NGN RN ATI COMMUNITY HEALTH
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QUESTION 1
A community health nurse is planning a primary prevention program
for a population at risk for cardiovascular disease. Which of the
following interventions should the nurse include?
A) Screening for hypertension at a local health fair
B) Teaching a class on the benefits of a low-sodium diet
C) Providing cardiac rehabilitation for post-myocardial infarction
patients
D) Administering antihypertensive medications to clients with elevated
blood pressure
Answer: B
Explanation: Primary prevention aims to prevent disease before it
occurs. Teaching about a low-sodium diet promotes healthy behaviors
that reduce the risk of developing hypertension and cardiovascular
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disease. Screening (A) is secondary prevention, rehabilitation (C) is
tertiary prevention, and medication administration (D) is treatment,
which falls under secondary or tertiary prevention depending on the
context.
QUESTION 2
A community health nurse is conducting a windshield survey. Which of
the following data should the nurse collect?
A) Number of hospital admissions in the past year
B) The condition of housing and presence of public transportation
C) The leading causes of mortality in the community
D) The immunization rates of school-age children
Answer: B
Explanation: A windshield survey involves visual observation of a
community from a moving vehicle to assess physical characteristics such
as housing conditions, infrastructure, public transportation, and
environmental hazards. Options A, C, and D require analysis of
statistical records and are not part of a direct observational survey.
QUESTION 3
A nurse is caring for a client with tuberculosis who has been prescribed
directly observed therapy (DOT). What is the primary purpose of DOT?
A) To reduce the cost of tuberculosis treatment
B) To ensure medication adherence and prevent drug resistance
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C) To provide nutritional support during treatment
D) To monitor for adverse effects of anti-tubercular medications
Answer: B
Explanation: Directly observed therapy ensures that the client ingests
each dose of medication, which improves adherence and reduces the
risk of multidrug-resistant tuberculosis. While monitoring for side
effects and providing support may occur, the primary purpose is
adherence and resistance prevention.
QUESTION 4
A nurse is using the epidemiological triad to analyze an outbreak of
foodborne illness. Which of the following represents the agent in this
model?
A) Contaminated chicken served at a picnic
B) The attendees who ate the chicken
C) Salmonella bacteria found in the chicken
D) The outdoor temperature at the picnic
Answer: C
Explanation: The epidemiological triad consists of agent, host, and
environment. The agent is the causative factor, which in foodborne
illness is the pathogen such as Salmonella. Contaminated chicken is the
vehicle or mode of transmission, the attendees are hosts, and the
temperature is an environmental factor.
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QUESTION 5
A community health nurse is assessing a family using the Friedman
Family Assessment Model. Which of the following would the nurse
evaluate?
A) The family's genetic history of chronic disease
B) The family's communication patterns and decision-making processes
C) The family's annual income and housing status
D) The family's immunization records
Answer: B
Explanation: The Friedman Family Assessment Model focuses on family
structure, function, and developmental stages, with emphasis on
communication, roles, and decision-making. While income, housing, and
health history are relevant, the model specifically examines relational
and functional dynamics.
QUESTION 6
A nurse is planning a disaster response exercise for a community.
Which of the following should be the priority focus during the
preparedness phase?
A) Establishing a temporary morgue
B) Conducting triage drills for mass casualties
C) Developing a communication plan with local emergency services