ATI COMMUNITY HEALTH PROCTORED EXAM QUESTIONS AND ANSWERS
2023/2024-STUDY GUIDE
1. A school NURSE is educating a group of high school student about recommended dietary guidelines.
Which of thefollowing statements by a student indicates an understanding of the teaching?
A.) "I can consume up to 25% of my daily calories from saturate fatty acids.
B.) "I should consume less than 300mg / day of dietary cholesterol.
C.) "I can increase my daily consumption of foods that contain refined grains."
D.) "I should consume 800mg / day of dietary calcium."
High levels of cholesterol put people at risk for CVD.
2. A NURSE in an emergency department is caring for a client who is homeless and has hypothermia. Which
of the following actions should the NURSE take?
A.) Notify the local lay enforcement agency of the client's situation
B.) initiate a referral to the facility's social worker.
C.) Ask the client why he did not seek shelter sooner.
D.) Tell the client everything will work out now that he is in the hospital.
The social worker can assist with finding housing.
3. A NURSE is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the
following statements should the NURSE identify as an indication that the client is in the denial stage of
the grief process? A.) "I'm looking forward to my daughter's wedding next year."
B.) "I don't deserve to die. This just isn't fair."
C.) If I could just make it through this, I’d never smoke again."
D.) "I'm going to plan my memorial service next week."
During denial stage the client rejects the reality of their impending death.
4. A NURSE is providing education regarding lead exposure to a group of clients who live in a housing
developmentbuilt in 1968. Which of the following client statements indicates an understanding of the
teaching?
A.) "I will use a dry-sanding technique when preparing to repaint my front door."
B.) "I will vacuum our wood floors every week."
C.) I will increase the amount of red meat and milk in my child's diet."
D.) "I will use hot tap water to prepare my baby's formula."
Adequate iron and calcium in a diet prevents lead absorption from the environment
5. A school NURSE is notified that a school-age child has been newly diagnosed with pertussis. Which of
thefollowing actions should the school NURSE take? (Select all that apply.)
A.) Instruct the parent to keep the child at home until the coughing stage has passed
B.) Encourage family members to obtain prophylactic treatment
C.) Quarantine the children in the child's class
D.) Recommend that the child receive a pneumococcal vaccine in 28 days.
E.) Check the immunization status of the child's classmates.
6. A NURSE is developing a community education program about risk factors for family violence. The NURSE
should include which of the following circumstances as a risk factor for intimate partner abuse?
A.) Attempting to end the relationship
B.) Lacking supportive friends outside the relationship
C.) Having health issues that limit independence
D.) Taking antianxiety or sedative medications
Clients in a relationship with a potential or actual abuser heighten their risk for intimate partner abusewhen they attempt to leave the
relationship.
7. A NURSE is caring for a client who has stage IV pancreatic cancer and has received information
regarding available treatment options. Which of the following is the responsibility of the NURSE if the
client chooses to forgo treatment and enter hospice care?
A.) Make the hospice referral in accordance with the client's decision
B.) Verify that the client's health insurance pays for hospice services
, C.) Recommend a second opinion from another provider
D.) Assess whether or not the family agrees with the client's decision
Follow the ethical principle of autonomy and make the hospice referral for the client.
8. A home health NURSE is providing nutritional instructions to a client who has COPD and is
malnourished. Which of the following instructions should the NURSE include?
A.) Drink at least 450mL (16oz) of liquid with each meal
B.) Avoid foods that contain eggs
C.) Lie flat for 15 to 30 mins after eating
D.) Use milk instead of water when making canned soup
Use milk when preparing canned soup to increase intake of protein and calories.
9. A NURSE is giving a presentation about family violence at a local community center. Which of the
followinginformation should the NURSE include?
A.) Minority populations may be at greater risk for abuse.
B.) Intimate partner abuse occurs more frequently in lower socioeconomic households
C.) Child abuse is more common in homes where intimate partner abuse is present
D.) Children who are abused are less likely to become abusers
10. A community health NURSE is creating a program to reduce domestic violence in the community. Which of
thefollowing interventions should the NURSE identify as secondary prevention?
A.) Creating a public service announcement about the warning signs of intimate partner abuse
B.) Recognizing and reporting suspected abuse to the appropriate protective services
C.) Collaborating with support agencies to ensure the ongoing treatment for abuse
D.) Educating individuals and groups about preventing domestic and community abuse
Secondary prevention is an intervention that focuses on early detection of a problem already occurring
to facilitate diagnosis and treatment, to help prevent further abuse.
11. A NURSE is planning health promotion activities for the local community. Which of the following activities
should the NURSE include as an example of primary prevention?
A.) Teaching foot care to adults who have diabetes mellitus
B.) Testing school-age children for lead exposure
C.) Providing tuberculosis screenings for day care providers
D.) Teaching meal planning classes to older adults
D is primary or preventative. A is tertiary (after diagnosis)B & C are secondary prevention.
12. A NURSE is preparing to administer medication to a client who has active tuberculosis. Which of the
following precautionary measures should the NURSE take?
A.) Wear gloves
B.) Wear a gown
C.) Use disposable equipment
D.) Use an N95 respiratory
Active TB requires airborne precautions, droplets smaller than 5 microns. The NURSE should wear an
N95 respiratory when administering medication to prevent transmission of the infection.
13. A NURSE is caring for a 16-year-old client who has a new diagnosis of human papillomavirus. Which of the
following actions should the NURSE take?
A.) Report the infection to the state health department
B.) Instruct the client to return for a blood test in 1 month.
C.) Administer ceftriaxone 250mg IM.
D.) Teach the client how to apply imiquimod 5% cream to the lesions.
The client can self-treat the lesions using topical imiquimod 5% cream at bedtime for up to 16 weeks.
2023/2024-STUDY GUIDE
1. A school NURSE is educating a group of high school student about recommended dietary guidelines.
Which of thefollowing statements by a student indicates an understanding of the teaching?
A.) "I can consume up to 25% of my daily calories from saturate fatty acids.
B.) "I should consume less than 300mg / day of dietary cholesterol.
C.) "I can increase my daily consumption of foods that contain refined grains."
D.) "I should consume 800mg / day of dietary calcium."
High levels of cholesterol put people at risk for CVD.
2. A NURSE in an emergency department is caring for a client who is homeless and has hypothermia. Which
of the following actions should the NURSE take?
A.) Notify the local lay enforcement agency of the client's situation
B.) initiate a referral to the facility's social worker.
C.) Ask the client why he did not seek shelter sooner.
D.) Tell the client everything will work out now that he is in the hospital.
The social worker can assist with finding housing.
3. A NURSE is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the
following statements should the NURSE identify as an indication that the client is in the denial stage of
the grief process? A.) "I'm looking forward to my daughter's wedding next year."
B.) "I don't deserve to die. This just isn't fair."
C.) If I could just make it through this, I’d never smoke again."
D.) "I'm going to plan my memorial service next week."
During denial stage the client rejects the reality of their impending death.
4. A NURSE is providing education regarding lead exposure to a group of clients who live in a housing
developmentbuilt in 1968. Which of the following client statements indicates an understanding of the
teaching?
A.) "I will use a dry-sanding technique when preparing to repaint my front door."
B.) "I will vacuum our wood floors every week."
C.) I will increase the amount of red meat and milk in my child's diet."
D.) "I will use hot tap water to prepare my baby's formula."
Adequate iron and calcium in a diet prevents lead absorption from the environment
5. A school NURSE is notified that a school-age child has been newly diagnosed with pertussis. Which of
thefollowing actions should the school NURSE take? (Select all that apply.)
A.) Instruct the parent to keep the child at home until the coughing stage has passed
B.) Encourage family members to obtain prophylactic treatment
C.) Quarantine the children in the child's class
D.) Recommend that the child receive a pneumococcal vaccine in 28 days.
E.) Check the immunization status of the child's classmates.
6. A NURSE is developing a community education program about risk factors for family violence. The NURSE
should include which of the following circumstances as a risk factor for intimate partner abuse?
A.) Attempting to end the relationship
B.) Lacking supportive friends outside the relationship
C.) Having health issues that limit independence
D.) Taking antianxiety or sedative medications
Clients in a relationship with a potential or actual abuser heighten their risk for intimate partner abusewhen they attempt to leave the
relationship.
7. A NURSE is caring for a client who has stage IV pancreatic cancer and has received information
regarding available treatment options. Which of the following is the responsibility of the NURSE if the
client chooses to forgo treatment and enter hospice care?
A.) Make the hospice referral in accordance with the client's decision
B.) Verify that the client's health insurance pays for hospice services
, C.) Recommend a second opinion from another provider
D.) Assess whether or not the family agrees with the client's decision
Follow the ethical principle of autonomy and make the hospice referral for the client.
8. A home health NURSE is providing nutritional instructions to a client who has COPD and is
malnourished. Which of the following instructions should the NURSE include?
A.) Drink at least 450mL (16oz) of liquid with each meal
B.) Avoid foods that contain eggs
C.) Lie flat for 15 to 30 mins after eating
D.) Use milk instead of water when making canned soup
Use milk when preparing canned soup to increase intake of protein and calories.
9. A NURSE is giving a presentation about family violence at a local community center. Which of the
followinginformation should the NURSE include?
A.) Minority populations may be at greater risk for abuse.
B.) Intimate partner abuse occurs more frequently in lower socioeconomic households
C.) Child abuse is more common in homes where intimate partner abuse is present
D.) Children who are abused are less likely to become abusers
10. A community health NURSE is creating a program to reduce domestic violence in the community. Which of
thefollowing interventions should the NURSE identify as secondary prevention?
A.) Creating a public service announcement about the warning signs of intimate partner abuse
B.) Recognizing and reporting suspected abuse to the appropriate protective services
C.) Collaborating with support agencies to ensure the ongoing treatment for abuse
D.) Educating individuals and groups about preventing domestic and community abuse
Secondary prevention is an intervention that focuses on early detection of a problem already occurring
to facilitate diagnosis and treatment, to help prevent further abuse.
11. A NURSE is planning health promotion activities for the local community. Which of the following activities
should the NURSE include as an example of primary prevention?
A.) Teaching foot care to adults who have diabetes mellitus
B.) Testing school-age children for lead exposure
C.) Providing tuberculosis screenings for day care providers
D.) Teaching meal planning classes to older adults
D is primary or preventative. A is tertiary (after diagnosis)B & C are secondary prevention.
12. A NURSE is preparing to administer medication to a client who has active tuberculosis. Which of the
following precautionary measures should the NURSE take?
A.) Wear gloves
B.) Wear a gown
C.) Use disposable equipment
D.) Use an N95 respiratory
Active TB requires airborne precautions, droplets smaller than 5 microns. The NURSE should wear an
N95 respiratory when administering medication to prevent transmission of the infection.
13. A NURSE is caring for a 16-year-old client who has a new diagnosis of human papillomavirus. Which of the
following actions should the NURSE take?
A.) Report the infection to the state health department
B.) Instruct the client to return for a blood test in 1 month.
C.) Administer ceftriaxone 250mg IM.
D.) Teach the client how to apply imiquimod 5% cream to the lesions.
The client can self-treat the lesions using topical imiquimod 5% cream at bedtime for up to 16 weeks.
