers health problems

o
o

o

o
o
o
o
o

o
o

1) Dental disease
2) Tuberculosis
3) Chronic conditions
4) Stress and anxiety
5) Leukemia
6) Iron deficiency anemia
7) Cancer
8) Lack of parental care
Caribbean nations health beliefs and medicine~ voodoo and witchcraft
Caring for a client with GONORRHEA
▪ Notionally notifiable disease
▪ Women are frequently ASYMPTOMATIC
▪ Yearly screening for women over 25 with risk factors
▪ At risk population—pregnant women—should be screening at 1st prenatal
visit and identify and treat all partners
▪ Administer erythromycin to all infants following delivery
▪ Ceftriaxone IM or azithromycin PO
▪ It is the providers responsibility to report
▪ State notification is voluntary
▪ If left untreated can lead to PID and cause infertility
▪ Medication Ceftriaxone
Case management nurses identify referrals that clients need, promote
interpersonal service and increase involvement, decrease cost by improving
outcomes, provide education to optimize health participation, and advocate for
services and client rights
Case managers provide referral information, facilitate movement through health
care system, negotiate and collaborate
Category A biological agents
▪ Tularemia
▪ Botulism
Christian religion medicine and health beliefs~ believe in faith healing
Hospice care is to control manifestations
Clients rights
1) Right to information disclosure
2) Right to privacy
3) Right to informed consent
4) Right to confidentiality
5) Right to participate in treatment decisions
Colds and other illnesses are not contraindications for getting immunizations
What identifies as secondary data

o
o
o
o
o
o
o

o
o

o
o
o
o
o

o

▪ Birth statistics
▪ Previous health survey results
▪ Health records
Clients who have ringworm~ clean all surfaces
Community based means management of acute and chronic conditions where
individuals and families live, work, and attend school
Community oriented is at risk individuals, families, groups within the
community. One must determine health needs, intervene at individual/ family/
and group level to improve the health of the community
Always compile collected data into a data base first
Components of disaster prevention include identifying community vulnerabilities
The method used to have conversations with someone within the community is
known as key informant reviews
Contraindications for patients with HIV during pregnancy
▪ Episiotomy
▪ Forceps
▪ Internal fetal monitoring
Dehydration impairs motor control
Demographics of homeless populations
▪ Families with children
▪ Mental illness
▪ Veterans
▪ Substance abusers
▪ Runaway youth
▪ Intimate partner abuse victims
▪ HIV and AIDS clients
▪ Older adults
Females need 2000 calories a day and males need 4000 calories a day
Iron intake should be 11-15mg extra/day
Adolescents should take in 1300mg of calcium a day
Distributive justice is fair distribution of the benefits and burdens in society
Domains of learning
▪ Affective~ involves change of attitude and development of values
▪ Cognitive~ involves knowledge of development of intellectual skills
▪ Psychomotor~ involves performance of a skill
Early manifestations of ANTHRAX
▪ Dry cough
▪ Mild chest pain
▪ Fever
▪ Fatigue

o Eastern Chinese/ Asian medicine beliefs~ an imbalance in nature is believed
to cause disease
o Endocrine disorder Somptropin
▪ Monitor growth patterns
▪ Rotate injection sites
▪ Mix gently do not shake prior to administration
▪ Obtain baseline weight and height
o Epidemiological principles include analyzing incidence and track outcomes of
interventions for a particular disease or condition
o Epidemiological triangle
▪ Agents
 Chemical: drugs and toxins
 Physical: noise and temperature
 Infections: viruses and bacteria
▪ Environment
 Physical: geography, water/food supply, presence of
reservoirs/vectors
 Social: access to health care, increase work environment, poverty
▪ Host
 Age
 Gender
▪ Genetics
 Ethnicity
 Immunological status
 Physiological status
 Occupation
o Nurses function as a consultant when the update state officials about health needs
of the local community
o Resource barriers include cost associated with services
o TORCH infections signs and symptoms
▪ Joint pain
▪ Malaise
▪ Rash
▪ Tender lymph nodes
o Exposure to ANTHRAX
▪ Give IV Ciproflaxin prophylactically to stop disease progression
▪ Signs and symptoms
 Headache
 Fever

o
o
o
o
o
o

o

o

 Muscle aches
 Chest pain
 Severe dyspnea
 Shock
Faith and parish nurses cannot do anything physical to a patient—no wound care,
hospice, homecare, med giving (they are just a liaison)
The 1st step in developing a community health plan is to identify the population
specifics
HEPATITIS A
▪ Ingest contaminated water, Close personal contact with infected people,
Fecal-oral route of transmission
HEPATITIS B
▪ Blood, Unprotected sex with infected people, born to infected mom,
contact with infected blood, injection drug users
HEPATITIS C
▪ Blood, drug abuse, and sex with infected persons
HEPATITIS and CIRRHOSIS
▪ Contact precautions as needed
▪ High carb, high calorie, low-moderate fat, and high protein diet
▪ Small frequent meals
▪ No alcohol
▪ Limit physical activity
▪ Avoid sex until hep antibody test is negative
▪ Proper hand hygiene
How to apply HIPPA~ log off computer before leaving, never share ID or
password, never leave medical records where people can see them, shred any
printed information about client, do not use or view social media in clinical
setting, and never post about clinical stuff
HIPPA rules
▪ Only staff assigned to the patient may view/read client’s health record
▪ Client have the right to read or obtain copy of their health records
▪ Nurses may not photocopy any part of medical record except for
authorized exchange of doctors between facilities and providers
▪ Staff must keep records/names of client in secured place
▪ Electronic records must be password protected
▪ No sharing info to family members without code in person, email, or phone
call
▪ Talking about a client must be in a private setting so no one can overhear

o Hispanic health/medicine beliefs~ avoid direct eye contact, use therapeutic
touch, use face/ hand and body gestures, respect them wanting to use
traditional therapies
o HIV/AIDS and decreased CD4 T lymphocyte determines the stage of the disease
and the lower the number the worse the disease
o HPV teaching—do not have to notify state or local departments, teach how to
apply cream to lesions
o Radioactive Iodine Therapy
▪ Client is radioactive
▪ No pregnant people should be around them
▪ No breastfeeding
▪ Keep distance of at least 6 ft and limit visitors to 30 minutes
▪ Drink lots of fluid
▪ Maintain good hygiene to prevent infection
o Hazards in the occupational environment—exposure to chemicals, worker
inexperience/age/pregnancy, lifting heavy loads, constant sitting, stress , burnout,
violence, temperature extremes, noise extremes, no having correct protective
equipment
o Primary prevention~ education and immunizations
o Secondary Prevention~ screening for lice/TB/cancer/Hypertension, or safety
checks (home safety and outbreak control)
o Tertiary Prevention~ rehab, support groups, counseling, therapy, disease
management
o Pregnant women cannot receive MMR, Rubella (can develop infection), Herpes
Zoster, or Varicella
o Pregnant women can receive TDaP
o When completing a work site survey include work practice of employees
o Infants get the MMR and Rotavirus immunization at 12 months
o Clients who have MRSA should complete full course of antibiotics and avoid
overuse of antimicrobials
o INHALED ANTHRAX is not transmitted person to person
o Long term exposure to ASBESTOS can lead to mesothelioma and lung
conditions.
o Justice situation is determining eligibility for health care services based on
income and fiscal responsibility
o Leading cause of death among adolescents is motor vehicle accidents
o Local disaster plans are organized by the office of emergency management
o Signs and symptoms of MEASLES
▪ mild to moderate fever
▪ conjunctivitis

o
o

o

o
o
o
o
o
o
o
o
o

▪ fatigue
▪ cough
▪ runny nose
▪ red eyes
▪ sore throat
▪ rash
▪ KOPILKO SPOTS—appear in the mouth 2 days before rash
▪ Red/reddish brown rash on face then spreading downward
▪ Spike in fever with rash
Manifestations of child neglect—underweight and poor hygiene
Manifestations of SYSTEMIC INFECTION
▪ Fever
▪ Malaise
▪ Tachycardia
▪ Tachypnea
Manifestations of TUBERCULOSIS
▪ Persistent cough
▪ Fatigue
▪ Night sweats
▪ Purulent sputum
Mantoux test with an induration of 5mm should be considers a positive test for
someone that is immunocompromised
Mantoux test with an induration of 10mm or greater that is palpable, raised or
hardened is a positive skin test
A positive Mantoux test identifies that the client has developed and immunity to
TB but does not determine active TB
Mexican culture medicine and health beliefs~ hot-cold therapy of balance in
relation to health and illness that accompanies belief in framework
MRSA is contact precaution
Native American health and medicine beliefs~ use of religion, avoiding eye
contact, use of spiritual practices, use of healing practices
Isoniazid (TB med) report manifestations of tingling in hands
Nonmaleficence means to do no harm
Nonpharmacological measures used to reduce nausea include
▪ Eat cold or room temperature foods
▪ High carb and low fat
▪ Avoid fried foods
▪ Do not eat prior to chemotherapy or radiation
▪ Sit up for one hour following meals
▪ Ginger

o Normal Lab values
▪ Albumin—3.5-5.0
▪ BUN—10-20
▪ Calcium—9-10.5
▪ Glucose—70-110
▪ GFR—90-120
▪ HbA1c--60 females >70
▪ Hgb males 14-18 females 12-16
▪ LDL <100
▪ Magnesium—1.8-3
▪ Platelets—120,000-450,000
▪ Potassium—3.5-5.0
▪ PT—11-13.5
▪ Sodium—135-145
▪ White blood cells—5,000-10,000
o Patients with TUBERCULOSIS should provide sputum samples every 4 weeks
to monitor effectiveness of the medications
o Interventions for TUBERCULOSIS
▪ N95 or HEPA mask
▪ Negative airflow room
▪ Airborne precautions
▪ Patient must wear mast when being transported
▪ Cough and expectorate sputum into tissues and discard in provided sacks
▪ Eat foods high in protein, iron and vitamin C
o Orthodox Judaism diet~ avoids dairy and meat at same time and they do not
eat pork
o If an outbreak is ever suspected 1st determine incidence rate
o Parish nursing~ promotes health and wellness within populations of faith
communities, work with pastoral care staff/ professional health care members/
volunteer to provide holistic approach to healing. Function as personal health
counselors, health educators, liaisons between faith and community and local
resources, facilitate support groups, and spiritual support
o PERTUSSIS education
▪ Droplet precautions
▪ Also known as whooping cough
▪ Incubation period of 7-10 days
▪ Signs and symptoms of a common cold
▪ Antibiotics

o PERTUSSIS interventions
▪ Wear a mask when providing care within 3 ft of the patient
▪ Surgical mask when transporting
▪ Wear gown when performing care that may result in secretion
contamination
o Evaluation plan for community health program should include a comparison of
their program to similar programs
o Primary prevention activities~ determine solutions, establish goals, give
responsibilities to individuals, determine resources, screen and educate,
determine funding and develop a budget, plan for evaluation
o What is a portal of exit in the mode of transmission—skin, GU tract, and mucous
membranes
o Windshield survey (assessment included)—ethnicity, natural community
boundaries, presence of public protection
o Prevent TORCH infections by avoiding the consumption of undercooked meat
while pregnant
o Primary Prevention for rural or migrant farm workers—educate on measures to
reduce exposure to pesticides, teach accident prevention, prenatal care, and
mobilize prevention services
o Secondary Prevention for rural or migrant farm workers—SCREENING—
pesticide exposure, skin cancer, chronic preventable diseases, communicable
diseases
o Tertiary Prevention for rural or migrant farm workers—treat for symptoms of
pesticide exposure, mobilize primary care and emergency services
o Primary symptom of SYPHILIS—chancre
o Prioritizing client care
▪ Actual problems before potential problems (administer meds before
ambulating a patient at risk)
▪ Acute (new injury) before Chronic
▪ Systemic before Local (life before limb)
o Developing a disaster plan
▪ Set up alternative communication
▪ Highlight possible evacuation routes
▪ Identify local and distant meeting places
▪ Create disaster kits
▪ Identify at risk population
▪ Identify community disaster warning systems and how to access
▪ Identify 1st responders
▪ Make a list of agencies for all levels of disaster
▪ Triage

o

o
o
o

o

o
o
o

o
o
o

▪ Gather equipment and check often
Priority findings in school health screenings
▪ Abuse evidence
▪ Vision and hearing
▪ Height and weight changes
▪ Scoliosis
▪ Infestations
Process evaluation for quality improvement groups—focus groups, satisfaction
surveys, written audits, interviews
The prompt use of benzodiazepines can prevent serious complications of
DELIRIUM TREMENS
Provide culturally appropriate care by~ addressing clients by last name until
told otherwise, introducing yourself and explain position, be authentic and
honest about what you don’t know about a culture, use culturally sensitive
language, don’t make assumptions about the client, encourage them to ask
questions, find out what the client knows about their condition and
treatment, respect beliefs/ practices/ and values, show respect for client’s
support system
Providing teaching to someone to speak a different language~ interpreters should
not be a family member, should have knowledge of health care and terminology,
client preference should be considered (age and sex), should not be from the same
community, teaching material should be available in the client’s primary
language
Providing teaching to family of patient with SUBSTANCE ABUSE
DISORDER~ eliminate any codependent behavior, primary goal is abstinence,
discuss feelings to help recover
HERPES ZOSTER manifestations include linear cluster of fluid-containing
vesicles with some crusting
PTSD interventions
▪ Therapeutic relationship with client
▪ Asses for suicide ideation and use precautions when necessary
▪ use multiple strategies to reduce anxiety
▪ Allow time to express feelings
Public health nurses review morbidity and mortality data for the community
Rationalization is coming up with reasons that avoid the true reason
Signs and symptoms of ABUSE
▪ Child
 Unexplained injuries
 Unusual fear of nurses or others
 Injuries/wounds not mentioned in health history

o
o
o
o

o

o

o
o
o
o

 Fractures, including other healed fractures
 Presence of wounds/fractures/ injuries in various stages of healing
 Subdural hematomas
 Trauma to genitalia
 Malnourishment or dehydration
 General poor hygiene or inappropriate dress for weather conditions
 Considered a bad child
▪ Adult
 Unexplained or repeated physical injuries
 Physical neglect and unmet basic needs
 Rejection of assistance by caregiver
 Financial mismanagement
 Depression
Recommended saturated fat intake in no more than 75% of daily caloric intake
Referral client barriers include~ lack of motivation, inadequate info about
community resources, inadequate understanding of the need for referral,
accessibility needs, priorities, finances, cultural factors
Referral resource barriers include~ attitudes of health care personnel, cost of
service, physical accessibility of resources, time limitations, limited expertise
working with culturally diverse populations
Diseases reportable to CDC
▪ GONORRHEA
▪ VARICELLA
▪ SYPHILIS
Reportable to the State Health Department
▪ Suspected cases of child abuse/neglect
▪ Elder abuse/neglect
▪ SYPHILIS
RHEUMATOID ARTHRITIS teaching Hydroxychloroquine
▪ Advise the patient to get baseline eye exams and follow up eye exams
every 6 months with ophthalmologist
▪ Stop medication and notify provider if blurry vision occurs
Secondary prevention for school nurse~ routine checking for lice throughout the
school year
Goals of screening~ provide accurate reliable results, inexpensive and quick
administration to large groups, produce few side effects
Secondary data is use of existing data to determine prevalence of disease
Tuberculosis medications
▪ Isoniazid

 Take on an empty stomach
 Watch for hepatoxicity and neurotoxicity
 Tingling extremities
 Vitamin B6
 Do not consume alcohol while taking
▪ Pyrazinamide
 Observe for hepatoxicity
 Drink glass of water with each dose and lots throughout the day
 Report yellowing of skin
 Report pain or swelling of joints
 Report loss of appetite
 Report malaise
 Do not consume alcohol while taking
▪ Rifampin
 Observe for hepatoxicity
 Urine secretions will be orange
 Report yellowing of skin
 Report swelling of joints
 Report loss of appetite
 Report malaise
 Do not consume alcohol while taking
▪ Ethambutol
 Monitor for vison changes
o TUBERCULOSIS patients who have received bacillus Calmette-Gurerin vaccine
within the past year can have a false positive Mantoux test.
o Signs and symptoms of TUBERCULOSIS
▪ Persistent cough for more than 3 weeks
▪ Chest pain
▪ Weakness
▪ Anorexia
▪ Hemoptysis
▪ Dyspnea
▪ Night sweats
▪ Fever
▪ Chills
o Use of crutches—don’t alter the crutch after fitting, follow prescribed crutch gait,
support body weight at the hand grips with elbows flexed 30*, position crutches
on unaffected wide when sitting or rising from a chair

o Safe disposal of insulin syringes—put in strong plastic container, do no recycle
needles, throw container in trash, seal container ¾ full with duct tape, facilities
throw them in sharps container
o Test for HIV/AIDS
▪ ELISA
▪ Western Blot
▪ Indirect Immunoassay test
o Triage mass casualty tagging
▪ Red
▪ Yellow
▪ Green
▪ Black –expectorant and cannot be saved
o Make sure when using web-based information, the sites are credible; no .com
websites, use appropriate terminology, EBSCO/ CDC/ NICBH are good
websites, evidence-based practice is validated by peer review
o Vaccines
▪ 6 weeks-6 years ~ 5 DTaP shots
▪ 11-12 years~ meningococcal conjugate
▪ 60+ years~ herpes zoster
o Disease that can be treated during labor or immediately following
▪ GONOHRREA
▪ CHLAMYDIA
▪ HIV
▪ GROUP BETA STREP
o Teaching for TUBERCULOSIS precautions—wash hands after coughing and
wear a mask in public areas
o HMO is an insurance group that provided health services for a fixed annual fee
and there is an agreed upon payment level
o Most preventable cause of death is smoking
o The nurse is acting as a consultant with providing information to families,
admins, teachers, and parent-teacher groups to decisions that promote the health
of students.
o The nurse is performing as a case manager when coordinating comprehensive
services for students with complex needs
o The nurse is performing as a counselor when developing a trusting relationship
with students and providing support on issues affecting their lives
o Windshield survey
▪ Nurse and other driver drive through the community assessing components
▪ Time consuming
▪ Provide descriptive overview of the community

o
o
o
o

▪ Results limited because its only based on visualization and doesn’t include
community member input
▪ The nurse is looking for
 Pets and animals
 Evidence of drug use/substance use
 Origin, race, ethnicity of population
 General appearance
 Natural man-made boundaries
 Housing details
 Social systems: hospitals, clinics, dentist, parks, worship places,
stores, public protection, and transport
▪ Measures
 Population: ethnicity
 Housing
 Social: public resources and protection
 Natural environment
 Place
Women’s health screenings cholesterol should remain between 45-65
Fecal occult test should begin after 50 years of age
Women’s health after menopause—increase iron/ B12/ and fluids, mammogram
every year-2 years, colon cancer screening, regular doctor visits, skin assessment,
immunization, vision checks
All written educational material should be written on a 6th grade level

VERSION 4
ATI COMMUNITY HEALTH EXAM (100 Q&A)

1. A nurse is planning a primary prevention strategy for reducing obesity in a community.
Which of the following strategies should the nurse use?
Answer: 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?
Answer: participate in community assessment to identify community health problems

3. A home health nurse is scheduling client visits for the day. Which of the following clients
should the nurse plan to visit first?
Answer: 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?
Answer: 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?
Answer: a sputum specimen that is positive for tuberculosis

6. A nurse is triaging victims of a commuter train crash. Which of the following clients
should be transported to the Emergency Department first?
Answer: 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?
Answer: 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)?
Answer: A. provide education to the client about the diagnosis
B. inform the client about the provider’s responsibility to provide C. information assist the
client in preparing questions for the provider
D. affirm the client’s decision about the treatment plan

9. A nurse is working with a client who is homeless. Which of the following is the first step
that the nurse should take to advocate for this client?
Answer: 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?
Answer: caffeinated beverages should be replaced with caffeine-free

11. A community health nurse is writing an emergency response plan for a day care. Which
of the following should be included in the plan?
Answer: 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?
Answer: use if 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?
Answer: kolpik 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?
Answer: slightly yellow sclera

15. Which of the following is an example of the responsibilities of public health nursing
Answer: informing state health officials of a potential meningitis outbreak

16. A nurse is providing a staff development program on HIPPA 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?
Answer: “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?
Answer: Induration at infection site of 8 mm

18. After presenting several teaching sessions to a group of high school students about the
harmful effects of tobacco use, a nurse valuates the teaching to be effective when a student
states which of the following
Answer: “As long as I stop smoking while I am young, none of those diseases will affect
me”

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
Answer: “I should use wool blankets on my bed when oxygen 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?
Answer: “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
Answer: 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
Answer: “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
Answer: 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
Answer: 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
Answer: Offering health screenings at a community center

26. Which of the following activities is the responsibility of a case manager?
Answer: Evaluate cost effectiveness of client treatments

27. A nurse uses a secondary prevention intervention when doing which of the following
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: “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
Answer: Discussing payment options with various pharmacies

33. What patient would the Home Health Nurse send to the doctor first
Answer: 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
Answer: 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
Answer: Documented need for palliative care

36. A nurse is working with a case manager for a client who participates in a health
maintenance organization. Which of the following is characteristic of the payment structure
provided under this system
Answer: The client pays the insurer a percentage of the total costs for each service rendered
by the provider

37. A nurse is providing education to a troop of local Boy Scouts regarding first aid for
venomous snake bites in the event that transport to the hospital is delayed. Which of the
following would be appropriate information to include in teaching about bites to an extremity
Answer: Apply a constricting band above the bite while maintaining circulation below the
bite
38. In reviewing goals of “healthy people” nurse determines the community has a significant
problem preventing dental caries in children. To bring about change
Answer: 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
Answer: The vaccine does not confer life-long immunity

40. A community health nurse is conducting a community assessment. Which of the
following data should be included as a component of the assessment
Answer: 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 schools nurse can
implement
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: Provide the staff with information regarding measures to minimize disease
transmission

46. A nurse planning and education program for new inmates in a correctional facility. Which
of the following topic is most important for the nurse to include in the teaching?
Answer: Communicable disease prevention

47. A school nurse is planning an educational for parents about head lice. The nurse should
include which of the following in the program?
Answer: 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 finding should be reported to the provider?
Answer: 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?
Answer: 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
5-years-old child who has impetigo contagious. The child has siblings living in the home.
Which of the following recommendations is appropriate?
Answer: Provide the child with separate towels and lines

51. A client tells a nurse that she is planning a hiking trip. Which of the following measures
should the nurse recommend minimizing the client’s risk for contracting Rocky Mountain
spotted fever?
Answer: 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?
Answer: 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?
Answer: Prevalence rate

54. Which of the following activities would the school nurse perform in the role a consultant?
Answer: Recommend policy chances to minimizes the spread of influenza

55. A client presents to the emergency department after being exposed to anthrax. The nurse
should recognize that the
Answer: 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?
Answer: 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)
Answer: The hot water heater is set at 130 F.
An extension cord extends across the floor from the electrical outlet to floor lamp.

58. Primary Goal of Community Health Nursing
Answer: 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: Recommend changing the language that stereotypes one ethnic group

60. Patient having trouble with peripheral vision-what best for nurse to do
Answer: orient patient to surroundings (something about the environment

61. Risk for constipation - immobility, older
Answer: adults, dehydration, narcotics or BP medications

62. Population-focused nursing practice
Answer: Community diagnosis

63. SIDS-prevention
Answer: supine position, sleep on back

64. Primary prevention of Asthma
Answer: Take bronchodilator first

65. Rheumatoid Arthritis Resources
Answer: The arthritis association

66. Necessary when a person is in need of psychiatric treatment, presents a danger to self or
others, or is unable to meet his or her own basic needs
Answer: Involuntary admission criteria

67. Child injury v/s abuse
Answer: Abuse

68. Nurse is performing an intake interview at a prenatal clinic on a patient who is at 6 weeks
gestation
Answer: Supervision of the renovation of an old house the family just purchased due to
teratogen defect

69. The community health nurse attempting to address the issue of child abuse in a large
metropolitan area primary prevention program
Answer: High school child development and parenting classes

70. Scheduling home visits, which is best for the home health charge nurse to assign to the
LPN
Answer: A bedfast client who needs daily irrigation of stage 4 pressure ulcer

71. Occupational Health Act
Answer: Location of the workplace as relates to health facilities

72. Nurse has to conduct community Dx to determine nursing needs and problems
Answer: Community -based practice .

73. Pregnant woman not getting enough what vitamin may cause neural tube defects
Answer: Folic acid

74. Plans formulated for solving community problems
Answer: Community organization

75. Training of potential leaders in the community
Answer: Core group formation

76. PHN bag is an important tool for care during a home visit
Answer: prevent the spread of infection

77. Prenatal consult asked HHN if she can have her delivery at home advised her against a
home delivery
Answer: Her OB score is G5P3

78. 6 months pregnant, comes to the center for consult and what med is contraindicated
Answer: Retinol 2000,000 IU

79. Type of family-nurse contact offers with the best opportunity to observe family dynamics
Answer: Home visit

80. Philosophy of public health nursing
Answer: worth and dignity of man

81. Abuse
Answer: Advise the mother to call the police if violent behavior occurs again

82. 70-year-old male client at nursing home after a hip replacement and at risk for decubitus
ulcers because
Answer: Thinning of the skin with loss of elasticity

83. Vietnamese child during a HH visit and nurse notices round swellings on child's back.
Mom says she rubbed a coin on his oiled skin
Answer: The purpose is to rid the body of disease

84. Core business of public health
Answer: Disease control, health protection, health public policy, injury prevention

85. Herbal plant given for fever, headache and cough
Answer: Langundi

86. Pillars of primary health care
Answer: Provision of medical care and emergency treatment

87. If there were 250 deaths and 36,114 live births registered in Region III, with a total
population of 200,000, the fetal death rate would be
Answer: 6.9 per 1000 live births

88. Type of water supply facility composed of system with piped distribution network and
household taps
Answer: Level III

89. Pandemic occurrence of a disease
Answer: The simultaneous occurrence of epidemic of the same disease in several countries

90. 5 year old child given Retinol capsule every 6 months to prevent xerophthalmiapreschooler dose
Answer: 200,000 IU

91. In the Philippines, condition most frequent cause of death associated with schistosomiasis
Answer: Liver cirrhosis

92. Operation Timbang is which level of prevention of health problem
Answer: Primary

93. In conducting a census, the method of population assignment based on the usual place of
residence of the people
Answer: De facto

94. Method of family planning not immediately used by a breastfeeding mother
Answer: Combined OCP

95. 3 year old boy with severe pneumonia or very severe disease
Answer: fast breathing

96. Very important part of the community health nursing planning process
Answer: Evaluation of structures and qualifications of health care team

97. An advantage of a home visit
Answer: Provides an opportunity to do first hand appraisal of the home situation

98. The different clients of the community health nurse
Answer: Individual
Family
Population group
Community

99. Dependency ratio
Answer: Compares the number of economically dependent with the economically productive
group in population
100. According to Maslow’s hierarchy of needs, developing one’s potential is
Answer: Self-actualization

101. Newborn Screening act is
Answer: R.A 9288

102. He defined public health as the science and art of preventing disease, prolonging life,
promoting health and efficiency through organized community effort
Answer: Winslow
103. Woman brought her 2 month old baby to the health center for immunization - infant’s
temperature registered 38 degrees C
Answer: Proceed with the infant’s immunizations

104. When is Rabies awareness month celebrated
Answer: March

105. 6 year old boy entering school for the first time

Answer: Foreseeable crisis

106. Severe dehydration
Answer: Sunken eyes
Skin pinch goes back slowly
Abnormally sleepy or difficult to awaken

107. Element of Formula one aims to ensure quality and affordability of health services
Answer: Health regulation

VERSION 4
ATI COMMUNITY HEALTH FINAL EXAM

Questions:
1. A nurse manager at a community agency is developing an orientation program for newly
hired nurses. When discussing the differences between community based and community
oriented nursing, the nurse should include which of the following situations as an example of
community based nursing? (SATA)
A. A home health nurse performing wound care for a client who is immobile
B. An occupational health nurse providing classes on body mechanics at a local industrial
plant
C. A school nurse teaching a student who has asthma about medications
D. A parish nurse teaching a class on low sodium cooking techniques
E. A mental health nurse discussing stress management techniques with a support group
Answer: A. A home health nurse performing wound care for a client who is immobile
C. A school nurse teaching a student who has asthma about medications

2. A nurse is advocating for local leaders to place a newly approved community health clinic
in an area of the city that has fewer resources than other areas. The nurse is advocating for the
leaders to uphold which of the following ethical principles?
Answer: Distributive justice

3. A nurse is preparing an education program on disease transmission for employees at a local
day care facility. When discussing the epidemiological triangle, the nurse should include
which of the following factors as agents? (SATA)
A. Resource availability
B. Ethnicity
C. Toxins
D. Bacteria
E. Altered Immunity
Answer: C. Toxins
D. Bacteria

4. A nurse is developing a community health education program for a group of clients who
have a new diagnosis of diabetes. Which of the following learning strategies should the nurse
include for clients who are auditory learners?
Answer: Facilitating small group discussions

5. A community health nurse is implementing health programs with several populations in the
local area. In which of the following situations is the nurse using primary prevention
Answer: Providing influenza immunizations to employees at a local preschool

6. A nurse is preparing to conduct a windshield survey Which of the following data should
the nurse collect as a component of this assessment? (SATA)
A. Ethnicity of community members
B. Individuals who hold power within the community
C. Natural community boundaries
D. Prevalence of disease
E. Presence of public protection
Answer: A. Ethnicity of community members
C. Natural community boundaries
E. Presence of public protection

7. A nurse is preparing an educational program on cultural perspectives in nursing. The nurse
should include which of the following factors are influenced by an individual’s culture?
A. Nutritional practices

B. Family structure
C. Health care interactions
D. Biological variations
E. Views about illness
Answer: A. Nutritional practices
B. Family structure
C. Health care interactions
E. Views about illness

8. A nurse is completing a needs assessment and beginning analysis of data. Which of the
following actions should the nurse take first?
Answer: Compile collected data into a database

9. A nurse is caring for a client who is from a different culture than himself. When beginning
the cultural assessment, which of the following actions should the nurse take first?
Answer: Gather data about the client’s cultural beliefs

10. A nurse is planning a community health program. Which of the following actions should
the nurse include as part of the evaluation plan?
Answer: Compare program impact to similar programs

11. A nurse is conducting a community assessment. Which of the following data collection
methods is the nurse using when having direct conversations with individual members of the
community?
Answer: Key informant interviews
12. A nurse is using the I PREPARE mnemonic to assess a client’s potential environmental
exposures. Which of the following questions should the nurse ask when assessing for “A” in
the mnemonic?
Answer: “What do you like to do for fun?”

13. A nurse is reviewing information about the local health department to prepare for an
interview. Which of the following services should the nurse expect the local health
department to provide?

A. Managing the Women, infants, and children program
B. Providing education to achieve community health goals
C. Coordinating directives from state personnel
D. Reporting communicable diseases to the CDC
E. Licensing of registered nurses
Answer: B. Providing education to achieve community health goals
C. Coordinating directives from state personnel

14. A nurse is conducting health screenings at a statewide health fair and identifies several
clients who require referral to a provider. Which of the following statements by a client
indicates a barrier to accessing health care?
Answer: “I can't take off during the day, and the local after-hours clinic is no longer in
operation.”

15. A nurse at a community clinic is conducting a well-child visit with a preschool-age child.
The nurse should identify which of the following manifestations as a possible indication of
child neglect.
A. Underweight
B. Healing of a spiral fracture of the arm
C. Genital irritation
D. Burns on the palms of the hands
E. Poor hygiene
Answer: A. Underweight
E. Poor hygiene

16. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following finding should the nurse identify as a manifestation of withdrawal?
Answer: Diaphoresis

17. A community health nurse is developing an education program on substance use disorders
for a group of adolescents. Which of the following information should the nurse include
when discussing nicotine and smoking?
Answer: Tolerance to nicotine develops quickly.

18. A community health nurse is developing strategies to prevent or improve mental health
issues in the local area. In which of the following situations is the nurse implementing a
tertiary prevention strategy?
Answer: Teaching a client who has schizophrenia about medication interactions.

19. A nurse at an urban community health agency is developing an education program for
city leaders about homelessness. Which of the following groups should the nurse include as
the fastest-growing segment of the homeless population?
Answer: Families and Children

20. A nurse is creating partnerships to address health needs within the community. The nurse
should be aware that which of the following characteristics must exist for partnerships to be
successful?
A. Being a leading partner which decision-making authority
B. Flexibility among partners when considering new ideas
C. Adherence of partners to ethical principles
D. Varying goals for the different partners
E. Willingness of partners to negotiate roles
Answer: B. Flexibility among partners when considering new ideas
C. Adherence of partners to ethical principles
E. Willingness of partners to negotiate roles

21. A nurse is reviewing the various roles of a community health nurse. Which of the
following actions is an example of a nurse functioning as a consultant.
Answer: Updating state officials about health needs of the local community

22. A case management nurse at an acute care facility is conducting an initial visit with a
client to identify needs prior to discharge home. After developing a working relationship with
the client, the nurse is engaging in the referral process. Which of the following actions should
the nurse take first?
Answer: Identify referrals that the client needs.

23. A nurse is collecting data to identify health needs in the local community. Which of the
following examples should the nurse identify as secondary data? (SATA)

A. Birth statistics
B. Previous health survey results
C. Windshield survey
D. Community forum
E. Health records
Answer: A. Birth statistics
B. Previous health survey results
E. Health records

24. A nurse is talking to a client who asks for additional information about hospice. Which of
the following statements should the nurse make?
Answer: “A component of hospice care is to control the client’s manifestations”

25. A school nurse is scheduling visits with a physical therapist for a child who has cerebral
palsy. In which of the following roles is the nurse functioning?
Answer: Case manager

26. An occupational health nurse is consulting with senior management of a local industrial
facility. When discussing work related illness and injury, the nurse should include which of
the following as physical agents? (SATA)
A. Noise
B. Age
C. Lighting
D. Viruses
E. Stress
Answer: A. Noise
C. Lighting

27. A newly hired occupational health nurse at an industrial facility is performing an initial
workplace assessment. Which of the following information should the nurse the nurse
determine when conducting a work site survey?
Answer: Work practices of employees

28. A school nurse is planning health promotion and disease prevention activities for the
upcoming school year. In which of the following situations is the nurse planning a secondary
prevention strategy?
Answer: Routinely checking students for pediculosis throughout the school year

29. A nurse is preparing a community health program on communicable diseases. When
discussing modes of transmission, the nurse should include which of the following illnesses
as airborne?
Answer: Influenza

30. A home health nurse is discussing portals of entry with a group of newly hired assistive
personnel. Which of the following locations should the nurse include as a portal of entry?
(SATA)
A. Respiratory secretions
B. Skin
C. Genitourinary tract
D. Saliva
E. Mucus membranes
Answer: B. Skin
C. Genitourinary tract
E. Mucus membranes

31. A newly hired PHN is familiarizing himself with the levels of disaster management.
Which of the following actions is a component of disaster prevention?
Answer: Identifying community vulnerabilities

32. A community health nurse is educating the public on the agents of bioterrorism.
Which of the following agents should the nurse include as category A biological agents?
(SATA)
A. Hantavirus
B. Typhus
C. Plague
D. Tularaemia
E. Botulism

Answer: C. Plague
D. Tularaemia
E. Botulism

33. A community health nurse is determining available and needed supplies in the event of a
bioterrorism attack. The nurse should be aware that community members exposed to anthrax
will need access to which of the following medications?
Answer: Ciprofloxacin

34. A nurse is working with a client who has SLE and recently lost her health insurance.
Which of the following actions should the nurse take in the implementation phase of the case
management process?
Answer: Coordinating services to meet the client’s needs

35. A nurse developing a community health program is determining barriers to community
resource referrals. Which of the following factors should the nurse include as an example of
resource barrier?
Answer: Costs associated with services

Quiz 1
1. Which of the following interventions is an example of population-based care?
Answer: Advertising a teen smoke prevention program on television

2. The three core functions of public health include:
Answer: Assessment, policy development, and assurance

3. Primary prevention focuses on:
Answer: Promoting and protecting health

4. The comprehensive, nationwide health promotion and disease prevention agenda designed
to serve as a roadmap for improving the health of all people in the United States is known as:
Answer: Healthy People 2020

5. The four key elements in the systematic approach to health improvement include:

Answer: Goals, objectives, determinants of health, and health status

6. A public health nurse organizes a community in the development of a blood pressure
screening. This screening is considered:
Answer: Secondary level prevention

7. A public health nurse has completed an assessment of a local community using The
PHNAT Tool. The analysis of the “Determinants of Health” data reveals that many of the
older adults are not “aging in place” and are migrating out of the community due to
unaffordable housing. Which Determinant of Health presents this data for the public health
nurse?
Answer: Social Environment

8. All interventions in public health practice are implemented on three practice levels. These
three practice levels include
Answer: Individual/family, community, and system level

9. Which description best describes the focus of the public health nurse in the twenty-first
century?
Answer: Population

10. The twentieth century separation of the curative and health promoting behaviours of the
public health nurse was the result of:
Answer: Political Tensions

11. Nursing leader Martha Franklin led the movement to primarily support:
Answer: African American Nurses

12. The purpose of the National Organization of Public Health Nurses was to:
Answer: Control the practice and standards of public health nurses

13. The guiding framework for the PHNAT is?
Answer: A Systematic Approach to Health Improvement

14. A public health nurse is using the PHNAT. During the assessment the public health nurse
notes the open spaces in a community. These observations are considered which part of the
determinants of health?
Answer: Physical Environment

15. A nurse is providing teaching to a client who has a new prescription for carbamazepine
(Tegretol). Which of seizures during alcohol withdrawal. the following should the nurse
include in the teaching?
Answer: A. This medication will help prevent seizures during alcohol withdrawal.

16. A nurse is assisting in the discharge planning for a client following alcohol detoxification.
The nurse should anticipate prescriptions for which of the following medications to promote
long-term abstinence from alcohol? (Select all that apply)
Answer: Disulfiram (Antabuse)
Naltrexone (Vivitrol)
Acamprosate (Campral)

17. A nurse is evaluating a client's understanding of a new prescription for clonidine
(Catapres). Which of the following statements by the client indicates an understanding of the
teaching?
Answer: B. While taking this medication, I should keep a pack of sugarless gum.

18. A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum
(Nicorette). Which of the following is appropriate to include in the teaching?
Answer: C. Avoid eating 15 minutes prior to chewing the gum.

19. A nurse is discussing the use of methadone (Dolphine) with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates a need for further
teaching?
Answer: D. Methadone increases the client's risk for acetaldehyde syndrome.

20. A nurse is assisting the parents of a school-age child who has oppositional defiant
disorder in identifying strategies to promote positive behavior. Which of the following is an
appropriate strategy for the nurse to recommend? (Select all that apply)

Answer: Develop a reward system for acceptable behavior
Encourage the child to participate in school sports
Be consistent when addressing unacceptable behavior

21. A Nurse is performing an admission assessment on an adolescent client who has
depression. Which of the following is an expected finding?
Answer: Substance abuse
Irritability
Aggressiveness

22. A nurse working in a paediatric clinic is caring for a preschool-aged child who has a new
diagnosis of ADHD When teaching the parent about this disorder, which of the followings
statements should the nurse include in the teaching?
Answer: Because of this disorder, your child is at an increased risk for injury.

23. A nurse is obtaining a health history from the parents of a 12-year-old client who has
conduct disorder. Which of the following are expected findings? (Select all that apply)
Answer: A. Bullying of others
B. Threats of suicide
C. Law-breaking activities

24. A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For
which of the following indications should the nurse assess?
Answer: Repetitive counting

25. A nurse is caring for a client who is experiencing a crisis. Which of the following
medications might the provider prescribe?
Answer: A. Paroxetine (Paxil)
B. Lorazepam (Ativan)

26. A nurse is conducting chart reviews of multiple clients at a community mental health
facility. Which of the following would be an example of client experiencing a maturational
crisis?
Answer: Marriage

27. A nurse assesses a client at a community mental health facility using the SAD PERSONS
tool. The nurse knows that this tool provides which of the following data related toa client?
Answer: Suicide potential

28. A client says, "I plan to commit suicide". Which of the following should be the nurse's
priority assessment?
Answer: Lethality of the method and availability of means

29. A nurse is assessing a client who is suicidal. Which of the following is appropriate for the
nurse to ask the client? (Select all that apply)
A. Do you have a plan?
B. Have you thought about hurting yourself?
C. Do you feel that life is not worth living?
D. Have you experienced a recent change in your mood?
Answer: A. Do you have a plan?
B. Have you thought about hurting yourself?
C. Do you feel that life is not worth living?
D. Have you experienced a recent change in your mood?

30. A nurse is caring for a client who is on suicide precautions. Which of the following
interventions should the nurse include in the plan of care?
Answer: Ensure that the client swallows medications.

31. A nurse is conducting a class for a group of newly licensed nurses on identifying risk
factors for suicide. Which of the following individuals should the nurse include as having the
highest risk for suicide? (Select all that apply)
Answer: Adolescents
Native Americans
D. Clients who have a depressive disorder

32. A nurse is conducting group therapy with a group of clients. Which of the following
statements made by a client is an example of aggressive communication?
Answer: "You'd better listen to me"

33. A nurse is caring for a client who is speaking in a loud voice with clenched fists. Which
of the following actions should the nurse take?
Answer: Request that other staff members remain close by.

34. A nurse is assessing a client in an inpatient mental health unit. Which of the following
findings should the nurse expect if the client is in the preassaultive stage of violence? (Select
all that apply)
Answer: Defensive responses to questions
Rapid breathing
Facial grimacing
Agitation

35. A nurse is caring for a client in an inpatient mental health facility who gets up from a
chair and throws it across the day room. Which of the following is the priority nursing
action?
Answer: Move the client away from others

36. A nurse is caring for a client who is screaming at staff members and other clients. Which
of the following is a therapeutic response by the nurse to this client?
Answer: "Stop screaming, and walk with me outside"

37. A charge nurse is leading a peer group discussion about family and community violence.
Which of the following statements by a member of the group indicates a need for further
teaching?
Answer: "Entering an intimate relationship increases the risk for violence"

38. A nurse is caring for an adult client who is the victim of intimate partner abuse. The client
does not wish to report the violence to law enforcement authorities. Which of the following
nursing actions is the highest priority?
Answer: Advise the client about the location of women's shelters.

39. A nurse is preparing to assess an infant who has shaken baby syndrome. Which of the
following is an expected finding?

Answer: Respiratory distress
Retinal haemorrhage
Altered level of consciousness
An increase in head circumference

40. A nurse working in an emergency departing is assessing a child who reports abdominal
pain. When conducting a head-to-toe assessment, which of the following findings should alert
the nurse to possible abuse? (Select all that apply)
Answer: Round burn marks on forearms
Areas of ecchymosis on torso

41. A nurse is preparing a community education seminar about family violence. When
discussing the types of violence, the nurse should include which of the following?
Answer: Intentionally causing an older adult to fall is an example of physical violence

42. A nurse is discussing silent rape reactions with a newly licensed nurse. Which of the
following should the nurse identify as a characteristic of the type of reaction? (Select all that
apply)
Answer: Sudden development of phobias
Increased level of anxiety during interview
Unwillingness to discuss the sexual assault

43. A nurse is assessing a client who is the victim of sexual assault. Which of the following
findings indicate the client is experiencing an initial impact reaction of rape-trauma
syndrome? (Select all that apply)
Answer: Emotional outburst
Difficulty making decisions

44. A nurse is discussing the care of a client following a sexual assault with a newly licensed
nurse. Which of the following statements indicates the need for further teaching?
Answer: "I can expect manifestations of rape-trauma syndrome to be similar to bipolar
disorder"

45. A nurse is caring for a client who was recently raped. The client states, "I never should
have been out on the street alone at night." Which of the following is an appropriate response
by the nurse?
Answer: "You believe this wouldn't have happened if you hadn't been out alone?"
46. A community health nurse is leading a discussion about rape with a neighborhood task
force. Which of the following statements by a neighborhood citizen indicates the need for
further teaching?
Answer: "The majority of rapists are unknown to the victim"

Community ATI VERSION 5

1. A nurse is planning a primary prevention strategy for reducing obesity in a community.
Which of the following strategies should the nurse do?
A. Educate the children about the nutrition and exercise at a daycare center.
B. Measure the EMI of older adults at a community senior centre.
C. Encouraging enrolment in and attendance at weight reduction programs.
D. Distribute health risk appraisal questionaries at community functions.
Answer: A. Educate the children about the 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. Evaluate the effectiveness of community health service.
B. Organise health related events in schools and community centres.
C. Develop community partnership to prioritise the concerns and the needs.
D. Participate in community assessment to identify community health problems.
Answer: C. Develop community partnership to prioritise the concerns and the needs.

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 27-year old client with incision pain after an appendectomy
B. A 79 year old client with an exacerbation of his a COPD
C. A 16 year old client who is 2 weeks post-partum
D. A 54 year old client with a new colectomy stoma that has decreased in size

Answer: B. A 79 year old client with an exacerbation of his a COPD

4. A stated public health nurse is asked to determine which country has the most people of
Alzheimer’s disease. Which of the following measures will determine this information?
A. Positive predictive value
B. Analytic epidemiology
C. Attack rate
D. Prevalence proportion
Answer: D. Prevalence proportion

5. A community health nurse is reviewing laboratory results for his case load of clients.
Which of the following is the highest priority finding?
A. A blood specimen that is positive for hepatitis A
B. A sputum specimen that is positive for tuberculosis
C. A vaginal culture that is positive for chlamydia
D. A throat culture that is positive for streptococcus auresus
Answer: B. A sputum specimen that is positive for tuberculosis

6. A nurse is triaging victims of a commuter train crash. Which of the following clients
should be transported to the emergency department first?
A. An ambulatory client whose nose is bleeding and who reports feeling dizzy
B. A client with an open fracture of the humerus with a 2+ radial pulse in the affected arm
C. A client with arterial bleeding form a leg laceration with no sensation in the extremity
D. A client with a crushing chest injury who is exhibiting agonal respirations
Answer: C. A client with arterial bleeding form a leg laceration with no sensation in the
extremity

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. Including both hot and cold food items on a Hispanic client’s menu
B. Maintaining eye contact when interviewing a Native-American client
C. Offering to shake hands when meeting an Asian client of the opposite gender
D. Touching the hair of an African-American client during assessment

Answer: A. Including 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?
A. Provide education to the client about the diagnosis
B. Inform the client about the provider’s responsibility to provide information
C. Assist the client in preparing questions for the provider
D. Affirm the client’s decision about the treatment plan
E. Make recommendations regarding the type of treatment plan to follow
Answer: C. Assist the client in preparing questions for the provider

9. A nurse is working with a client who is homeless. Which of the following is the first step
that the nurse should take to advocate for this client?
A. Refer the client to a public homeless shelter
B. Provide information at a level the client can understand
C. Review with the client his goals regarding obtaining shelter
D. Discuss the possible consequences of homelessness with the client
Answer: C. Review with the client his goals regarding obtaining 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 the teaching?
A. The incidence of high birth weight infants is higher in adolescent pregnancy
B. The need for supplemental folic acid is greatest during the third trimester
C. Pregnant adolescents need to gain less weight than adult mothers
D. Caffeinated beverages should be replaced with caffeine-free
Answer: D. Caffeinated beverages should be replaced with caffeine-free

11. A community health nurse is writing an emergency response plan for a day care. Which
of the following should be included in the plan?
A. A plan to accommodate neighborhood children
B. Immunization protocol for various biological agents
C. A method to reunite children with parents
D. Disposal methods for toys to reduce biologic host reservoirs
Answer: C. A method to reunite children with parents

12. 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 8 mm
B. Excoriation at the injection site
C. Persistent itching at injection site
D. Redness at injection site of 15 mm

Answer: A. Induration at injection site of 8 mm

13. 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. “No one had died from second-hand smoke yet, so as long as I do not smoke, Ibe safe”.
B. “As long as I stop smoking while I’m young, none of those diseases will affect me.”
C. we also know smoking causes lung cancer, but so far, they can’t say it causes heart
disease.
D. I know it’s more likely that I ‘ll start smoking because of my parents smoke.
Answer: D. I know it’s more likely that I ‘ll start smoking because of my parents smoke.

14. 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 statement by the
wife indicate that the teaching had been effective?
A. The occupational therapist will instruct my husband on how to swallow without choking.
B. The social worker will evaluate my husband nutritional needs in relation to the mobile
meals program
C. The nurse will monitor my husband’s progress in developing urinary continence.
D. “The physical therapist will teach my husband exercise to increase hand dexterity”
Answer: D. “The physical therapist will teach my husband exercise to increase hand
dexterity”

15. 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. When the disaster impacts more than one geographic area
B. As Victims of the disaster request direction.
C. During disaster preparedness activities
D. Once the disaster is imminent
Answer: C. During disaster preparedness activities

16. 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. “It will no longer be contagious after taking the medication for 48 hours.”
B. “It will use twice as much soap when I wash my hands.
C. “I will wear a mask when I’m in an enclosed area with other people”
D. “I ll clean mu counters with a bleach solution”
Answer: C. “I will wear a mask when I’m in an enclosed area with other people”
17. 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 ethical principles?
A. Autonomy
B. Nonmaleficence
C. Beneficence
D. Veracity
Answer: A. Autonomy

18. A community health nurse is working with a family in which only the children speaks
English. The nurse should select a translator who is
A. The oldest child in the home.
B. From the same community as the family
C. Skilled in health related interpretation
D. A close friend of the family.
Answer: C. Skilled in health related interpretation

19. A community health nurse working with a migrant population recognises that which of
the following is necessary to provide care to this population?

A. Offering health screenings at a community centre.
B. Treating clients on a free for service basis
C. Providing health services at work sites
D. Requiring clients to show a work visa before they receive care
Answer: C. Providing health services at work sites

20. Which of the following activities is the responsibility of a case manager?
A. Enforce OSHA standard in the workplace
B. Facilitates a smoking cessation support group
C. Perform employee risk assessments
D. Evaluate cost effectiveness of client treatments
Answer: D. Evaluate cost effectiveness of client treatments

21. A nurse uses of secondary prevention intervention when doing which of the following?
A. Instructing elementary school students about healthy food choices
B. Teaching self-care strategies to a client who has had a stroke
C. Giving a presentation about immunizations at a parent teacher conference
D. Performing hypertension screenings in a community center
Answer: D. Performing hypertension screenings in a community center

22. An occupational health nurse is planning a program on early detection of breast cancer for
a female employee at a local business. Which of the following is the first action the nurse
should take?
A. Develop educational materials for employee
B. Have breast models available to employees during teaching sessions.
C. Schedule a guest speaker to talk about breast cancer to employees
D. Determine employee knowledge level of breast self-examination
Answer: D. Determine employee knowledge level of breast self-examination

23. While addressing community leaders at a forum for establishing community
improvements initiatives, a public health nurse identifies which of the following groups as the
fastest growing segments of the homeless population?
A. Adolescent runaways
B. Men who are employees

C. Families with children
D. people with chemical dependencies
Answer: C. Families with children

24. A nurse is working in an occupational health setting. Which of the following is a primary
prevention activity for the nurse?
A. Developing health surveillance programs
B. Demonstrating proper body mechanic
C. Processing workers compensation claims
D. Conducting smoking cessation classes
Answer: B. Demonstrating proper body mechanic

25. 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. “Would you like me to imitate a referral for a home health nurse to come to your house?
B. “If you could drive, it would make it easier for you to remain independent”
C. “You sound overwhelmed, I will have the chaplain come visit you”
D. “How would you feel about me contacting a local service that helps older adults with
transportation?
Answer: D. “How would you feel about me contacting a local service that helps older adults
with transportation?

26. A case manager nurse is caring for a client being discharges post total hip arthroplasty,
which of the following activities is an example of the nurse functioning in the negotiator
role?
A. Reporting safety concerns to the home health agency
B. Scheduling appointment’s for Physical therapy services
C. Providing social service with a list of needed referrals
D. Discussing payment options with various pharmacies
Answer: D. Discussing payment options with various pharmacies

27. 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. Assesses the sexual activity of clients who are affected
B. Evaluate the clients daily alcohol intake
C. Identify the restaurants where the clients have recently eaten
D. Determine whether or not clients have been bitten by mosquitoes
Answer: C. Identify the restaurants where the clients have recently eaten

28. A nurse working for a home hospice organization recognises that the clients must meet
which of the following criteria to qualify for hospice care?
A. Financial resources inadequate to meet health care need
B. Condition has been determined to be incurable
C. Caregiver unavailable to support basic need
D. Documented need for palliative care
Answer: B. Condition has been determined to be incurable

29. A nurse is working with a case manager for a client who participate in a health
maintenance organization. Which of the following is characteristic of the payment structure
provided under this system?
A. The client is participating in a fee for service health care insurance program
B. The provider is paid a fixed sum for a client on a monthly or yearly basis.
C. The provider bills the client directly for a predetermined percentage of the cost of services
D. The client pays the insurer a percentage of the total costs for each service rendered by the
provider.
Answer: B. The provider is paid a fixed sum for a client on a monthly or yearly basis.

30. A nurse is providing education to a troop of local boy scouts regarding first aid for
venomous snake bites in the event that transport to the hospital is delayed. Which of the
following would be appropriate information to include in teaching about bites to an
extremity?
A. Apply a constricting band above the bite while maintaining circulation below the bite
B. Gently suck blood from the puncture wound to remove the venom
C. Make a small cut across the bite marks to facilitate drainage of the venom

D. Apply ice to the area of the puncture wound as soon as possible after the bite
Answer: A. Apply a constricting band above the bite while maintaining circulation below the
bite

31. A nurse is providing teaching to a community group regarding smallpox. Which of the
following is an appropriate response in relation to why people who received a single
vaccination prior to 1980 are no longer considered protected?
A. The vaccine does not confer lifelong immunity
B. Full immunity requires a series of three injections
C. Older immunization techniques left many people without adequate biters.
D. Strains resistant to the old vaccine have since been developed
Answer: A. The vaccine does not confer lifelong immunity

32. A community health nurse is conducting a community assessment. Which of the
following data should be included as a component of the assessment?
A. Effectiveness of health relate interventions
B. Prioritization of identified health related problems
C. Community motivation to address identifies concerns
D. Resource available to address health care issues
Answer: D. Resource available to address health care issues

33. 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. Educating parents about lowering risk for aggressive behaviour
B. Developing a policy regarding students who pose a threat to classmates
C. Adding stress reduction techniques to junior high school curriculum
D. Surveying students to identify risk factors for bullying
Answer: D. Surveying students to identify risk factors for bullying

34. A nurse is preparing to provide postmortem care for a client who is Chinese American,
which of the following should the nurse consider when providing care?
A. The body will be positioned to face east
B. The eldest child will bathe the deceased

C. The family will remain with the body until burial
D. The face of the deceased will be painted.
Answer: C. The family will remain with the body until burial

35. 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. Follow the medication regimen for 3 month
B. Provide sputum cultures until three come back negative
C. Take the prescribed medication first thing in the morning
D. Have a tuberculin skin test performed monthly
Answer: B. Provide sputum cultures until three come back negative

36. A home health nurse is assessing a client who was diagnosed with congestive health
failures. Which of the following assessment finding should be reported to the provide?
A. An O2 saturation of 95% after receiving a nebulizer treatment
B. A potassium level of 3.8 mg/dL
C. A heart rate of 100 / min after ambulating in the hallway
D. A sodium level of 119 mg/dl
Answer: D. A sodium level of 119 mg/dl

37. 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. Advising medical personnel to have a 3 week supply of prescription medication
B. Directing local official to perform regular tests of a towns early warning system
C. Encouraging homeowners to check the adequacy of their insurance coverage
D. Recommending that each family has batteries a radio, and a flashlight
Answer: D. Recommending that each family has batteries a radio, and a flashlight

38. A community health nurse is providing instruction about infection control to the family of
a 5 year old child who has impetigo contagious. The child has two siblings living in the
home. Which of the following recommendations is appropriate?
A. Avoid removal of crusts on lesions
B. Provide the child with separate towels and illness
C. apply cool, moist compresses to lesions twice a day

D. Put tolnaftate (Tinactin) on affected areas daily.
Answer: B. Provide the child with separate towels and illness

39. A client tells a nurse that she is planning a hiking trip. Which of the following measures
should the nurse recommend to minimize the clients risk for contracting Rocky Mountain
spotted fever?
A. Avoid setting up camp near a stream
B. War protective clothing
C. Sit close to a campfire in the evening
D. Obtain a vaccination beforehand.
Answer: B. War protective clothing

40. 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. Facilitate discharge from the hospital to the home.
C. provide end of life care for terminal members.
D. Perform wound care in the home of members.
Answer: A. Organize a flu immunization clinic with the American Red cross.

41. A public health nurse is tracking reports of a flu like illness in the local school system.
This is an example of which of the following approaches?
A. Problem identification
B. Prevalence rate
C. Web of causality
D. Disease trend monitoring
Answer: D. Disease trend monitoring

42. Which of the following activities would the school nurse perform in the role of a
consultant?
A. Provide education to older elementary students about the body changes during the puberty
B. Outline a schedule for routine medication given during school hours
C. Recommend policy changes to minimize the spread of influenza

D. Develop health goals for a student who has diabetes.
Answer: C. Recommend policy changes to minimize the spread of influenza

43. 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 improvements is seen in 3 to 5 days
B. Medication of choices for treating anthrax is zidovudine(Retrovir)
C. Client is highly contagious and should be placed in strict isolation
D. Initial symptoms are mild and include fever and malaise
Answer: D. Initial symptoms are mild and include fever and malaise

44. 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 condition’s?
A. Partial thickness burn injures over 5% of the body
B. Severe emotional trauma with manic behavior
C. Rigid abdomen with symptoms of shock
D. A Femur fracture with report of severe pain
Answer: C. Rigid abdomen with symptoms of shock

45. 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 the diabetes mellitus. Which
of the following findings indicates a need for a corrective intervention?(select all that apply)
A. A red light is kept on in the bedroom at night
B. The hot water heater is set at 130ºF
C. An extension cord extends across the floor from the electrical outlet to floor lamp.
D. The floors of the house are made of wood
E. A rubber backed bath mat is on the floor outside the shower
Answer: B. The hot water heater is set at 130ºF
C. An extension cord extends across the floor from the electrical outlet to floor lamp.

VERSION 6
ATI COMMUNITY HEALTH

1. A nurse is counseling a client who is to undergo enzyme linked Immunosorbent assay
testing for HIV. Which of the following information should the nurse Include?
A. A positive result requires initiating Immunoglobulin administration.
B. ED The test measures antibodies to the virus
C. The test monitors progression of the disease.
D. The test results are accurate 24 hr after exposure to the virus.
Answer: B. ED The test measures antibodies to the virus

2. A community health nurse is providing teaching to a group of clients who have alcohol use
disorder. Which of the following findings should the nurse include In the teaching as a
manifestation of alcohol withdrawal?
A. Bradycardia
B. Increased appetite
C. Hypothermia
D. Insomnia
Answer: D. Insomnia

3. A home health nurse is caring for a client who has chemotherapy-induced nausea that has
been resistant to relief from pharmacological measures. which of the following interventions
should the nurse Initiate? (Select all that apply.)
A. Provide sips of room-temperature ginger ale between meats.
B. Use seasonings to enhance the flavour of foods.
C. Offer 120 mL (4 02) of cold 2% milk as a meal replacement.
D. Maintain the head of the client's bed in an elevated position after. Eating.
(E):Assist the client in using guided imagery
Answer: A. Provide sips of room-temperature ginger ale between meats.

4. A community health clinic nurse manager is reviewing the Incidence rate of chlamydia in
the state. In a given year. 3,144 new cases were reported and the population was estimated at
325.986. Which of the following Is the Incidence rate in the state for the year?
A. About 1 reported case per 10,000 population
B. About 300 reported cases per 100,000 population
C. About 10 reported cases per 1,000 population
D. About 3 reported cases per 10,000 population

Answer: A. About 1 reported case per 10,000 population

5. A nurse is working in a shelter following a disaster. Which of the following is the priority
action for the nurse to take?
A. Address the physical needs of clients.
B. Create diversionary activities for children.
C. Help clients gather needed supplies.
D. Explore feelings the clients are experiencing.
Answer: A. Address the physical needs of clients.

6. 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. Use cookbooks to Include traditional foods in meal plans.
B. Observe the client during preparation of traditional foods,
C. provide the client with printed recipes.
D. Explain the diabetes exchange list.
Answer: D. Explain the diabetes exchange list.

7. 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. A child who has a BMI of 18
D. An adolescent who has psoriasis
Answer: A. A child who has nits

8. A 35-year-old client who has a diagnosis of tuberculosis informs the providers office that
she Is unable to pay for the treatment. Which of the following actions by the nurse will
facilitate obtaining appropriate treatment?
A. Arrange for medication through local agencies.
B. Send the client to the nearest facility for further evaluation.
C. Explore options for alternative therapies.
D. Help the client apply for Medicare.

Answer: A. Arrange for medication through local agencies.

9. 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. Caffeinated beverages should be replaced with caffeine-free beverages.
B. The need for supplemental folic acid is greatest during the third trimester.
C. The incidence of high birth weight infants is higher in adolescent pregnancy.
D. Pregnant adolescents need to gain less weight than adult mothers.
Answer: A. Caffeinated beverages should be replaced with caffeine-free beverages.

10. A nurse is caring for a client who is having difficulty performing activities of daily living.
The nurse is functioning in which of the following roles when arranging for an occupational
therapist to visit the client?
A. Administrator
B. Clinician
C. Nurse consultant
D. Case manager
Answer: D. Case manager

11. A home health nurse is scheduled for a 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. Blood pressure screening
D. Family history
Answer: B. Review of the neighborhood

12. A nurse at a community clinic is preparing an educational guide about cultural variances
in expression of pain. Which of the following Information should the nurse include?
A. Native American cultural practices include being outspoken about pain.
B. Chinese cultural practices Include enduring pain to prevent family dishonour.
C. Puerto Rican cultural practices include the view that outspoken expressions of pain are
shameful,
D. Middle Eastern cultural practices include hiding pain from close family members

Answer: B. Chinese cultural practices Include enduring pain to prevent family dishonour.

13. A school nurse is planning safety education for a group of adolescents. The nurse should
give priority to which of the following topics as the leading cause of death for this age group?
A. Substance abuse prevention
B. Sports injury prevention
C. Gun safety
D. Motor vehicle safety
Answer: A. Substance abuse prevention

14. A nurse at a local health department is caring for several clients. Which of the following
Infections should the nurse report to the state health department?
A. Human papillomavirus
B. Group B streptococcus B-haemolytic
C. Herpes simplex virus
D. Chlamydia
Answer: D. Chlamydia

15. 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 the client feed himself without help. Which of the following
is the priority action the nurse should take?
A. Arrange for Meals on Wheels assistance.
B. Refer the client's partner to an Alzheimer's support group
C. Direct the home health aide to assist with meals.
D. Determine the client’s ability to self-feed.
Answer: B. Refer the client's partner to an Alzheimer's support group

16. A clinic nurse Is assessing a client who has measles. Which of the following findings
should the nurse expect?
Answer: muscle aches and tenderness Kolpik spots inside the mouth Rash confined to the
trunk of the body Persistent low. Grade temperature

17. A community health nurse Is Interviewing a client who reports Intimate partner abuse.
which of the following actions should the nurse take?
A. Ask three nurses of the same gender as the client to patriciate in the interview.
B. Communicate disapproval of the partners actions.
C. Record a summary of the client’s description of the event.
D. Assist the client to create a plan of escape.
Answer: C. Record a summary of the client’s description of the event.

18. 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 a member of the client's community to Interpret the teaching.
B. Have the client’s daughter communicate information about the procedure?
C. use professional terminology when providing education prior to the procedure.
D. identify the client's spoken dialect prior to contacting an interpreter
Answer: A. Arrange for a member of the client's community to Interpret the teaching.

19. A nurse is working with a community health care team to devise strategies for preventing
violence in the community. Which of the following interventions is an example of tertiary
prevention?
A. Assessing for risk factors of intimate partner abuse during health examinations
B. Developing resources for victims of abuse
C. Urging community leaders to make nonviolence a priority
D. Presenting community education programs about stress management
Answer: D. Presenting community education programs about stress management

20. A nurse is discussing short- and long-term goals with a client who has alcohol use
disorder and is being admitted to a treatment facility. Which of the following statements is
appropriate for the nurse to include in the discussion?
A. "You will begin learning functional skills 😮 replace defense mechanisms and behaviours
while in treatment "
B. "Attending Al-Anon meetings will help you Identify a role model to assist you with
making needed changes:

C. Remaining physically active will help to minimize drowsiness and cn:115 associated with
initial alcohol withdrawal.'
D. "You will be taking a once weekly dose of disulfiram to help control withdrawal
symptoms during treatment?
Answer: B. "Attending Al-Anon meetings will help you Identify a role model to assist you
with making needed changes:

21. A home health nurse is planning the Initial home visit for a client who has dementia and
lives with his adult son's family. Which of the following actions should the nurse take first
during the visit?
A. Engage the family in informal conversation.
B. Provide the family with information about respite care.
C. Encourage the family to join a support group.
D. Educate the family regarding me progression of dementia.
Answer: A. Engage the family in informal conversation.

22. 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 vise choices independently.
B. Help students recognize the value of making healthy food choices
C. Give positive feedback to student’s vino make appropriate choices.
D. Determine Students' motivation to learn about healthy food choices.
Answer: B. Help students recognize the value of making healthy food choices

23. Several nurses are developing a parish nurse group to help address the primary and
secondary health care needs of the congregation. Which of the following services should the
nurses plan to provide to the congregation?
A. Facilitate Discharge from the facility to the home.
B. Perform wound care in the home of members.
C. Organize an influenza immunization clinic with the American Red Cross.
D. Provide end-of-life care for members who are terminal
Answer: D. Provide end-of-life care for members who are terminal

24. A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the
following information should the nurse Include in the teaching? (Select all that apply.)
A. "you will need to take an antiviral meditation for 30 days."
B. You might experience painful urination until the infection has resolved."
C. "Once you complete treatment. you will have an acquired immunity against chlamydia."
D. "Notify anyone with whom you have had sexual contact over the past 2 months."
E. 'You should avoid Sexual contact until therapy is complete."
Answer: B. You might experience painful urination until the infection has resolved."
D. "Notify anyone with whom you have had sexual contact over the past 2 months."
E. 'You should avoid Sexual contact until therapy is complete."

25. A nurse case manager Is providing discharge planning for a client. The nurse is
functioning in which of the following roles when arranging for the delivery of medical
equipment to the client's home?
A. Consultant
B. Advocate
C. Coordinator
D. Systems allocator
Answer: D. Systems allocator

26. 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 provider bills the client directly for a predetermined percentage of the cost of services.
B. The provider is paid a fixed sum for the client on a monthly or yearly Oasis.
C. The client is participating in a fee for service health care insurance program.
D. The client pays the insurer a percentage of the total costs for each service rendered by the
provider.
Answer: D. The client pays the insurer a percentage of the total costs for each service
rendered by the provider.

27. A community health nurse is providing screening for lipid disorders. Which of the
following is the primary goal of this activity?
A. Client enrolment In prevention programs

B. identification of `amity history of medical problems
C. Early detection of disease
D. promotion of appropriate lifestyle changes
Answer: C. Early detection of disease

28. A community health nurse as planning a smoking cessation class. Which of the following
factors will have the greatest effect on the success of the class?
A. Clients' motivation
B. Presenters credibility
C. Presenters teaching strategies
D. Clients' education level
Answer: A. Clients' motivation

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 client's home.
B. Double bag soiled dressings in polyethylene bags.
C. wear a mask when within 3 feet of the client.
D. Encourage the client to use a HEPA filter In the house.
Answer: B. Double bag soiled dressings in polyethylene bags.
C. wear a mask when within 3 feet of the client.
D. Encourage the client to use a HEPA filter In the house.

30. A community health nurse is planning an educational program for a group of women who
are postmenopausal. Which of the following outcomes is appropriate for this program?
A. Clients will schedule bone density screenings.
B. Clients will significantly decrease caloric intake.
C. Clients will start hormone replacement therapy.
D. Clients will arrange for mammograms every 3 years.
Answer: A. Clients will schedule bone density screenings.

31. 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. Including both hot and cold food Items on a Hispanic client's menu
B. Maintaining eye contact when interviewing a Native American client
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: A. Including both hot and cold food Items on a Hispanic client's menu

32. 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. Collect data to identify barriers to learning.
C. Provide computer-based education.
D. Obtain visual aids that feature adolescents.
Answer: D. Obtain visual aids that feature adolescents.

33. A nurse is serving on a state task force for disaster planning. The nurse is engaging in
disaster preparedness efforts when performing which of the following actions?
A. implementing a disaster triage plan with a local medical facility
B. Assisting with the identification of a biological agent
C. Organizing a mass casualty drill for community members
D. Functioning as a Manager at a temporary shelter
Answer: C. Organizing a mass casualty drill for community members

34. A nurse is conducting a community assessment. Which of the following Information
should the nurse include as part of a windshield survey?
A. housing quality
B. informant interviews
C. Demographic data
D. Mortality rate
Answer: A. housing quality

35. A nurse at a shelter is assisting with client triage after a tornado destroyed a community.
Which of the following clients should receive priority care?
A. A school-age client who has a head abrasion
B. An older adult client who has a fractured arm

C. An adult Client who is short of breath
D. An infant client who is crying
Answer: C. An adult Client who is short of breath

36. A parish nurse is counseling a family following a client's recent diagnosis of heart
disease. Which of the following actions should the nurse take first?
A. Discuss the benefits of eating a well-balanced diet with the client’s family.
B. Assist the client and the client’s partner with finding an affordable exercise program.
C. Offer to accompany the client and the dents partner during health care provider visits.
D. Ask family members about the impact of the disease on relationships within the family.
Answer: D. Ask family members about the impact of the disease on relationships within the
family.

37. A nurse is planning a primary prevention strategy for reducing obesity In a community.
Which of the following strategies should the nurse use'
A. Encourage enrolment and attendance at weight-reduction programs.
B. Measure the BMI of older adults at a community senior center.
C. Distribute health-risk appraisal questionnaires at community functions.
D. Educate children at a day care center about nutrition and exercise.
Answer: D. Educate children at a day care center about nutrition and exercise.

38. A nurse working in an Infectious disease clinic is caring for a client who has a new
diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily
reporting cases of this disease to the Centers for Disease Control and Prevention?
A. Office of the Surgeon General
B. Local Red Cross chapter
C. State health department
D. hospital infection control department
Answer: C. State health department

39. An occupational health nurse Is discussing health promotion with a client who has a
history of obesity. Which of the following comments Indicates the client Is using
rationalization as a coping mechanism?
A. I know you don’t like me because I am obese '

B. I am obese because it’s in my genes."
C. I have difficulty resisting the items in vending machines.
D. I have lots of health problems from being obese.
Answer: B. I am obese because it’s in my genes."

40. A nurse is caring for a client who is homeless. Which of the following actions should the
nurse take first?
A. Determine the clients understanding of her living situation.
B. assist the client to develop goals for obtaining shelter.
C. Develop client teaching using a variety of strategies.
D. Discuss the risks of being homeless with the client.
Answer: D. Discuss the risks of being homeless with the client.

41. In the last month. three cases of tuberculosis have been referred to the Health Department.
Which of the following is the priority Information for the community health nurse to obtain
from each client?
A. Demographics
B. Health history
C. Household members
D. Occupation
Answer: C. Household members

42. A government official reports to the health department that an employee was possibly
exposed to anthrax. Which of the following actions should a public health nurse take?
A. instruct the client to wear a mask at work.
B. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics
C. Place the employee under quarantine for 14 days.
D. Alert the family members of coworkers about then possible exposure to anthrax
Answer: B. Refer coworkers who might have been exposed to a provider for prophylactic
antibiotics

43. A client arrives at a mental health clinic and tells the nurse that she has no purpose in life.
Which of the following is the nurse’s priority response?
A. Tell me what is going on with you right now.

B. How long have you been feeling this way?
C. Have you been thinking about harming yourself?
D. Do you really think your life has no purpose?
Answer: C. Have you been thinking about harming yourself?

44. A community health nurse is educating a parent about the Importance of hepatitis B
immunization. Which of the following explanations should the nurse give the parent about
the disease?
A. Many people who acquire acute hepatitis B develop chronic hepatitis
B. Hepatitis B spreads easily among children through casual contact.
C. People who have had a hepatitis B infection still need the Immunization.
D. One dose of the immunization gives children lifelong protection from hepatitis B
Answer: A. Many people who acquire acute hepatitis B develop chronic hepatitis

45. A home health nurse is visiting a client who had a stroke 2 months ago. Which of the
following findings should the nurse report to the interprofessional care team?
A. The client dresses her affected side first.
B. The clients caregiver fills a pill organizer weekly.
C. The client coughs when swallowing her medications.
D. The client bears weight on her arms when using crutches.
Answer: A. The client dresses her affected side first.

46. A nurse manager in a local community health agency is creating a Job description for a
new nurse who will practice community-oriented nursing. Which of the following should the
nurse Include in the Job description? (Select all that apply.)
A. Provide health related education to community groups.
B. Participate in local health surveillance activates.
C. initiate support groups for parents of autistic children.
D. investigate potential health and environmental issues.
E. Provide wound care for clients in their homes,
Answer: E. Provide wound care for clients in their homes,

47. 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. Enrol the parent in anger management classes.
B. Refer the parent to a social service agency.
C. Check the child for injuries.
D. Report the incident to local authorities.
Answer: C. Check the child for injuries.

48. A faith based organization asks a community health nurse to develop a mobile meal
program for older adults who are no longer driving. Which of the following actions should
the nurse plan to take first?
A. identify alternative solutions to address concerns.
B. inquire about the availability of volunteers.
C. Perform a needs assessment.
D. Determine potential funding sources for the program.
Answer: C. Perform a needs assessment.

49. A first response team is working at the location of a bombing Incident. A nurse triaging a
group of clients should give treatment priority to which of the following clients?
A. A client who has a femur fracture with a 2+ pedal pulse
B. A client who is ambulatory and exhibits manic behavior
C. A client who has a rigid abdomen with manifestations of shock
D. A client who has superficial partial-thickness burn injuries over 5% of his body
Answer: B. A client who is ambulatory and exhibits manic behavior

50. A newly hired occupational health nurse is assessing hazards In the work environment.
Which of the following actions will help the nurse detect potential physical hazards?
A. Track rates of Illness Caused by Infection among employees.
B. Measure noise levels at various locations in the
C. identify industrial toxins that are present in the environment.
D. Survey workers about Job-related emotional stress
Answer: B. Measure noise levels at various locations in the

51. A nurse is providing teaching to a 50-year-old female client. Which of the following
statements should the nurse Include In the teaching?
A. You should have your hearing screened every 5 years
B. You should have your stool tested for blood every other year until the age of 74.
C. You should have your fasting blood glucose level checked every 6 years
D. You should have a complete eye examination every 2 years until the age of 64
Answer: B. You should have your stool tested for blood every other year until the age of 74.

52. A nurse is preparing an educational program about breastfeeding for a group of new
parents- The nurse should use which of the following instructional strategies to promote
psychomotor learning?
A. Provide dolls for the participants to demonstrate positioning.
B. Snow the group a video On Breastfeeding techniques.
C. Review flashcards that Identify holding techniques with the group.
D. Facilitate a discussion group about the genets of breastfeeding.
Answer: A. Provide dolls for the participants to demonstrate positioning.

53. A community health nurse observes the accumulation of garbage at a neighborhood
playground. Which of the following actions should the nurse take first to promote a clean and
safe environment?
A. Partner city officials with community members to Improve the playground's condition.
B. Engage neighborhood families to monitor the playground for further bash buildup.
C. Meet with community members to discuss methods of playground maintenance.
D. work with local businesses to sponsor more trash receptacles in the playground.
Answer: A. Partner city officials with community members to Improve the playground's
condition.

54. 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. Teaching parenting techniques to new parents
C. Conducting counseling for at risk parents
D. Providing treatment for a young adult who has a substance use disorder

Answer: B. Teaching parenting techniques to new parents

55. A nurse Is triaging clients who were Involved In a commuter train crash. Which of the
following clients should the nurse choose for transport to the emergency department first?
A. A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm
B. A client who has full thickness burn Injuries over 30% of his total body surface area
C. A client who IS exhibiting agonal respirations with fixed and dilated pupils
D. An ambulatory client who has a nosebleed and reports feeling dizzy
Answer: C. A client who IS exhibiting agonal respirations with fixed and dilated pupils

56. 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. Teach the clients to practice deep breathing exercises.
C. Avoid discussing traumatic events experienced by the veterans.
D. Change the meeting sites frequently.
Answer: B. Teach the clients to practice deep breathing exercises.

57. A nurse is providing education to the family of a school age child who has pertussis.
Which of the following information should the nurse include in the teaching?
A. The child is most contagious after the rash develops.
B. A dehumidifier should be placed beside the child's bed.
C. Transmission will be limited because of herd immunity.
D. Household contacts win receive prophylactic antibiotics.
Answer: D. Household contacts win receive prophylactic antibiotics.

58. 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

59. 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. Diplopia
D. Hypoglycaemia
Answer: B. Dizziness

60. A public health nurse is addressing community leaders at a forum about community
improvement. The nurse should identify which of the following groups as being the fastest
growing segment of the homeless population?
A. People who have substance use disorders
B. Men who are unemployed
C. Adolescent runaways
D. Families who have children
Answer: D. Families who have children