ATI: RN Community Health Online Practice 2023 B

A school nurse is caring for a school aged child c/o shortness of breath with a pmhx of asthma. Which of the following findings in the school environment should the nurse identify as potential triggers for the school-aged child's diagnosis?

Bus loading zone location Constructions Air freshener Cooking odors

A hospice nurse is teaching about expected grief reactions with the family of a client who has end-stage pancreatic cancer. Which of the following information should the nurse include? - "It is common to experience a persistent state of sadness while grieving." - "Disturbances in your self-esteem is an expected grief reaction." -"You will feel a sense of hopelessness throughout the grieving process." - "A component of healthy grieving is the ability to openly express your anger."

"A component of healthy grieving is the ability to openly express your anger."

A nurse is performing a home visit for a client who has tuberculosis (TB). As the nurse is leaving the client's house, a neighbor asks, "Is it true my neighbor has TB?" Which of the following responses should the nurse make? - "You should ask the public health department." - "You should take precautions against this infection." - "Have you ever been tested for tuberculosis?" - "Do you have questions about tuberculosis?"

"Do you have questions about tuberculosis?"

A home health nurse is visiting an older adult client and notes that unwashed dishes are piled up and newspapers cover the front steps. Which of the following questions should the nurse ask the client to determine if the client is socially isolated? - Why haven't you brought in your newspapers?" - "Do you need help completing your housework?" - "How often do you have visitors come to see you?" - "Have you considered moving to an assisted living facility?"

"How often do you have visitors come to see you?"

A community health nurse is conducting a vision screening at a health fair for an older client who has age related macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting to changes? - "I have a prescription bottle magnifier to help me read my pill bottle labels." - "I canceled all of my magazine subscriptions since I can't read them." - "I purchased green towels to use in my bathroom." - "I have learned that I cannot go outside when the sun is bright."

"I have a prescription bottle magnifier to help me read my pill bottle labels."

A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients who have experienced violence. Which of the following statements by a nurse indicates an understanding of the teaching? - "I do not need to ask about violence at future visits once I determine the client is not at risk." - "I should not document the name of the person the client accuses of the violence in the client's medical record." - " I should wait until I see signs of physical violence before I help the client develop a safety plan." - "I should determine whether a client who has been sexually assaulted requires a rape kit examination."

"I should determine whether a client who has been sexually assaulted requires a rape kit examination."

A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching? - "I will use a dry-sanding technique when preparing to repaint my front door." - "I will vacuum our wood floors every week." - "I will increase the amount of red meat and milk in my child's diet." - "I will use hot tap water to prepare my baby's formula."

"I will increase the amount of red meat and milk in my child's diet."

A home health nurse is evaluating a partner's understanding of postoperative care of a client who has a total hip arthroplasty. Which of the following statements by the partner indicates an understanding of the prescribed care? - "I will let my partner skip exercises on days when the pain is increased." - "I will inspect the incision site every other day." - "I will place a heating pad at the incision site to help manage pain." - "I will remind my partner to use a walker when moving around in the house."

"I will remind my partner to use a walker when moving around in the house."

A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse identify as an indication that the client is in the denial stage of the grief process? - "I'm looking forward to my daughter's wedding next year." - "I don't deserve to die. This just isn't fair." - "If I could just make it through this, I'd never smoke again." - "Next week, I will start making plans for me memorial service."

"I'm looking forward to my daughter's wedding next year."

A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8 hrs at a time. Which of the following information is the priority for the nurse to include? - "Take a walk after work." - "Point and flex your toes periodically." - "Have your visual acuity assessed regularly." - "Adjust your chair so your elbows are at desk height."

"Point and flex your toes periodically."

A public health nurse is developing a presentation for a local day care providers about infectious childhood diseases. Which of the following statements should the nurse include? - "Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person." - "Rotavirus infections in children peak during the summer months." - Children who have fifth disease will exhibit bloody diarrhea." - Antiviral medications shorten the duration of a shigella infection."

"Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person."

A community health nurse is approached by a member of the community who voices concerns about air pollution. Which of the following statements by the nurse indicates the nurse needs further education regarding confidentiality? - "Records indicate that several pesticides have been entering the local streams, causing significant water pollution." - "According to the latest research, the infant mortality ratio is 6.7 per 1,000 live births in this community." - Residents near Cherry Street Substation have a mortality rate of 29.6% from brain tumors compared to the citywide rate of 9.2%" - "The circulation supervisor at the library is concerned about the amount of air pollution coming from the town's industrial corridor."

"The circulation supervisor at the library is concerned about the amount of air pollution coming from the town's industrial corridor."

A palliative care nurse is teaching a client who has cancer about the services that are available for the client. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - "If I begin palliative care, I will have to stop my chemotherapy." - "I can begin palliative care when I have less then 6 months to live." - "This type of care can help me with pain control." - "My family will not be involved with this type of care program."

"This type of care can help me with pain control."

An occ health nurse is caring for a client, 65 year old male for a new employee physical exam with a hx of hypertension tx with antihypertensive medications. After reviewing the employee's health record, which of the following host findings are increased the likelihood of the client experiencing a work- related injury. Select THREE host factors.

- Age - Occupation - Length of work experience

A nurse is assessing the risks and benefits of meal delivery services for a client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating? - Distributive justice - Respect for autonomy - Fidelity - Beneficence

Beneficence

A home health nurse is reviewing a client's EMR The client returned from the OR following an implantable cardioverter/defibrillator (ICD) and pacemaker implant. A home health nurse is providing client teaching. Which of the following information should the home health nurse include in the client's discharge instructions? SATA

- Avoid wearing tight clothing over the generator site - Record your heart rate daily - Avoid exposure with handheld wand metal detectors

An occupational health nurse is planning to use an interpreter during an educational session with a group of workers who speak a different language than the nurse. Which of the following actions should the nurse take? SATA - Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner - Ask the interpreter to add information they might feel be necessary - Choose an interpreter who speaks the workers' language and dialect - Evaluate the interpreter's approach to the clients prior to the educational session - Encourage the interpreter to paraphrase the worker's questions and responses

- Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner - Choose an interpreter who speaks the workers' language and dialect - Evaluate the interpreter's approach to the clients prior to the educational session

A school nurse is notified that a school-age child has pertussis. Which of the following actions should the school nurse take? SATA - Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present. - Encourage the family members to obtain prophylactic treatment - Quarantine the children in the child's class - Recommend that the child receive the pneumococcal vaccine in 28 days. - Check the immunization status of the child's classmates

- Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present. - Encourage the family members to obtain prophylactic treatment - Check the immunization status of the child's classmates

A nurse in a community care clinic is caring for a client. The client is admitted to the ED directly from the health clinic following a new diagnosis of Mycobacterium tuberculosis. Which of the following isolation precautions should the nurse plan on implementing? SATA - Place the client in a room with another client who also has tuberculosis. - Place the client in a room with positive airflow - Place a box of N95 respirators by the entrance to the client's room. - Ensure the doors to the client's room remain closed - Ensure that the client's visitors wear gowns prior to entering the room

- Place a box of N95 respirators by the entrance to the client's room. - Ensure the doors to the client's room remain closed

A community healthy nurse is assessing a group of clients for risk factors of violent behavior. Which of the following findings should the nurse identify as a risk factor for developing violent behavior? - A client says they were spanked as a child - A client reports getting a new job - A client has a history of participating in volunteer activities - A client lives in the rural community where they grew up

A client says they were spanked as a child

A nurse in a clinic is planning teaching for a client who was newly diagnosed with hepatitis C. Which of the following instructions should the nurse include in the teaching? - Consume a low-carbohydrate diet until symptoms resolve - Schedule an appointment for an immunoglobulin injection - Abstain from sexual intercourse until antibody tests are negative - Wear a mask in public places while receiving treatment.

Abstain from sexual intercourse until antibody tests are negative

A school nurse is conducting visual acuity testing for a school-age child using a Snellen chart. Which of the following actions should the nurse take? - Allow the child to keep their glasses on during the testing. - Have the child stand 5 feet away from the Snellen letter chart. - Progress to the next line once the child reads two symbols correctly - Begin the test by instructing the child to use both eyes to read the chart.

Allow the child to keep their glasses on during the testing.

A community health nurse is caring for clients who have difficulty adhering to their plan of care because of lack of access to providers. The nurse and providers in the community implement a telehealth program to improve the client's access to care. Client 1 - Monthly telephone consults with dietician. Insurance stopped covering visits Client 2 - The client will have weekly video consultations with dietician to discuss their food diary. Unreliable internet connection which prevents them from meeting with the dietician weekly. Client 3 - The client will follow up with a dietician in a community-based telehealth program that is free to participants. ESL - no interpreter available when they call for a telehealth consultation Client 4 - Client will have monthly consults with a pharmacist through electronic health portal to obtain assistance with instructions. Education materials are above their reading level Client

Clients 1,2,3 and 4

A public health nurse is developing a visual health program by using a community-oriented approach. Which of the following interventions should the nurse include? - Teach a client who has vision loss about safety in the home environment. - Provide genetic counseling to the family of a newborn who has congenital cataracts - Develop a plan of care for a client who was newly diagnosed with glaucoma - Consult with the local school nurse to schedule yearly vision screenings for students.

Consult with the local school nurse to schedule yearly vision screenings for students.

A community health nurse suspects an outbreak of scabies in a local area. Which of the following actions should the nurse take first? - Educate the community about disease transmission - Determine the incidence rate - Institute prophylactic treatment - Discuss treatment plans with the client's families

Determine the incidence rate

A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures in female clients who are experiencing menopause. Which of the following primary prevention strategies should the nurse implement? - Advise the clients to avoid live-virus vaccines - Encourage the clients to participate in weight bearing activities - Educate the clients about the importance of avoiding sun exposure - Instruct at-risk clients to increase their intake of foods high in vitamin E

Encourage the clients to participate in weight bearing activities

A nurse is developing an educational program about bioterrorism and smallpox. The nurse should include in the teaching that the smallpox rash is expected to first appear in which of the following locations? - Face - Posterior shoulders - Abdomen - Lower extremities

Face

A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? - Food preferences - Employment status - History of illnesses - Sexual orientation

Food preferences

A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse first take? - Recommend the adolescent meet with the school guidance counselor to discuss educational options - Help the adolescent obtain a provider for prenatal care - Educate the adolescent about contraceptive to prevent future unplanned pregnancies - Provide information on parenting classes so the adolescent can learn about caring for a newborn

Help the adolescent obtain a provider for prenatal care

A community health nurse is planning to establish a community garden to introduce new nutritious food options in the area. Which of the following actions should the nurse take first to initiate the program? - Identify community members who demonstrate an interest in the project - Hold a community information session to inform the residents of the plan - Select residents to take on leadership roles in the project - Monitor the progress of the project to keep the project on course

Identify community members who demonstrate an interest in the project

A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment? - Immunization status - Sexual activity - Illness practices - Food allergies

Illness practices

A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to screen for tuberculin skin test to multiple clients to screen for tuberculosis. Which of the following actions should the nurse take? - Prepare the outer aspect of the upper arm for the injection - Insert the needle at a 45degree angle - Inject 0.1 mL of purified protein derivative - Create a wheel that measures about 15 mm in diameter

Inject 0.1 mL of purified protein derivative

An occupational health nurse in a factory is performing a routine tuberculosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse plan to take? - Administer prophylactic penicillin to other employees - Initiate an employee immunization program - Instruct the employee weak an N95 respirator mask - Instruct the employee that they will need to obtain a chest x-ray

Instruct the employee that they will need to obtain a chest x-ray

A home health nurse is reviewing several client requests regarding complementary strategies. The nurse should identify which of the following alternative therapies is contraindicated for a client. Hippotherapy for a school-age client who has cerebral palsy - Acupressure therapy for a client who has back pain - Kava for a client who has cirrhosis - Valerian for a client who has anxiety and insomnia

Kava for a client who has cirrhosis

A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for TB. The nurse should use information from which of the following resources to assist with this process? - Agency for Healthcare Quality and Research (AHRQ) - Migrant Clinics Network (MCN) - Centers for Disease Control and Prevention (CDC) - US Preventative Services Task Force (USPSTF)

Migrant Clinics Network (MCN)

A case manager is planning an education program for a client who has diabetes mellitus. Which of the following activities should the nurse include when using the psychomotor domain of learning. - Review a color diagram of the food pyramid with the client - Show the client a video about hos to monitor blood glucose levels - Encourage the client to discuss their feelings about self-worth - Observe the client's technique for drawing up insulin

Observe the client's technique for drawing up insulin

Which of the following data should a community health nurse collect to determine to distribute of an illness in a community? - Incidence rate - Age-specific death rate - Prevalence rate - Cause-specific death rate

Prevalence rate

A community health nurse is working with a community where the incidence of violence has increased. Which of the following actions should the nurse take as a tertiary prevention strategy? - Provide open education sessions to teach parenting skills - Provide clients who experience violence with referral information to crisis lines - Identify potential community risk factors for violence - Assess for evidence of violence during routine encounters

Provide clients who experience violence with referral information to crisis lines

A school nurse is reviewing the records of four students who are returning to school after being diagnosed with methicillin-resistant staphylococcus aureus (MRSA). Which of the following actions should the nurse take? - Coordinate an immunization clinic at the school - Recommend prophylactic treatment for classmates - Report the cases of MRSA to child protective services - Provide education about MRSA throughout the school system

Provide education about MRSA throughout the school system

A community health nurse is planning a health education program for adults. The nurse should plan to take which of the following actions during the program? - Use medical terminology throughout the presentation. - Avoid the use of technology to display images and videos - Extend the presentation to include as much information as possible - Provide take-home materials written at a 6th-grade level

Provide take-home materials written at a 6th-grade level

A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include which of the following vaccines is safe to administer to a client who is pregnant? - Herpes Zoster - Tetanus, diphtheria, pertussis (Tdap) - Varicella - Measles, Mumps, rubella

Tetanus, diphtheria, pertussis (Tdap)

A case manager at a home health agency is obtaining equipment for a client's home use. Which of the following actions is a violation of client confidentiality? - The case manager used a computer at the agency with an automatic sign-off mechanism - The case manager left a clipboard with the client's prescription information face up on the office desk - The case manager sent a fax to the equipment company on a machine using programmed speed dial - The case manager shared the client's name with the equipment company

The case manager left a clipboard with the client's prescription information face up on the office desk

A home health nurse is caring for a client who is using acupuncture as a complementary therapy to manage manifestations of menopause. Which of the following findings indicates that acupuncture has been effective? - The client reports a reduction in hot flashes - The client experiences an increase in blood pressure - The client does not experience a fracture - The client reports an increase in stress incontinence.

The client reports a reduction in hot flashes

A nurse is conductions a home visit with a client who reports a history of partner violence. The nurse should identify which of the following findings placed the client at greatest risk for partner violence? - The client is at 13 weeks gestation - The client states they are leaving their partner - The client is starting a new job - The client visits friends without the partner's knowledge

The client states they are leaving their partner

A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion? - The faith community nurse can provide pharmacological pain management for clients who have a terminal illness. - The faith community nurse can plan workplace safety training for employees in a local factory - The faith community nurse can provide wound care for clients in their homes - The faith community nurse can facilitate substance use disorder support groups

The faith community nurse can facilitate substance use disorder support groups

A home health nurse is visiting with an older adult client. Which of the following observations indicates the need for a home modification? - The home has power strips that have breakers - The client uses an electric toaster over for cooking - There are 2 rocking chairs in the living room - The bathtub has a seat and a hand-held shower head

There are 2 rocking chairs in the living room

A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and noisy breathing. Which of the following actions should the nurse take? - Suctions the client's oropharynx - Administer the client's pain medication IM - Use the fan in the client's room - Place the client in the Trendelenburg position

Use the fan in the client's room

A nurse in a clinic is caring for a client who reports taking ginkgo biloba for several weeks after seeing a naturopathic healer. The nurse should instruct the client that gingko biloba can alter the effects of which of the following medications? - Diltiazem - Metoprolol - Digoxin - Warfarin

Warfarin

A community health nurse is working with a group of clients in a rural community who are unable to afford health insurance. Which of the following actions is the best for the nurse to make to advocate for these clients? - Encourage the clients to form various exercise groups based on community interst - Perform weekly blood pressure screenings at the community center - Work with local health care practitioners to establish a free clinic - Provide for guaiac stool tests for clients who have a family history of colon cancer.

Work with local health care practitioners to establish a free clinic

A community health nurse is teaching a group of clients about environmental health hazards. Which of the following examples should the nurse include as a possible source of carbon monoxide exposure? - Washing machines - Gas ranges - Air conditioners - Electric space heaters

gas ranges