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Community Health Nursing Exam Preparation: 100 Questions with Detailed Answers, Exams of Nursing

This resource provides a comprehensive set of 100 multiple-choice questions and detailed answers covering various aspects of community health nursing. It is designed to help students prepare for their community health nursing exams, offering valuable insights into key concepts and clinical scenarios. The questions address topics such as home health care, cultural assessment, disease prevention, environmental health, and community health program planning.

Typology: Exams

2024/2025

Available from 04/14/2025

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ATI COMMUNITY HEALTH PROCTORED EXAM
2025-2026 VERSION A AND B ALL 100 QUESTIONS
WITH CORRECT DETAILED ANSWERS/NGN
QUESTIONS INCLUDED
A home health nurse is visiting with an older adult client. Which of the following observations
indicate the need for home modification?
There are two rocking chairs in the living room
A case manager is planning an educational program for a client who has diabetes mellitus.
Which of the following activities should the nurse include when using the psychomotor
domain of learning?
Observe the client's technique for drawing up insulin
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a
rehab facility. Which of the following actions should the nurse take first?
Determine the client's ability to perform self-care
A school nurse is teaching health promotion to a group of staff members who sit at a desk and
use a computer for 8hr at a time. Which of the following information is the priority for the
nurse to include
Point and flex your toes periodically
A nurse is assessing a new client. Which of the following information should the nurse include in
the cultural portion of the assessment?
food preferences
A nurse is collecting demographic data as part of a community assessment. Which of the
following information should the nurse include?
racial distribution
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 ID as an indication that the client is in the
denial stage of the grief process?
"I'm looking forward to my daughter's wedding next year"
An occupational health nurse is planning to use an interpreter during an educational session
with a group of workers who speak a different language than the nurse. Which of the
following actions should the nurse take?
1)
Instruct the interpreter to guide the nurse in providing info in a culturally-
sensitive manner
2)
Choose an interpreter who speaks the workers' language and dialect
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ATI COMMUNITY HEALTH PROCTORED EXAM

2025 - 2026 VERSION A AND B ALL 100 QUESTIONS

WITH CORRECT DETAILED ANSWERS/NGN

QUESTIONS INCLUDED

A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for home modification? There are two rocking chairs in the living room A case manager is planning an educational program for a client who has diabetes mellitus. Which of the following activities should the nurse include when using the psychomotor domain of learning? Observe the client's technique for drawing up insulin A case manager is developing a discharge plan for a client who has spinal cord injury and is in a rehab facility. Which of the following actions should the nurse take first? Determine the client's ability to perform self-care A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8hr at a time. Which of the following information is the priority for the nurse to include Point and flex your toes periodically A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? food preferences A nurse is collecting demographic data as part of a community assessment. Which of the following information should the nurse include? racial distribution 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 ID as an indication that the client is in the denial stage of the grief process? "I'm looking forward to my daughter's wedding next year" An occupational health nurse is planning to use an interpreter during an educational session with a group of workers who speak a different language than the nurse. Which of the following actions should the nurse take? **1) Instruct the interpreter to guide the nurse in providing info in a culturally- sensitive manner

  1. Choose an interpreter who speaks the workers' language and dialect**

3) Evaluate the interpreter's approach to clients prior to the edu session

gas ranges A community health nurse is planning a health edu program for adults. The nurse should plan to take which of the following actions during the program? Provide take-home materials written at 6th grade level An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects? Gastric ulcerations A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which statements should the nurse include Respiratory syncytial virus is spreading through contact with respiratory secretions from an infected person A home health nurse is planning care for the day. Which client should the nurse visit first School age child tx in ED last night for status asthmaticus A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which condition is included on the Nationally Notifiable Infectious Condition list Varicella A nurse is performing a home visit for a client who has TB. As the nurse is leaving the clients house a neighbor asks "is it true that my neighbor has TB?", which response should the nurse make Do you have questions about TB? A community health nurse is planning an educational program for farmers about occupation health risk. Which risk should the nurse include Respiratory disorders 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 Consult with the local school nurse to schedule yearly vision screenings for students A community health nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the

nurse provide regarding support programs for these individuals AA assists a client who has an addiction to alcohol with developing a daily recovery program A nurse is conducting a home visit with a client who reports a history of partner violence. The nurse should ID that which of the following findings places the client at greatest risk for partner violence Client states they are leaving their partner A nurse is developing a genogram for a client to determine edu needs. Which of the following health risk info should the nurse expect to obtain with this tool biological A home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse ID as an indication that the client is coping effectively makes eye contact A nurse in a clinic is caring for a client who reports taking gingko biloba ... The nurse should instruct the client that ginkgo biloba can alter the effects of which of the following medications warfarin A nurse is caring for a client who has stage IV pancreatic cancer and has received info regarding available treatment options. Which is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care make the hospice referral in accordance with the client's decision A community health nurse ID an increase in the occurence of osteoporosis-related fractures in female clients who are experiencing menopause. Which primary prevention strategy should the nurse implement encourage the clients to participate in weight-bearing activities A home health nurse is caring for a client who is immunocompromised due to chemotherapy. Which of the following statements should the nurse make regarding food safety Frozen food should be cooked immediately after it is thawed A community health nurse is conducting a vision screening at a health fair for an older adult client who has age-related macular degeneration. Which of the following

A community health nurse has been contacted regarding a client dx of influenza type A in adult day care. Which action should the nurse take to assist in the prevention of an outbreak Administer antiviral medication to clients at the facility A home health nurse is evaluating a parnter's understanding of postop care of a client who had a total hip arthroplasty. Which of statement by the partner indicates an understanding of the prescribed care I will remind my partner to use a walker when moving around in the house A community health nurse is planning to develop a community health program. Which of the following actions should the nurse take first Determine the need A community health nurse is assessing a group of clients for risk factors of violent behavior. Which finding should the nurse ID as a risk factor for developing violent behavior spanked as a child A public health nurse is conducting an edu session about Lyme disease for a group of older adult clients at a senior center. Which statement should the nurse ID as an indication that the clients understand the teaching I can take penicillin for 10 to 14 days to manage Lyme disease A nurse in an ED is caring for a client who is homeless and has hypothermia. Which action should the nurse take Initiate referral to facility's social worker A nurse in a community health clinic is preparing to administer an immunization to a 5yr old. Which action should the nurse take Ask the child to pretend to blow up a balloon during the injection A public health nurse is planning an edu program for a group of nurses at a community health department about pertussis Individuals transmit the pertussis bacteria through airborne droplets a nurse in a rural health clinic is caring for a client who has HF. The client states "I'm not going to take any more heart medicine" Can you tell me more

Community Health B

. A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data? . Informant interviews . . A home health nurse is evaluating a caregiver's technique for providing cadre to a client who has a chronic tracheostomy. Which of the following statements by the caregiver indicates an understanding of the procedure? . "I will use tap water to clean the inner cannula." . . A nurse is assessing the risks and benefits of meal delivery services for an older adult client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating? . Beneficence . . A community health nurse suspects an outbreak of scabies in the local area. Which of the following actions should the nurse take first? . Determine the incidence rate . . A case manager at a home health agency is obtaining equipment for a client's home use. Which of the following actions is a violation of client confidentiality? . The case manager left a clipboard with the client's prescription information face up on the office desk. . . A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease? . Forgetting the location of common objects . . An occupational health nurse in a factor is performing a routine TB screening and identifies an employee who has a positive Mantoux TB test. Which of the following actions should the nurse plan to take? . Instruct the employee that they will need to obtain a chest x-ray.

provided to migrant farm workers. Which of the following concepts is the nurse demonstrating?

. Advocacy . . Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following information should the community health nurse assess first? . The need for the program . . A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include? . Child maltreatment is more common in homes where partner violence is present. . . An adult child who is terminally ill and at the end of life approaches a hospice nurse and asks "What can I do to help relieve my father's pain?" Which of the following interventions should the nurse suggest? . Give your father brief hand massages . . A nurse is developing an educational program about bioterrorism and smallpox. The nurse should include the teaching that the smallpox rash is expected to first appear in which of the following locations? . Face . . A community health nurse is working with a community where the incidence of violence has increased. Which of the following actions should the nurse take as a tertiary prevention strategy? . Provide victims of violence with referral information to crisis lines . . A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first? . A client who has a new onset of confusion and slurred speech . . A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment? . Illness practices . . A nurse is conducting a home visit for an older adult client. The nurse should identify which of the following findings as an indicator of possible neglect? . Taking outdated prescriptions

. A community health nurse is made aware that several children, who are from the same family and did not receive immunizations, have contracted measles. Which of the following actions should the nurse take? . Report the information to the state health department . . A nurse is caring for a client who has a positive gonorrhea culture. Which of the following actions should the nurse take? . Instruct the client that recent sexual partners will need to be treated . . 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? . Demonstrate proper hand washing techniques . . A school nurse is serving on a community disaster planning committee looking at school shooter scenarios. Which of the following actions should the nurse plan to take during the response phase? . Perform triage and provide hands on care as needed to victims . . A community health nurse is conducting a program regarding crime reduction strategies for older adult clients at the senior center. Which of the following statements indicates an understanding of the information . "I should remove the identification tag that is on my key ring." . . A home health care nurse is teaching a client's family about preventing the transmission of Clostridium difficile. Which of the following transmission-based precautions should the nurse include in the teaching? . Contact precautions . . A nurse is preparing an educational program about influenza for a group of community health nurses. Which of the following activities should the nurse include as an example of tertiary prevention? . Administer antiviral medications within 48 hours to clients tho have manifestations of influenza. . . A nurse on the scene following a mass casualty explosion is triaging a client who has a large, open occipital wound and the following findings: respiratory rate 6/min, agonal pattern; capillary refill time 4.5 seconds; nonresponsive to painful stimuli. Which of the following actions should the nurse take? . Turn the client to left semi-Fowler's position and begin assessing the next client.

. A community health nurse is teaching a client who is overweight about steps to take to begin an exercise program. The nurse should identify that which of the following statements is an indication that the client understands the teaching? . "I will see my doctor before beginning an exercise program." . . A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion? . The faith community nurse can facilitate substance abuse support groups . . A community health nurse is assigned to lead a county-level environmental task force. Which of the following activities should the nurse direct the task force to complete first? . Review community-specific epidemiological data . . A community health nurse is working to meet the health care needs of residents in a rural community. Which of the following characteristics should the nurse identify as a barrier to health care resources for this population? . Unavailability of outreach services . . A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is the most important for the nurse to include in an attempt to lower adolescent mortality rates? . Safety belt use . . A nurse is preparing to administer medication to client who has active TB. Which of the following precautionary measures should the nurse take? . Use a N 95 respirator . . A public health nurse is working in a community that has a population of 24,096. There are 2,096 existing cases of heart disease within the population. The nurse can determine which of the following from this information? . Prevalence proportion . . A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? . Implement an exercise program for clients who have hypertension . . A hospice nurse is caring for client who is at the end of life and has developed

dyspnea and noisy breathing. Which of the following actions should the nurse take?

. Use a fan in the client's room . . A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for their parent. Which of the following statements by the client indicates that she is experiencing role conflict? . "I feel overwhelmed with not having enough time for my mom as well as my children." . . A nurse at a county health department is caring for a client who is at 28 weeks of gestation. The nurse should identify which of the following characteristics as a risk for potential future abuse of the newborn? . The client has changed providers three times during their pregnancy . . A community health nurse is providing care to a client who has stopped taking their prescribed blood pressure medication. Which of the following actions should the nurse take first? . Determine the client's reason for discontinuing the medication