ATI COMMUNITY HEALTH NURSING
EXAM QUESTIONS & ELABORATED
COMPLETE SOLUTIONS PASSED
100%
High school student dietary recommendations - Correct Answer ✔✔ - less than 10% of
daily calories from saturated fat
- less than 300 mg/day of dietary cholesterol
- decrease refined grains
- at least 1300 mg/day calcium
Stages of grief - Correct Answer ✔✔ denial, anger, bargaining, acceptance
Lead exposure in 1968 housing - Correct Answer ✔✔ - use wet sanding technique
- wet mop wood floors
- increase source of iron and calcium
- cold tap water
School aged child with pertussis - Correct Answer ✔✔ - instruct the parent to keep the
child at home until the coughing stage has passed
- encourage family members to obtain prophylactic treatment
- check immunization status of classmates
malnourished COPD nutrition - Correct Answer ✔✔ - limit liquid intake
- increase protein
- sit upright
- use milk instead of water to increase protein and calories
family violence - Correct Answer ✔✔ - no link with race or socioeconomic status
- common in homes where intimate partner abuse is present
- children who are abused are more likely to become abusers
HPV - Correct Answer ✔✔ - physical exam, PAP test, and manifestations assessment
- self treat lesions with topical imiquimod 5% cream to lesions at bedtime for up to 16
weeks
droplet precautions - Correct Answer ✔✔ pertussis
adolescents - Correct Answer ✔✔ - safety belt use
neglect - Correct Answer ✔✔ -possible indicator: taking outdated prescriptions
,alcohol use disorder - Correct Answer ✔✔ take naltrexone daily to decrease cravings;
helps withdrawal and prevent relapse
alcohol/substance support groups - Correct Answer ✔✔ - AA is confidential,
anonymous. 12 step approach toward sobriety
- narcotics anonymous: group/social network
hepatitis C - Correct Answer ✔✔ - consume diet high in carbs and calories
- transmitted through sex; abstain until antibodies are negative
techniques for quality improvement - Correct Answer ✔✔ focus groups, written audits,
satisfaction survey, and interviews
lyme disease - Correct Answer ✔✔ - no immunizations
- early stages can be treated with penicillin or tetracycline for 10-14 days
- infected by tick
- s/sx: flu like manifestations
risk for newborn abuse - Correct Answer ✔✔ - changing health care providers
frequently
- rejection of pregnant client by partner
safe vaccines for pregnancy - Correct Answer ✔✔ - tdap
faith community nurse - Correct Answer ✔✔ - can facilitate substance abuse groups
- assist with receiving services from volunteers
- no access to medical records, will need assistance from other nurses to provide
medications
- services are voluntary or financially supported by faith agency
Hepatitis A - Correct Answer ✔✔ - clean bathroom fixtures with 10:1 bleach solution
- avoid sharing toothbrush/utensils, towels
- avoid sexual contact until provider confirms neg antibody (4-6 weeks)
Rotavirus - Correct Answer ✔✔ - peak in winter months
- dever, vomiting, watery diarrhea
respiratory syncytial virus - Correct Answer ✔✔ - droplet precautions
- dyspnea, tachypnea, coughing, wheezing
fifth disease (erythema infectiosum) - Correct Answer ✔✔ rash that gives slapped face
appearance and progresses down body. fever, myalgia, nausea, vomiting, and lethargy
shigella - Correct Answer ✔✔ - antibiotics
- fever, anorexia, watery or bloody diarrhea
, small pox - Correct Answer ✔✔ appears on face first
ecological model - Correct Answer ✔✔ guide to examine the determinants of health for
a population and for targeting interventions to multiple factors that affect health
factors to consider when determining health of a community - Correct Answer ✔✔ -
status: epidemiological data, client satisfaction, mental health, crime rates
- structure: presence of health care facilities, service types/patterns of use, demographic
data
- process: relationships, communication, commitment to participation in health
components of people - Correct Answer ✔✔ - demographic
- biological factors
- social factors
- cultural factors
informant interviews - Correct Answer ✔✔ - direct discussion with community members;
obtain ideas and opinions
- reading/writing not requires
- personal interaction elicits more detailed responses
- built in bias
community forum - Correct Answer ✔✔ - open public meeting; community input
- potential drift from issue
secondary data - Correct Answer ✔✔ - use of existing data to assess problem
- reliable sources generally end in '.edu' / '.org' / '.gov'
- data of prior concerns/needs
- trends over time
- may not represent current situation
- health surveys, medical records, statistics
participant observation - Correct Answer ✔✔ - observation of community activities
- indication of community priorities, environmental profile, identification of power
structures
- bias and inability to ask questions
focus group - Correct Answer ✔✔ - directed talk with a representative sample
- reading/writing not required
- difficult to ensure true representative sample
surveys - Correct Answer ✔✔ - specific questions in written format
- convenient
- low response rate, superficial data
EXAM QUESTIONS & ELABORATED
COMPLETE SOLUTIONS PASSED
100%
High school student dietary recommendations - Correct Answer ✔✔ - less than 10% of
daily calories from saturated fat
- less than 300 mg/day of dietary cholesterol
- decrease refined grains
- at least 1300 mg/day calcium
Stages of grief - Correct Answer ✔✔ denial, anger, bargaining, acceptance
Lead exposure in 1968 housing - Correct Answer ✔✔ - use wet sanding technique
- wet mop wood floors
- increase source of iron and calcium
- cold tap water
School aged child with pertussis - Correct Answer ✔✔ - instruct the parent to keep the
child at home until the coughing stage has passed
- encourage family members to obtain prophylactic treatment
- check immunization status of classmates
malnourished COPD nutrition - Correct Answer ✔✔ - limit liquid intake
- increase protein
- sit upright
- use milk instead of water to increase protein and calories
family violence - Correct Answer ✔✔ - no link with race or socioeconomic status
- common in homes where intimate partner abuse is present
- children who are abused are more likely to become abusers
HPV - Correct Answer ✔✔ - physical exam, PAP test, and manifestations assessment
- self treat lesions with topical imiquimod 5% cream to lesions at bedtime for up to 16
weeks
droplet precautions - Correct Answer ✔✔ pertussis
adolescents - Correct Answer ✔✔ - safety belt use
neglect - Correct Answer ✔✔ -possible indicator: taking outdated prescriptions
,alcohol use disorder - Correct Answer ✔✔ take naltrexone daily to decrease cravings;
helps withdrawal and prevent relapse
alcohol/substance support groups - Correct Answer ✔✔ - AA is confidential,
anonymous. 12 step approach toward sobriety
- narcotics anonymous: group/social network
hepatitis C - Correct Answer ✔✔ - consume diet high in carbs and calories
- transmitted through sex; abstain until antibodies are negative
techniques for quality improvement - Correct Answer ✔✔ focus groups, written audits,
satisfaction survey, and interviews
lyme disease - Correct Answer ✔✔ - no immunizations
- early stages can be treated with penicillin or tetracycline for 10-14 days
- infected by tick
- s/sx: flu like manifestations
risk for newborn abuse - Correct Answer ✔✔ - changing health care providers
frequently
- rejection of pregnant client by partner
safe vaccines for pregnancy - Correct Answer ✔✔ - tdap
faith community nurse - Correct Answer ✔✔ - can facilitate substance abuse groups
- assist with receiving services from volunteers
- no access to medical records, will need assistance from other nurses to provide
medications
- services are voluntary or financially supported by faith agency
Hepatitis A - Correct Answer ✔✔ - clean bathroom fixtures with 10:1 bleach solution
- avoid sharing toothbrush/utensils, towels
- avoid sexual contact until provider confirms neg antibody (4-6 weeks)
Rotavirus - Correct Answer ✔✔ - peak in winter months
- dever, vomiting, watery diarrhea
respiratory syncytial virus - Correct Answer ✔✔ - droplet precautions
- dyspnea, tachypnea, coughing, wheezing
fifth disease (erythema infectiosum) - Correct Answer ✔✔ rash that gives slapped face
appearance and progresses down body. fever, myalgia, nausea, vomiting, and lethargy
shigella - Correct Answer ✔✔ - antibiotics
- fever, anorexia, watery or bloody diarrhea
, small pox - Correct Answer ✔✔ appears on face first
ecological model - Correct Answer ✔✔ guide to examine the determinants of health for
a population and for targeting interventions to multiple factors that affect health
factors to consider when determining health of a community - Correct Answer ✔✔ -
status: epidemiological data, client satisfaction, mental health, crime rates
- structure: presence of health care facilities, service types/patterns of use, demographic
data
- process: relationships, communication, commitment to participation in health
components of people - Correct Answer ✔✔ - demographic
- biological factors
- social factors
- cultural factors
informant interviews - Correct Answer ✔✔ - direct discussion with community members;
obtain ideas and opinions
- reading/writing not requires
- personal interaction elicits more detailed responses
- built in bias
community forum - Correct Answer ✔✔ - open public meeting; community input
- potential drift from issue
secondary data - Correct Answer ✔✔ - use of existing data to assess problem
- reliable sources generally end in '.edu' / '.org' / '.gov'
- data of prior concerns/needs
- trends over time
- may not represent current situation
- health surveys, medical records, statistics
participant observation - Correct Answer ✔✔ - observation of community activities
- indication of community priorities, environmental profile, identification of power
structures
- bias and inability to ask questions
focus group - Correct Answer ✔✔ - directed talk with a representative sample
- reading/writing not required
- difficult to ensure true representative sample
surveys - Correct Answer ✔✔ - specific questions in written format
- convenient
- low response rate, superficial data
