Community Health Proctored ATI Exam'
A parish nurse is planning activities for a faith-based community. Which of the activities should
the nurse include?
a. Teach stress management strategies
b. Provide case management
c. Offer primary care to uninsured members
d. Change the negative pressure wound therapy dressing - correct answer a. Teach stress
management strategies
A nurse is working with a case manager for a client who participates in a health maintenance
organization. The nurse
should identify that a health maintenance organization provides which of the following
payment structures?
a. The client pays the insurer a percentage of the total cost for each service rendered by the
provider
b. The provider is paid a fixed sum for the client on a monthly or yearly bases
c. The client is participating in a fee-for service health care insurance program
d. The provider bills the client directly predetermined percentage for the cost of services. -
correct answer b. The provider is paid a fixed sum for the client on a monthly or yearly bases
A public health nurse is developing protocols to use in emergency shelters following a disaster.
Which of the following
should the nurse include as a secondary prevention strategy for clients who survive a disaster?
a. Providing age-appropriate activities for shelter residents
b. Compiling resources available to transition individuals from shelters to a home
c. Interviewing shelter residents to determine the effectiveness of coping behaviors
d. Publishing a listing of shelter locations in local media sourc - correct answer b. Compiling
resources available to transition individuals from shelters to a home
A nurse is conducting home visits to postpartum adolescents who participated in prenatal
parenting classes. Which of
the following statements indicates an understanding of the teaching?
,a. I warm my baby bottle in the microwave 30 seconds at a time
b. I limit the time her grandparents cuddle my baby to prevent spoiling
c. I carry my baby with me as I move around the house
d. I use baby talk when talking to my baby - correct answer c. I carry my baby with me as I move
around the house
A nurse is caring for a client who has hepatitis A. Which of the following reservoirs should the
nurse identify for this
infection?
a. Blood
b. Feces
c. Genitourinary tract
d. Ski - correct answer B. Feces
A nurse is triaging victims of a commuter train crash. Which of the following clients should be
transported to the
Emergency Department first?
a. An ambulatory client whose nose is bleeding and who reports feeling dizzy
b. A client who has a fracture of the humerus with a 2+ radial pulse in the effected arm
c. A client who is exhibiting agonal respirations with fixed pupils
d. A client who has full-thickness burn injuries over 30% of his total body surface area - correct
answer d. A client who has full-thickness burn injuries over 30% of his total body surface area
A nurse working in an assisted living care facility is developing a disaster plan. Which of the
following is the first action
the nurse should take?
a. Develop response strategies specific to older adults
b. Verify dates of the annual community-wide mass causality drill
c. Determine potential environmental health hazards
d. Identify materials needed for staff and resident education. - correct answer c. Determine
potential environmental health hazards
,An occupational health nurse is completing a walk-through of a factory to identify workers at
risk for injury. Which of
the following workers should the nurse identify at being at risk?
a. A worker who is standing in place in extended period and rests one foot on a box
b. A worker standing with a wide base support when pulling a cart towards himself
c. A worker who is 7 weeks postoperative following a rotator cuff surgery and is labeling boxes.
d. A worker who is wearing a back brace and bends at the waist when picking up a pallet. -
correct answer d. A worker who is wearing a back brace and bends at the waist when picking
up a pallet.
A nurse is providing teaching to a newly licensed nurse about secondary prevention strategies
related to violence and
abuse. Which of the following strategies should the nurse include in the teaching?
a. Teach a parenting skills class at a child development t center
b. Assess client for withdrawal and passivity during home health visits
c. Refer clients to the appropriate community agency if signs of abuse is evident - correct
answer b. Assess client for withdrawal and passivity during home health visits
A community health nurse is working with a migrant population. The nurse should recognize
which of the following
interventions is necessary to provide care to this population?
a. Requiring the clients to show a work visa before they receive care
b. Treating clients on a fee-for-service basis
c. Providing health services at work sites
d. Offer health screenings at a community center - correct answer c. Providing health services
at work sites
A nurse caring for a client who is homeless. Which of the following actions should the nurse
take first?
a. Assist the client to develop goals for obtaining shelter.
b. Discuss the risks of being homeless with the client
c. Develop client teaching using a variety strategies
, d. Determine the client's understanding of her living situation - correct answer d. Determine
the client's understanding of her living situation
A nurse is working for a hospice organization. The nurse should identify that which of the
following criteria must be
met for a client to qualify for hospice care?
a. The client has declined additional life-prolonging treatments
b. The client requires inpatient care due to lack of a caregiver
c. The client has documentation that states he has less than 12 months to live
d. The client's insurance provides coverage for palliative care - correct answer a. The client has
declined additional life-prolonging treatment
nurse is providing teaching to a client about directives regarding end-of
life care. Which of the following information should the nurse include in the teaching?
a. The client can chose a non-family member as the designated power of attorney
b. The living will binding contract between the client and the provider
c. The client family has the authority to revoke the do-not-resuscitate order at any time -
correct answer a. The client can chose a non-family member as the designated power of
attorney
A home health nurse is planning the initial home visit for a client who has dementia and lives
with his adult son's
family. Which of the following actions should the nurse take first during the visit?
a. Encourage the family to join a support group
b. Provide the family about respite care
c. Engage the family in informal conversation
d. Educate the family regarding the progression of dementia - correct answer c. Engage the
family in informal conversation
A nurse educator is teaching a group of newly licensed nurses about maintaining client
confidentially according to
HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an
understanding of the
teaching?
A parish nurse is planning activities for a faith-based community. Which of the activities should
the nurse include?
a. Teach stress management strategies
b. Provide case management
c. Offer primary care to uninsured members
d. Change the negative pressure wound therapy dressing - correct answer a. Teach stress
management strategies
A nurse is working with a case manager for a client who participates in a health maintenance
organization. The nurse
should identify that a health maintenance organization provides which of the following
payment structures?
a. The client pays the insurer a percentage of the total cost for each service rendered by the
provider
b. The provider is paid a fixed sum for the client on a monthly or yearly bases
c. The client is participating in a fee-for service health care insurance program
d. The provider bills the client directly predetermined percentage for the cost of services. -
correct answer b. The provider is paid a fixed sum for the client on a monthly or yearly bases
A public health nurse is developing protocols to use in emergency shelters following a disaster.
Which of the following
should the nurse include as a secondary prevention strategy for clients who survive a disaster?
a. Providing age-appropriate activities for shelter residents
b. Compiling resources available to transition individuals from shelters to a home
c. Interviewing shelter residents to determine the effectiveness of coping behaviors
d. Publishing a listing of shelter locations in local media sourc - correct answer b. Compiling
resources available to transition individuals from shelters to a home
A nurse is conducting home visits to postpartum adolescents who participated in prenatal
parenting classes. Which of
the following statements indicates an understanding of the teaching?
,a. I warm my baby bottle in the microwave 30 seconds at a time
b. I limit the time her grandparents cuddle my baby to prevent spoiling
c. I carry my baby with me as I move around the house
d. I use baby talk when talking to my baby - correct answer c. I carry my baby with me as I move
around the house
A nurse is caring for a client who has hepatitis A. Which of the following reservoirs should the
nurse identify for this
infection?
a. Blood
b. Feces
c. Genitourinary tract
d. Ski - correct answer B. Feces
A nurse is triaging victims of a commuter train crash. Which of the following clients should be
transported to the
Emergency Department first?
a. An ambulatory client whose nose is bleeding and who reports feeling dizzy
b. A client who has a fracture of the humerus with a 2+ radial pulse in the effected arm
c. A client who is exhibiting agonal respirations with fixed pupils
d. A client who has full-thickness burn injuries over 30% of his total body surface area - correct
answer d. A client who has full-thickness burn injuries over 30% of his total body surface area
A nurse working in an assisted living care facility is developing a disaster plan. Which of the
following is the first action
the nurse should take?
a. Develop response strategies specific to older adults
b. Verify dates of the annual community-wide mass causality drill
c. Determine potential environmental health hazards
d. Identify materials needed for staff and resident education. - correct answer c. Determine
potential environmental health hazards
,An occupational health nurse is completing a walk-through of a factory to identify workers at
risk for injury. Which of
the following workers should the nurse identify at being at risk?
a. A worker who is standing in place in extended period and rests one foot on a box
b. A worker standing with a wide base support when pulling a cart towards himself
c. A worker who is 7 weeks postoperative following a rotator cuff surgery and is labeling boxes.
d. A worker who is wearing a back brace and bends at the waist when picking up a pallet. -
correct answer d. A worker who is wearing a back brace and bends at the waist when picking
up a pallet.
A nurse is providing teaching to a newly licensed nurse about secondary prevention strategies
related to violence and
abuse. Which of the following strategies should the nurse include in the teaching?
a. Teach a parenting skills class at a child development t center
b. Assess client for withdrawal and passivity during home health visits
c. Refer clients to the appropriate community agency if signs of abuse is evident - correct
answer b. Assess client for withdrawal and passivity during home health visits
A community health nurse is working with a migrant population. The nurse should recognize
which of the following
interventions is necessary to provide care to this population?
a. Requiring the clients to show a work visa before they receive care
b. Treating clients on a fee-for-service basis
c. Providing health services at work sites
d. Offer health screenings at a community center - correct answer c. Providing health services
at work sites
A nurse caring for a client who is homeless. Which of the following actions should the nurse
take first?
a. Assist the client to develop goals for obtaining shelter.
b. Discuss the risks of being homeless with the client
c. Develop client teaching using a variety strategies
, d. Determine the client's understanding of her living situation - correct answer d. Determine
the client's understanding of her living situation
A nurse is working for a hospice organization. The nurse should identify that which of the
following criteria must be
met for a client to qualify for hospice care?
a. The client has declined additional life-prolonging treatments
b. The client requires inpatient care due to lack of a caregiver
c. The client has documentation that states he has less than 12 months to live
d. The client's insurance provides coverage for palliative care - correct answer a. The client has
declined additional life-prolonging treatment
nurse is providing teaching to a client about directives regarding end-of
life care. Which of the following information should the nurse include in the teaching?
a. The client can chose a non-family member as the designated power of attorney
b. The living will binding contract between the client and the provider
c. The client family has the authority to revoke the do-not-resuscitate order at any time -
correct answer a. The client can chose a non-family member as the designated power of
attorney
A home health nurse is planning the initial home visit for a client who has dementia and lives
with his adult son's
family. Which of the following actions should the nurse take first during the visit?
a. Encourage the family to join a support group
b. Provide the family about respite care
c. Engage the family in informal conversation
d. Educate the family regarding the progression of dementia - correct answer c. Engage the
family in informal conversation
A nurse educator is teaching a group of newly licensed nurses about maintaining client
confidentially according to
HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an
understanding of the
teaching?
