ATI RN COMMUNITY HEALTH PROCTORED/ ATI RN COMMUNITY HEALTH EXAM
ASSESSMENT NEWEST 2024 TEST BANK ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
When planning a presentation for adults with family history of Alzheimer's, which
behavior should nurse include as early manifestation? Withdrawal from Social activities,
forgetting location of common objects, incontinence, neglect of personal hygeine -
CORRECT ANSWER forgetting location of common objects
A community health nurse identifies and increase in occurrence of osteoporosis-related
fractures in women experiencing menopause. Which primary prevention strategy should
the nurse implement? Advise women to keep immunizations up to date, encourage
participation in weight-bearing activities, education on importance of limiting sun
exposure, instruct to increase intake of Vitamin E rich foods - CORRECT ANSWER
encourage participation in weight-bearing activities
When caring for a patient with terminal lung cancer receiving hospice care, which of the
following statements should the nurse identify as an indication that the patient is in the
denial stage of the grief process? I'm looking forward to my daughter's wedding next
year, I don't deserve to die It isn't fair, If I could make it through this I'd never smoke
again, I'm going to plan my memorial service next week. - CORRECT ANSWER I'm
looking forward to my daughter's wedding next year
A home care nurse visiting an older adult patient and notes unwashed dishes are piling
up and newspapers cover the front steps. Which of the following questions should nurse
ask to determine is he is socially isolated? Why haven't you brought in the newspapers?
Do you need help completing your housework? How often do you have visitors come
see you? Have you considered moving to an Assisted Living Facility? - CORRECT
ANSWER How often do you have visitors come and see you?
Community health nurse discussing role of faith community nurse w/chaplain. which
information should nurse include in the discussion? FC nurse can provide
pharmacological pain mgmt for its w/terminal illness. FC nurse can plan workplace
safety training for employees in local factory. FC nurse can provide wound care for
clients in their homes. FC nurse can facilitate substance abuse support groups -
CORRECT ANSWER FC nurse can facilitate substance abuse support groups
community health nurse is conducting needs assessment of a community. The nurse
should ID that which of the following methods will yield direct data? Health surveys,
medical records, informant interviews, morbidity/mortality statistics - CORRECT
ANSWER Informant interviews
,Nurse is providing education re:lead exposure to group who live in house development
built in 1968. Which statements indicate understanding of the teaching? I will use a dry
sanding technique when preparing to repaint my front door. I will vacuum wood floors
every week. I will increase amt. of red meat and milk in my childs diet, I will use hot tap
water to prepare my baby's formula - CORRECT ANSWER Increase amount of red
meat and milk in child's diet
community health nurse is participating in quality improvement plan for local health
dept. which techniques should nurse use for process evaluation (select all) Focus
groups, written audits, satisfaction survey, interviews, values self-study - CORRECT
ANSWER all but values self-study
community health nurse is planning an in-service about STIs for group of adolescents.
which of following clinical findings should the nurse include as manifestation of primary
syphilis? malaise, maculopapular rash on palms, chancre, lympahedopathy -
CORRECT ANSWER chancre
community health nurse is caring for adolescent seeking help for an unplanned
pregnancy. Which of the following actions should the nurse take first? Recommend
meeting with school guidance counselor to discuss educational options; request
permission to interview baby's father to obtain medical history; help obtain provider for
prenatal care, provide information on parenting classes so patient can learn about
newborn care - CORRECT ANSWER Help obtain provider for prenatal care
community health nurse is planning to establish a community garden to address lack of
nutritious food options in the area. Which of the following actions should nurse take first
to initiate the plan? ID community members w/demonstrated interest in the project; Hold
community info session to inform residents of plan; select residents to take on
leadership roles in the project; monitor progress of the project to keep it on course -
CORRECT ANSWER ID community members w/demonstrated interest
A nurse is conduction a home visit for an older adult patient. The nurse should ID which
of following findings as indicator of possible neglect? Lives alone; taking outdated
prescriptions; BMI 25; presence of alcohol in home - CORRECT ANSWER
presence of outdated prescriptions
A nurse is caring for 16yr old w/new diagnosis of HPV. Which of the following actions
should nurse take? Report to state health dept; instruct pt to return for blood test in 1
month; administer ceftriaxone 150mg IM; Teach pt how to apply imiquimod 5% area to
lesions - CORRECT ANSWER teach how to apply imiquimod 5% cream to lesions
A school nurse is reviewing records of 4 students returning to school after being
diagnosed with MRSA. Which actions should nurse take? Coordinate immunization at
school; recommend prophylactic treatment for classmates; report cases to child
,protective services; provide education about MRSA throughout school system -
CORRECT ANSWER provide education about MRSA through school system
PH nurse is conducting educational system about Lyme Disease for group of older
adults at senior center. Which statement should nurse ID as indication that pt
understands the teaching? I should get annual immunization to prevent Lyme; I can
take penicillin for 10-14 days to manage Lyme; I can get Lyme from a mosquito, I will
have abdominal pain and diarrhea if I get Lyme - CORRECT ANSWER I can take
penicillin for 10-14 days to manage Lyme
School nurse is education group of HS students about rec. dietary guidelines. Which
statement indicates understanding of the teaching? I can eat up to 25% of my daily
calories from saturated fatty foods; I should consume <300 mg per day of dietary
cholesterol; I can increase my daily consumption of foods that contain refined grains; I
should consume 800mg/day of dietary calcium - CORRECT ANSWER I should
consume <300 mg per day of dietary cholesterol
A community health nurse is creating a program to reduce domestic violence in the
community. Which intervention should nurse ID as secondary prevention? Creating PSA
re: warning signs of intimate partner abuse; recognizing and reporting suspected abuse
to appropriate protective services; collaborating w/support agencies to ensure ongoing
treatment for abuse; education individuals and groups about preventing domestic and
community abuse - CORRECT ANSWER recognizing and reporting suspected
abuse to appropriate protective services
A nurse in a clinic is planning teaching for pt newly diagnosed w/Hep C. Which of the
following instructions should nurse include in teaching? Consume low-carb diet until
symptoms resolve; schedule appt for IG injection; abstain from sexual intercourse until
antibody tests are negative; Wear make in public places while receiving treatment -
CORRECT ANSWER abstain from sexual intercourse until antibody tests are
negative
A nurse at a county health dept. is caring for a pt who is 28wks pregnant. The nurse
should ID which of following characteristics as risk for potential future abuse of
newborn? Recent marriage to baby's father; pt works part-time at local restaurant; pt
changed providers 3x during pregnancy; pt has nightmares about unborn baby -
CORRECT ANSWER pt changed providers 3x during pregnancy
A PH nurse is planing an educational program for a group of nurses at a community
health dept. re:pertussis infection. Which information should nurse include? Receive
annual flu tax to minimize risk of pertussis infection; newborns should receive 1st DTaP
prior to discharge from hospital; individuals who have had pertussis do not require
immunization; individuals transmit pertussis through airborne droplets - CORRECT
ANSWER individuals transmit pertussis through airborne droplets
, A nurse is caring for pt who reports taking ginkgo biloba for several weeks after seeing
naturopath. Nurse should instruct pt that this may alter effects of which of the following
meds? Warfarin; Metropolol; Digoxin; Diltiazem - CORRECT ANSWER Warfarin
While in the hospital , a client who has a terminal illness tells the nurse, "I can't believe
I'm dying. A lot of bad people in the world are healthy, and here I am dying!" Which of
the following responses should the nurse provide?
A) "Everyone dies sometimes, some die sooner than others"
B) "Who do you think deserves to die more than you?"
C) "It does seem unfair, doesn't it"
D) "Tell me more about how you feel about dying" - CORRECT ANSWER D) "Tell
me more about how you feel about dying"
A nurse is admitting a client who has decreased circulation in his left leg. Which of the
following actions should the nurse take first?
A) Evaluate pedal pulses
B) Obtain a medical history
C) Measure vital signs
D) Assess for leg pain - CORRECT ANSWER A) Evaluate pedal pulses
A nurse is preparing to perform postural drainage for a client. Which of the following
actions should the nurse take?
A) Given the client a bronchodilator immediately after the procedure
B) Position the client for drainage of secretions by gravity
C) Schedule postural drainage following meals
D) Instruct the client regarding the importance of fluid restrictions - CORRECT
ANSWER B) Position the client for drainage of secretions by gravity
A community health nurse has been contacted regarding a client diagnosis of influenza
type A in an adult day care. Which of the following actions should the nurse take to
assist in the prevention of an outbreak? - CORRECT ANSWER *Administer
antiviral medication to clients at the facility.*
Antiviral medications are administered to individuals who have been exposed to
influenza type A to provide immediate protection and to help prevent an outbreak.
An occupational health nurse is planning to use an interpreter during an educational
session with a group of workers who speak a different language than the nurse. Which
of the following actions should the nurse take? - CORRECT ANSWER Instruct the
interpreter to guide the nurse in providing information in a culturally-sensitive manner.
Choose an interpreter who speaks the workers' language and dialect.
Evaluate the interpreter's approach to clients prior to the educational session.
A home health nurse is visiting with an older adult client. Which of the following
observations indicate the need for home modification? - CORRECT ANSWER
*There are two rocking chairs in the living room.*
ASSESSMENT NEWEST 2024 TEST BANK ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
When planning a presentation for adults with family history of Alzheimer's, which
behavior should nurse include as early manifestation? Withdrawal from Social activities,
forgetting location of common objects, incontinence, neglect of personal hygeine -
CORRECT ANSWER forgetting location of common objects
A community health nurse identifies and increase in occurrence of osteoporosis-related
fractures in women experiencing menopause. Which primary prevention strategy should
the nurse implement? Advise women to keep immunizations up to date, encourage
participation in weight-bearing activities, education on importance of limiting sun
exposure, instruct to increase intake of Vitamin E rich foods - CORRECT ANSWER
encourage participation in weight-bearing activities
When caring for a patient with terminal lung cancer receiving hospice care, which of the
following statements should the nurse identify as an indication that the patient is in the
denial stage of the grief process? I'm looking forward to my daughter's wedding next
year, I don't deserve to die It isn't fair, If I could make it through this I'd never smoke
again, I'm going to plan my memorial service next week. - CORRECT ANSWER I'm
looking forward to my daughter's wedding next year
A home care nurse visiting an older adult patient and notes unwashed dishes are piling
up and newspapers cover the front steps. Which of the following questions should nurse
ask to determine is he is socially isolated? Why haven't you brought in the newspapers?
Do you need help completing your housework? How often do you have visitors come
see you? Have you considered moving to an Assisted Living Facility? - CORRECT
ANSWER How often do you have visitors come and see you?
Community health nurse discussing role of faith community nurse w/chaplain. which
information should nurse include in the discussion? FC nurse can provide
pharmacological pain mgmt for its w/terminal illness. FC nurse can plan workplace
safety training for employees in local factory. FC nurse can provide wound care for
clients in their homes. FC nurse can facilitate substance abuse support groups -
CORRECT ANSWER FC nurse can facilitate substance abuse support groups
community health nurse is conducting needs assessment of a community. The nurse
should ID that which of the following methods will yield direct data? Health surveys,
medical records, informant interviews, morbidity/mortality statistics - CORRECT
ANSWER Informant interviews
,Nurse is providing education re:lead exposure to group who live in house development
built in 1968. Which statements indicate understanding of the teaching? I will use a dry
sanding technique when preparing to repaint my front door. I will vacuum wood floors
every week. I will increase amt. of red meat and milk in my childs diet, I will use hot tap
water to prepare my baby's formula - CORRECT ANSWER Increase amount of red
meat and milk in child's diet
community health nurse is participating in quality improvement plan for local health
dept. which techniques should nurse use for process evaluation (select all) Focus
groups, written audits, satisfaction survey, interviews, values self-study - CORRECT
ANSWER all but values self-study
community health nurse is planning an in-service about STIs for group of adolescents.
which of following clinical findings should the nurse include as manifestation of primary
syphilis? malaise, maculopapular rash on palms, chancre, lympahedopathy -
CORRECT ANSWER chancre
community health nurse is caring for adolescent seeking help for an unplanned
pregnancy. Which of the following actions should the nurse take first? Recommend
meeting with school guidance counselor to discuss educational options; request
permission to interview baby's father to obtain medical history; help obtain provider for
prenatal care, provide information on parenting classes so patient can learn about
newborn care - CORRECT ANSWER Help obtain provider for prenatal care
community health nurse is planning to establish a community garden to address lack of
nutritious food options in the area. Which of the following actions should nurse take first
to initiate the plan? ID community members w/demonstrated interest in the project; Hold
community info session to inform residents of plan; select residents to take on
leadership roles in the project; monitor progress of the project to keep it on course -
CORRECT ANSWER ID community members w/demonstrated interest
A nurse is conduction a home visit for an older adult patient. The nurse should ID which
of following findings as indicator of possible neglect? Lives alone; taking outdated
prescriptions; BMI 25; presence of alcohol in home - CORRECT ANSWER
presence of outdated prescriptions
A nurse is caring for 16yr old w/new diagnosis of HPV. Which of the following actions
should nurse take? Report to state health dept; instruct pt to return for blood test in 1
month; administer ceftriaxone 150mg IM; Teach pt how to apply imiquimod 5% area to
lesions - CORRECT ANSWER teach how to apply imiquimod 5% cream to lesions
A school nurse is reviewing records of 4 students returning to school after being
diagnosed with MRSA. Which actions should nurse take? Coordinate immunization at
school; recommend prophylactic treatment for classmates; report cases to child
,protective services; provide education about MRSA throughout school system -
CORRECT ANSWER provide education about MRSA through school system
PH nurse is conducting educational system about Lyme Disease for group of older
adults at senior center. Which statement should nurse ID as indication that pt
understands the teaching? I should get annual immunization to prevent Lyme; I can
take penicillin for 10-14 days to manage Lyme; I can get Lyme from a mosquito, I will
have abdominal pain and diarrhea if I get Lyme - CORRECT ANSWER I can take
penicillin for 10-14 days to manage Lyme
School nurse is education group of HS students about rec. dietary guidelines. Which
statement indicates understanding of the teaching? I can eat up to 25% of my daily
calories from saturated fatty foods; I should consume <300 mg per day of dietary
cholesterol; I can increase my daily consumption of foods that contain refined grains; I
should consume 800mg/day of dietary calcium - CORRECT ANSWER I should
consume <300 mg per day of dietary cholesterol
A community health nurse is creating a program to reduce domestic violence in the
community. Which intervention should nurse ID as secondary prevention? Creating PSA
re: warning signs of intimate partner abuse; recognizing and reporting suspected abuse
to appropriate protective services; collaborating w/support agencies to ensure ongoing
treatment for abuse; education individuals and groups about preventing domestic and
community abuse - CORRECT ANSWER recognizing and reporting suspected
abuse to appropriate protective services
A nurse in a clinic is planning teaching for pt newly diagnosed w/Hep C. Which of the
following instructions should nurse include in teaching? Consume low-carb diet until
symptoms resolve; schedule appt for IG injection; abstain from sexual intercourse until
antibody tests are negative; Wear make in public places while receiving treatment -
CORRECT ANSWER abstain from sexual intercourse until antibody tests are
negative
A nurse at a county health dept. is caring for a pt who is 28wks pregnant. The nurse
should ID which of following characteristics as risk for potential future abuse of
newborn? Recent marriage to baby's father; pt works part-time at local restaurant; pt
changed providers 3x during pregnancy; pt has nightmares about unborn baby -
CORRECT ANSWER pt changed providers 3x during pregnancy
A PH nurse is planing an educational program for a group of nurses at a community
health dept. re:pertussis infection. Which information should nurse include? Receive
annual flu tax to minimize risk of pertussis infection; newborns should receive 1st DTaP
prior to discharge from hospital; individuals who have had pertussis do not require
immunization; individuals transmit pertussis through airborne droplets - CORRECT
ANSWER individuals transmit pertussis through airborne droplets
, A nurse is caring for pt who reports taking ginkgo biloba for several weeks after seeing
naturopath. Nurse should instruct pt that this may alter effects of which of the following
meds? Warfarin; Metropolol; Digoxin; Diltiazem - CORRECT ANSWER Warfarin
While in the hospital , a client who has a terminal illness tells the nurse, "I can't believe
I'm dying. A lot of bad people in the world are healthy, and here I am dying!" Which of
the following responses should the nurse provide?
A) "Everyone dies sometimes, some die sooner than others"
B) "Who do you think deserves to die more than you?"
C) "It does seem unfair, doesn't it"
D) "Tell me more about how you feel about dying" - CORRECT ANSWER D) "Tell
me more about how you feel about dying"
A nurse is admitting a client who has decreased circulation in his left leg. Which of the
following actions should the nurse take first?
A) Evaluate pedal pulses
B) Obtain a medical history
C) Measure vital signs
D) Assess for leg pain - CORRECT ANSWER A) Evaluate pedal pulses
A nurse is preparing to perform postural drainage for a client. Which of the following
actions should the nurse take?
A) Given the client a bronchodilator immediately after the procedure
B) Position the client for drainage of secretions by gravity
C) Schedule postural drainage following meals
D) Instruct the client regarding the importance of fluid restrictions - CORRECT
ANSWER B) Position the client for drainage of secretions by gravity
A community health nurse has been contacted regarding a client diagnosis of influenza
type A in an adult day care. Which of the following actions should the nurse take to
assist in the prevention of an outbreak? - CORRECT ANSWER *Administer
antiviral medication to clients at the facility.*
Antiviral medications are administered to individuals who have been exposed to
influenza type A to provide immediate protection and to help prevent an outbreak.
An occupational health nurse is planning to use an interpreter during an educational
session with a group of workers who speak a different language than the nurse. Which
of the following actions should the nurse take? - CORRECT ANSWER Instruct the
interpreter to guide the nurse in providing information in a culturally-sensitive manner.
Choose an interpreter who speaks the workers' language and dialect.
Evaluate the interpreter's approach to clients prior to the educational session.
A home health nurse is visiting with an older adult client. Which of the following
observations indicate the need for home modification? - CORRECT ANSWER
*There are two rocking chairs in the living room.*
