ATI Community Health Exam 2023/2024 Version 1
Study Guide 6) A home health nurse is caring for a client who has Clostridium
1) A nurse working in an infectious disease clinic is caring for a client difficile infection. Which of the following actions should the nurse
who has a new diagnosis of Lyme disease. Which of the following take?
agencies is responsible for voluntarily reporting cases of this a. Obtain a surgical mask for the client to wear when away
disease to the Centers for Disease Control and Prevention? from home.
a. State health department b. Instruct the client to avoid the use of probiotics.
b. Office of the Surgeon General c. Use an alcohol-based hand sanitizer following care.
c. Local Red Cross chapter d. Clean the client’s bathroom with a diluted bleach solution.
d. Hospital infection control department
7) A nurse in a mobile health clinic is caring for a client who requires a
2) A case manager is completing discharge planning for a client who tetanus immunization and is accompanied by his daughter. The
has alcohol use disorder and cirrhosis of the liver. Which of the client does not speak the same language as the nurse. Which of the
following actions should the case manager take first? following actions should the nurse take?
a. Contact a social worker to assist the client with managing a. Arrange for a member of the client’s community to interpret
finances. the teaching.
b. Provide the client with information on self-help groups for b. Have the client's daughter communicate information about
alcohol use disorder. the procedure.
c. Arrange for a home health nurse to visit the client following c. Identify the client’s spoken dialect prior to contacting an
discharge. interpreter.
d. Determine which home safety measures the client needs to d. Use professional terminology when providing education
prior to the procedure.
3) A nurse is providing teaching to a client about directives regarding 8) A parish nurse is counseling a family following a client's recent
end-of-life care. Which of the following information should the nurse diagnosis of heart disease. Which of the following actions should
include in the teaching? the nurse take first?
a. The client can verbally choose a health care proxy if two a. Assist the client and the client’s partner with finding an
nurses witness the designation. affordable exercise program.
b. The client’s family has the authority to revoke the do-not- b. Discuss the benefits of eating a well-balanced diet with the
resuscitate order at any time. client’s family.
c. The living will is a legally binding contract between the c. Ask family members about the impact of the disease on
client and the provider. relationships within the family.
d. The client can choose a non-family member as the d. Offer to accompany the client and the client’s partner during
designated power of attorney. health care provider visits.
4) A nurse in an antepartum clinic is reviewing the medical records of 9) A school nurse is planning primary prevention activities for the
four clients. Which of the following infectious conditions should the school year. Which of the following actions should the nurse plan to
nurse report to the Centers for Disease Control and Prevention? take?
a. Human papillomavirus a. Monitor the immunizations status of students.
b. Bacterial vaginosis b. Schedule hearing screenings for each grade level.
c. Gonorrhea c. Provide referrals for students who have asthma.
d. Genital herpes simplex virus d. Provide first aid for injured students.
5) A home health nurse is performing an eye assessment for an older 10) A home health nurse is planning the initial home visit for a client
adult client. Which of the following findings is the priority for the who has dementia and lives with his adult son’s family. Which of the
nurse to report to the provider? following actions should the nurse take first during the visit?
a. Decreased near vision a. Engage the family in informal conversation.
b. Conjunctivitis b. Provide the family with information about respite care.
c. Hemianopsia c. Educate the family regarding the progression of dementia.
d. Increased sensitivity to glare d. Encourage the family to join a support group.
, 16) A nurse is developing health promotion strategies for older adult
11) A nurse is working with a case manager for a client who participates clients at an assisted living facility. Which of the following strategies
in a health maintenance organization. The nurse should identify that is the priority for the nurse to include?
HMO provides which of the following payment structures? a. Scheduling annual dental examinations for the clients
a. The client pays the insurer a percentage of the total costs b. Immunizing the clients against influenza
for each service rendered by the provider. c. Encouraging the clients to exercise regularly
b. The provider is paid a fixed sum for the client on a monthly d. Providing the clients with a low-fat diet
c. The provider bills the client directly for a predetermined 17) A nurse is triaging clients who were involved in a commuter train
percentage of the cost of services. crash. Which of the following clients should the nurse choose for
d. The client is participating in a fee-for-service health care transport to the emergency departments first?
insurance program. a. A client who has a fracture of the humerus with a 2+ radial
pulse in the affected arm
12) A nurse manager at a clinic is reviewing the preventative services b. A client who is exhibiting agonal respirations with fixed and
offered to clients. Which of the following activities should the nurse dilated pupils
identify as a secondary prevention activity? c. A client who has full-thickness burn injuries over 30% of his
a. Advocate for laws that prohibit texting while driving. total body surface area
b. Refer a client who is recovering from a substance use d. An ambulatory client who has a nosebleed and reports
disorder to a social service program. feeling dizzy
c. Provide a smoking cessation class.
d. Encourage a pregnant client to participate in prenatal care. 18) A nurse is assessing an outbreak of mumps among school-age
children. Using the epidemiological triangle, the nurse should
13) A school nurse is planning safety education for a group of recognize which of the following is the host?
adolescents. The nurse should give priority to which of the following a. The children
topics as the leading cause of death for this age group? b. The virus
a. Substance abuse prevention c. The vaccine
b. Sports injury prevention d. The school
c. Gun safety
d. Motor vehicle safety 19) A home health nurse is discussing electrical hazards with a client.
Which of the following statements should the nurse include?
14) A home health nurse is caring for a client who has chemotherapy- a. “You should cover electrical cords with an area rug.”
induced nausea that has been resistant to relief from b. “You should limit your use of extension cords.”
pharmacological measures. Which of the following interventions c. “You should secure extension cords with clear packing
should the nurse initiate? (SATA) tape.”
a. Use seasonings to enhance the flavor of foods. d. “You should pull on the cord when unplugging items.”
b. Assist the client in using guided imagery.
c. Provide sips of room-temperature ginger ale between 20) A nurse in a clinic is reviewing home safety precautions with a client
who is to begin radioactive iodine therapy. Which of the following
d. Maintain the head of the client’s bed in an elevated position statements by the client indicates an understanding of the teaching?
a. “I will wait 1 week after treatment to use a laxative.”
e. Offer 120 mL (4oz) of cold 2% milk as a meal replacement. b. “I will allow my granddaughter to visit for 4 hours daily.”
c. “I will use cloth handkerchiefs instead of tissues.”
15) A nurse is working with a community health care team to devise d. “I will use a toilet that is not used by others in my family.”
strategies for preventing violence in the community. Which of the
following interventions is an example of tertiary prevention? 21) A community health nurse is teaching a group of parents about
a. Urging community leaders to make nonviolence a priority manifestations of alcohol withdrawal. Which of the following
b. Presenting community education programs about stress manifestations should the nurse include in the teaching?
management a. Somnolence
c. Assessing for risk factors of intimate partner abuse during b. Seizures
health examinations c. Hypotension
d. Developing resources for victims of abuse d. Hyperglycemia
Study Guide 6) A home health nurse is caring for a client who has Clostridium
1) A nurse working in an infectious disease clinic is caring for a client difficile infection. Which of the following actions should the nurse
who has a new diagnosis of Lyme disease. Which of the following take?
agencies is responsible for voluntarily reporting cases of this a. Obtain a surgical mask for the client to wear when away
disease to the Centers for Disease Control and Prevention? from home.
a. State health department b. Instruct the client to avoid the use of probiotics.
b. Office of the Surgeon General c. Use an alcohol-based hand sanitizer following care.
c. Local Red Cross chapter d. Clean the client’s bathroom with a diluted bleach solution.
d. Hospital infection control department
7) A nurse in a mobile health clinic is caring for a client who requires a
2) A case manager is completing discharge planning for a client who tetanus immunization and is accompanied by his daughter. The
has alcohol use disorder and cirrhosis of the liver. Which of the client does not speak the same language as the nurse. Which of the
following actions should the case manager take first? following actions should the nurse take?
a. Contact a social worker to assist the client with managing a. Arrange for a member of the client’s community to interpret
finances. the teaching.
b. Provide the client with information on self-help groups for b. Have the client's daughter communicate information about
alcohol use disorder. the procedure.
c. Arrange for a home health nurse to visit the client following c. Identify the client’s spoken dialect prior to contacting an
discharge. interpreter.
d. Determine which home safety measures the client needs to d. Use professional terminology when providing education
prior to the procedure.
3) A nurse is providing teaching to a client about directives regarding 8) A parish nurse is counseling a family following a client's recent
end-of-life care. Which of the following information should the nurse diagnosis of heart disease. Which of the following actions should
include in the teaching? the nurse take first?
a. The client can verbally choose a health care proxy if two a. Assist the client and the client’s partner with finding an
nurses witness the designation. affordable exercise program.
b. The client’s family has the authority to revoke the do-not- b. Discuss the benefits of eating a well-balanced diet with the
resuscitate order at any time. client’s family.
c. The living will is a legally binding contract between the c. Ask family members about the impact of the disease on
client and the provider. relationships within the family.
d. The client can choose a non-family member as the d. Offer to accompany the client and the client’s partner during
designated power of attorney. health care provider visits.
4) A nurse in an antepartum clinic is reviewing the medical records of 9) A school nurse is planning primary prevention activities for the
four clients. Which of the following infectious conditions should the school year. Which of the following actions should the nurse plan to
nurse report to the Centers for Disease Control and Prevention? take?
a. Human papillomavirus a. Monitor the immunizations status of students.
b. Bacterial vaginosis b. Schedule hearing screenings for each grade level.
c. Gonorrhea c. Provide referrals for students who have asthma.
d. Genital herpes simplex virus d. Provide first aid for injured students.
5) A home health nurse is performing an eye assessment for an older 10) A home health nurse is planning the initial home visit for a client
adult client. Which of the following findings is the priority for the who has dementia and lives with his adult son’s family. Which of the
nurse to report to the provider? following actions should the nurse take first during the visit?
a. Decreased near vision a. Engage the family in informal conversation.
b. Conjunctivitis b. Provide the family with information about respite care.
c. Hemianopsia c. Educate the family regarding the progression of dementia.
d. Increased sensitivity to glare d. Encourage the family to join a support group.
, 16) A nurse is developing health promotion strategies for older adult
11) A nurse is working with a case manager for a client who participates clients at an assisted living facility. Which of the following strategies
in a health maintenance organization. The nurse should identify that is the priority for the nurse to include?
HMO provides which of the following payment structures? a. Scheduling annual dental examinations for the clients
a. The client pays the insurer a percentage of the total costs b. Immunizing the clients against influenza
for each service rendered by the provider. c. Encouraging the clients to exercise regularly
b. The provider is paid a fixed sum for the client on a monthly d. Providing the clients with a low-fat diet
c. The provider bills the client directly for a predetermined 17) A nurse is triaging clients who were involved in a commuter train
percentage of the cost of services. crash. Which of the following clients should the nurse choose for
d. The client is participating in a fee-for-service health care transport to the emergency departments first?
insurance program. a. A client who has a fracture of the humerus with a 2+ radial
pulse in the affected arm
12) A nurse manager at a clinic is reviewing the preventative services b. A client who is exhibiting agonal respirations with fixed and
offered to clients. Which of the following activities should the nurse dilated pupils
identify as a secondary prevention activity? c. A client who has full-thickness burn injuries over 30% of his
a. Advocate for laws that prohibit texting while driving. total body surface area
b. Refer a client who is recovering from a substance use d. An ambulatory client who has a nosebleed and reports
disorder to a social service program. feeling dizzy
c. Provide a smoking cessation class.
d. Encourage a pregnant client to participate in prenatal care. 18) A nurse is assessing an outbreak of mumps among school-age
children. Using the epidemiological triangle, the nurse should
13) A school nurse is planning safety education for a group of recognize which of the following is the host?
adolescents. The nurse should give priority to which of the following a. The children
topics as the leading cause of death for this age group? b. The virus
a. Substance abuse prevention c. The vaccine
b. Sports injury prevention d. The school
c. Gun safety
d. Motor vehicle safety 19) A home health nurse is discussing electrical hazards with a client.
Which of the following statements should the nurse include?
14) A home health nurse is caring for a client who has chemotherapy- a. “You should cover electrical cords with an area rug.”
induced nausea that has been resistant to relief from b. “You should limit your use of extension cords.”
pharmacological measures. Which of the following interventions c. “You should secure extension cords with clear packing
should the nurse initiate? (SATA) tape.”
a. Use seasonings to enhance the flavor of foods. d. “You should pull on the cord when unplugging items.”
b. Assist the client in using guided imagery.
c. Provide sips of room-temperature ginger ale between 20) A nurse in a clinic is reviewing home safety precautions with a client
who is to begin radioactive iodine therapy. Which of the following
d. Maintain the head of the client’s bed in an elevated position statements by the client indicates an understanding of the teaching?
a. “I will wait 1 week after treatment to use a laxative.”
e. Offer 120 mL (4oz) of cold 2% milk as a meal replacement. b. “I will allow my granddaughter to visit for 4 hours daily.”
c. “I will use cloth handkerchiefs instead of tissues.”
15) A nurse is working with a community health care team to devise d. “I will use a toilet that is not used by others in my family.”
strategies for preventing violence in the community. Which of the
following interventions is an example of tertiary prevention? 21) A community health nurse is teaching a group of parents about
a. Urging community leaders to make nonviolence a priority manifestations of alcohol withdrawal. Which of the following
b. Presenting community education programs about stress manifestations should the nurse include in the teaching?
management a. Somnolence
c. Assessing for risk factors of intimate partner abuse during b. Seizures
health examinations c. Hypotension
d. Developing resources for victims of abuse d. Hyperglycemia
