Community Health ATI - Practice Questions

Community Health ATI - Practice Questions A charge nurse in an ED is informed that a tornado touched down in a nearby town and mass casualties are en route. Which of the following actions should the nurse take first? 1. Follow facility policy to activate the disaster plan. 2. Prepare the triage rooms. 3. Obtain additional supplies. 4. Call in off-duty staff. Ans- 1. Follow facility policy to activate the disaster plan. A nurse is planning to participate in a public education program about prevention of West Nile Virus. Which of the following instructions should the nurse include in her presentation? 1. "Eliminate sources of standing water." 2. "Make sure your immunizations are up to date." 3. "Keep all of your pets indoors." 4. "Spray insect nests with a repellent that contains DEET." Ans- 1. "Eliminate sources of standing water." A nurse is performing a community assessment in a rural setting. Which of the following types of health care should the nurse recognize is most likely to be absent in this setting? 1. Tertiary care 2. Primary prevention 3. Chronic care 4. Secondary prevention Ans- 1. Tertiary care A triage nurse is an ED when several hundred clients who were injured in a train collision arrive at the facility for treatment. The nurse should determine that which of the following requires immediate treatment? 1. A client who has neck pain and was transported to the facility on a backboard 2. A client who has epigastric and left-arm pain and is diaphoretic 3. A client who has nasal and orbital ecchymosis and a respiratory rate of 16/min 4. A client who has abdominal pain and is 2 months pregnant Ans- 2. A client who has epigastric and leftarm pain and is diaphoretic A nurse is providing teaching to a client who has a prescription for ciprofloxacin following exposure to anthrax. Which of the following statements by the client indicates that further teaching is required? 1. "I will limit my intake of coffee, tea, or cola beverages." 2. "I will wear a large-brim hat and long sleeves if I am out in the sun." 3. "I will take the ciprofloxacin with an antacid if I get an upset stomach." 4. "I will avoid taking ciprofloxacin along with dairy products." Ans- 3. "I will take the ciprofloxacin with an antacid if I get an upset stomach." A community health nurse is planning a study with the goal of improving the environmental health of a community. Identify the sequence the nurse should follow when conducting the research. Design the study Formulate the research question Analyze the findings Review related literature Ans- Formulate the research question Review related literature Design the study Analyze the findings An industrial health nurse is caring for a client who states, "I have been under a lot of stress lately." When the nurse suggests stress management techniques, the client calmly states that he has a pistol in his car and intends to take his life in the parking lot after work that day. Which of the following actions should the nurse take? 1. Have the industrial facility's security officers search the client's car and remove the pistol. 2. Call emergency medical services to transport the client to a proper treatment facility. 3. Contact the client's family member to pick him up from work and take him for treatment. 4. Explore with the client the reasons he feels that he has no options except suicide. Ans- 2. Call emergency medical services to transport the client to a proper treatment facility. A public health nurse is caring for an older adult client who has chronic airflow limitation disease and is a former cigarette smoker. The client's medications include ipratropium bromide and albuterol inhalers, and she has a new prescription for home oxygen use as needed. The nurse should recognize that this client's primary prevention needs include which of the following? 1. Periodic pulmonary function tests 2. Review of appropriate use of oxygen in the home 3. Review of appropriate use of oxygen in the home Yearly mammography examinations 4. Annual influenza immunizations Ans- 4. Annual influenza immunizations A charge nurse is in an ED and is notified by the county's emergency medical services that there is a multiple-casualty crash involving a truck carrying radioactive waste. Which of the following actions should the nurse take first? 1. Designate a decontamination area to accommodate clients who are irradiated. 2. Notify the admissions office to clear as many critical care beds as possible. 3. Clear the department of all nonurgent clients and move those awaiting admission to a holding area. 4. Determine the number of casualties the emergency department can accommodate. Ans- 3. Clear the department of all nonurgent clients and move those awaiting admission to a holding area. A home health nurse is caring for a client who is living in a mental health group home. During a visit, the nurse discovers that the client has been hoarding psychotropic medication. Which of the following actions should the nurse take first? 1. Have the client transported to an acute care facility. 2. Determine the reason for the client's hoarding behavior. 3. Alert the staff that has been administering the client's medications. 4. Require the client to return any hoarded medications. Ans- 2. Determine the reason for the client's hoarding behavior. A nurse is providing psychological counseling at a community center for families whose loved ones died in a fire. After learning that both of their children died in a fire, two parents express disbelief at the loss of their children. One parent states, "How will I make it through this?" Which of the following responses should the nurse have? 1. "Are you feeling overwhelmed right now?" 2. "Don't worry. You will have plenty of help." 3. "Can I call someone to be here with you?" 4. "Anyone who has experienced a loss like this would feel that way." Ans- 1. "Are you feeling overwhelmed right now?" A home health nurse is performing an assessment of an older adult client's home. Which of the following findings should the nurse recognize as a potential hazard? 1. Hot water temperature set at 46° C (115° F) 2. A night light in each room of the house 3. A secured, large area rug in the living room 4. Wires to the television tunneled under the carpet Ans- 4. Wires to the television tunneled under the carpet A nurse is working in the triage area of an ED. Which of the following activities is unlikely to be the nurse's responsibility in this setting? 1. Fostering positive public relations for the facility 2. Performing a comprehensive client assessment 3. Preventing cross contamination of infectious clients 4. Educating a client and his family Ans- 4. Educating a client and his family A community health nurse is preparing a disaster preparedness plan about smallpox. Which of the following groups of people should the nurse include in the plan to inoculate? 1. Newborns 2. Mortuary workers 3. Immunosuppressed clients 4. Clients who have eczema Ans- 2. Mortuary workers A nurse is caring for several clients who have become ill after a company picnic. After extensive interviews and a review of the food handling practices, the nurse determines that the most likely cause of the illness was a poultry dish that had been allowed to cool for several hours before being served. The nurse is performing which of the following steps in the epidemiological process? 1. Planning 2. Assessing 3. Implementing 4. Evaluating Ans- 2. Assessing A nurse is providing teaching to a community group who lives near a nuclear power plant about safety related to radiation exposure. A client asks isn't there something we should have on hand in case of a nuclear disaster? Which of the substances is the client referring to? 1. Potassium iodide 2. Potassium cyanide 3. Ciprofloxacin 4. Atropine Ans- 1. Potassium iodide A charge nurse is assembling a list of clients who can be safely discharged home to accommodate incoming casualties following an earthquake. The nurse should recognize that it is unsafe to discharge which of the following clients? 1. A client who has osteomyelitis and will require 6 weeks of IV antibiotic therapy 2. A client who has Crohn's disease and is 1 day preoperative for an ileostomy 3. A client who has Alzheimer's disease and is awaiting placement in a long-term care facility 4. A client who has an ileus following spinal surger