ATI RN COMMUNITY HEALTH PROCTORED/ ATI RN COMMUNITY HEALTH EXAM
ASSESSMENT NEWEST 2024 TEST BANK ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
While in the hospital , a client who has a terminal illness tells the nurse, "I can't believe
I'm dying. A lot of bad people in the world are healthy, and here I am dying!" Which of
the following responses should the nurse provide?
A) "Everyone dies sometimes, some die sooner than others"
B) "Who do you think deserves to die more than you?"
C) "It does seem unfair, doesn't it"
D) "Tell me more about how you feel about dying" - CORRECT ANSWER D) "Tell me
more about how you feel about dying"
A nurse is admitting a client who has decreased circulation in his left leg. Which of the
following actions should the nurse take first?
A) Evaluate pedal pulses
B) Obtain a medical history
C) Measure vital signs
D) Assess for leg pain - CORRECT ANSWER A) Evaluate pedal pulses
A nurse is preparing to perform postural drainage for a client. Which of the following
actions should the nurse take?
A) Given the client a bronchodilator immediately after the procedure
B) Position the client for drainage of secretions by gravity
C) Schedule postural drainage following meals
D) Instruct the client regarding the importance of fluid restrictions - CORRECT
ANSWER B) Position the client for drainage of secretions by gravity
A community health 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? - CORRECT ANSWER *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.
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? - CORRECT ANSWER 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 clients prior to the educational session.
A home health nurse is visiting with an older adult client. Which of the following
observations indicate the need for home modification? - CORRECT ANSWER *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.
A nurse in an ED is triaging clients following an explosion at a local factory. Which client
should the nurse ID as the priority - CORRECT ANSWER *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.
A community health nurse is teaching a client who was newly diagnosed with active
pulmonary tuberculosis about disease transmission. Which of the following information
should the nurse include? - CORRECT ANSWER *Household members should take
isoniazid for at least 6 months.*
A home health nurse is conducting a follow-up visit for a client who was recently
discharged from an acute rehab program for alcohol use disorder. Which of the
following actions should the nurse take - CORRECT ANSWER *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.
A school nurse is conducting hearing screening procedures in an elementary school.
Which of the following instructions should the nurse provide when performing the Rinne
test - CORRECT ANSWER *"After I place this tuning fork behind your ear, tell me
when you no longer hear the sound."*
This is the appropriate instruction for a Rinne test, a hearing evaluation that compares
air conduction and bone conduction of sound.
A nurse is teaching a client who has a new diagnosis of hepatitis A about how to
prevent the spread of the virus. Which of the following instructions should the nurse
include? - CORRECT ANSWER *Clean your bathroom fixtures with a chlorine bleach
solution."*
The client should clean bathroom fixtures with a 10:1 chlorine bleach solution. The
hepatitis A virus spreads via feces and survives on human hands since it is resistant to
soap and detergents.
A nurse in a pediatric clinic is providing care to several clients. The nurse should
recognize that which condition is included on the Nationally Notifiable Infectious
Condition list - CORRECT ANSWER *varicella*
A public health nurse is planning an edu program for a group of nurses at a community
health department about pertussis - CORRECT ANSWER *Individuals transmit the
pertussis bacteria through airborne droplets.*
,A home health nurse is planning care for the day. Which client should the nurse visit
first - CORRECT ANSWER *A school-age child who was treated in the emergency
department last night for status asthmaticus*
A public health nurse is providing information to a client who has alcohol use disorder
and is asking about treatment. Which of the following statements should the nurse
identify as an indication that the client understands the information? - CORRECT
ANSWER *"I can expect to get help with other aspects of my life while in treatment."*
Successful treatment of alcohol use disorder is more likely if the client receives help in
other areas of their life, such as their physical health, psychological well-being, and
family interactions.
A home health nurse is reviewing several client requests regarding complementary
strategies. The nurse should identify that which of the following alternative therapies is
contraindicated for a client? - CORRECT ANSWER *Kava for a client who has
cirrhosis*
Although kava has been used to promote sleep, it can cause severe liver damage,
which can lead to the need for a liver transplant. Using kava could worsen the condition
of a client who has cirrhosis. Therefore, the nurse should plan to discuss safer
alternatives with the client.
A community health nurse is conducting a needs assessment of a community. The
nurse should identify that which of the following methods will yield direct data? -
CORRECT ANSWER *informant interviews*
The nurse should identify that informant interviews with community members or leaders
will provide direct data. This information can help the nurse identify services needed by
the community.
A home health nurse is evaluating a caregiver's technique for providing cadre to a client
who has a chronic tracheostomy. Which of the following statements by the caregiver
indicates an understanding of the procedure? - CORRECT ANSWER *"I will use tap
water to clean the inner cannula."*
The caregiver can use tap water when performing tracheostomy care.
A nurse is assessing the risks and benefits of meal delivery services for an older adult
client who lives alone and has no transportation. Which of the following ethical
principles is the nurse demonstrating? - CORRECT ANSWER *beneficence*
The nurse is demonstrating the ethical principle of beneficence by determining if the
client needs this service to maintain their health.
A public health nurse is participating in a disaster preparedness planning committee for
a local community that is at risk for hurricanes. Which of the following information
should the nurse contribute to the plan? - CORRECT ANSWER *A list of areas within
the community where residents speak multiple languages*
, The public health nurse, who is most familiar with the community, should contribute this
information to the disaster plan to assist in aiding and evacuating residents who are at
high-risk.
A nurse is preparing a community education program about health care needs during
pregnancy. The nurse should include that which of the following vaccines is safe to
administer to a client who is pregnant? - CORRECT ANSWER *Tdap*
A nurse is developing an educational program about bioterrorism and smallpox. The
nurse should include the teaching that the smallpox rash is expected to first appear in
which of the following locations? - CORRECT ANSWER face
A community health nurse is working in a mobile health care clinic. Which of the
following clients should the nurse assess first? - CORRECT ANSWER *A client who
has a new onset of confusion and slurred speech*
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that acute changes in mental status and speech might indicate the client is
experiencing a neurological problem that requires immediate intervention. Therefore,
the nurse should assess this client first.
A nurse on the scene following a mass casualty explosion is triaging a client who has a
large, open occipital wound and the following findings: respiratory rate 6/min, agonal
pattern; capillary refill time 4.5 seconds; nonresponsive to painful stimuli. Which of the
following actions should the nurse take? - CORRECT ANSWER *Turn the client to left
semi-Fowler's position and begin assessing the next client.*
Principles of triage indicate that clients who have extensive injuries and a low-probability
of survival do not receive treatment. Therefore, the nurse should provide only comfort
measures before moving on to assess the next client.
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? - CORRECT ANSWER *Migrant
Clinicians Network (MCN)*
Migrant workers frequently change locations and move from job to job. This can
interfere with the client adhering to the 6 to 12 month TB treatment plan. The MCN is a
tracking program developed so that health care providers can access prior provider
information and maintain TB treatment continuity for these clients.
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? - CORRECT ANSWER *"I will increase the amount
of red meat and milk in my child's diet."*
Children should receive adequate amounts of iron and calcium in their diets to prevent
lead absorption from their environment.
ASSESSMENT NEWEST 2024 TEST BANK ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
While in the hospital , a client who has a terminal illness tells the nurse, "I can't believe
I'm dying. A lot of bad people in the world are healthy, and here I am dying!" Which of
the following responses should the nurse provide?
A) "Everyone dies sometimes, some die sooner than others"
B) "Who do you think deserves to die more than you?"
C) "It does seem unfair, doesn't it"
D) "Tell me more about how you feel about dying" - CORRECT ANSWER D) "Tell me
more about how you feel about dying"
A nurse is admitting a client who has decreased circulation in his left leg. Which of the
following actions should the nurse take first?
A) Evaluate pedal pulses
B) Obtain a medical history
C) Measure vital signs
D) Assess for leg pain - CORRECT ANSWER A) Evaluate pedal pulses
A nurse is preparing to perform postural drainage for a client. Which of the following
actions should the nurse take?
A) Given the client a bronchodilator immediately after the procedure
B) Position the client for drainage of secretions by gravity
C) Schedule postural drainage following meals
D) Instruct the client regarding the importance of fluid restrictions - CORRECT
ANSWER B) Position the client for drainage of secretions by gravity
A community health 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? - CORRECT ANSWER *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.
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? - CORRECT ANSWER 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 clients prior to the educational session.
A home health nurse is visiting with an older adult client. Which of the following
observations indicate the need for home modification? - CORRECT ANSWER *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.
A nurse in an ED is triaging clients following an explosion at a local factory. Which client
should the nurse ID as the priority - CORRECT ANSWER *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.
A community health nurse is teaching a client who was newly diagnosed with active
pulmonary tuberculosis about disease transmission. Which of the following information
should the nurse include? - CORRECT ANSWER *Household members should take
isoniazid for at least 6 months.*
A home health nurse is conducting a follow-up visit for a client who was recently
discharged from an acute rehab program for alcohol use disorder. Which of the
following actions should the nurse take - CORRECT ANSWER *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.
A school nurse is conducting hearing screening procedures in an elementary school.
Which of the following instructions should the nurse provide when performing the Rinne
test - CORRECT ANSWER *"After I place this tuning fork behind your ear, tell me
when you no longer hear the sound."*
This is the appropriate instruction for a Rinne test, a hearing evaluation that compares
air conduction and bone conduction of sound.
A nurse is teaching a client who has a new diagnosis of hepatitis A about how to
prevent the spread of the virus. Which of the following instructions should the nurse
include? - CORRECT ANSWER *Clean your bathroom fixtures with a chlorine bleach
solution."*
The client should clean bathroom fixtures with a 10:1 chlorine bleach solution. The
hepatitis A virus spreads via feces and survives on human hands since it is resistant to
soap and detergents.
A nurse in a pediatric clinic is providing care to several clients. The nurse should
recognize that which condition is included on the Nationally Notifiable Infectious
Condition list - CORRECT ANSWER *varicella*
A public health nurse is planning an edu program for a group of nurses at a community
health department about pertussis - CORRECT ANSWER *Individuals transmit the
pertussis bacteria through airborne droplets.*
,A home health nurse is planning care for the day. Which client should the nurse visit
first - CORRECT ANSWER *A school-age child who was treated in the emergency
department last night for status asthmaticus*
A public health nurse is providing information to a client who has alcohol use disorder
and is asking about treatment. Which of the following statements should the nurse
identify as an indication that the client understands the information? - CORRECT
ANSWER *"I can expect to get help with other aspects of my life while in treatment."*
Successful treatment of alcohol use disorder is more likely if the client receives help in
other areas of their life, such as their physical health, psychological well-being, and
family interactions.
A home health nurse is reviewing several client requests regarding complementary
strategies. The nurse should identify that which of the following alternative therapies is
contraindicated for a client? - CORRECT ANSWER *Kava for a client who has
cirrhosis*
Although kava has been used to promote sleep, it can cause severe liver damage,
which can lead to the need for a liver transplant. Using kava could worsen the condition
of a client who has cirrhosis. Therefore, the nurse should plan to discuss safer
alternatives with the client.
A community health nurse is conducting a needs assessment of a community. The
nurse should identify that which of the following methods will yield direct data? -
CORRECT ANSWER *informant interviews*
The nurse should identify that informant interviews with community members or leaders
will provide direct data. This information can help the nurse identify services needed by
the community.
A home health nurse is evaluating a caregiver's technique for providing cadre to a client
who has a chronic tracheostomy. Which of the following statements by the caregiver
indicates an understanding of the procedure? - CORRECT ANSWER *"I will use tap
water to clean the inner cannula."*
The caregiver can use tap water when performing tracheostomy care.
A nurse is assessing the risks and benefits of meal delivery services for an older adult
client who lives alone and has no transportation. Which of the following ethical
principles is the nurse demonstrating? - CORRECT ANSWER *beneficence*
The nurse is demonstrating the ethical principle of beneficence by determining if the
client needs this service to maintain their health.
A public health nurse is participating in a disaster preparedness planning committee for
a local community that is at risk for hurricanes. Which of the following information
should the nurse contribute to the plan? - CORRECT ANSWER *A list of areas within
the community where residents speak multiple languages*
, The public health nurse, who is most familiar with the community, should contribute this
information to the disaster plan to assist in aiding and evacuating residents who are at
high-risk.
A nurse is preparing a community education program about health care needs during
pregnancy. The nurse should include that which of the following vaccines is safe to
administer to a client who is pregnant? - CORRECT ANSWER *Tdap*
A nurse is developing an educational program about bioterrorism and smallpox. The
nurse should include the teaching that the smallpox rash is expected to first appear in
which of the following locations? - CORRECT ANSWER face
A community health nurse is working in a mobile health care clinic. Which of the
following clients should the nurse assess first? - CORRECT ANSWER *A client who
has a new onset of confusion and slurred speech*
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that acute changes in mental status and speech might indicate the client is
experiencing a neurological problem that requires immediate intervention. Therefore,
the nurse should assess this client first.
A nurse on the scene following a mass casualty explosion is triaging a client who has a
large, open occipital wound and the following findings: respiratory rate 6/min, agonal
pattern; capillary refill time 4.5 seconds; nonresponsive to painful stimuli. Which of the
following actions should the nurse take? - CORRECT ANSWER *Turn the client to left
semi-Fowler's position and begin assessing the next client.*
Principles of triage indicate that clients who have extensive injuries and a low-probability
of survival do not receive treatment. Therefore, the nurse should provide only comfort
measures before moving on to assess the next client.
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? - CORRECT ANSWER *Migrant
Clinicians Network (MCN)*
Migrant workers frequently change locations and move from job to job. This can
interfere with the client adhering to the 6 to 12 month TB treatment plan. The MCN is a
tracking program developed so that health care providers can access prior provider
information and maintain TB treatment continuity for these clients.
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? - CORRECT ANSWER *"I will increase the amount
of red meat and milk in my child's diet."*
Children should receive adequate amounts of iron and calcium in their diets to prevent
lead absorption from their environment.
