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+
A nurse is caring for a client who is unstable and has vital sign
measured every 15 minutes by an electronic blood pressure machine.
The nurse notices the machine begins to measure the blood pressure
at varied intervals, and the readings are inconsistent. Which of the
following actions should the nurse take?
A) Turn on the machine every 15 min to measure the clients blood
pressure
B) Record only the blood pressure reading needed for 15 min intervals
C) Obtain manual and automatic readings and compare them
D) Disconnect the machine and measure the blood pressure manually
every 15 min - CORRECT ANSWER D) Disconnect the machine and
measure the blood pressure manually every 15 min
A nurse is caring for a client who has a temperature of 38.7 C (101.7
F). Which of the following actions should the nurse take?
A) Apply an alcohol-water solution to the clients skin
B) Keel the clients bed linens dry
C) Apply ice packs to the groin
D) Limit the clients fluid intake to 1183 mL (40 oz) of fluid per day -
CORRECT ANSWER B) Keep the clients bed linens dry
A nurse is supervising a newly licensed nurse who is administering a
controlled substance. Which of the following actions by the newly
licensed nurse indicates an understanding of the procedure?
A) Placing an unused portion of the medication in a sharps box
B) Asking another nurse to observe the disposal of an unused portion
of the medication
C) Counting the inventory of the available narcotic after administering
the medication
D) Ensuring that another nurse signs the control inventory form after
disposal of an unused portion of medication - CORRECT ANSWER B)
,Asking another nurse to observe the disposal of an unused portion of
the medication
A nurse is teaching a client with lower extremity weakness how to use
a 4-point crutch gait. Which of the following instructions should the
nurse included in the teaching?
A) "Support the majority of your weight on the axillae"
B) "Keep your elbows extended"
C) "Bear weight on both of your legs"
D) "Move both crutches forward at the same time" - CORRECT
ANSWER C) "Bear weight on both of your legs"
A nurse is obtaining a capillary blood sample to determine a clients
blood glucose level. The nurse prepares and punctures the clients
finger for the procedure but does not obtain an adequate amount of
blood. Which of the following actions should the nurse take next?
A) Smear the small amount of blood onto the testing strip
B) Hold the finger above heart level
C) Massage the clients fingertip
D) Wrap the clients finger in a warm washcloth - CORRECT ANSWER
D) Wrap the clients finger in a warm washcloth
A nurse is changing the dressings for a client recovering from an
appendectomy following a ruptured appendix. The clients surgical
wound is healing by secondary intention. Which of the following
observations should the nurse report to the provider?
A) Tenderness when touched
B) Pink, shiny tissue with a granular appearance
C) Serosanguineous drainage
D) Halo of erythema on the surrounding skin - CORRECT ANSWER D)
Halo of erythema on the surrounding skin
A nurse is caring for an adult client who has an NG tube in place and a
prescription for continuous enteral feedings. Which of the following
actions should the nurse perform to reduce the clients risk of
aspiration
A) Irrigate the tubing with 30ml of sterile water
B) Elevate the head of the bed to 30 degrees or 45 degrees
,C) Suggest changing the feeding to lactose - free formula
D) Warm the enteral formula to room temperature before feeding -
CORRECT ANSWER B) Elevate the head of the bed to 30 degrees or
45 degrees
A nurse is auscultating a clients lungs and identifies rhonchi over the
trachea and bronchi. Which of the following actions should the nurse
take?
A) Limit the clients fluid intake
B) Assist the client into a supine position
C) Administer oxygen at 2 L/min
D) Encourage the client to cough - CORRECT ANSWER D) Encourage
the client to cough
During a client care staff meeting, a nurse manager discusses
potential problems with data security that affect confidential client
information. Which of the following environments should the nurse
manager, identify as an acceptable place for discussing clients
information?
A) Areas with no public access
B) Outside the door of a clients room
C) In the cafeteria during break
D) In the hallway near the nurses station - CORRECT ANSWER A)
Areas with no public access
A nurse is caring for a client who has a terminal illness. Which of the
following findings indicates the clients death is imminent?
A) Urinary retention
B) Cold extremities
C) Hypertension
D) Tachycardia - CORRECT ANSWER B) Cold extremities
A nurse is reviewing the laboratory values of a client who has a
positive Chvosteks sign. Which of the following laboratory findings
should the nurse expect?
A) Decreased calcium
B) Decreased potassium
C) Increased potassium
, D) Increased calcium - CORRECT ANSWER A) Decreased calcium
A nurse is preparing to administer a unit of packed RBC to a client.
Which of the following pieces of information must the nurse verify with
another nurse prior to administration? (SATA)
A) The clients ID number
B) The clients room number
C) The clients name
D) ABO compatibility
E) Rh compatibility - CORRECT ANSWER A) The clients ID number
B) The clients name
D) ABO compatibility
E) Rh compatibility
A nurse is assessing a client who is experiencing stress and anxiety
regarding a recent diagnosis. Which of the following findings should
the nurse expect?
A) Increased blood pressure
B) Decreased blood glucose
C) Acute Decreased oxygen use
D) Increased gastrointestinal motility - CORRECT ANSWER A)
Increased blood pressure
A nurse is administering an IM injection to a 5-month-old infant. Which
of the following injection sites should the nurse use?
A) Deltoid
B) Ventrogluteal
C) Vastus lateralis
D) Dorsogluteal - CORRECT ANSWER C) Vastus lateralis
A nurse is changing the dressings for a client who has 2 Penrose
drains near an abdominal incision. Which of the following adhering
devices is the best choose for the nurse to use to decrease skin
irritation?
A) Abdominal binder
B) Montgomery straps
C) Hypoallergenic tape
D) Plastic tape - CORRECT ANSWER B) Montgomery straps
COMMUNITY HEALTH EXAM ASSESSMENT NEWEST 2024
TEST BANK ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a client who is unstable and has vital sign
measured every 15 minutes by an electronic blood pressure machine.
The nurse notices the machine begins to measure the blood pressure
at varied intervals, and the readings are inconsistent. Which of the
following actions should the nurse take?
A) Turn on the machine every 15 min to measure the clients blood
pressure
B) Record only the blood pressure reading needed for 15 min intervals
C) Obtain manual and automatic readings and compare them
D) Disconnect the machine and measure the blood pressure manually
every 15 min - CORRECT ANSWER D) Disconnect the machine and
measure the blood pressure manually every 15 min
A nurse is caring for a client who has a temperature of 38.7 C (101.7
F). Which of the following actions should the nurse take?
A) Apply an alcohol-water solution to the clients skin
B) Keel the clients bed linens dry
C) Apply ice packs to the groin
D) Limit the clients fluid intake to 1183 mL (40 oz) of fluid per day -
CORRECT ANSWER B) Keep the clients bed linens dry
A nurse is supervising a newly licensed nurse who is administering a
controlled substance. Which of the following actions by the newly
licensed nurse indicates an understanding of the procedure?
A) Placing an unused portion of the medication in a sharps box
B) Asking another nurse to observe the disposal of an unused portion
of the medication
C) Counting the inventory of the available narcotic after administering
the medication
D) Ensuring that another nurse signs the control inventory form after
disposal of an unused portion of medication - CORRECT ANSWER B)
,Asking another nurse to observe the disposal of an unused portion of
the medication
A nurse is teaching a client with lower extremity weakness how to use
a 4-point crutch gait. Which of the following instructions should the
nurse included in the teaching?
A) "Support the majority of your weight on the axillae"
B) "Keep your elbows extended"
C) "Bear weight on both of your legs"
D) "Move both crutches forward at the same time" - CORRECT
ANSWER C) "Bear weight on both of your legs"
A nurse is obtaining a capillary blood sample to determine a clients
blood glucose level. The nurse prepares and punctures the clients
finger for the procedure but does not obtain an adequate amount of
blood. Which of the following actions should the nurse take next?
A) Smear the small amount of blood onto the testing strip
B) Hold the finger above heart level
C) Massage the clients fingertip
D) Wrap the clients finger in a warm washcloth - CORRECT ANSWER
D) Wrap the clients finger in a warm washcloth
A nurse is changing the dressings for a client recovering from an
appendectomy following a ruptured appendix. The clients surgical
wound is healing by secondary intention. Which of the following
observations should the nurse report to the provider?
A) Tenderness when touched
B) Pink, shiny tissue with a granular appearance
C) Serosanguineous drainage
D) Halo of erythema on the surrounding skin - CORRECT ANSWER D)
Halo of erythema on the surrounding skin
A nurse is caring for an adult client who has an NG tube in place and a
prescription for continuous enteral feedings. Which of the following
actions should the nurse perform to reduce the clients risk of
aspiration
A) Irrigate the tubing with 30ml of sterile water
B) Elevate the head of the bed to 30 degrees or 45 degrees
,C) Suggest changing the feeding to lactose - free formula
D) Warm the enteral formula to room temperature before feeding -
CORRECT ANSWER B) Elevate the head of the bed to 30 degrees or
45 degrees
A nurse is auscultating a clients lungs and identifies rhonchi over the
trachea and bronchi. Which of the following actions should the nurse
take?
A) Limit the clients fluid intake
B) Assist the client into a supine position
C) Administer oxygen at 2 L/min
D) Encourage the client to cough - CORRECT ANSWER D) Encourage
the client to cough
During a client care staff meeting, a nurse manager discusses
potential problems with data security that affect confidential client
information. Which of the following environments should the nurse
manager, identify as an acceptable place for discussing clients
information?
A) Areas with no public access
B) Outside the door of a clients room
C) In the cafeteria during break
D) In the hallway near the nurses station - CORRECT ANSWER A)
Areas with no public access
A nurse is caring for a client who has a terminal illness. Which of the
following findings indicates the clients death is imminent?
A) Urinary retention
B) Cold extremities
C) Hypertension
D) Tachycardia - CORRECT ANSWER B) Cold extremities
A nurse is reviewing the laboratory values of a client who has a
positive Chvosteks sign. Which of the following laboratory findings
should the nurse expect?
A) Decreased calcium
B) Decreased potassium
C) Increased potassium
, D) Increased calcium - CORRECT ANSWER A) Decreased calcium
A nurse is preparing to administer a unit of packed RBC to a client.
Which of the following pieces of information must the nurse verify with
another nurse prior to administration? (SATA)
A) The clients ID number
B) The clients room number
C) The clients name
D) ABO compatibility
E) Rh compatibility - CORRECT ANSWER A) The clients ID number
B) The clients name
D) ABO compatibility
E) Rh compatibility
A nurse is assessing a client who is experiencing stress and anxiety
regarding a recent diagnosis. Which of the following findings should
the nurse expect?
A) Increased blood pressure
B) Decreased blood glucose
C) Acute Decreased oxygen use
D) Increased gastrointestinal motility - CORRECT ANSWER A)
Increased blood pressure
A nurse is administering an IM injection to a 5-month-old infant. Which
of the following injection sites should the nurse use?
A) Deltoid
B) Ventrogluteal
C) Vastus lateralis
D) Dorsogluteal - CORRECT ANSWER C) Vastus lateralis
A nurse is changing the dressings for a client who has 2 Penrose
drains near an abdominal incision. Which of the following adhering
devices is the best choose for the nurse to use to decrease skin
irritation?
A) Abdominal binder
B) Montgomery straps
C) Hypoallergenic tape
D) Plastic tape - CORRECT ANSWER B) Montgomery straps
