ATI Community Health Practice Questions and Answers

A client comes to the health department needing a flu vaccine for work. What allergy is a contraindication to receiving a flu vaccination? - Correct answer-Egg A client reports to his health care provider that he works in a packing plant. What secondary prevention method should the provider do with the client at this appointment? - Correct answer-Screen for s/s of carpal tunnel syndrome A client reports to the healthcare provider that he drinks a 6 pack of beer daily. The provider should educate the patient that he is at risk for what disorders with this health practice? - Correct answer-Liver cirrhosis, Pancreatitis and Alcohol substance use disorder A new nurse is learning how to pass medications with her preceptor. What teaching should the preceptor give the new nurse regarding administration of controlled substances? - Correct answer-Always verify the medication count with the amount on the inventory record. Always have 2 nurses witnessing medication wasting. Never pull out narcotics and controlled substances early, always pull them when ready to give them to the client. Do not set controlled substances to the side in the medication room. A nurse is in a community health nursing class talking about ozone effect disorders. What systems and disorders of the body does the ozone toxins affect mostly and why? - Correct answer-Asthma and Respiratory Disorders as this toxin mainly will affect the lungs. A client reports to their provider that they have been having knee pain that worsens with movement and feels grinding. She reports she works as a CNA at a LTC facility. The provider diagnoses her with Osteoarthritis. What may of contributed to the osteoarthritis to form? - Correct answer-Occupation- moving around frequently can cause the osteoarthritis to flare up. A coal miner wants to know what types of toxins in the works can increase risk of skin cancer. How should the public health nurse respond? - Correct answer-Occupational arsenic, coal and nitrates can increase ones risk for developing skin cancer. A nurse who works in the radiology department inquires to the public health nurse about her risk for hypothyroidism based on occupational exposure to radiation. How should the public health nurse respond? - Correct answer-Exposure to iodine and radiation increases ones risk for hypothyroidism. You should wear a lead based jacket that covers your to neck to prevent additional radiation exposure when working with patients. A first responder works for several weeks in the days after hurricane Katrina happened to give care to citizens of the city and rescue those from their homes. What phase of the disaster response phases is this responder in? - Correct answer-Heroic Several survivors for 9/11 reunite and share their survivor stories after the disaster. What phase of the disaster response phase are these people in? - Correct answerHoneymoon A firefighter reports to their chief in command that they feel burned out having to put out the California fires each day and says that he will be leaving the profession. What stage of the disaster response phase is he in? - Correct answer-Disillusionment The city is beginning to rebuild and move on from the disaster from hurricane Irma. What phase of the disaster response phases is this community in? - Correct answerReconstruction A client comes into the emergency department with signs and symptoms of anthrax. What medication and treatment should the nurse give? - Correct answer-Antibiotics such as ciprofloxacin and the anthrax vaccine should be given to all exposed to anthrax and its manifestations A family member of an older adult with dementia questions the nurse about dementia manifestations. What should the nurse tell them regarding the disease process. - Correct answer-The client may initially have forgetfulness that will gradually progress to disorientation. A client is reported to have smallpox. How should this communicable disease be treated and what is the time frame? - Correct answer-Give immune globulin and antivirals, NOT antibioticswithin 2-3 days of exposure A client was exposed to sarin gas at work. How should the nurse treat this disorder and what is the time frame treatment should be given? - Correct answer-Give the medication pralidoxime at the time of the exposure. An older adult client tells the community center nurse that he can no longer drive due to his retinal detachment and cannot use his home stove. What resource should the nurse refer the client to? - Correct answer-Meals on Wheels as it will allow the older adult to get meals delivered to his home. A client is admitted with scabies. What precautions will the nurse need to initiate while caring for this client? - Correct answer-Private room with gown and gloves. A homeless client walks into the ER from off the street complaining that he hears voices telling him to jump off a bridge and die. What is the first intervention the nurse should do? - Correct answer-Initiate suicide safety precautions. A 80 year old client tells the nurse that their family has decided to not complete life saving measures going forward with their care if something were to happen. What is the next action the nurse should do? - Correct answer-Discuss the concern with the provider as the provider will need to place the order for the DNR/DNI A major gas leak occurs in a large office building. 911 has already been contacted for emergency responders to help with the incident. What is the next course of action the public health nurse needs to take? - Correct answer-Contact the office of emergency management in case additional resources for first responders are needed A major hurricane has knocked out power and has flooded several cities in an area. More responders will be needed. What agency should be contacted at this point? - Correct answer-FEMA Recovery efforts are going on in an area after a tsunami flooded an area. what organization should be called to provide additional recovery services to the community? - Correct answer-American Red Cross If an incident similar to 9/11 happens in an area, which organization should be called for assistance. - Correct answer-Department of homeland security A single mom of 2 who used to be happy got fired from her job 2 weeks ago and from that point on, she has been unable to care for her children and keep up on her rent. What might be occurring with this family. - Correct answer-Role Transition A provider determines a football player will need rehabilitation for 4 months after his ACL tear. What type of prevention method is this? - Correct answer-Tertiary prevention A nurse is required to get a TB screening test for work. What type of prevention is this? - Correct answer-Secondary Prevention A mom takes her 5 year old child in to the Health department for her annual flu shot. What type of prevention method is occurring here? - Correct answer-Primary Prevention A client tells the social worker at the ER that he fears that he will be unable to pay for his hospital visit for his car accident due to not having insurance and recently being laid off from his job. What can the social worker do to help this client? - Correct answerRefer them to financial and community resources to help with their payments. A client who just had a stroke requires an occupational therapist to come to their home daily to help with their ADLs. What type of prevention is this? - Correct answer-Tertiary Prevention A child comes to the ER after a domestic fight with their parents. EMTs notice bruises in various stages of healing. What might this child be enduring in the home and what is the next course of action? - Correct answer-Child Abuse- this must be reported! A client who was in a major apartment fire sustained 70% full thickness burns on his body. What triage identification should the public health nurse place on the client? - Correct answer-Black tag A client comes in after inhaling sarin gas to the ER due to feeling dizzy and confused. What types of care should be given to the patient? - Correct answer-Place them under seizure precautions. No rubbing of the skin. No plastic airways. Give atropine. A nursing student must choose from this list important items to include in a disaster preparedness kit. From this list, which items should the nurse choose? List: TV, clean clothes, ID, candles, matches, cough drops, prescription medications, pencil and paper, whistle, copies of insurance card, beach ball, bleach. - Correct answer-Clean clothes, ID, candles, matches, prescription medications, pencil and paper, whistle, copies of insurance card, bleach A small town is faced with a major storm. The local hospital is short staffed. What should the staff at the hospital currently focus on based on disaster protocols? - Correct answer-Giving care to current patients to prevent life threatening emergencies. A client says that his family has a history of heart disease. What prevention strategies should be listed in order to prevent the client from getting the condition? - Correct answer-Exercise, eat a diet low in sodium, take their blood pressure daily. A client reports that she has been smoking 1 pack a day for 10 years. She recently took a pregnancy test that was positive, and she wants to stop smoking to prevent her child from having the effects of it. How should the nurse respond to the client? - Correct answer-Tell her smoking is a modifiable risk factor and to refer her to a smoking cessation support group and counselor. A 9/11 survivor tells the nurse that during the week of the 20th anniversary of the disaster he got very vivid nightmares and flashbacks from the event. What does the nurse infer what is going on? - Correct answer-The client has PTSD or a Delayed stress reaction from the crisis. A nursing professor tells a nursing student that which organization has the right to revoke a nursing license? - Correct answer-The state board of nursing A nursing student has a task for community health class to differentiate biological agents from chemical agents of mass destruction. She can do this correctly when she determines that: - Correct answer-Biological agents of mass destruction include anthrax, smallpox, and botulism when chemical agents of mass destruction include sarin, cyanide, carbon monoxide. A client with an alcohol use disorder is placed on disulfiram. what education can the nurse provide to the client regarding this medication? - Correct answer-Do not drink alcohol or use alcohol based products. If they do use them, they can have a reaction. A client was just diagnosed with lyme disease. He questions the nurse about how he could have gotten the disease. How does the nurse respond? - Correct answer-You could have gotten this disease from a mosquito or tick bite A nurse is teaching a teen girl how to do a breast self exam. What instructions should the nurse give her? - Correct answer-Complete the exam in the shower to easily feel for changes. Complete it 7 days after the last period. Use middle 3 fingers. Report to her parents and provider any dimpling or lumps or discharge. A client comes into the ER with flu like symptoms. He said he was working around cows on his farm. He also says he has a vesicle on his right hand that is painful. what might this client have and what can it turn into? - Correct answer-Inhalation and Cutaneous anthrax. It can cause respiratory failure if it is not treated immediately. A nurse sees smoke on her unit. After removing clients that are nearby, what should she do next? - Correct answer-Activate the fire alarm A mom reports her 1 year old child got into a can of honey by accident and now is starting to vomit. What is important to know from this and what might this child have? - Correct answer-Botulism. It should be reported to the CDC and treated immediately before paralysis occurs. The nurse should tell the mom that honey can be contaminated with botulism bacteria. A student nurse is learning about smallpox. What is important about the manifestations of smallpox? - Correct answer-The rash present is more common on face and extremities. It is at the same sage all over the body. The vaccine has eradicated the disease but have limited immunity. A high school class of students was exposed to gas from a gas leak outside of the classroom. some report to the teacher they feel weak and dizzy. What is the first thing the nurse should do to care for these students? - Correct answer-Evacuate the classroom and triage them in the parking lot away from the leak before transporting them to the ED. Triaging in the parking lot prevents further exposure to the toxin. A mom is worried that because her child will be attending public middle and high school that her daughter will contract menigitis by being in close quarters each day. What can the nurse tell her? - Correct answer-Her daughter should relieve the MCV vaccine at age 11-12 before attending middle school and a booster at age 16 during high school to prevent the disease. An older adult says that as a child he had the chicken pox. What vaccine should this client be referred for? - Correct answer-Shingles/Herpes Zoster Vaccine A nurse is about to give a MMR vaccine to a 12 month old, but then notices her WBC count is too low. What should the nurse do? - Correct answer-Hold administration of the vaccine as the MMR vaccine should not be given to children who are immunocompromised. A bomb threat is called on the overhead of a hospital. What is this an example of and what does this mean? - Correct answer-This is an example of the hospital incident command system and will identify those to promote a uniform response plan for the threat. A nurse is concerned there wont be enough medication available for clients during a long term natural disaster. What should the nurse manager tell her about this? - Correct answer-There is an organization called the strategies national stockpile that ensure enough medication and antidotes are available. Which organization is responsible in focusing on multidisciplinary responders during an emergency? - Correct answer-Metropolitan Response System Which organization is responsible for providing additional healthcare persons when the need exceeds the local or state agencies? - Correct answer-Commissioned Corps A nurse just witnessed a car accident while coming home from the store. She immediately goes to help because she knows: - Correct answer-The Good Samaritan laws allow for the nurse to give care until competent help arrives in an emergency. It is a state law and protects the nurse in case of an emergency. A school nurse is educating parents at a PTA meeting about lice. What facts should she give to the parents based on this infestation? - Correct answer-Head lice shed into the environment and can hatch for 7-10 days after. A louse needs a human to survive. lice breakouts can happen no matter the demographic or level of cleanliness. When should the community health nurse decide to give the rubella vaccine to a pregnant mom who is rubella immune? - Correct answer-Shortly after birth. What is a part of the preplanning process of the disaster plan? - Correct answerIdentifying community resources needed What things should be done after a disaster to evaluate the impact? - Correct answerLink those to help with disaster relief, evaluate how it impacted the city, assess the survivors. A client tells the nurse he plans to hang himself with the blood pressure cuff wire in his room. This is a new condition to the nurse and patient. What must the nurse do in this situation? - Correct answer-Alert the care team about the life threatening issue. Initiate suicide precautions. A nursing student is asked to select all medications used for anthrax on her test. What medications might she be selecting? - Correct answer-ciprofloxacin, doxycycline, amoxicillin A client has been started on a steroid. What primary prevention advice from the CDC should the nurse give her to prevent the onset of osteoporosis? - Correct answer-Walk 30 mins per day Stop smoking Increase calcium and vitamin D What should hospitals do routinely in case of a disaster? - Correct answer-Disaster donation drives What types of nurses can triage patients if there is a mass casualty disaster? - Correct answer-ER nurses What should be done first if a client comes in with an infectious disease? - Correct answer-Place them under the right precautions to prevent disease transmission An older adult says that he recently developed difficulty with swallowing. Who should he be referred to early to prevent aspiration? - Correct answer-Speech Therapist A caregiver says that she cannot find enough time to do her errands and care for her father with dementia. What can the nurse suggest to this family? - Correct answerRespite care as it provides temporary caregiver relief so that caregivers can complete their ADLs but still give their family member care. A new mom decides to prolong her child from receiving the hepatitis B vaccination at birth. she says she is nervous because her family is prone to having a lot of allergies. What allergy contraindication is true for the Hepatitis B vaccine? - Correct answer-Yeast A nursing student is doing a project based on nursing legality. Explain the steps of the legal process. - Correct answer-Discovery phase is when both attorneys and defendant obtain relevant info of the case with depositions. Compliant phase: plaintiff files a document alleging the defendant failed to provide safe care. Decision phase: judge and jury indicate a verdict Trial phase: the facts are presented to a judge and jury. A nurse is giving an older adult client teaching about taking medications. What drink should she not take her medications with? - Correct answer-Grapefruit juice