Master the ATI RN Community Health Proctored Exam Q& A.pdf

Master the ATI RN Community Health Proctored Exam: V1 & V2 Study Guide. 1. A Community health nurse is providing teaching about nutrition guidelines to a group of adolescents. Which of the following information should the nurse include in teaching? A. Adolescents have a decreased need for calcium due to high milk intake B. Appetite naturally increases during the Adolescent years C. 75% of adult bone mass is developed during the Adolescent years D. Empty calories provide 70% of the total calories consumed by adolescents 2. An occupational health nurse is caring for a client who does not speak the same language as the nurse. Which of the following actions should the nurse take first? 1. Validate the client's Understanding of communicated information 2. Determine the client's primary language 3. Use common words and phrases when speaking to the client 4. Obtain a translator who is of the same gender 3. A case manager is caring for a client who is being discharged following total hip arthroplasty. Which of the following actions is an example of the nurse functioning in The Negotiator role. 1. providing social service with the list of needed referrals 2. reporting safety concerns to the Home Health agency 3. discuss payment options with various pharmacies 4. schedule appointments for physical therapy services 4. A nurse manager is teaching a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might manifest a false positive reading? A client who has lived in a country where tuberculosis is endemic B a client who has undergone radiation therapy within the last 3 years C a client who has acquired immune deficiency syndrome D. a client who has received the Bacille Calmette-Guerin vaccine within the last 10 years 5. A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? Select all that apply. 1. Lobbying 4 funding for health promotion efforts 2. recommending a seating arrangement for a child in a body cast 3. teaching a class about the risks of cigarette smoking 4. Create a plan of care for children who have a diagnosis of diabetes mellitus 5. Organizing a program to promote skateboard safety. 6 A recently hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect physical hazards? 1. Identify industrial toxins that are present in the environment 2. measure noise levels at various locations in the facility 3. track rates of illness caused by infection among employees 4. survey workers about job-related emotional stress 7. A hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse take? 1. Discuss the safe use of herbal medications 2. provide direct eye contact when communicating with the client's family 3. face the client's bed towards the east 4. develop a list of appropriate hot and cold food choices 8. A community health nurse is working with a group of homeless veterans who have post-traumatic stress disorder. Which of the following interventions should the nurse implement? 1. provide coffee and snacks during the meetings 2. avoid discussing the traumatic event experienced by the veterans 3. teach the clients to practice deep breathing exercises 4. change the meeting sites frequently 9. A group of technicians from a local automotive repair shop presents to an urgent care clinic with reports of dizziness, headaches, and nausea. After Providing the need to care for the clients which of the following government agencies should the nurse be notified to follow up on these reports? 1. OSHA 2. Center for Disease Control 3. Environmental Protection Agency 4 Department of Health and Human Services 10. A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse be included in teaching? 1. You should have your fasting blood glucose level checked every 6 years 2. You should have your hearing screen every 5 years 3. you should have a complete eye examination every two years until the age of 64 4. you should have your stool tested for blood every other year until the age of 74 11. A nurse is caring for a client who asks, “Can I decide not to continue with chemotherapy?” The nurse responds “This is your choice, and I'll support whatever decision you make”. This nurse's response is an example of which of the following ethical principles? 1. beneficence 2. Nonmaleficence 3. Veracity 4. Autonomy 12. A nurse manager at the clinic is reviewing the preventive services offered to clients. Which of the following activities should the nurse identify as secondary prevention activities? 1. Advocate 4 laws that prohibit texting while driving 2. provide a smoking cessation class 3. refer a client who is recovering from substance abuse disorder to a social service program 4. and hers are pregnant clients to participate in prenatal care 13. An occupational health nurse is discussing how promotion with a client who has a history of obesity. Which of the following comments indicates the client is using rationalization as a coping mechanism? 1. I am obese because it is in my genes 2. I know you don't like me because I'm obese 3. I have lots of health problems from being obese 4. I have difficulty resisting the items in vending machine 14. A home health nurse is evaluating an older client. Which of the following assessment findings Should the nurse report as a possible indicator of elder abuse? 1. The client attends Alcoholics Anonymous meetings 2. the client exhibits extreme thirst 3. the client receives in-home meal delivery 4. The client reports that his son no longer visits 15. A nurse in the Health Department is participating in an immunization clinic. The nurse should identify which of the following children requires an alteration in the standard immunization schedule. 1. An 18-month-old toddler who has failed to thrive 2. a three-year-old toddler has leukemia 3. a four-month-old infant who has Down syndrome 4. a 12-month-old infant who has sickle cell disease 16. The partner of an older adult client who has Alzheimer's disease reports that he is not eating. The home health aide tells the nurse that the client's partner refuses to assist the client with feeding. The partner insists that the client feed himself without help. Which of the following is the priority action the nurse should take? 1. Determine the client's ability to self-feed 2. Refer the client's partner to an Alzheimer's support group 3. arrange for meals-on-wheel assistance 4. Direct the home health aide to assist with meals 17. The first response team is working at the location of a bombing incident. A nurse triaging in a group of clients should give treatment priority through which of the following clients? 1. A client who has ambulatory and Exhibits manic behavior 2. a client who has a rigid abdomen and manifestations of shock 3. A client who has a femur fracture and a 2 + pedal pulse 4. A client who has superficial partial thickness burn injuries over 5% of his body 18. A client arrives at a mental health clinic and tells the nurse that she has no purpose in life. Which of the following is the nurse's priority response? 1. How long have you been feeling this way? 2. Do you think your life has no purpose? 3. Tell me what is going on with you right now. 4. Have you been thinking about harming yourself? 19. A community health nurse is teaching a group of adolescent clients about substance use disorders. Which of the following statements by a client indicates an understanding of the teaching? 1. Barbiturates cause an increase in heart rate 2. Opioids cause a decrease in respiratory rate 3. anabolic steroids stimulate the immune system 4. Amphetamines alleviate symptoms of depression 20. A nurse case manager is providing discharge planning for a client. The nurse is functioning and which of the following roles when arranging for the delivery of medical equipment to the client's home? 1. Systems allocator 2. Coordinator 3. Consultant 4. Advocate 21. A nurse is teaching a newly licensed nurse about case management. The nurse should include which of the following tasks is the responsibility of the case manager? 1. Teach Smoking cessation support group 2. Perform employee risk assessments 3. evaluate the cost-effectiveness of the client's treatments 4. Enforce OSHA standards in the workplace 22. A home health nurse is making a home safety evaluation visit for an older client who was recently discharged from the facility after receiving a diagnosis of diabetes mellitus. Which of the following findings indicate a need for corrective intervention? 1. A red light is kept on in the bedroom at night 2. an extension cord extends across the floor from the electrical outlet to a floor lamp 3. the water heater is set at 130 degrees Fahrenheit 4. A rubber-backed bath mat is on the floor outside the shower 5. The floors of the house are made of wood. 23. A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider and select appropriate resources for the client? 1. The website is sponsored by Health Care political action committee 2. the website provides a peer review process for publishing information 3. the website is hosted by a dialysis equipment Marketing Group 4. the website is updated every 5 years 24. Public Health nurses address community leaders at a forum about Community Improvement. The nurse should identify which of the following groups is the fastest-growing segment of the homeless population. 1. Families who have children 2. unemployed men 3. people who have substance use disorders 4. Adolescent runaways 25. A home health nurse is teaching a client about the safe use of crutches. Which of the the following information should the nurse include in the teaching? 1. Wipe the rubber crutch tips to remove moisture 2. wear leather-soled shoes when walking with crutches 3. Lean Forward while walking with crutches 4. support body weight on the axillae 26. A community health nurse is caring for a client who has a new diagnosis of Gonorrhea. Which of the following actions should the nurse take? 1. Obtain a blood culture 2. change the client about the application of imiquimod cream 3. notify the State Health Department 4. administer metronidazole 500 mg PO 27. Community Health Clinic is planting annual goals. Which of the following outcomes address the ethical principle of distributive justice? 1. Clients verbalize their right to refuse treatment 2. Clients understand the right to confidentiality 3. clients receive Medicare benefits When eligible 4. clients demonstrate completion of advance directives 28. A community health nurse is planning a program for young adults about STI prevention. Which of the following actions should the nurse take in preparation for this program? 1. identify topics with Health Department nurses 2. develop content appropriate to learner needs 3. arrange for computer-assisted learning 4. collect data to identify the learner current knowledge base 29. A community health nurse notes that 6 new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, 5 cases were reported. The population of the community is 15000 people. Which of the following is the prevalence proportion for the community? 1. 73.3/100,000 2. 0.9/100,000 3. 40.0/100,000 4. 33.3/100,000 30. A community health nurse is teaching a group of parents about the manifestations of alcohol withdrawal. Which of the following manifestations should the nurse include in teaching? 1. Hypotension 2. Hyperglycemia 3. Seizures 4. Somnolence 31. Community Health nurses working with a migrant population. The nurse should recognize which of the following interventions is necessary to provide care to the population. 1. Providing health services at work sites 2. treating clients on a fee-for-service basis 3. Requiring clients to show a work visa before they receive care 4. Offering health screenings at a community center 32. A nurse working with parents suspected of child abuse recognizes that the social factor most predictive of abusive behavior is? 1. inadequate living conditions 2. social isolation 3. relationship difficulties 4. prior exposure to violence 33. A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? 1. Teach the client about appropriate food choices 2. Refer the client to diabetes mellitus support group 3. Identify the client's dietary preferences 4. develop a nutritional program 34. A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize which of the following is the host. 1. the virus 2. the children 3. the vaccine 4. the school 35. Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from Rip's in the heating duct Insulation? 1. National Institutes of Health 2. Environmental Protection Agency 3. Centers for Disease Control and prevention 4. Department of Health and Human Resources 36. A nurse educated is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? 1. We should share our computer passwords with our manager 2. A client's diagnosis can be posted on the communication board inside the client's room 3. HIPAA rules vary from state to state 4. HIPAA rules allow clients to receive a copy of their medical records 37. During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that 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 client for injuries 3. Refer the parent to a Social Service Agency 4.Enroll the parent and anger management classes 38. 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. discuss the risks of being homeless with the client 3. assist a client to develop goals for obtaining shelter 4 develop client teaching using a variety of strategies 39. A nurse in a clinic is reviewing home safety precautions with a client who is to begin radioactive iodine therapy. Which of the following statements of the client indicates an understanding of the teaching? 1. I will wait one week after treatment to use a laxative 2. I will ask all my granddaughters to visit for 4 hours daily 3. I will use cloth handkerchiefs instead of tissues 4. I will use a toilet that is not used by others in my family 40. A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey? 1. Demographic data 2. Informant Interviews 3. Housing quality 4. mortality rate 41. During a routine School visit to physical education class, A Nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse first take? 1. establish a triage area 2. notify the parents of the students 3. contact the local Health Department 4. administer oxygen therapy 42. A school nurse is caring for a child who has Muscular Dystrophy and is having difficulty swallowing at lunch. Which of the following referral should the nurse initiate? 1. occupational therapist 2. respiratory therapist 3. Dietitian 4. Speech-language therapist 43. A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact First? 1. A client reports that her new colostomy stoma appears purple 2. A mother who reports that her son vomited after a dose of Methylphenidate 3. a client who has COPD and reports oxygen saturation of 90% 4. a client who reports feeling a vibration and his new internal arteriovenous graft for dialysis 44. A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics is the leading cause of death for this age group. 1. Gun Safety 2. Sports Injury Prevention 3. Motor Vehicle Safety 4. Substance Abuse Prevention 45. A nurse in a community health center is counseling a group of clients or currently experiencing intimate partner abuse. Which of the following strategies is a priority for the nurse to include in the counseling? 1. Providing referrals for legal counseling 2. identifying a primary support person 3. using stress management techniques 4. developing an escape plan 46. A public health nurse is assisting a client who is a recent immigrant. The client refuses assistance from Community Resources. Which of the following actions should the nurse take to provide culturally appropriate care? 1. Explain that the client must use the available resources 2. learn more about the client Ethnic values 3. review the client's current health practices 4. use a family member As an interpreter when discussing services 5. he was relevant nonverbal communication techniques 47. A community health nurse is teaching a group of older clients about hypertension. The nurse should identify which of the following clients has a barrier to learning. 1.Fear of public speaking 2. Low literacy 3. limited experience 4. lack of credibility 48. A nurse is reviewing data for communicable diseases in rural health regions. Which of the following data should the nurse identify as an age Factor affecting the spread of communicable diseases 1. An increase in migrant Farm Workers living in the community 2. an antigenic shift in the composition of the strain of influenza 3. a decrease in the number of ambulatory clinics in the area 4. a change in the prevalence of older adults obtaining the pneumococcal vaccine 49. A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. Which of the following agencies are responsible for voluntarily reporting cases of this disease to the Centers for Disease Control and Prevention? 1. Office of the Surgeon General 2. local Red Cross chapter 3. Hospital Infection Control Department 4. State Health Department 50. A nurse is working with a case 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 provider is paid a fixed sum for the client on a monthly or yearly basis 2. the client pays the insurer percentage of the total cost for each service rendered by the provider 3. the client is participating in a fee-for-service health care insurance program 4. the provider bills the client directly for the predetermined percentage of the cost of services 51. A nurse is discussing short and long-term goals with a client who has an alcohol use disorder and has been admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion? 1. Remaining Physically Active will help to minimize drowsiness and chills associated with initial alcohol withdrawal 2. he will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment 3. he will begin learning functional skills to replace their defense mechanisms and behaviors ballin' treatment 4. attending Al-Anon meetings will help you identify a role model to assist you with making needed changes 52.A nurse manager is reviewing the disaster plan at a long-term care facility. Which of the following is the most comprehensive method for the nurse determine the effectiveness of the plan? 1. Use in-services to have the staff discussed various disaster scenarios 2. Test staff to determine their knowledge of the principles of the plan 3. analyze findings from a facility tabletop disaster simulation 4. review how the staff implements the plan during a Hands-On practice drill 53. A parish nurse is planning activities for a faith-based community. Which of the following activities to the nurse include? 1. Offer Primary Care to uninsured members 2. change a negative pressure wound therapy dressing 3. Teach Stress Management Strategies 4. provide case management 54. A community health nurse is educating a parent about the importance of hepatitis B immunization. Which of the following exclamation should the nurse give to the parent about the disease? 1. One dose of the immunization gives children life-long protection from hepatitis B 2. Hepatitis B spreads easily among children through casual contact 3. many people who acquire acute hepatitis B develop chronic hepatitis 4. people who have had a hepatitis B infection still need immunization 55.A nurse working in assisted care facilities developing a disaster plan. Which of the following is the first action the nurse to take? 1. Verify dates on the annual community-wide mass casualty drill 2. determine potential environmental health hazards 3. develop response strategies specific to older adults 4. identify materials needed for staff and Resident education 56. A home health nurse is providing teaching to a client who has diabetes mellitus about the proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching? 1. I will discard the syringes in a metal container 2. I will store used syringes in a biohazard bag before discarding 3. I will take containers of used syringes to the local recycling center 4. I will wear gloves when I discard the syringes 57 A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which of the following statements by the client indicate teaching has been effective? 1. I will have a repeat tuberculin skin test every 6 weeks 2. I will be contagious until I have completed the full medication regimen 3. I will be taking medication daily for at least 6 months 4. I will need to have a special HEPA filter installed in my home 58. A community health nurse is the initial phase of planning a smoking cessation program. Which of the following is the first action the nurse should take? 1. determine the prevalence of smoking in the community 2. Formulate objectives for the smoking cessation program 3. Gain community support for the program 4. Evaluate the methods of successful smoking cessation programs 59. A hospice nurse is concerned that the partner of a client is experiencing caregiver burden. Which of the following actions should the nurse take first? 1. Teach the partner about getting enough rest 2. suggest an assistive Personnel visits daily to provide client care 3. encourage the partner to invite family members to assist with client care 4. explore possible solutions with the partner 60. A nurse is volunteering at a local community center is addressing a variety of Health needs with a group of older adult clients. Which of the following interventions should the nurse identify as a tertiary prevention strategy? 1. Holding a cooking class that focuses on low-sodium meals 2. calculating the BMI of all clients 3. providing a class on living with arthritis 4. Distributing literature regarding signs and manifestations of a stroke