ATI RN COMMUNITY ONLINE 2020/2021 PRACTICE EXAM

A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? Provide education about risk factors for hypertension. Conduct a hypertension screening clinic for the community. Teach clients who have a family history of hypertension how to monitor blood pressure. Implement an exercise program for clients who have hypertension. A school nurse is serving on a community disaster planning committee looking at school shooting scenarios. Which of the following actions should the nurse plan to take during the response phase? Conduct ongoing assessments to identify potential hazards. Provide disaster training to school personnel. Perform triage and provide hands-on care as needed to victims. Serve as a liaison between available community resources and those in need. 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. A nurse is planning to teach a community group about the meningococcal vaccine. The nurse should identity that which of the following clients should receive the vaccine? A client who is traveling to northern Europe An infant who has bronchiolitis An infant who is 4 weeks old A client who is moving into a college dormitory A home health nurse is visiting an older adult client and notes that unwashed dishes are piled up and newspapers cover the front steps. Which of the following questions should the nurse ask the client to determine if the client is socially isolated? "Why haven't you brought in your newspapers?" "Do you need help completing your housework?" "How often do you have visitors come to see you?" "Have you considered moving to an assisted living facility?" A community health nurse is working with a community where the incidence of violence has increased. Which of the following actions should the nurse take as a tertiary prevention strategy? Provide open education sessions to teach parenting skills. Provide victims of violence with referral information to crisis lines. Identify potential community risk factors for violence. Assess for evidence of violence during routine encounters. A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion? The faith community nurse can provide pharmacological pain management for clients who have a terminal illness. The faith community nurse can plan workplace safety training for employees in a local factory. The faith community nurse can provide wound care for clients in their homes. The faith community nurse can facilitate substance abuse support groups 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? Turn the client to left semi-Fowler's position and begin assessing the next client. Place a rm 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 A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for their parent. Which of the following client statements indicates that they are experiencing role conflict? "I feel overwhelmed with not having enough time for my mom as well as my children." "I hope my siblings will be able to visit and help care for mom for a few days." "I am glad that my job is flexible, so I can accommodate my mom's needs." "I don't think my partner likes having to help more with the household chores." A case manager at a home health agency is obtaining equipment for a client's home use. Which of the following actions is a violation of client confidentiality? The case manager used a computer at the agency with an automatic sign-o mechanism. The case manager left a clipboard with the client's prescription information face up on the office desk. • The case manager sent a fax to the equipment company on a machine using programmed speed dial. The case manager shared the client's name with the equipment company. 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. Children who are abused are less likely to become abusers. A nurse in a county health department is caring for a client who states, "I've been drinking too much in the evenings since my friend died last year." Which of the following responses should the nurse make? "It sounds like you are probably an alcoholic." "Don't you think your family is being affected by your drinking?" "Can I give you some information about Alcoholics Anonymous?" "I don't think your friend would have approved of your drinking." Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following information should the community health nurse assess first? The leadership support of the community The accessibility of residences The availability of volunteers The need for the program ..........................................................................CONTINUED