ATI RN COMMUNITY HEALTH CMS ACTUAL EXAM 2026/2027
| 100 Questions & Correct Answers | Proctored Test Bank |
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A case manager is at a home health agency is obtaining equipment for a client's home use. Which of the
following actions is a violation of client confidentiality?
-The case manager used a computer at the agency with an automatic sign-off mechanism.
-The case manager left a clipboard with the client's prescription information face up on the office desk.
-The case manager sent a fax to the equipment company on a machine using programmed speed dial.
-The case manager shared the client's name with the equipment company. - Correct Answer :-The case manager
left a clipboard with the client's prescription information face up on the office desk.
When using a clipboard, the case manager should place the clipboard on the desk face down so that a client's
personal health information is not visible to other individuals.
P 1
, • CMS ACTUAL EXAM 09/15/2026
A nurse manager at a community health clinic is presenting an in-service about assessing clients who have
experienced violence. Which of the following statements by a nurse indicates an understanding of the teaching?
-"I do not need to ask about violence at future visits once I determine that a client is not at risk."
-"I should not document the name of the person the client accuses of the violence in the client's medical
record."
-"I should wait until I see signs of physical violence before I help the client develop a safety plan."
-"I should determine whether a client who has been sexually assaulted requires a rape kit examination." - Correct
Answer :-"I should determine whether a client who has been sexually assaulted requires a rape kit examination."
Clients who report sexual assault within a certain time frame should undergo a rape kit examination. In some
cases, collection must be obtained within 24 hr of the occurrence. However, the time frame can vary based on
the type of assault. The nurse should also provide information regarding support groups and resources for
clients who were sexually assaulted.
A school nurse is notified that a school-aged child has pertussis. Which of the following actions should the school
nurse take? Select all that apply.
-Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present.
-Encourage family members to obtain prophylactic treatment.
-Quarantine the children in the child's class.
-Recommend that the child receive a pneumococcal vaccine in 28 days.
-Check the immunization status of the child's classmates. - Correct Answer :-Instruct the parent to keep the
child at home for 2 weeks after the initial symptoms first present.
-Encourage family members to obtain prophylactic treatment.
-Check the immunization status of the child's classmates.
A nurse 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?
P 2
, • CMS ACTUAL EXAM 09/15/2026
-"I will use a dry-sanding technique when preparing to repaint my front door."
-"I will vacuum our wood floors every week."
-"I will increase the amount of red meat and milk in my child's diet."
-"I will use hot tap water to prepare my baby's formula." - 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.
A community health nurse is working in a mobile health care clinic. Which of the following clients should the
nurse assess first?
-A client who has a superficial partial-thickness burn to the hand
-A client who has a temperature of 38.3° C (101° F)
-A client who has COPD and an oxygen saturation of 90%
-A client who has a new onset of confusion and slurred speech - 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 community health clerk is to meet the health care needs of residents in a rural community. Which of the
following characteristics should the nurse identify as a barrier to care resources for this population?
-Less autonomy in providing client care
-Disinterest by members of the population in providing input for community health programs
-Lack of cohesiveness among community members
-Unavailability of outreach services - Correct Answer :-Unavailability of outreach services
P 3
, • CMS ACTUAL EXAM 09/15/2026
Lack of availability of outreach services is a barrier to health care for residents in rural areas.
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?
-Distributive justice
-Respect for autonomy
-Fidelity
-Beneficence - 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 home health care nurse is evaluating a caregiver's technique for providing care to a client who has a chronic
tracheostomy. Which of the following statements by the caregiver indicates an understanding of the procedure?
"I should remove the soiled ties before replacing them with clean ones."
"I will use tap water to clean the inner cannula."
"I should use a slip knot to secure the tracheostomy ties."
"I will cut a four inch by four inch gauze to use as a dressing." - Correct Answer :"I will use tap water to clean the
inner cannula."
The caregiver can use tap water when performing tracheostomy care.
A community health nurse is planning a presentations for adults who have a family history of Alzheimer's
Disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's
Disease?
Withdrawal from social activities
Forgetting the location of common objects
Experiencing incontinence
Neglecting personal hygiene - Correct Answer :Forgetting the location of common objects
P 4