ATI Community Health Exam Verified Questions and Answers

ATI Community Health Exam Verified Questions and Answers ATI Community Health Exam Verified Questions and Answers ATI Community Health Exam Verified Questions and Answers Questions and Answers (Verified Answers) 1. A HH nurse is evaluating a partner's understanding of post-op care of a client who had a a total hiparthroplasty. Which of the following statements by the partner indicates an understanding of the prescribed care? A. "I will let my partner skip exercises on days when the pain is increased." B. "I will inspect the incision site every other day." C. "I will place a heating pad at the incision site to help manage pain." D. "I will remind my partner to use a walker when moving around in the house." ANS D. "I will remind my partner to use a walker when moving around in the house." The client should use a walker when ambulating. The walker provides stability and support for the client, decreasing the risk for falls. 2. A CH nurse has been contacted regarding a client diagnosis of influenza type A in an adult day care. Which of the following actions should the nurse take to assist in the prevention of an outbreak? A. Administer antiviral medication to clients at the facility. B. Schedule immunizations for clients at the facility. C. Recommend that the day care center close for 2 weeks. D. Give immune globulin to clients at the facility who have early manifestations of influenza. ANS A. Administer antiviral medication to clients at the facility. Antiviral medications are administered to individuals who have been exposed to influenza type A to provide immediate protection and to help prevent an outbreak. 3. A CH nurse is teaching a group of clients about environmental health haz- ards. Which of the following examples should the nurse include as a possible source of carbon monoxide exposure? A. Washing machines B. Gas ranges C. Air conditioners D. Electric space heaters ANS B. Gas ranges Carbon monoxide is an odorless, colorless, tasteless gas that is emitted into the air. Gas ranges, motor vehicles, and fire places are potential sources for carbon monoxide exposure. 4. An OH 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 A. Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner. B. Ask the interpreter to add information she feels might be necessary. C. Choose an interpreter who speaks the workers' language and dialect. D. Evaluate the interpreter's approach to clients prior to the educational session. E. Encourage the interpreter to paraphrase the workers' questions and re- sponses. ANS A, C, D 5. A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which of the following state- ments should the nurse include? A. "Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person." B. "Rotavirus infections in children peak during the summer months." C. "Children who have fifth disease will exhibit bloody diarrhea." D. "Antiviral medications shorten the duration of a shigella infection." ANS A. "Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person." The nurse should include this statement in the presentation because respiratory syncytial virus (RSV) is spread by direct contact with respiratory secretions while within 3 feet of a person who is infected. Manifestations of RSV include dyspnea, tachypnea, coughing, and wheezing. 6. A nurse is developing a genogram for a client to determine education needs. Which of the following health risk information should the nurse expect to obtain with this final? A. Biological B. Behavioral C. Social D. Economic ANS A. Biological A family genogram tracks the incidence of disease over multiple generations of a family and will identify biological risk factors. 7. A HH nurse is visiting with an older adult client. Which of the following observations indicates the need for a home modification? A. The home has power strips that have breakers. B. The client uses an electric toaster oven for cooking. C. There are two rocking chairs in the living room. D. The bathtub has a seat and a hand-held shower head. ANS C. There are two rocking chairs in the living room. Rocking chairs and swivel chairs will require a modification. The nurse should block the motion of the chairs to keep them stable so that the client can easily get in and out. 8. A nurse is caring for a client who has stave IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care? A. Make the hospice referral in accordance with the client's decision. B. Verify that the client's health insurance pays for hospice services. C. Recommend a second opinion from another provider. D. Assess whether or not the family agrees with the client's decision. ANS A. Make the hospice referral in accordance with the client's decision. The nurse should follow the ethical principle of respect for client autonomy and make the hospice referral for the client. 9. A nurse in an emergency department is caring for a client who is homeless and has hypothermia. Which of the following actions should the nurse take? A. Notify the local law enforcement agency of the client's situation. B. Initiate a referral to the facility's social worker. C. Ask the client why they did not seek shelter sooner. D. Tell the client everything will work out now that they are in the hospital. ANS B. Initiate a referral to the facility's social worker. The nurse should refer the client to the facility's social worker or to an agency that can assist the client with finding housing. 10. A nurse is an emergency is triaging clients following an explosion at a local factory. Which of the following clients should the nurse identify as priority? A. A client who has superficial burns to 10% of the abdomen B. A client who has tracheal deviation and shortness of breath C. A client who has agonal respirations and an open head injury D. A client who has a fracture of the humerus and a bleeding foot laceration ANS B. A client who has tracheal deviation and shortness of breath A client who has tracheal deviation and shortness of breath most likely has a pneumothorax and requires immediate intervention for survival. Therefore, when using the survival approach to client care, the nurse should give priority to this client. 11. A CH nurse is teaching a client who is newly diagnosed with active pul- monary TB about the disease transmission. Which of the following information should the nurse include? A. Household members should be placed in respiratory isolation. B. Wear a mask in the home. C. Household members should take isoniazid for at least 6 months. D. Have a repeat Mantoux test in 3 months. ANS C. Household members should take isoniazid for at least 6 months. The household members of a client who has active pulmonary tuberculosis are at risk for developing the disease. Therefore, taking isoniazid prophylactically for at least 6 months is recommended. 12. A HH nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is coping effectively? A. Exhibits anhedonia B. Makes eye contact C. Sleeps 14 hr each day D. Laughs inappropriately ANS B. Makes eye contact The nurse should recognize that making eye contact is an indication of effective coping. 13. A HH nurse is conducting a follow-up visit for a client who was recently discharged from an acute rehabilitation program for alcohol use disorder. Which of the following actions should the nurse take? A. Tell the client to take naltrexone daily. B. Instruct the client to take buprenorphine for the next 9 to 12 months. C. Teach the client to avoid foods that contain tyramine. D. Schedule transcranial magnetic stimulation (TMS) biweekly. ANS A.Tell the client to take naltrexone daily. The nurse should instruct the client to take naltrexone daily to decrease cravings for alcohol. Naltrexone is prescribed to assist the client with alcohol withdrawal and prevent relapse. 14. A CH nurse is working for 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 take to advocate for these clients? A. Encourage the clients to form various exercise groups based on community interest. B. Perform weekly blood pressure screenings at the community center. C. Work with local health care practitioners to establish a free clinic. D. Provide for guaiac stool testing for clients who have a family history of colon cancer. ANS C. Work with local health care practitioners to establish a free clinic. According to evidence-based practice, the nurse should work with local health care practitioners to establish a free clinic in the rural community. The nurse should advocate for comprehensive care for this client population to address the need for an affordable health care option, which will allow clients who do not have health insurance to access a variety of primary, secondary, and tertiary services in one location. 15. A nurse is collecting demographic data as part of the community assess- ment. Which of the following information should the nurse include? A. Racial distribution B. Family genograms C. Number of open water sources D. Presence of condemned buildings ANS A. Racial distribution Racial distribution is part of demographic data. Other types of demographic data include marital information, population density, and death and birth rates. 16. A nurse is conducting a home visit with a client who reports a history of partner violence. The nurse should identify that which of the following findings places the client at a greatest risk for partner violence? A. The client is at 13 weeks of gestation. B. The client states they are leaving their partner. C. The client recently started a new job. D. The client visits friends without the partner's knowledge. ANS B. The client states they are leaving their partner. A client's decision to leave their partner places them at greatest risk for partner violence because the perpetrator can view the client as a possession and fear loss of control. Whether the client actually leaves the relationship or just threatens to leave, the client is at greatest risk for violence during this time. 17. An OH nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects? A. Urinary retention B. Polycythemia C. Hypokalemia D. Gastric ulcerations ANS D. Gastric ulcerations Daily use of NSAIDs, such as ibuprofen, increases the risk for gastric ulceration, perforation, and hemorrhage. 18. A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? A. Food preferences B. Employment status C. History of illnesses D. Sexual orientation ANS A. Food preferences Food preferences are a part of cultural assessment. 19. A nurse is caring for a client who has a 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? A. "I'm looking forward to my daughter's wedding next year." B. "I don't deserve to die. This just isn't fair." C. "If I could just make it through this, I'd never smoke again." D. "I'm going to plan my memorial service next week." ANS A. "I'm looking forward to my daughter's wedding next year." During the denial stage of the grief process, the client rejects the reality of the impending loss. 20. A nurse in a clinic is planning teaching for a client who was newly diag- nosed with Hep C. Which of the following instructions should the nurse include in the teaching? A. Consume a low-carbohydrate diet until symptoms resolve. B. Schedule an appointment for an immunoglobulin injection. C. Abstain from sexual intercourse until antibody tests are negative. Wear a mask in public places while receiving treatment. ANS C. Abstain from sexual intercourse until antibody tests are negative