NGN COMMUNITY HEALTH ATI PROCTORED EXAM EXAM 70
QUESTIONS AND CORRECT DETAILED ANSWERS RATED A
GRADE
QUESTION
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?
1. Clients will schedule bone density screening
2. Clients will arrange for mammograms every 3 years
3. Clients will start hormone replacement therapy
4. Clients will significantly decrease caloric intake
CORRECT ANS: 1. Clients will schedule bone density screening
EXPERT RATIONALE
Postmenopausal women are at increased risk for osteoporosis due to decreased
estrogen levels, which accelerate bone loss. Scheduling bone density screening is an
appropriate and measurable outcome for this population. Mammograms are
recommended annually or biennially for women starting at age 40-50, not every 3 years.
Hormone replacement therapy is not recommended for all postmenopausal women due
to associated risks and should be individualized. Significant caloric decrease is not
appropriate without considering individual nutritional needs.
QUESTION
A nurse is caring for a client who is homeless. Which of the following actions should the
nurse take first?
1. Determine the client's understanding of her living situation
2. Assist the client to develop goals for obtaining shelter
3. Discuss the risks of being homeless with the client
4. Develop client teaching using a variety of strategies
CORRECT ANS: 1. Determine the client's understanding of her living situation
, EXPERT RATIONALE
The first action in the nursing process is assessment. Before any interventions can be
planned or implemented, the nurse must first assess the client's understanding of their
situation and needs. Determining the client's perception of their living situation provides
essential information for developing an individualized and appropriate plan of care.
Assisting with goals, discussing risks, and developing teaching strategies are all
important interventions but should follow the initial assessment.
QUESTION
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)
1. Investigate potential health and environmental issues
2. Initiate support groups for parents of autistic children
3. Provide wound care for clients in their homes
4. Participate in local health surveillance activities
5. Provide health-related education to community groups
CORRECT ANS: 1, 2, 4, 5
EXPERT RATIONALE
Community-oriented nursing focuses on the health of the entire population rather than
individual care. Investigating potential health and environmental issues is a core
function of community-oriented nursing. Initiating support groups and providing health
education to community groups are examples of population-focused interventions.
Participating in health surveillance activities is essential for monitoring community
health trends. Providing wound care for clients in their homes is an example of
community-based nursing, which focuses on individual care, not community-oriented
nursing.
QUESTION
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?
1. Report the incident to local authorities
2. Check the child for injuries
3. Refer the parent to a social service agency
4. Enroll the parent in anger management classes
CORRECT ANS: 2. Check the child for injuries
EXPERT RATIONALE
The immediate priority is to assess the child for any injuries that may require urgent
medical attention. Safety is the primary concern, and the nurse must determine the
extent of any physical harm before proceeding with other actions. Reporting to
authorities, referring to social services, and enrolling in anger management classes are
important steps, but they should occur after ensuring the child's immediate safety and
well-being. The nurse must also maintain a nonjudgmental approach to maintain trust.
QUESTION
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?
1. The client is participating in a fee-for-service health care insurance program
2. The provider is paid a fixed sum for the client on a monthly or yearly basis
3. The client pays the insurer a percentage of the total costs for each service rendered by
the provider
4. The provider bills the client directly for a predetermined percentage of the cost of
services
CORRECT ANS: 2. The provider is paid a fixed sum for the client on a monthly or yearly
basis
EXPERT RATIONALE
A Health Maintenance Organization (HMO) is a managed care organization that
provides health services to its members for a fixed, prepaid fee (capitation). The provider
receives a set amount per member per month, regardless of the services used. This
, payment structure incentivizes preventive care and cost-effective management. Fee-for-
service is a different model where providers are paid for each service rendered.
QUESTION
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?
1. Provide the client with a printed recipe
2. Observe the client during preparation of traditional foods
3. Use cookbooks to include traditional foods in meal plans
4. Explain diabetes exchange lists
CORRECT ANS: 2. Observe the client during preparation of traditional foods
EXPERT RATIONALE
The first action the nurse should take is to observe the client during preparation of
traditional foods. This assessment step allows the nurse to understand the client's
current practices, identify ingredients, portion sizes, and cooking methods used. This
provides essential information for making culturally appropriate adaptations to the meal
plan without completely eliminating traditional foods. Providing printed recipes, using
cookbooks, and explaining exchange lists are appropriate interventions that should
follow the initial assessment.
QUESTION
A home health nurse is caring for a client who has methicillin-resistant Staphylococcus
aureus (MRSA). Which of the following actions should the nurse take?
1. Remove fresh flowers from the client's home
2. Wear a mask when within 3 feet of the client
3. Encourage the client to use a HEPA filter in the house
4. Double bag soiled dressings in polyethylene bags
CORRECT ANS: 4. Double bag soiled dressings in polyethylene bags
QUESTIONS AND CORRECT DETAILED ANSWERS RATED A
GRADE
QUESTION
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?
1. Clients will schedule bone density screening
2. Clients will arrange for mammograms every 3 years
3. Clients will start hormone replacement therapy
4. Clients will significantly decrease caloric intake
CORRECT ANS: 1. Clients will schedule bone density screening
EXPERT RATIONALE
Postmenopausal women are at increased risk for osteoporosis due to decreased
estrogen levels, which accelerate bone loss. Scheduling bone density screening is an
appropriate and measurable outcome for this population. Mammograms are
recommended annually or biennially for women starting at age 40-50, not every 3 years.
Hormone replacement therapy is not recommended for all postmenopausal women due
to associated risks and should be individualized. Significant caloric decrease is not
appropriate without considering individual nutritional needs.
QUESTION
A nurse is caring for a client who is homeless. Which of the following actions should the
nurse take first?
1. Determine the client's understanding of her living situation
2. Assist the client to develop goals for obtaining shelter
3. Discuss the risks of being homeless with the client
4. Develop client teaching using a variety of strategies
CORRECT ANS: 1. Determine the client's understanding of her living situation
, EXPERT RATIONALE
The first action in the nursing process is assessment. Before any interventions can be
planned or implemented, the nurse must first assess the client's understanding of their
situation and needs. Determining the client's perception of their living situation provides
essential information for developing an individualized and appropriate plan of care.
Assisting with goals, discussing risks, and developing teaching strategies are all
important interventions but should follow the initial assessment.
QUESTION
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)
1. Investigate potential health and environmental issues
2. Initiate support groups for parents of autistic children
3. Provide wound care for clients in their homes
4. Participate in local health surveillance activities
5. Provide health-related education to community groups
CORRECT ANS: 1, 2, 4, 5
EXPERT RATIONALE
Community-oriented nursing focuses on the health of the entire population rather than
individual care. Investigating potential health and environmental issues is a core
function of community-oriented nursing. Initiating support groups and providing health
education to community groups are examples of population-focused interventions.
Participating in health surveillance activities is essential for monitoring community
health trends. Providing wound care for clients in their homes is an example of
community-based nursing, which focuses on individual care, not community-oriented
nursing.
QUESTION
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?
1. Report the incident to local authorities
2. Check the child for injuries
3. Refer the parent to a social service agency
4. Enroll the parent in anger management classes
CORRECT ANS: 2. Check the child for injuries
EXPERT RATIONALE
The immediate priority is to assess the child for any injuries that may require urgent
medical attention. Safety is the primary concern, and the nurse must determine the
extent of any physical harm before proceeding with other actions. Reporting to
authorities, referring to social services, and enrolling in anger management classes are
important steps, but they should occur after ensuring the child's immediate safety and
well-being. The nurse must also maintain a nonjudgmental approach to maintain trust.
QUESTION
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?
1. The client is participating in a fee-for-service health care insurance program
2. The provider is paid a fixed sum for the client on a monthly or yearly basis
3. The client pays the insurer a percentage of the total costs for each service rendered by
the provider
4. The provider bills the client directly for a predetermined percentage of the cost of
services
CORRECT ANS: 2. The provider is paid a fixed sum for the client on a monthly or yearly
basis
EXPERT RATIONALE
A Health Maintenance Organization (HMO) is a managed care organization that
provides health services to its members for a fixed, prepaid fee (capitation). The provider
receives a set amount per member per month, regardless of the services used. This
, payment structure incentivizes preventive care and cost-effective management. Fee-for-
service is a different model where providers are paid for each service rendered.
QUESTION
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?
1. Provide the client with a printed recipe
2. Observe the client during preparation of traditional foods
3. Use cookbooks to include traditional foods in meal plans
4. Explain diabetes exchange lists
CORRECT ANS: 2. Observe the client during preparation of traditional foods
EXPERT RATIONALE
The first action the nurse should take is to observe the client during preparation of
traditional foods. This assessment step allows the nurse to understand the client's
current practices, identify ingredients, portion sizes, and cooking methods used. This
provides essential information for making culturally appropriate adaptations to the meal
plan without completely eliminating traditional foods. Providing printed recipes, using
cookbooks, and explaining exchange lists are appropriate interventions that should
follow the initial assessment.
QUESTION
A home health nurse is caring for a client who has methicillin-resistant Staphylococcus
aureus (MRSA). Which of the following actions should the nurse take?
1. Remove fresh flowers from the client's home
2. Wear a mask when within 3 feet of the client
3. Encourage the client to use a HEPA filter in the house
4. Double bag soiled dressings in polyethylene bags
CORRECT ANS: 4. Double bag soiled dressings in polyethylene bags
