Community Health ATI - Practice Questions

A nurse is providing psychological counseling at a community center for families whose loved ones died in a fire. After learning that both of their children died in a fire, two parents express disbelief at the loss of their children. One parent states, "How will I make it through this?" Which of the following responses should the nurse have? 1. "Are you feeling overwhelmed right now?" 2. "Don't worry. You will have plenty of help." 3. "Can I call someone to be here with you?" 4. "Anyone who has experienced a loss like this would feel that way."

1. "Are you feeling overwhelmed right now?"

A nurse is planning to participate in a public education program about prevention of West Nile Virus. Which of the following instructions should the nurse include in her presentation? 1. "Eliminate sources of standing water." 2. "Make sure your immunizations are up to date." 3. "Keep all of your pets indoors." 4. "Spray insect nests with a repellent that contains DEET."

1. "Eliminate sources of standing water."

A home health nurse and an assistive personnel are discussing the care needs of a client. Which of the following statements by the AP requires intervention by the nurse? 1. "I will change the client's PICC line dressing on my next visit." 2. "Bathing the client is something that I can do without assistance." 3. "I assist the client in ambulating outdoors each time I visit." 4. "Next time I visit, I plan to clean up the clutter in the client's bedroom."

1. "I will change the client's PICC line dressing on my next visit."

A community health nurse at a family planning clinic is developing a program about adolescent sexuality. Which of the following is a developmental task of adolescence according to Erickson's theory of psycho social development? 1. Adjusting to dramatic changes in body image 2. Developing hypothetical reasoning skills 3. Establishing the capacity for an intimate love relationship 4. Learning to make good choices and avoid risk-taking behaviors

1. Adjusting to dramatic changes in body image

A charge nurse in an ED is informed that a tornado touched down in a nearby town and mass casualties are en route. Which of the following actions should the nurse take first? 1. Follow facility policy to activate the disaster plan. 2. Prepare the triage rooms. 3. Obtain additional supplies. 4. Call in off-duty staff.

1. Follow facility policy to activate the disaster plan.

A nurse is planning a health fair for a local community. Which of the following should be the nurse's priority consideration when deciding what screening will benefit the population the most? 1. Identify prevalent health problems in the community. 2. Identify health care resources available to clients in the community. 3. Identify the cost of the screening programs. 4. Identify the availability of transportation to the health fair.

1. Identify prevalent health problems in the community.

A nurse is planning a smoking cessation program for women of childbearing age. Which of the following is at increased risk with smoking during pregnancy that the nurse should include in the program? 1. Infant developmental delays 2. Maternal osteoporosis 3. Maternal ulcers 4. Infant lung cancer

1. Infant developmental delays

A public health nurse is assisting community leaders to develop a disaster response plan in the event of an outbreak of a serious communicable disease. When teaching the community leaders about infectious disease, the nurse should explain that a vector is which of the following? 1. Mode of transmission for the disease 2. Microorganism that causes the infection 3. Environment where the pathogen can survive 4. Client who is susceptible to the infection

1. Mode of transmission for the disease

A nurse is planning a teaching session at a community center about preventing suicide. Which of the following groups should the nurse recognize is most at risk for suicide? 1. Older adult male clients 75 to 90 years old 2. School-age children 6 to 12 years old 3. Adolescent female clients 12 to 20 years old 4. Middle adult clients 25 to 44 years old

1. Older adult male clients 75 to 90 years old

A nurse is providing teaching to a community group who lives near a nuclear power plant about safety related to radiation exposure. A client asks isn't there something we should have on hand in case of a nuclear disaster? Which of the substances is the client referring to? 1. Potassium iodide 2. Potassium cyanide 3. Ciprofloxacin 4. Atropine

1. Potassium iodide

A nurse is performing a community assessment in a rural setting. Which of the following types of health care should the nurse recognize is most likely to be absent in this setting? 1. Tertiary care 2. Primary prevention 3. Chronic care 4. Secondary prevention

1. Tertiary care

A triage nurse is an ED when several hundred clients who were injured in a train collision arrive at the facility for treatment. The nurse should determine that which of the following requires immediate treatment? 1. A client who has neck pain and was transported to the facility on a backboard 2. A client who has epigastric and left-arm pain and is diaphoretic 3. A client who has nasal and orbital ecchymosis and a respiratory rate of 16/min 4. A client who has abdominal pain and is 2 months pregnant

2. A client who has epigastric and left-arm pain and is diaphoretic

A public health nurse is responsible for several activities in the local community. The nurse is implementing tertiary prevention when he takes which of the following actions? 1. Teaching stress reduction techniques to parents of children who have developmental delays 2. Advocating for the expansion of mental health rehabilitation facilities with community leaders 3. Performing screenings for depression for older adult clients 4. Coordinating a drive-through clinic for influenza immunizations

2. Advocating for the expansion of mental health rehabilitation facilities with community leaders

A nurse is caring for several clients who have become ill after a company picnic. After extensive interviews and a review of the food handling practices, the nurse determines that the most likely cause of the illness was a poultry dish that had been allowed to cool for several hours before being served. The nurse is performing which of the following steps in the epidemiological process? 1. Planning 2. Assessing 3. Implementing 4. Evaluating

2. Assessing

An industrial health nurse is caring for a client who states, "I have been under a lot of stress lately." When the nurse suggests stress management techniques, the client calmly states that he has a pistol in his car and intends to take his life in the parking lot after work that day. Which of the following actions should the nurse take? 1. Have the industrial facility's security officers search the client's car and remove the pistol. 2. Call emergency medical services to transport the client to a proper treatment facility. 3. Contact the client's family member to pick him up from work and take him for treatment. 4. Explore with the client the reasons he feels that he has no options except suicide.

2. Call emergency medical services to transport the client to a proper treatment facility.

A nurse on bio terrorism committee is developing a brochure to increase public awareness about the threat of inhalation anthrax. Which of the following information should the nurse plan to include in the brochure? 1. An immunization for inhalation anthrax is recommended for administration to children. 2. Clients who have manifestations of inhalation anthrax will need antibiotic treatment for 60 days. 3. The initial manifestations of inhalation anthrax include an itchy skin lesion that blisters and scabs. 4. Clients exposed to housemates who have inhalation anthrax must receive prophylactic treatment.

2. Clients who have manifestations of inhalation anthrax will need antibiotic treatment for 60 days.

A home health nurse is caring for a client who is living in a mental health group home. During a visit, the nurse discovers that the client has been hoarding psychotropic medication. Which of the following actions should the nurse take first? 1. Have the client transported to an acute care facility. 2. Determine the reason for the client's hoarding behavior. 3. Alert the staff that has been administering the client's medications. 4. Require the client to return any hoarded medications.

2. Determine the reason for the client's hoarding behavior.

A community health nurse is teaching a group of clients about factors influencing health behaviors. Which of the following is a modifiable risk factor that the the nurse should include in the teaching? 1. Family history of diabetes 2. Immunization status 3. Mental illness 4. Air pollution

2. Immunization status

A community health nurse is preparing a disaster preparedness plan about smallpox. Which of the following groups of people should the nurse include in the plan to inoculate? 1. Newborns 2. Mortuary workers 3. Immunosuppressed clients 4. Clients who have eczema

2. Mortuary workers

A nurse is providing teaching to a client about healthy lifestyle changes. The client says, "I work long hours at work. I never have time for exercise or anything but fast food." Which of the following goals should the nurse include in the plan of care? 1. The client will improve overall health by the next visit. 2. The client will introduce two green vegetables into her diet by the end of the month. 3. The client will reduce daily stress and increase activity by exercising. 4. The client will reduce weight by 4.5 kg (10 lb) within 2 weeks.

2. The client will introduce two green vegetables into her diet by the end of the month.

A school nurse is called to the scene of a large fight that just ended. The school security officers have called the police to the scene. Which of the following actions should the nurse take first? 1. Teach coping skills to the children who witnessed the fight. 2. Triage the injured students. 3. Provide support to help staff deal with the traumatic situation. 4. Compare the response to the incident with school policies.

2. Triage the injured students.

A nurse is providing teaching to a client who has a prescription for ciprofloxacin following exposure to anthrax. Which of the following statements by the client indicates that further teaching is required? 1. "I will limit my intake of coffee, tea, or cola beverages." 2. "I will wear a large-brim hat and long sleeves if I am out in the sun." 3. "I will take the ciprofloxacin with an antacid if I get an upset stomach." 4. "I will avoid taking ciprofloxacin along with dairy products."

3. "I will take the ciprofloxacin with an antacid if I get an upset stomach."

A home health nurse is providing teaching to the primary caregiver of a client who has Alzheimer's disease about respite care. Which of the following information should the nurse include in the teaching? 1. "Respite care refers to a community support group for family caregivers." 2. "Respite care requires placing the client in an assisted living facility." 3. "Respite care provides family members with temporary relief from caregiving." 4. "Respite care supplies daily assistance from a home health aide."

3. "Respite care provides family members with temporary relief from caregiving."

A nurse is teaching a community group about smallpox. When discussing possible means of transmission, which of the following statements by a member of the group indicates further teaching is needed? 1. "Smallpox can be transmitted through bodily fluids, such as blood or vomit." 2. "Smallpox can be transmitted through contaminated objects, such as bedding and clothing." 3. "Smallpox can be transmitted through bites from insects, such as mosquitoes." 4. "Smallpox can be transmitted through inhalation of droplets, such as from coughing."

3. "Smallpox can be transmitted through bites from insects, such as mosquitoes."

A charge nurse is in an ED and is notified by the county's emergency medical services that there is a multiple-casualty crash involving a truck carrying radioactive waste. Which of the following actions should the nurse take first? 1. Designate a decontamination area to accommodate clients who are irradiated. 2. Notify the admissions office to clear as many critical care beds as possible. 3. Clear the department of all nonurgent clients and move those awaiting admission to a holding area. 4. Determine the number of casualties the emergency department can accommodate.

3. Clear the department of all nonurgent clients and move those awaiting admission to a holding area.

A nurse manager at a clinic for clients who are homeless notes that many of the clients who have a history of mental illness and substance use disorder. While compiling figures for a regulatory agency about the clients who visit the clinic, the nurse should classify these clients as having which of the following condition? 1. Codependency 2. Bipolar disorder 3. Comorbidity 4. Somatization disorder

3. Comorbidity

A nurse is conducting a screening class for hypertension. Which of the following should be the nurse's goal for secondary prevention? 1. Prevent the onset of the condition. 2. Identify the severity of the condition. 3. Identify the condition early. 4. Deter condition-related complications.

3. Identify the condition early.

A community health nurse who works in a refugee clinic is evaluating children who are new arrivals in the US. Assessment of a listless, 20-month old toddler indicates that the child is in the 6th percentile for weight and the 40th percentile for height. The toddler has thin limbs, a protuberant abdomen, and dull, dry hair. This assessment should lead the nurse to suspect that the client might have which of the following conditions? 1. Chronic hypoxemia 2. Anemia 3. Protein deficit 4. Fluid overload

3. Protein deficit

A nurse is teaching a group of older adults complementary and alternative therapies. Which of the following interventions should the nurse recommend to improve balance? 1. Naturopathic medicine 2. Magnet therapy 3. Tai chi 4. Progressive relaxation therapy

3. Tai chi

A home hospice nurse is caring for a client who is dying. A family member of the client is talking to the nurse. Which of the following statements made by the family member requires clarification by the nurse? 1. "Although my father can't get around very much, at least he is alert." 2. "My siblings and I have a schedule of when we are available to provide care for our father." 3. "My biggest concern is that I don't want my father to be in any pain." 4. "I'm glad that professionals will be here in case my father stops breathing."

4. "I'm glad that professionals will be here in case my father stops breathing."

A community health nurse is caring for a client who was exposed to HIV 2 days ago. The client asks the nurse what she should do. Which of the following responses should the nurse take first? 1. "I will administer an HIV vaccine today, and it will need to be repeated in 3 months." 2. "I will administer an HIV test today, and you will need to return in 48 hours for me to read the results." 3. "You will need to have an HIV test every other week for 6 months." 4. "You will need to take prophylactic medications for 4 weeks."

4. "You will need to take prophylactic medications for 4 weeks."

A charge nurse is assembling a list of clients who can be safely discharged home to accommodate incoming casualties following an earthquake. The nurse should recognize that it is unsafe to discharge which of the following clients? 1. A client who has osteomyelitis and will require 6 weeks of IV antibiotic therapy 2. A client who has Crohn's disease and is 1 day preoperative for an ileostomy 3. A client who has Alzheimer's disease and is awaiting placement in a long-term care facility 4. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace

4. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace

A home health nurse is prioritizing visits for four clients. Which of the following clients should the nurse plan to visit first? 1. A client who has heart failure and reports a weight loss of 2.2 kg (1 lb) over the past week 2. A client who has osteoarthritis of the knees and reports joint pain when ambulating 3. A client who has Alzheimer's disease and is not able to remember the current year 4. A client who has type 2 diabetes mellitus and reports a new fissure between her toes

4. A client who has type 2 diabetes mellitus and reports a new fissure between her toes

A public health nurse is caring for an older adult client who has chronic airflow limitation disease and is a former cigarette smoker. The client's medications include ipratropium bromide and albuterol inhalers, and she has a new prescription for home oxygen use as needed. The nurse should recognize that this client's primary prevention needs include which of the following? 1. Periodic pulmonary function tests 2. Review of appropriate use of oxygen in the home 3. Review of appropriate use of oxygen in the home Yearly mammography examinations 4. Annual influenza immunizations

4. Annual influenza immunizations

A nurse is responding to a community-wide request for health care providers to come to the scene of an explosion. When using the North Atlantic Treaty Organization triage system, the nurse should put which of the following tags on a client who is unresponsive and has third-degree burns on over 75% of their body? 1. Red 2. Yellow 3. Green 4. Black

4. Black

A nurse is working in the triage area of an ED. Which of the following activities is unlikely to be the nurse's responsibility in this setting? 1. Fostering positive public relations for the facility 2. Performing a comprehensive client assessment 3. Preventing cross contamination of infectious clients 4. Educating a client and his family

4. Educating a client and his family

A nurse is caring for a client who has a positive Mantoux skin test following a screening for TB. The nurse should inform the client that the positive reaction indicates which of the following findings? 1. The client has never been exposed to TB. 2. The client had infectious TB at one time but it is not active. 3. The client has active TB. 4. Further evaluation is required.

4. Further evaluation is required.

An occupational health nurse is providing teaching to a group of clients about the risks of the work environment. Which of the following actions is the nurse performing? 1. Case management 2. Secondary prevention 3. Tertiary prevention 4. Primary prevention

4. Primary prevention

A home health nurse is performing an assessment of an older adult client's home. Which of the following findings should the nurse recognize as a potential hazard? 1. Hot water temperature set at 46° C (115° F) 2. A night light in each room of the house 3. A secured, large area rug in the living room 4. Wires to the television tunneled under the carpet

4. Wires to the television tunneled under the carpet

A community health nurse is planning a study with the goal of improving the environmental health of a community. Identify the sequence the nurse should follow when conducting the research. Design the study Formulate the research question Analyze the findings Review related literature

Formulate the research question Review related literature Design the study Analyze the findings