ATI Community Health Proctored Exam

1.A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent (SATA) A. "Smallpox is transmitted person to person." B. "Infection is characterized by severe respiratory distress." C. "Smallpox vaccination ensures lifelong immunity." D. "Naturally occurring smallpox has been eradicated from the world." E. "Smallpox is often confused with varicella." 2.A nurse is caring for a client following exposure to inhalational anthrax due to bioterrorism. Which of the following medications should the nurse prepare to administer? (SATA) A. Ciprofloxacin (Cipro) B. Doxycycline (Vibramycin) C. Amoxicillin (Amoxil) D. Penicillin G (Bicillin) E. Cefotaxime (Claforan) 3. A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare protocol based on which of the following? (SATA) A. Botulism can produce paralysis B. The Centers for Disease Control and Prevention (CDC) should be notified when more than three cases are suspected C. Botulism is acquired through contact D. Vomiting and diarrhea are expected findings E. Botulism is a toxin found in castor beans 4. A public health nurse has just completed an educational program community who may have been exposed to agents of bioterrorism one of the nurses who attended the program regarding the clinical indicates a need for further education? ATI Community Health Proctored Exam A. "Smallpox has been considered eradicated worldwide." B. "People who were immunized against smallpox before to be protected." C. "It is easy for providers to distinguish smallpox from present early with the disease." D. "Unlike chickenpox, the vesicles of smallpox are m 5. A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first? A. Prepare for drainage of lesions B. Initiate contact precautions C. Notify the CDC D. Decontaminate the client 6.A nurse in an emergency department is caring for a victim of a suspected...exposure to cutaneous anthrax. Which of the following is an expected...? A. Immediate onset of respiratory distress B. Flu-like symptoms 48 hr after exposure C. Itching of the skin progressing to ulceration over 1 to 7 D. Immediate onset of vascular lesions of the skin 7. A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? A. Anthrax B. Botulism C. Plague D. Smallpox 8.A nurse is assessing a client who is experiencing difficulty sleeping, having nightmares, experiencing feelings of survivor guilt, and having difficulty concentrating one year after the death of a relative during a destructive and devastating natural disaster. Which of the following describe the client's symptoms? A. Generalized anxiety disorder B. Post-traumatic stress syndrome C. Historionic personality disorder D. Dissociative identity syndrome 9.A nurse is working with community members in order to aid them in preparation for any disaster. She helps the clients compile a personal list of basic supplies needed in case of a disaster. Which of the following should the nurse instruct the clients to include? (SATA) A. Three quarts of water per person B. Clean clothing C. Personal identification D. Matches E. Prescription medications 10.A nurse is working with an interdisciplinary committee in the development of a community-wide emergency response plan in the even of a disaster. The nurse should assure that the community's emergency communication plan for a non-biological or chemical incident includes which of the following agencies to be notified immediately following the call to 911? A. Office of Emergency Management OED B. The Federal Emergency Management Agency C. American Red Cross D. U.S. Department of Homeland Security 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 studentsDevelop 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 A school nurse is discussing levels of prevention with a teacher. Which of the following activities should the nurse identify as a primary prevention strategy? a. provide nutritional counseling for students who have diabetes (3) b. report suspected child neglect to the proper authorities (2) c. conduct vision and hearing screening for kindergarten enrollment (2) d. demonstrate proper handwashing techniques A school nurse is conducting hearing screening procedures in an elementary school. Which of the following instructions should the nurse provide when performing the Rinne test? a. "After I place the tuning fork on your scalp, tell me if you hear the sound better in one ear or the same in both ears." (Weber) b. "Use your finger to close one ear while I whisper some numbers into your other ear." (Whisper voice test) c. "After I place this tuning fork behind your ear, tell me when you no longer hear the sound." d. "You'll wear headphones and press the button when you hear a sound." (audiometry) A palliative care nurse is teaching a client who has cancer about the services that are available for the client. Which of the following statements should the nurse identify as an indication that the client understands the teaching? a. "If I begin palliative care, I will have to stop my chemotherapy." b. "I can begin palliative care when I have less than 6 months to live." c. "This type of care can help me with pain control." d. "My family will not be involved with this type of care program." A nurse is assessing a new client. Which of the following info should the nurse include in the cultural portion of the assessment? a. food preferences b. employment status c. hx of illness d. sexual orientation A nurse collecting demographic data as a part of a community assessment. Which of the following info should the nurse include? a. racial distribution b. family genograms c. number of open water sources d. presence of condemned buildings A nurse who is facilitating a support group in a community center notices that one member of the group expresses anger repeatedly. Which of the following strategies should the nurse use to facilitate the group process with this member. Remind the group that everyone should have a chance to participate. Divide the group into pairs and give each pair a topic for discussion. Give the member extra time to compose her thought before expressing them. Focus more on the group members who have a positive outlook. This is a strategy that is often effective with group members who demonstrate angry, hostel, or negative behavior. The nurse should also speak to the group member in private to try to uncover the source of her ongoing anger. Which of the following activities done by a nurse is considered public health nursing? ATI Community Health Proctor