ATI RN Community Health Online Practice 2019 B
1. A public health nurse is developing a visual health program by using a community-oriented
approach. Which of the following interventions should the nurse include?
Teach a client who has vision loss about safety in the home environment.
Provide genetic counseling to the family of a newborn who has congenital cataracts.
Consult with the local school nurse to schedule yearly vision screenings for students-
Develop a plan of care for a client who was newly diagnosed with glaucoma.
Consulting with the local school nurse to schedule yearly vision screenings for students focuses on
the health care of a population rather than illness care for individuals. Therefore, this intervention Is
using a community-oriented approach. The other answers options are community based approach.
2. A home health nurse is caring for a client who has a breast cancer. Which of the following
assessment findings should the nurse identify as an indication that the client is coping effectively?
Inability to concentrate
Makes eye contact
Excessive sleeping
Lack of interest in food
3. A community health nurse is teaching a client who was newly diagnosed with active pulmonary
tuberculosis about disease transmission. Which of the following information should the nurse
include?
Household members should be places in respiratory isolation.
The client should use disposable utensils during meals.
Household members should take isoniazid for 6-12 months
The client should have a repeat purified protein derivative test in 3 months.
Resp. isolation is not necessary for household memebers of a client who has active pulmonary
tuberculosis.
IT is not necessary for a client who has active pulmonary TB to use disposable utensils during
meals in the home setting.
Household memebers of a client who has active pulmonary TB are at risk for developing the
disease. Therefore, taking isoniazid prophylactically for 6-12 months is recommended.
A client who has active pulmonary tuberculosis should receive a chest x ray for future screenings.
4. A case manager is developing a discharge plan for a client who has a spinal cord injury and is in
rehabilitation facility. Which of the following actions should the nurse take first?
Hold a care conference w/ the client and his family to discuss tx options.
Contact service providers to determine the availability of services offered.
Determine the client's ability to perform self-care
Evaluate the client satisfaction with the case managers services.
First two options are implementation step of the nursing process. The 3 rd options is to assess the
client needs. Evaluate option is the evaluation step of the nursing process.
5. A community health nurse is working in a mobile health care clinic. Which of the following clients
should the nurse assess first?
A client who has a new onset of confusion and slurred speech
, 6. A public health nurse is developing a presentation for local day care providers about infectious
childhood diseases. Which of the following statements should the nurse include?
"RSV is spread through contact with respiratory secretions from an infected person."
“rotavirus infections in children peal during the summer months.”
“Children who have 5th disease will exhibit bloody diarrhea.”
Antiviral medications shorten the duration of a shigella infection.”
The nurse should include this statement in the presentation, as RSV is spread by direct
contact w/ respiratory secretions while within 3 feet of a person who is infected.
Manifestations of RSV include dyspnea, tachypnea, coughing, and wheezing.
Rotavirus infection in children peak during winter months of the year. Manifestations of
rotavirus include fever and vomiting followed by watery diarrhea.
The clinical manifestation of 5th disease (erythema infectiosum) do not inclue bloody
diarrhea. Clinical manifestations include rash that gives the client a slapped-faced
appearance that progresses from the face down to the body. Other manifestations
include fever, myalgia, N/V, and lethargy.
Antibiotics shorten the length of a shigella infection and decrease mortality rates.
Manifestation of shigella include fever and anorexia followed by watery or bloody
diarrhea.
7. A nurse in a rural community is planning education for a young adult client who is a migrant farm
worker. Which of the following actions should the nurse include? (Select all that apply)
- Provide environmental health
- Refer client for TB screening
- Provide skin cancer information
- Recommend a dental health screening
-Provide forms to apply for medicare
Medicare are individuals must meet age requirement or be permanently disabled.
Migrant FW are at risk exposure to pesticides and other hazardous materials that could
be harmful. Thereofre should include environmental health information in the client’s
education.
Rate of TB are estimated higher amoing migrant workers due to crowded living conditions
and substandard housing. Therefore, the nurse should include a tuberculosis screening in
the clients education.
Dental problems are primary health risk for migrant FW.
8. A public health nurse is working in a community that has a population of 24,096. There are 2,096
existing cases of heart disease within the population. The nurse can determine which of the
following from this information?
Mortality rate
attack rate
Prevalence proportion
Incidence proportion
1. A public health nurse is developing a visual health program by using a community-oriented
approach. Which of the following interventions should the nurse include?
Teach a client who has vision loss about safety in the home environment.
Provide genetic counseling to the family of a newborn who has congenital cataracts.
Consult with the local school nurse to schedule yearly vision screenings for students-
Develop a plan of care for a client who was newly diagnosed with glaucoma.
Consulting with the local school nurse to schedule yearly vision screenings for students focuses on
the health care of a population rather than illness care for individuals. Therefore, this intervention Is
using a community-oriented approach. The other answers options are community based approach.
2. A home health nurse is caring for a client who has a breast cancer. Which of the following
assessment findings should the nurse identify as an indication that the client is coping effectively?
Inability to concentrate
Makes eye contact
Excessive sleeping
Lack of interest in food
3. A community health nurse is teaching a client who was newly diagnosed with active pulmonary
tuberculosis about disease transmission. Which of the following information should the nurse
include?
Household members should be places in respiratory isolation.
The client should use disposable utensils during meals.
Household members should take isoniazid for 6-12 months
The client should have a repeat purified protein derivative test in 3 months.
Resp. isolation is not necessary for household memebers of a client who has active pulmonary
tuberculosis.
IT is not necessary for a client who has active pulmonary TB to use disposable utensils during
meals in the home setting.
Household memebers of a client who has active pulmonary TB are at risk for developing the
disease. Therefore, taking isoniazid prophylactically for 6-12 months is recommended.
A client who has active pulmonary tuberculosis should receive a chest x ray for future screenings.
4. A case manager is developing a discharge plan for a client who has a spinal cord injury and is in
rehabilitation facility. Which of the following actions should the nurse take first?
Hold a care conference w/ the client and his family to discuss tx options.
Contact service providers to determine the availability of services offered.
Determine the client's ability to perform self-care
Evaluate the client satisfaction with the case managers services.
First two options are implementation step of the nursing process. The 3 rd options is to assess the
client needs. Evaluate option is the evaluation step of the nursing process.
5. A community health nurse is working in a mobile health care clinic. Which of the following clients
should the nurse assess first?
A client who has a new onset of confusion and slurred speech
, 6. A public health nurse is developing a presentation for local day care providers about infectious
childhood diseases. Which of the following statements should the nurse include?
"RSV is spread through contact with respiratory secretions from an infected person."
“rotavirus infections in children peal during the summer months.”
“Children who have 5th disease will exhibit bloody diarrhea.”
Antiviral medications shorten the duration of a shigella infection.”
The nurse should include this statement in the presentation, as RSV is spread by direct
contact w/ respiratory secretions while within 3 feet of a person who is infected.
Manifestations of RSV include dyspnea, tachypnea, coughing, and wheezing.
Rotavirus infection in children peak during winter months of the year. Manifestations of
rotavirus include fever and vomiting followed by watery diarrhea.
The clinical manifestation of 5th disease (erythema infectiosum) do not inclue bloody
diarrhea. Clinical manifestations include rash that gives the client a slapped-faced
appearance that progresses from the face down to the body. Other manifestations
include fever, myalgia, N/V, and lethargy.
Antibiotics shorten the length of a shigella infection and decrease mortality rates.
Manifestation of shigella include fever and anorexia followed by watery or bloody
diarrhea.
7. A nurse in a rural community is planning education for a young adult client who is a migrant farm
worker. Which of the following actions should the nurse include? (Select all that apply)
- Provide environmental health
- Refer client for TB screening
- Provide skin cancer information
- Recommend a dental health screening
-Provide forms to apply for medicare
Medicare are individuals must meet age requirement or be permanently disabled.
Migrant FW are at risk exposure to pesticides and other hazardous materials that could
be harmful. Thereofre should include environmental health information in the client’s
education.
Rate of TB are estimated higher amoing migrant workers due to crowded living conditions
and substandard housing. Therefore, the nurse should include a tuberculosis screening in
the clients education.
Dental problems are primary health risk for migrant FW.
8. A public health nurse is working in a community that has a population of 24,096. There are 2,096
existing cases of heart disease within the population. The nurse can determine which of the
following from this information?
Mortality rate
attack rate
Prevalence proportion
Incidence proportion
