COMMUNITY ATI PRACTICE
QUESTIONS AND CORRECT
ANSWERS THE LATEST UPDATE
A nurse is caring for a client. The nurse is planning care for the client. Select 4 interventions
the nurse should take.
Client reports fever, fatigue, lack of appetite, and headache that started 2 days ago. Today,
client woke up with blister-like rash all over their face, chest, and back. Client states, "It is
beginning to itch and spread." Lung sounds clear to auscultation. S1, S2, heard no murmur
detected. Bowel sounds normoactive in all quadrants. Notified provider of findings.
✓ - place the client in a negative-pressure airflow room
✓ - wear an N95 mask when caring for the client
✓ - designate a stethoscope to be used only on the client
✓ - request a prescription for an antipyretic
✓
✓ Rationale:
✓ - Varicella is transmitted by the air; therefore, airborne isolation precautions need to
be taken while caring for this client.
A nurse is giving a presentation about family violence at a local community center. Which of
the following information should the nurse include?
Socially active parents and guardians are at greater risk for becoming violent.
Partner violence occurs more frequently in lower socioeconomic households.
Child maltreatment is more common in homes where partner violence is present.
Smart Grades Latest update
1
,Children who have been maltreated are less likely to maltreat others.
✓ Child maltreatment is more common in homes where partner violence is present.
✓
✓ Rationale:
✓ Child maltreatment is very common in homes where partner violence is present.
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?
"After I place the tuning fork on your scalp, tell me if you hear the sound better in one ear
or the same in both ears."
"Use your finger to close one ear while I whisper some numbers into your other ear."
"After I place this tuning fork behind your ear, tell me when you no longer hear the sound."
"You'll wear headphones and press the button when you hear a sound."
✓ "After I place this tuning fork behind your ear, tell me when you no longer hear the
sound."
✓
✓ Rationale:
✓ This is the appropriate instruction for a Rinne test, a hearing evaluation that
compares air conduction and bone conduction of sound.
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?
Smart Grades Latest update
1
,Turn the client to left semi-Fowler's position and begin assessing the next client.
Place a firm pressure dressing to the occiput and open the airway.
Apply a cervical spine collar and perform a focused neurological exam.
Request that the client be assessed immediately by the next available provider.
✓ Turn the client to left semi-Fowler's position and begin assessing the next client.
✓
✓ Rationale:
✓ 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 agency has assigned a newly licensed nurse to assist with the task force that
is responsible for the core function of assessment. Which of the following is a task that the
public health agency could assign to the nurse that would be consistent with the focus of the
task force?
Updating local policies to support community health efforts
Investigating local health hazards
Collaborating with community agencies to improve availability of services
Ensuring competence of health care workforce
Smart Grades Latest update
1
, ✓ Investigating local health hazards
✓
✓ Rationale:
✓ Investigating health hazards of the local community is a component of the public
health core function of assessment.
A school nurse is discussing levels of prevention with a teacher. Which of the following
activities should the nurse identify as a primary prevention strategy?
Provide nutritional counseling for students who have diabetes.
Report suspected child neglect to the proper authorities.
Conduct vision and hearing screening for kindergarten enrollment.
Demonstrate proper handwashing techniques.
✓ Demonstrate proper handwashing techniques.
✓
✓ Rationale:
✓ This is an example of primary prevention, the goal of which is to promote health and
prevent diseases from developing.
A community health nurse is working 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
health care resources for this population?
Less autonomy in providing client care
Disinterest by members of the population in providing input for community health programs
Smart Grades Latest update
1
QUESTIONS AND CORRECT
ANSWERS THE LATEST UPDATE
A nurse is caring for a client. The nurse is planning care for the client. Select 4 interventions
the nurse should take.
Client reports fever, fatigue, lack of appetite, and headache that started 2 days ago. Today,
client woke up with blister-like rash all over their face, chest, and back. Client states, "It is
beginning to itch and spread." Lung sounds clear to auscultation. S1, S2, heard no murmur
detected. Bowel sounds normoactive in all quadrants. Notified provider of findings.
✓ - place the client in a negative-pressure airflow room
✓ - wear an N95 mask when caring for the client
✓ - designate a stethoscope to be used only on the client
✓ - request a prescription for an antipyretic
✓
✓ Rationale:
✓ - Varicella is transmitted by the air; therefore, airborne isolation precautions need to
be taken while caring for this client.
A nurse is giving a presentation about family violence at a local community center. Which of
the following information should the nurse include?
Socially active parents and guardians are at greater risk for becoming violent.
Partner violence occurs more frequently in lower socioeconomic households.
Child maltreatment is more common in homes where partner violence is present.
Smart Grades Latest update
1
,Children who have been maltreated are less likely to maltreat others.
✓ Child maltreatment is more common in homes where partner violence is present.
✓
✓ Rationale:
✓ Child maltreatment is very common in homes where partner violence is present.
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?
"After I place the tuning fork on your scalp, tell me if you hear the sound better in one ear
or the same in both ears."
"Use your finger to close one ear while I whisper some numbers into your other ear."
"After I place this tuning fork behind your ear, tell me when you no longer hear the sound."
"You'll wear headphones and press the button when you hear a sound."
✓ "After I place this tuning fork behind your ear, tell me when you no longer hear the
sound."
✓
✓ Rationale:
✓ This is the appropriate instruction for a Rinne test, a hearing evaluation that
compares air conduction and bone conduction of sound.
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?
Smart Grades Latest update
1
,Turn the client to left semi-Fowler's position and begin assessing the next client.
Place a firm pressure dressing to the occiput and open the airway.
Apply a cervical spine collar and perform a focused neurological exam.
Request that the client be assessed immediately by the next available provider.
✓ Turn the client to left semi-Fowler's position and begin assessing the next client.
✓
✓ Rationale:
✓ 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 agency has assigned a newly licensed nurse to assist with the task force that
is responsible for the core function of assessment. Which of the following is a task that the
public health agency could assign to the nurse that would be consistent with the focus of the
task force?
Updating local policies to support community health efforts
Investigating local health hazards
Collaborating with community agencies to improve availability of services
Ensuring competence of health care workforce
Smart Grades Latest update
1
, ✓ Investigating local health hazards
✓
✓ Rationale:
✓ Investigating health hazards of the local community is a component of the public
health core function of assessment.
A school nurse is discussing levels of prevention with a teacher. Which of the following
activities should the nurse identify as a primary prevention strategy?
Provide nutritional counseling for students who have diabetes.
Report suspected child neglect to the proper authorities.
Conduct vision and hearing screening for kindergarten enrollment.
Demonstrate proper handwashing techniques.
✓ Demonstrate proper handwashing techniques.
✓
✓ Rationale:
✓ This is an example of primary prevention, the goal of which is to promote health and
prevent diseases from developing.
A community health nurse is working 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
health care resources for this population?
Less autonomy in providing client care
Disinterest by members of the population in providing input for community health programs
Smart Grades Latest update
1
