Community Exam ATI Questions

A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?

D. A private room

A nurse is educating community members about how to prepare for a disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (Select all that apply.)

clean clothing, personal identification, matches, prescription medicaitons

A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first?

D. Decontaminate the client.

A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?

D. Dysphagia

A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure?

D. Respiratory failure

A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)?

D. Toxoplasmosis

A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care?

A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site

A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching?

A. "It is normal to have a white vaginal discharge."

A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response?

A. "Personnel are willing to work in dangerous conditions to provide assistance."

A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply.)

A. "Smallpox is transmitted person to person." E. "Smallpox is often confused with varicella."

A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first?

A. A client experiencing a tension pneumothorax

A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare the protocol based on which of the following information? (Select all that apply.)

A. Botulism can produce paralysis within 12 to 72 hr following exposure.B. Notify the Centers for Disease Control and Prevention (CDC) when more than three cases are confirmed. D. Vomiting and diarrhea are expected findings following exposure.

A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?

A. Expect some breast dimpling or discharge with age.

A charge nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion?

A. Identify community resources that are available.

A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer?

A. Meningococcal conjugate

A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?

A. Office of Emergency Management (OEM)

A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family's disaster readiness supply kit or "go bag"? (Select all that apply.)

A. Pencil and paper B. Whistle C. Antibiotics

A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following actions should the nurse take?

A. Place a yellow tag on the client's upper body.

A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?

A. Providing treatment for clients who have chronic obstructive pulmonary disease

A nurse is the triage officer in the emergency department when four clients arrive following a factory explosion. Which of the following clients should the nurse care for first?

An unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of < 2 seconds

A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority?

B. A conscious adult client who has second-degree burns on both lower legs; respiratory rate is > 30/min

An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on the stove. Which of the following community resources should the nurse recommend for this client?

B. Meals on Wheels

A is nurse assisting with field triage following a motor-vehicle crash involving a bus with multiple victims. The nurse assesses a child who has an open fracture of the femur. Which of the following actions should the nurse take?

B. Place a yellow triage tag on the child.

A public health nurse is assessing an older adult client who lives with a family member. The nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first?

B. Report the findings to a supervisor.

A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (Select all that apply.)

B. Smallpox C. Anthrax E. Botulism

A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?

B. The client will walk for 30 min 5 days a week.

A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work, but are not exhibiting manifestation of illness. Which of the following is the appropriate action for the nurse to take?

C. Administer antibiotic therapy.

A community health nurse is conducting an educational program on various environmental pollutants. The nurse should emphasize that clients who have which of the following disorders are especially vulnerable to ozone effects?

C. Asthma

A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?

C. Choose the highest level of protection equipment available.

A nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following isolation precautions should the nurse plan to use while caring for these clients?

C. Droplet

An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?

C. Help plant workers identify signs of carpal tunnel syndrome.

A school nurse is teaching a group of nurses newly hired to work in the school system about pediculosis capitis (head lice). Which of the following information is appropriate to include in the teaching?

C. Nits that are shed into the environment are capable of hatching for up to 10 days.

A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?

C. Place a black tag on the client's upper body and attempt to help the next client in need.

A nurse is leading a therapeutic group for clients at an outpatient mental health clinic. Which of the following client statements indicates a problem with role transition?

D. "I just can't seem to find any energy to take care of my children since my husband divorced me."

A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching?

D. "Unlike chickenpox, the vesicles of smallpox are more abundant on the face."

A nurse is preparing to administer ciprofloxacin to a client. The nurse should identify that the medication is treatment for exposure to which of the following agents?

D. Anthrax

A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?

D. Cigarette smoking

A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure?

D. Smallpox

A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which of the following actions should the nurse take?

Have students evacuated from the school and establish a triage area in the school parking lot.