Community Health ATI - Practice
Questions
A charge nurse in an ED is informed that a tornado touched down in a nearby town and mass
casualties are en route. Which of the following actions should the nurse take first?
1. Follow facility policy to activate the disaster plan.
2. Prepare the triage rooms.
3. procure additional materials. 4. Call in off-duty staff. - ANS-1. Follow facility policy to
activate the disaster plan.
A charge nurse is assembling a list of clients who can be safely discharged home to
accommodate incoming casualties following an earthquake. The nurse should recognize that it
is unsafe to discharge which of the following clients?
1. A client who has osteomyelitis and will require 6 weeks of IV antibiotic therapy
2. A client who has Crohn's disease and is 1 day preoperative for an ileostomy
3. A person with Alzheimer's disease who is waiting to be admitted to a long-term care facility
4. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace -
ANS-4. A client who, five days after spinal surgery, has an ileus and is ambulatory in a brace
The county's emergency medical services inform a charge nurse who is working in the ED of a
multiple-casualty crash involving a truck carrying radioactive waste. Which of the following
actions should the nurse take first?
1. Designate a decontamination area to accommodate clients who are irradiated.
2. Notify the admissions office to clear as many critical care beds as possible.
3. Remove all non-urgent clients from the department and transfer those awaiting admission to
a holding area. 4. Determine the number of casualties the emergency department can
accommodate. - ANS-3. Clear the department of all nonurgent clients and move those awaiting
admission to a holding area.
A community health nurse at a family planning clinic is developing a program about adolescent
sexuality. Which of the following is a developmental task of adolescence according to
Erickson's theory of psycho social development?
1. Adjusting to dramatic changes in body image
2. Developing hypothetical reasoning skills
3. Establishing the capacity for an intimate love relationship
4. Learning to make good choices and avoid risk-taking behaviors - ANS-1. changing your
body image dramatically A community health nurse is caring for a client who was exposed to
HIV 2 days ago. The client asks the nurse for advice. The nurse should take which of the
following responses first. 1. "I will administer an HIV vaccine today, and it will need to be
repeated in 3 months."
2. "I will administer an HIV test today, and you will need to return in 48 hours for me to read the
results."
, 3. "For six months, you will need to have an HIV test every two weeks." 4. "You will need to
take prophylactic medications for 4 weeks." - ANS-4. "You will need to take prophylactic
medications for 4 weeks."
A study to improve a community's environmental health is being planned by a community
health nurse. Identify the sequence the nurse should follow when conducting the research.
Design the study
Make the question for the study. Analyze the findings
ANS- Formulate the research question after reviewing relevant literature. Examine the relevant
literature. Plan the study. Examine the outcomes. A community health nurse is preparing a
disaster preparedness plan about smallpox. The nurse should include which of the following
groups in the vaccination strategy. 1. Newborns
2. Workers in mortuaries 3. Immunosuppressed clients
4. ANS-2 clients who suffer from eczema. Workers in mortuaries A community health nurse is
teaching a group of clients about factors influencing health behaviors. Which of the following is
a modifiable risk factor that the the nurse should include in the teaching?
1. Family history of diabetes
2. Immunization status
3. Mental illness
4. Air pollution - ANS-2. Vaccination status Children who have recently arrived in the United
States are being evaluated by a community health nurse who works in a refugee clinic. A
20-month-old toddler's weight and height are in the 6th and 40th percentiles, respectively,
according to the assessment. The toddler has thin limbs, a protuberant abdomen, and dull, dry
hair. The nurse should conclude from this assessment that the client may be suffering from
which of the following conditions? 1. Chronic hypoxemia
2. Anemia
3. Protein deficit
4. Fluid overload - ANS-3. Lack of protein A client's care requirements are being discussed by
a home health nurse and an assistant. Which of the following statements by the AP requires
intervention by the nurse?
1. "I will change the client's PICC line dressing on my next visit."
2. "Bathing the client is something that I can do without assistance."
3. "Each time I visit, I assist the client in ambulating outdoors." 4. "Next time I visit, I plan to
clean up the clutter in the client's bedroom." - ANS-1. "I will change the client's PICC line
dressing on my next visit."
A client in a mental health group home is being cared for by a home health nurse. The client
has been hoarding psychotropic medication, according to the nurse during a visit. Which of the
following actions should the nurse take first?
1. Transfer the client to an acute care facility. 2. Determine the reason for the client's hoarding
behavior.
3. Alert the staff that has been administering the client's medications.
4. Require the client to return any hoarded medications. - ANS-2. Determine the cause of the
client's behavior of hoarding. A home health nurse is performing an assessment of an older
adult client's home. Which of the following findings should the nurse recognize as a potential
hazard?
Questions
A charge nurse in an ED is informed that a tornado touched down in a nearby town and mass
casualties are en route. Which of the following actions should the nurse take first?
1. Follow facility policy to activate the disaster plan.
2. Prepare the triage rooms.
3. procure additional materials. 4. Call in off-duty staff. - ANS-1. Follow facility policy to
activate the disaster plan.
A charge nurse is assembling a list of clients who can be safely discharged home to
accommodate incoming casualties following an earthquake. The nurse should recognize that it
is unsafe to discharge which of the following clients?
1. A client who has osteomyelitis and will require 6 weeks of IV antibiotic therapy
2. A client who has Crohn's disease and is 1 day preoperative for an ileostomy
3. A person with Alzheimer's disease who is waiting to be admitted to a long-term care facility
4. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace -
ANS-4. A client who, five days after spinal surgery, has an ileus and is ambulatory in a brace
The county's emergency medical services inform a charge nurse who is working in the ED of a
multiple-casualty crash involving a truck carrying radioactive waste. Which of the following
actions should the nurse take first?
1. Designate a decontamination area to accommodate clients who are irradiated.
2. Notify the admissions office to clear as many critical care beds as possible.
3. Remove all non-urgent clients from the department and transfer those awaiting admission to
a holding area. 4. Determine the number of casualties the emergency department can
accommodate. - ANS-3. Clear the department of all nonurgent clients and move those awaiting
admission to a holding area.
A community health nurse at a family planning clinic is developing a program about adolescent
sexuality. Which of the following is a developmental task of adolescence according to
Erickson's theory of psycho social development?
1. Adjusting to dramatic changes in body image
2. Developing hypothetical reasoning skills
3. Establishing the capacity for an intimate love relationship
4. Learning to make good choices and avoid risk-taking behaviors - ANS-1. changing your
body image dramatically A community health nurse is caring for a client who was exposed to
HIV 2 days ago. The client asks the nurse for advice. The nurse should take which of the
following responses first. 1. "I will administer an HIV vaccine today, and it will need to be
repeated in 3 months."
2. "I will administer an HIV test today, and you will need to return in 48 hours for me to read the
results."
, 3. "For six months, you will need to have an HIV test every two weeks." 4. "You will need to
take prophylactic medications for 4 weeks." - ANS-4. "You will need to take prophylactic
medications for 4 weeks."
A study to improve a community's environmental health is being planned by a community
health nurse. Identify the sequence the nurse should follow when conducting the research.
Design the study
Make the question for the study. Analyze the findings
ANS- Formulate the research question after reviewing relevant literature. Examine the relevant
literature. Plan the study. Examine the outcomes. A community health nurse is preparing a
disaster preparedness plan about smallpox. The nurse should include which of the following
groups in the vaccination strategy. 1. Newborns
2. Workers in mortuaries 3. Immunosuppressed clients
4. ANS-2 clients who suffer from eczema. Workers in mortuaries A community health nurse is
teaching a group of clients about factors influencing health behaviors. Which of the following is
a modifiable risk factor that the the nurse should include in the teaching?
1. Family history of diabetes
2. Immunization status
3. Mental illness
4. Air pollution - ANS-2. Vaccination status Children who have recently arrived in the United
States are being evaluated by a community health nurse who works in a refugee clinic. A
20-month-old toddler's weight and height are in the 6th and 40th percentiles, respectively,
according to the assessment. The toddler has thin limbs, a protuberant abdomen, and dull, dry
hair. The nurse should conclude from this assessment that the client may be suffering from
which of the following conditions? 1. Chronic hypoxemia
2. Anemia
3. Protein deficit
4. Fluid overload - ANS-3. Lack of protein A client's care requirements are being discussed by
a home health nurse and an assistant. Which of the following statements by the AP requires
intervention by the nurse?
1. "I will change the client's PICC line dressing on my next visit."
2. "Bathing the client is something that I can do without assistance."
3. "Each time I visit, I assist the client in ambulating outdoors." 4. "Next time I visit, I plan to
clean up the clutter in the client's bedroom." - ANS-1. "I will change the client's PICC line
dressing on my next visit."
A client in a mental health group home is being cared for by a home health nurse. The client
has been hoarding psychotropic medication, according to the nurse during a visit. Which of the
following actions should the nurse take first?
1. Transfer the client to an acute care facility. 2. Determine the reason for the client's hoarding
behavior.
3. Alert the staff that has been administering the client's medications.
4. Require the client to return any hoarded medications. - ANS-2. Determine the cause of the
client's behavior of hoarding. A home health nurse is performing an assessment of an older
adult client's home. Which of the following findings should the nurse recognize as a potential
hazard?
