ATI Leadership and Community Health Exams | 3
Different Versions | Each Version with 50 Questions
and Answers | Brand New Versions!
1. A nurse is using the ecologic model for population health to develop interventions to
address HIV in a community. Which of the following interventions should the nurse
include to address financial factors affecting community health?
Have adolescents lead peer discussions in schools about safe sexual practices.
Distribute condoms through remote community clinics.
Create commercial advertisements describing the long-term eects of HIV.
Include information about perinatal HIV transmission at prenatal education classes.
2. A nurse is planning a staff education program to review nursing interventions for clients
who have kidney failure. Which of the following sources should the nurse identify as the
best resource for obtaining evidence-based information?
The advice of an expert nephrology nurse
Retrospective chart reviews
Facility critical pathway
A recent peer-reviewed nursing research article
3. A newly licensed nurse tells a charge nurse that he is unsure about accepting telephone
medication prescriptions. Which of the following providers should the charge nurse
identify as having the legal ability to give telephone medication prescriptions? (Select all
that apply.) ???
Anesthesiologists
Physician assistants
Hospital pharmacists
Mental health technicians
Nurse practitioners
1. A nurse working in a mobile health clinic is assessing a migrant farm worker. Which of
the following findings should the nurse identify as the priority?
Report of back pain associated with twisting at the waist
,Absence of a dental health provider
Lives in a home with 25 other migrant workers
Report of muscle twitching and skin rash
2. A school nurse is developing a teaching plan about testicular cancer for a group of clients.
Which of the following information should the nurse include in the teaching?
Perform a testicular self-examination weekly.
Do not palpate the epididymis when performing a testicular self-examination.
Expect testicles to be uniform in consistency when performing a testicular self-examination.
Perform a testicular self-examination after a cool shower.
3. A parent of a child who is terminally ill tells a nurse that she wants to take her child
home. Which of the following responses should the nurse make?
"Your provider will be here later today."
"I can give you information on what that would involve."
"I understand how you feel. I felt the same way when my sister was terminally ill."
"I think you should speak with social services about your request."
4. During an initial visit, a home health nurse is assessing a client who has cultural beliefs
different than their own. Which of the following questions should the nurse ask to
determine the client's beliefs about environmental control?
"Do you spend more time thinking about the past, present, or future?"
"Who makes most of the decisions in your family group?"
"What do you think you can do to affect your health status?"
"Can you list any diseases that your parents or siblings have had?"
5. A nurse is caring for a client who has an ethical conflict about the care she is receiving.
Which of the following resources should the nurse consult about resolving the dilemma?
Hospital ethics committee
Quality improvement committee
Chaplain
Director of nursing
, 6. A charge nurse is planning care for a group of clients on a medical-surgical unit. Which
of the following tasks should the nurse delegate to an assistive personnel (AP)?
Giving a glycerin suppository to a client for constipation
Evaluating the effectiveness of ibuprofen administered to a client who reported a headache
Discussing dietary changes with a client who has a prescription for a gluten-free diet
Measuring hourly urinary output for a client who is postoperative
7. A newly licensed nurse is giving a change-of-shift report using I-SBAR to an oncoming
nurse. Which of the following statements by the newly licensed nurse should be included
in the "Background" portion of the report?
"The client has a new prescription for incentive spirometry."
"The client's partner plans to return later today."
"The client has no living family members."
"I initiated a consultation by a nutritionist."
8. A nurse is preparing to administer the initial dose of ceftriaxone to a client who has
endometritis. Which of the following statements by the client should cause the nurse to
hold the medication and consult the provider?
"I have a severe allergy to amoxicillin."
"I get sick when I take diuretics."
"I have a history of hearing problems."
"I take prednisone for my asthma."
9. A charge nurse on a medical-surgical unit is preparing to delegate tasks to a licensed
practical nurse (LPN). Which of the following tasks should the charge nurse delegate to
the LPN?
Administering an oral antibiotic to a client
Performing an admission assessment of a client
Creating new teaching for a guardian of a toddler
Administering IV conscious sedation to a client
10. A nurse on a rehabilitation unit is creating a plan of care for a newly admitted client who
has difficulty swallowing following a stroke. Which of the following interprofessional
, team members should the nurse anticipate consulting regarding the client's condition?
(Select all that apply.) ???
Speech-language pathologist
Occupational therapist
Dietitian
Psychologist
Pharmacy technician
11. A forensic nurse is using the epidemiological triangle to explain factors that contribute to
violent behavior. Which of the following factors should the nurse identify as an
environmental factor in the epidemiological triangle?
Crowded living conditions
Traumatic brain injury
Alzheimer's disease
Impaired coping abilities
12. After signing an informed consent form, a client states, "I have changed my mind and do
not want to have the procedure." Which of the following actions should the nurse take?
Suggest that family members discuss the importance of the surgery with the client.
Notify the surgeon that the client wishes to withdraw informed consent for the procedure.
Document the risks of refusing the procedure in the client's medical record.
Discuss the benets of the procedure with the client
13. An occupational health nurse is preparing to teach a health promotion class for workers
at a warehouse. Which of the following statements should the nurse include?
"Rub your hands together for at least 10 seconds when washing them."
"Keep your abdominal muscles tightened when lifting objects."
"Ensure that 20 percent or less of calories are from saturated fats."
"Engage in aerobic exercise 2 to 4 days per week for 20 min."
14. A nurse is preparing an in-service about family violence for a group of newly licensed
nurses. Which of the following statements should the nurse include in the teaching?
"Perpetrators of family-directed violence recognize their behavior as abnormal."
Different Versions | Each Version with 50 Questions
and Answers | Brand New Versions!
1. A nurse is using the ecologic model for population health to develop interventions to
address HIV in a community. Which of the following interventions should the nurse
include to address financial factors affecting community health?
Have adolescents lead peer discussions in schools about safe sexual practices.
Distribute condoms through remote community clinics.
Create commercial advertisements describing the long-term eects of HIV.
Include information about perinatal HIV transmission at prenatal education classes.
2. A nurse is planning a staff education program to review nursing interventions for clients
who have kidney failure. Which of the following sources should the nurse identify as the
best resource for obtaining evidence-based information?
The advice of an expert nephrology nurse
Retrospective chart reviews
Facility critical pathway
A recent peer-reviewed nursing research article
3. A newly licensed nurse tells a charge nurse that he is unsure about accepting telephone
medication prescriptions. Which of the following providers should the charge nurse
identify as having the legal ability to give telephone medication prescriptions? (Select all
that apply.) ???
Anesthesiologists
Physician assistants
Hospital pharmacists
Mental health technicians
Nurse practitioners
1. A nurse working in a mobile health clinic is assessing a migrant farm worker. Which of
the following findings should the nurse identify as the priority?
Report of back pain associated with twisting at the waist
,Absence of a dental health provider
Lives in a home with 25 other migrant workers
Report of muscle twitching and skin rash
2. A school nurse is developing a teaching plan about testicular cancer for a group of clients.
Which of the following information should the nurse include in the teaching?
Perform a testicular self-examination weekly.
Do not palpate the epididymis when performing a testicular self-examination.
Expect testicles to be uniform in consistency when performing a testicular self-examination.
Perform a testicular self-examination after a cool shower.
3. A parent of a child who is terminally ill tells a nurse that she wants to take her child
home. Which of the following responses should the nurse make?
"Your provider will be here later today."
"I can give you information on what that would involve."
"I understand how you feel. I felt the same way when my sister was terminally ill."
"I think you should speak with social services about your request."
4. During an initial visit, a home health nurse is assessing a client who has cultural beliefs
different than their own. Which of the following questions should the nurse ask to
determine the client's beliefs about environmental control?
"Do you spend more time thinking about the past, present, or future?"
"Who makes most of the decisions in your family group?"
"What do you think you can do to affect your health status?"
"Can you list any diseases that your parents or siblings have had?"
5. A nurse is caring for a client who has an ethical conflict about the care she is receiving.
Which of the following resources should the nurse consult about resolving the dilemma?
Hospital ethics committee
Quality improvement committee
Chaplain
Director of nursing
, 6. A charge nurse is planning care for a group of clients on a medical-surgical unit. Which
of the following tasks should the nurse delegate to an assistive personnel (AP)?
Giving a glycerin suppository to a client for constipation
Evaluating the effectiveness of ibuprofen administered to a client who reported a headache
Discussing dietary changes with a client who has a prescription for a gluten-free diet
Measuring hourly urinary output for a client who is postoperative
7. A newly licensed nurse is giving a change-of-shift report using I-SBAR to an oncoming
nurse. Which of the following statements by the newly licensed nurse should be included
in the "Background" portion of the report?
"The client has a new prescription for incentive spirometry."
"The client's partner plans to return later today."
"The client has no living family members."
"I initiated a consultation by a nutritionist."
8. A nurse is preparing to administer the initial dose of ceftriaxone to a client who has
endometritis. Which of the following statements by the client should cause the nurse to
hold the medication and consult the provider?
"I have a severe allergy to amoxicillin."
"I get sick when I take diuretics."
"I have a history of hearing problems."
"I take prednisone for my asthma."
9. A charge nurse on a medical-surgical unit is preparing to delegate tasks to a licensed
practical nurse (LPN). Which of the following tasks should the charge nurse delegate to
the LPN?
Administering an oral antibiotic to a client
Performing an admission assessment of a client
Creating new teaching for a guardian of a toddler
Administering IV conscious sedation to a client
10. A nurse on a rehabilitation unit is creating a plan of care for a newly admitted client who
has difficulty swallowing following a stroke. Which of the following interprofessional
, team members should the nurse anticipate consulting regarding the client's condition?
(Select all that apply.) ???
Speech-language pathologist
Occupational therapist
Dietitian
Psychologist
Pharmacy technician
11. A forensic nurse is using the epidemiological triangle to explain factors that contribute to
violent behavior. Which of the following factors should the nurse identify as an
environmental factor in the epidemiological triangle?
Crowded living conditions
Traumatic brain injury
Alzheimer's disease
Impaired coping abilities
12. After signing an informed consent form, a client states, "I have changed my mind and do
not want to have the procedure." Which of the following actions should the nurse take?
Suggest that family members discuss the importance of the surgery with the client.
Notify the surgeon that the client wishes to withdraw informed consent for the procedure.
Document the risks of refusing the procedure in the client's medical record.
Discuss the benets of the procedure with the client
13. An occupational health nurse is preparing to teach a health promotion class for workers
at a warehouse. Which of the following statements should the nurse include?
"Rub your hands together for at least 10 seconds when washing them."
"Keep your abdominal muscles tightened when lifting objects."
"Ensure that 20 percent or less of calories are from saturated fats."
"Engage in aerobic exercise 2 to 4 days per week for 20 min."
14. A nurse is preparing an in-service about family violence for a group of newly licensed
nurses. Which of the following statements should the nurse include in the teaching?
"Perpetrators of family-directed violence recognize their behavior as abnormal."
