2023 ATI Community Health Proctor - Retake Exam (Version
1, 2, and 3): 200 Practice Questions
Question 1
A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to
prevent complications. Which of the following statements by the guardian indicates an understanding of
the teaching?
- A) "I'm sure my child will feel better now that he can ride his bicycle."
- B) "I should take my child's rectal temperature daily."
- C) "I will make sure my child gets a measles, mumps, and rubella vaccine this week."
- D) "I should inspect my child's mouth for sores."
Answer: D) "I should inspect my child's mouth for sores."
Explanation: Children with leukemia are immunocompromised, making them susceptible to infections.
Inspecting the mouth for sores (mucositis/stomatitis) allows early detection of potential infections.
Rectal temperatures should be avoided due to risk of tissue injury and infection. Live vaccines (MMR)
are contraindicated in immunocompromised children. Physical activities should be monitored to prevent
injury and bleeding risk.
Question 2
A nurse at a community clinic is preparing an educational guide about cultural variance in expression of
pain. Which of the following information should the nurse include?
- A) Native American cultural practices include being outspoken about pain.
- B) Middle Eastern cultural practices include hiding pain from close family members.
- C) Puerto Rican cultural practices include the view that outspoken expression of pain is shameful.
- D) Chinese cultural practices include enduring pain to prevent family dishonor.
Answer: D) Chinese cultural practices include enduring pain to prevent family dishonor.
,Explanation: Many Chinese cultural beliefs emphasize endurance of pain to avoid bringing shame or
dishonor to the family. Native Americans often demonstrate stoicism and may not be outspoken about
pain. Middle Eastern cultures may encourage open expression of pain. Puerto Rican cultural practices
often allow more open expression of pain.
Question 3
A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis
of the liver. Which of the following actions should the case manager take first?
- A) Arrange for a home health nurse to visit the client following discharge.
- B) Contact a social worker to assist the client with managing finances.
- C) Provide the client with information on self-help groups for alcohol use disorder.
- D) Determine which home safety measures the client needs to implement.
Answer: D) Determine which home safety measures the client needs to implement.
Explanation: The nurse should first assess the client's safety needs. Clients with cirrhosis may have
hepatic encephalopathy, bleeding risks, and mobility issues that pose immediate safety hazards at
home. Assessment must precede implementation of other interventions.
Question 4
A home health nurse is assessing a client who has AIDS. Which of the following responses by the client
indicates a risk for suicide?
- A) "I don't want to lose control of my ability to make decisions."
- B) "I am afraid of experiencing pain near the end."
- C) "I know that everything will be better soon."
- D) "I am relying more and more on my partner for support."
Answer: C) "I know that everything will be better soon."
,Explanation: An unrealistically positive statement that "everything will be better soon" when a client has
a terminal illness can be a red flag for suicide risk. This may indicate the client is planning to end their
life rather than face continued suffering. The other statements are normal concerns for clients with
AIDS.
Question 5
A faith-based organization asks a community health nurse to develop a mobile meal program for older
adults. Which of the following actions should the nurse plan to take first?
- A) Inquire about the availability of volunteers.
- B) Perform a needs assessment.
- C) Determine potential funding sources for the program.
- D) Identify alternative solutions to address concerns.
Answer: B) Perform a needs assessment.
Explanation: Before developing any community program, the nurse must first perform a needs
assessment to determine the actual needs of the target population, scope of the problem, and available
resources. This assessment guides all subsequent planning steps.
Question 6
A nurse is caring for a client who has hepatitis A virus. Which of the following reservoirs should the
nurse identify for this infection?
- A) Blood
- B) Genitourinary tract
- C) Skin
- D) Feces
, Answer: D) Feces
Explanation: Hepatitis A is transmitted through the fecal-oral route. Infected individuals shed the virus in
their feces, which can contaminate food, water, or surfaces. Proper hand hygiene and sanitation are
essential for prevention.
Question 7
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's bottle in the microwave for 30 seconds at a time."
- B) "I use baby talk when talking to my baby."
- C) "I limit the time her grandparents cuddle my baby to prevent spoiling."
- D) "I carry my baby with me as I move around the house."
Answer: D) "I carry my baby with me as I move around the house."
Explanation: Carrying the baby promotes bonding and attachment, which is essential for infant
development. Bottles should never be microwaved due to risk of uneven heating and burns. Baby talk is
appropriate for infant communication. Newborns cannot be spoiled; cuddling promotes healthy
attachment.
Question 8
A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality
according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates
an understanding of the teaching?
- A) "HIPAA rules allow clients to receive a copy of their medical records."
- B) "HIPAA rules vary from state to state."
1, 2, and 3): 200 Practice Questions
Question 1
A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to
prevent complications. Which of the following statements by the guardian indicates an understanding of
the teaching?
- A) "I'm sure my child will feel better now that he can ride his bicycle."
- B) "I should take my child's rectal temperature daily."
- C) "I will make sure my child gets a measles, mumps, and rubella vaccine this week."
- D) "I should inspect my child's mouth for sores."
Answer: D) "I should inspect my child's mouth for sores."
Explanation: Children with leukemia are immunocompromised, making them susceptible to infections.
Inspecting the mouth for sores (mucositis/stomatitis) allows early detection of potential infections.
Rectal temperatures should be avoided due to risk of tissue injury and infection. Live vaccines (MMR)
are contraindicated in immunocompromised children. Physical activities should be monitored to prevent
injury and bleeding risk.
Question 2
A nurse at a community clinic is preparing an educational guide about cultural variance in expression of
pain. Which of the following information should the nurse include?
- A) Native American cultural practices include being outspoken about pain.
- B) Middle Eastern cultural practices include hiding pain from close family members.
- C) Puerto Rican cultural practices include the view that outspoken expression of pain is shameful.
- D) Chinese cultural practices include enduring pain to prevent family dishonor.
Answer: D) Chinese cultural practices include enduring pain to prevent family dishonor.
,Explanation: Many Chinese cultural beliefs emphasize endurance of pain to avoid bringing shame or
dishonor to the family. Native Americans often demonstrate stoicism and may not be outspoken about
pain. Middle Eastern cultures may encourage open expression of pain. Puerto Rican cultural practices
often allow more open expression of pain.
Question 3
A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis
of the liver. Which of the following actions should the case manager take first?
- A) Arrange for a home health nurse to visit the client following discharge.
- B) Contact a social worker to assist the client with managing finances.
- C) Provide the client with information on self-help groups for alcohol use disorder.
- D) Determine which home safety measures the client needs to implement.
Answer: D) Determine which home safety measures the client needs to implement.
Explanation: The nurse should first assess the client's safety needs. Clients with cirrhosis may have
hepatic encephalopathy, bleeding risks, and mobility issues that pose immediate safety hazards at
home. Assessment must precede implementation of other interventions.
Question 4
A home health nurse is assessing a client who has AIDS. Which of the following responses by the client
indicates a risk for suicide?
- A) "I don't want to lose control of my ability to make decisions."
- B) "I am afraid of experiencing pain near the end."
- C) "I know that everything will be better soon."
- D) "I am relying more and more on my partner for support."
Answer: C) "I know that everything will be better soon."
,Explanation: An unrealistically positive statement that "everything will be better soon" when a client has
a terminal illness can be a red flag for suicide risk. This may indicate the client is planning to end their
life rather than face continued suffering. The other statements are normal concerns for clients with
AIDS.
Question 5
A faith-based organization asks a community health nurse to develop a mobile meal program for older
adults. Which of the following actions should the nurse plan to take first?
- A) Inquire about the availability of volunteers.
- B) Perform a needs assessment.
- C) Determine potential funding sources for the program.
- D) Identify alternative solutions to address concerns.
Answer: B) Perform a needs assessment.
Explanation: Before developing any community program, the nurse must first perform a needs
assessment to determine the actual needs of the target population, scope of the problem, and available
resources. This assessment guides all subsequent planning steps.
Question 6
A nurse is caring for a client who has hepatitis A virus. Which of the following reservoirs should the
nurse identify for this infection?
- A) Blood
- B) Genitourinary tract
- C) Skin
- D) Feces
, Answer: D) Feces
Explanation: Hepatitis A is transmitted through the fecal-oral route. Infected individuals shed the virus in
their feces, which can contaminate food, water, or surfaces. Proper hand hygiene and sanitation are
essential for prevention.
Question 7
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's bottle in the microwave for 30 seconds at a time."
- B) "I use baby talk when talking to my baby."
- C) "I limit the time her grandparents cuddle my baby to prevent spoiling."
- D) "I carry my baby with me as I move around the house."
Answer: D) "I carry my baby with me as I move around the house."
Explanation: Carrying the baby promotes bonding and attachment, which is essential for infant
development. Bottles should never be microwaved due to risk of uneven heating and burns. Baby talk is
appropriate for infant communication. Newborns cannot be spoiled; cuddling promotes healthy
attachment.
Question 8
A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality
according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates
an understanding of the teaching?
- A) "HIPAA rules allow clients to receive a copy of their medical records."
- B) "HIPAA rules vary from state to state."
