ATI Community Health Version 2
EXAM WITH ANSWERS
• A home health nurse is visiting a client who has right-sided weakness following a recent
stroke. The client states, “I’m not sure how I will buy my groceries since I can’t go back
to work.” Which of the following actions should the nurse take?
• Provide the client information about respite care.
• Initiate a referral for the client to a social worker.
• Contact friends and neighbors to ship for the client.
• Offer to bring groceries to the client on a regular basis.
• A case manager is performing discharge planning for a client who experienced a
traumatic leg amputation and has a new prosthesis. Which of the following assessments
should the nurse identify as the priority?
• Determine whether the client is eligible to go to a skilled nursing facility.
• c. Evaluate the client’s home environment.
• Collaborate with a prosthetist to teach the client about care of the prosthesis.
d. Ask whether the client’s insurance will cover home health services.
• A hospice nurse is concerned that the partner of a client is experiencing caregiver burden.
Which of the following actions should the nurse take first?
• Suggest an assistive personnel visit daily to provide client care.
• Encourage the partner to invite family members to assist with client care.
• Teach the partner about getting enough rest.
• Explore possible solutions with the partner.
• A home health nurse is performing a home safety evaluation for a newly admitted client.
Which of the following findings requires action by the nurse? (SATA)
• b. The water heater is set at 54.4ºC (130ºF).
• The floors of the house are carpeted.
d. An extension cord extends across the floor of the living room.
c. A red light is kept on in the bedroom at night.
e. A rubber-backed bath mat is on the floor outside the shower.
, • A nurse at a health department is discussing regulations regarding STIs during a staff
education session. Which of the following statements by a staff member indicates an
understanding of the information?
• “Congress mandates the requirements for STI reporting.”
• “Clients who have STIs are legally required to provide a list of sexual partners.”
• “Nurses should withhold the name of the client who has an STI during partner
notification.”
• “State health departments report selected STIs to the National Institutes of Health.
• A school nurse is implementing health screenings. Which of the following assessment
findings should the nurse recognize as the highest priority?
• An Adolescent who has psoriasis
b. A child who has nits
• A child who has a BMI of 18
• An adolescent who has scoliosis
• A faith community nurse is preparing to meet with the family of an adolescent who has
leukemia. Which of the following actions should the nurse plan to take?
• Focus the discussion on the adolescent’s future career plans.
• Direct communication to the parents to avoid embarrassing the adolescent.
c. Determine how the adolescent’s health has affected family roles.
d. Ask another family from the same faith congregation to attend the meeting for support.
• A case manager in a rehabilitation facility is discussing discharge plans with a client who
has a pressure injury and requires a special bed at home. Which of the following
statements should the nurse make first?
• “Apply moisture barrier ointment three times a day.”
• “Eat a balanced diet with high-protein snacks.”
• “A social worker can help you with the cost of supplies.”
d. “Describe the place where you are currently living.”
• A community health nurse encounters a client who has a suspected bioterrorism-related
, illness. Which of the following actions should the nurse take?
• Report the client’s condition to the Federal Bureau of Investigation.
• c. Don personal protective equipment.
• Move the client to a quarantine area.
d. Disinfect contaminated areas of skin with isopropyl alcohol.
• A case manager is planning home health care for a client who has a major burn injury.
Which of the following interventions should the case manager plan to make?
• Deliver family counseling to members of the client’s household.
• c. Assess the client’s need for wound care supplies.
• Administer personal care with bathing, dressing, and meal preparation for the
client.
d. Provide physical and occupational therapy for the client in her home.
• A community health nurse is teaching a group of older adult clients about hypertension.
The nurse should identify which of the following as a client-related barrier to learning?
• Low literacy
• Fear of public speaking
• Limited experience
• Lack of credibility
• A home health nurse is educating a client who has COPD and is to start using home oxygen
via nasal cannula. Which of the following statements should the nurse identify as an
indication that the client understands the teaching?
• “I should apply petroleum jelly to the nasal cannula prongs to prevent irritation.”
• “I should keep the oxygen delivery system at least 3 feet from a hearing vent.”
• “I should use wool blankets on my bed when I’m using the oxygen.”
d. “I should check the flow rate of my oxygen each day.”
• A community health nurses planning an educational program for a group of women who are
postmenopausal. Which of the following outcomes is appropriate for this program?
• Clients will significantly decrease caloric intake.
• c. Clients will schedule bone density screenings.
• Clients will arrange for mammograms every 3 years.
EXAM WITH ANSWERS
• A home health nurse is visiting a client who has right-sided weakness following a recent
stroke. The client states, “I’m not sure how I will buy my groceries since I can’t go back
to work.” Which of the following actions should the nurse take?
• Provide the client information about respite care.
• Initiate a referral for the client to a social worker.
• Contact friends and neighbors to ship for the client.
• Offer to bring groceries to the client on a regular basis.
• A case manager is performing discharge planning for a client who experienced a
traumatic leg amputation and has a new prosthesis. Which of the following assessments
should the nurse identify as the priority?
• Determine whether the client is eligible to go to a skilled nursing facility.
• c. Evaluate the client’s home environment.
• Collaborate with a prosthetist to teach the client about care of the prosthesis.
d. Ask whether the client’s insurance will cover home health services.
• A hospice nurse is concerned that the partner of a client is experiencing caregiver burden.
Which of the following actions should the nurse take first?
• Suggest an assistive personnel visit daily to provide client care.
• Encourage the partner to invite family members to assist with client care.
• Teach the partner about getting enough rest.
• Explore possible solutions with the partner.
• A home health nurse is performing a home safety evaluation for a newly admitted client.
Which of the following findings requires action by the nurse? (SATA)
• b. The water heater is set at 54.4ºC (130ºF).
• The floors of the house are carpeted.
d. An extension cord extends across the floor of the living room.
c. A red light is kept on in the bedroom at night.
e. A rubber-backed bath mat is on the floor outside the shower.
, • A nurse at a health department is discussing regulations regarding STIs during a staff
education session. Which of the following statements by a staff member indicates an
understanding of the information?
• “Congress mandates the requirements for STI reporting.”
• “Clients who have STIs are legally required to provide a list of sexual partners.”
• “Nurses should withhold the name of the client who has an STI during partner
notification.”
• “State health departments report selected STIs to the National Institutes of Health.
• A school nurse is implementing health screenings. Which of the following assessment
findings should the nurse recognize as the highest priority?
• An Adolescent who has psoriasis
b. A child who has nits
• A child who has a BMI of 18
• An adolescent who has scoliosis
• A faith community nurse is preparing to meet with the family of an adolescent who has
leukemia. Which of the following actions should the nurse plan to take?
• Focus the discussion on the adolescent’s future career plans.
• Direct communication to the parents to avoid embarrassing the adolescent.
c. Determine how the adolescent’s health has affected family roles.
d. Ask another family from the same faith congregation to attend the meeting for support.
• A case manager in a rehabilitation facility is discussing discharge plans with a client who
has a pressure injury and requires a special bed at home. Which of the following
statements should the nurse make first?
• “Apply moisture barrier ointment three times a day.”
• “Eat a balanced diet with high-protein snacks.”
• “A social worker can help you with the cost of supplies.”
d. “Describe the place where you are currently living.”
• A community health nurse encounters a client who has a suspected bioterrorism-related
, illness. Which of the following actions should the nurse take?
• Report the client’s condition to the Federal Bureau of Investigation.
• c. Don personal protective equipment.
• Move the client to a quarantine area.
d. Disinfect contaminated areas of skin with isopropyl alcohol.
• A case manager is planning home health care for a client who has a major burn injury.
Which of the following interventions should the case manager plan to make?
• Deliver family counseling to members of the client’s household.
• c. Assess the client’s need for wound care supplies.
• Administer personal care with bathing, dressing, and meal preparation for the
client.
d. Provide physical and occupational therapy for the client in her home.
• A community health nurse is teaching a group of older adult clients about hypertension.
The nurse should identify which of the following as a client-related barrier to learning?
• Low literacy
• Fear of public speaking
• Limited experience
• Lack of credibility
• A home health nurse is educating a client who has COPD and is to start using home oxygen
via nasal cannula. Which of the following statements should the nurse identify as an
indication that the client understands the teaching?
• “I should apply petroleum jelly to the nasal cannula prongs to prevent irritation.”
• “I should keep the oxygen delivery system at least 3 feet from a hearing vent.”
• “I should use wool blankets on my bed when I’m using the oxygen.”
d. “I should check the flow rate of my oxygen each day.”
• A community health nurses planning an educational program for a group of women who are
postmenopausal. Which of the following outcomes is appropriate for this program?
• Clients will significantly decrease caloric intake.
• c. Clients will schedule bone density screenings.
• Clients will arrange for mammograms every 3 years.
