ATI Community Health 2019 Practice Questions

ATI Community Health 2023 Practice Questions A community health nurse is providing teaching about nutrition guidelines to a group of adolescents.Which of the following information should the nurse include in teaching? A. Adolescents have a decrease need for calcium due to high milk intake B. Appetite naturally increases during the adolescent years C. 75% of adult bone mass is developed during the adolescent years D. Empty calories provide 70% of the total calories consumed by adolescents Ans- B. Appetite naturally increases during the adolescent years An occupational health nurse is caring for a client who does not speak the same language as the nurse. Which of the following actions should the nurse take first? A. Validate the clients understanding of communicated information B. Determine the client's primary language C. Use common words and phrases when speaking to the client D. Obtain a translator that is the same gender Ans- B. Determine the client's primary language A case manager is caring for a client who is being discharged following a total hip arthroplasty. Which of the following actions is an example of the nurse functioning in the negotiator role? A. Providing social service with the list of needed referrals B. Reporting safety concerns to the Home Health agency C. Discuss payment options with various pharmacies D. Schedule appointments for physical therapy services Ans- C. Discuss payment options with various pharmacies A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might manifest a false positive reading? A. A client who has lived in a country where tuberculosis is endemic B. A client who has undergone radiation therapy within last 3 years C. A client who has acquired immune deficiency syndrome D. A client who has received the Bacille Calmette-Guerin vaccine within the last 10 years Ans- D. A client who has received the Bacille Calmette-Guerin vaccine within the last 10 years A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (Select all that apply) A. Lobbying for funding for health promotion efforts B. Recommending a seating arrangement for a child in a body cast C. Teaching a class about the risks of cigarette smoking D. Create a plan of care for children who have a diagnosis of diabetes mellitus E. Organizing a program to promote skateboard safety Ans- A. Lobbying for funding for health promotion efforts C. Teaching a class about the risks of cigarette smoking E. Organizing a program to promote skateboard safety A recently hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect physical hazards? A. Identify industrial toxins that are present in the environment B. Measure noise levels at various locations in the facility C. Track rates of illness caused by infection among employees D. Survey workers about job-related emotional stress Ans- B. Measure noise levels at various locations in the facility A hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse take? A. Discuss safe use of herbal medications B. Provide direct eye contact when communicating with the client's family C. Face the client's bed towards the east D. Develop a list of appropriate hot and cold food choices Ans- A. Discuss safe use of herbal medications A community health nurse is working with a group of homeless veterans who have post-traumatic stress disorder. Which of the following interventions should the nurse implement? A. Provide coffee and snacks during the meetings B. Avoid discussing the traumatic event experienced by the veterans C. Teach the clients to practice deep breathing exercises D. Change the meeting sites frequently Ans- C. Teach the clients to practice deep breathing exercises A group of technicians from a local automotive repair shop presents to an urgent care clinic with reports of dizziness, headaches, and nausea. After providing need to care for the clients which of the following government agencies should the nurse notify to follow up on these reports? A. OSHA B. Center for Disease Control C. Environmental Protection Agency D. Department of Health and Human Services Ans- A. OSHA A nurse is providing teaching to a 50-year-old female client. Which of the following statement should the nurse include in teaching? A. You should have your fasting blood glucose level checked every 6 years B. You should have your hearing screen every 5 years C. You should have complete eye examination every two years until the age of 64 D. You should have your stool tested for blood every other year until the age of 74 Ans- C. You should have complete eye examination every two years until the age of 64 A nurse is caring for a client who asks, "Can I decide not to continue with chemotherapy?" The nurse response is, "This is your choice, and I'll support whatever decision you make." The nurse's response is an example of which of the following ethical principles? A. Beneficence B. Nonmaleficence C. Veracity D. Autonomy Ans- D. Autonomy A nurse manager at a clinic is reviewing the preventive services offered to clients. Which of the following activities should the nurse identify as secondary prevention activity? A. Advocate for laws that prohibit texting while driving B. Provide a smoking cessation class C. Refer a client who is recovering from substance abuse disorder to a social service program D. Encourage a pregnant client to participate in prenatal care Ans- D. Encourage a pregnant client to participate in prenatal care An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comment indicates the client is using rationalization as a coping mechanism? A. I am obese because it is in my genes B. I know you don't like me because I'm obese C. I have lots of health problems from being obese D. I have difficulty resisting the items in vending machine Ans- A. I am obese because it is in my genes A home health nurse is evaluating an older client. Which of the following assessment findings should the nurse report as a possible indicator of elder abuse? A. The client attends Alcoholics Anonymous meetings B. The client exhibits extreme thirst C. The client receives in home meal delivery D. The client reports that his son no longer visits Ans- B. The client exhibits extreme thirst A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule? A. An 18-month-old toddler who has failure to thrive B. A three-year-old toddler has leukemia C. A four-month-old infant who has Down syndrome D. A 12-month-old infant who has sickle cell disease Ans- D. A 12-month-old infant who has sickle cell disease The partner of an older adult client who has Alzheimer's disease reports that he is not eating. The home health aide tells the nurse that the client's partner refuses to assist the client with feeding. The partner insists that the client feeds himself without help. Which of the following is the priority action the nurse should take? A. Determine the client's ability to self-feed B. Refer the client's partner to an Alzheimer's support group C. Arrange for meals-on-wheels assistance D. Direct the home health aide to assist with meals Ans- A. Determine the client's ability to self-feed The first response team is working at the location of a bombing incident. A nurse triaging in the group of clients should give treatment priority through which of the following clients? A. A client who is ambulatory and exhibits manic behavior B. A client who has a rigid abdomen and manifestations of shock C. A client who has a femur fracture and a 2 + pedal pulse D. A client who has superficial partial thickness burn injuries over 5% of his body Ans- B. A client who has a rigid abdomen and manifestations of shock A client arrives at a mental health clinic and tell the nurse that she has no purpose in life. Which of the following is the nurse's priority response? A. How long have you been feeling this way? B. Do you really think your life has no purpose? C. Tell me what is going on with you right now? D. Have you been thinking about harming yourself? Ans- D. Have you been thinking about harming yourself? A community health nurse is teaching a group of adolescent clients about substance use disorders.Which of the following statements by a client indicates an understanding of the teaching? A. Barbiturates cause an increase in heart rate B. Opioids cause a decrease in respiratory rate C. Anabolic steroids stimulate the immune system