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NGN ATI COMMUNITY HEALTH PROCTORED
EXAM || 2025 - 2026||ACTUAL EXAM WITH CORRECT
DETAILED ANSWERS WITH RATIONALES. A+
GRADE
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? Reviewing morbidity and mortality data for the community. Caring for new mothers and infants. Reviewing the medications prescribed for an older adult couple. Reviewing morbidity and mortality data for the community is a key component of public health nursing, which focuses on the health care of populations and communities. A nurse working for a non-profit organization with limited resources is asked to develop an education program that will benefit a supporting agency's employees. The nurse was planning another program to benefit more people in the community. Which of the following is an ethical tenet the nurse should follow in deciding which program to implement. Allow members of the community to vice their shared ideas. Develop public policy in concert with the interest and needs of the community. Give precedence to community support provided by public servants over entrepreneurs. Place the needs of the community above those of special interest groups. This statement upholds the ethical tenet for policy development: to serve citizens, not customers. While the nurse may feel pressure to comply with the agency's request due to its financial or material support, the nurse must use available resources to meet the needs of the greatest number of citizens first.
A community health nurse is providing care to a client who has stopped taking his prescribed blood pressure medication. Which of the following actions should the nurse take first to promote adherence to treatment. Inform the provider of the client's decision. Determine the client's reason for discontinuing the medication. Discuss the consequences of discontinuing the medication with the client. Using the nursing process, the first step the nurse should take is to assess the client. By determining the client's reason for discontinuing the medication, the nurse can promote adherence to treatment. A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturapathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications? Warfar in Metopr olol Digoxin Ginkgo biloba can hinder coagulation; therefore, the nurse should instruct the client that ginkgo biloba may alter the effects of warfarin. A community health nurse is preparing a community presentation about the epidemiological triangle. Which of the following elements is a host.? Salmonella on a wood cutting board. A raccoon with rabies A farm containing pesticides. a factory with high noise levels. The epidemiological triangle is a model of the agent-host environment interaction that causes disease. The host is a living species, either human or animal, that is capable of being infected ore affected by an agent. A community health nurse is providing anticipatory guidance to a group of adolescents. To reduce premature deaths in this age group, which of the following topics would be most important to discuss. Underage smoking Safe sex practices Safety belt use. Automobile crashes are currently the leading cause of death among adolescents; therefore, this topic is important to discuss when providing
According to the latest research, there is an infant mortality ratio of 6.7 per 1, live births in this community. The circulation supervisor at the library is concerned about the amount of air pollution coming from the town's industrial corridor. Residents near Cherry Street Substation have a mortality rate of 29.6% from brain tumors compared to the citywide rate of 9.2%. The nurse has a responsibility to protect community members who share concerns or provide controversial information. A nurse is planning to teach a community group abut the menigococcal vaccine. For which of the following individuals is this vaccination recommended. An individual traveling to northern Europe. An infant who has bronchitis. An infant who is 4 weeks old. An individual moving into a dormitory setting. Individuals living in crowded areas such as dormitories should receive the menigococcal vaccine. A community health nurse is caring for a client who has a new diagnosis of Lyme disease. The requirements for a reporting Lyme disease are mandated by which of the following? Local county health departments Individual state law federal law Center for disease control and prevention. While Lyme disease is on the list of national diseases, the requirements and methods of reporting individual diseases are determined by state laws. A community health nurse is conducting an educational program for parents abut the effects of pollution on preschool-age children. Which of the following statements by a parent indicates an understanding of the teaching? Children drink fewer fluids for their body weight than adults, so they take in fewer toxins. The kidneys filter toxins at a greater rate in children than in adults. Children breathe more rapidly than adults, which increases their exposure to air pollutants. Outdoor air pollutants are more likely to trigger asthma attacks than indoor pollutants. Children breathe faster than adults, which increases their exposure to toxins in the air A school nurse sees four students in 1 week who have a return-to-school release after being diagnosed with methicillin-resistant Staphylococcus
aureus(MRSA). Which of the following actions should the nurse take Coordinate an immunization clinic at the school. Recommend prophylactic treatment for classmates. Report the cases of MRSA to child protective services. Provide education about MRSA throughout the school system. hand hygiene will prevent the spread of MRSA. A nurse in a rural community is planning education for a young-adult client who is a migrant farm worker. Which of the following should the nurse include in the plan of care (select all that apply). Provide environmental health information. Conduct tuberculosis screening Provide skin cancer information Conduct dental health screening. Provide forms to apply for medicare.
possessions. Depression is another risk factor for suicide. A nurse is collecting demographic data as a part of a community assessment. Which of the following should be included? Racial distribution Family genograms Number of open water sources Presence of condemned buildings. Racial distribution is part of demographic data. A nurse is a clinic is planning teaching for a client who is newly diagnosed with hepatitis C. Which of the following instructions should the nurse include in the teaching? Consume a low carbohydrate diet until symptoms resolve. Schedule an appointment for an immunoglobulin injection. Abstain from sexual intercourse until antibody tests are negative. Wear a mask in public places while receiving treatment.
Hepatitis C is transmitted through sexual intercourse; therefore, the nurse should instruct the client to abstain from sexual intercourse until antibody tests are negative. A home health nurse is caring for an older adult client who has diabetes mellitus complicated by severe peripheral neuropathy. Which of the following instructions should the nurse provide the client to avoid injury to the feet and lower legs? (select all that apply) Test bath water with a thermometer before entering. Wear shoes that extend 0.64 cm past the longest toe. Use a dry heating pad to enhance circulation in feet. Inspect feet for areas of redness daily. Monitor temperature of feet and lower extremities for changes. A community health nurse is planning an in-service about sexually transmitted infections to a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis? Malaise Maculopapular rash on palms Chancre Lyomphadenopathy. Chancre is a clinical manifestation of primary syphilis. A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and noisy breathing. Which of the following actions should the nurse take? Suction the client's oropharynx. Encourage the client to take sips of water frequently. Use a fan in the client's room. Offer small portions of the clients favorite foods. A fan moves the air, which stimulates the client's trigeminal nerve and can minimize the sensation of dyspnea. A nurse at a rehabilitation facility is providing discharge teaching for a client who is recovering from a stroke. Which of the following statements should the nurse include. Your family should provide the majority of your care to ensure that your needs are met. You should contact outpatient therapy to schedule an admission assessment within two weeks. You should use a hand-held mirror to improve your ability to see objects
You'll find the Narcotics Anonymous will help you regain power over your addictions. Narcotics Anonymous will help you take responsibility for the symptoms of you disease. At Narcotics Anonymous you willingness to change will be crucial for your sobriety. At Narcotic Anonymous you'll learn to maintain control by never admitting to defeat. Basic tenets of all 12-step programs, including Narcotics Anonymous, have a willingness to change and to make amends, as well as the incorporation of the 12 - step process into daily life. A community health nurse is asked to give a health education program to a group of African-American men age 40 to 75. Considering the health concerns of this group, which of the following topics is most important to include in the program? Prostate cancer screening. Diabetes screening. Depression screening. Skin cancer screening. Cancer is the second leading cause of death for men and prostate cancer is the second leading cause of cancer deaths in men. The incidence rate of prostate cancer is 51% higher among African-American men than white men. A clinical nurse manager is developing an education program on tuberculin skin testing. The nurse should include that which of the following can cause a false negative result? (Select all that apply). Advanced HIV or AIDS. Bacilli Calmette-Gue'rin (BCG) vaccination. Time between exposure and screening. Age of the client. Recent abuse of IV-substance. A nurse is planning health promotion activities for the local community. Which of the following is an example of primary prevention. Teaching foot care to adults who have diabetes mellitus. Testing school-age children for lead exposure. Providing tuberculosis screening for day care providers. Teaching meal planning classes to older adults. This is an example of primary prevention.
A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following action should the nurse take first. Examine the client's oral mucous membranes. Encourage the client to consume 1.2 to 2. g/kg of protein daily. Recommend the client increase daily calorie intake by 25%. Teach the client about findings that should be reported to the provider. The first action the nurse should take using the nursing process is to assess the client. The nurse should examine the oral mucous membranes for painful lesions, such as candidiasis, that result from HIV or HIV therapy. A nurse is caring for a 50 year old client who has diabetes mellitus, recently lost his job,and has no health insurance. The nurse should advise the client to do which of the following? Contact Medicare to determine eligibility. Contact Medicaid to determine eligibility. Go to the emergency department when services are needed. Go to the public health department when services are needed.
massages. Increase the illumination in the room. Place a warm cloth on the clients forehead. Administer citalopram when the client is agitated. Soft massage and brief hand massage can reduce stress in palliative care settings. A community health nurse is teaching a group of older adults about environmental health hazards. A need for additional teaching is indicated when a group member lists which of the following as a possible source of carbon monoxide exposure. Motor vehicles Gas ranges Vented gas heaters Electric space heaters. Electric space heaters are not a source of carbon monoxide poisoning. A community health nurse is planning a presentation to aging adults who have a family history of Alzheimer's disease. The nurse should include that which of the following behaviors is an early manifestation of the disease. Withdrawal form social activities Difficulty learning new things Loss of language skills Neglecting personal hygiene.
Difficulty learning new things is generally an early indication of Alzheimer's disease. Other early indicators include short-term memory loss and subtle changes in personality. A home health nurse is planning care for the day. Which of the following clients should the nurse visit first.? An older adult client who was treated in the emergency department last night with a stage 3 pressure ulcer. A school- age child who was treated in the emergency department last night with status asthmaticus. An older adult client on a newly prescribed antihypertensive who needs a blood pressure check. A school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing. A nurse is providing safety information to the parents of an infant. Which of the following statement by a parent indicates the need for further teaching. It important to keep our bathroom doors closed. The slats on our child's crib are 2 inches apart. I will make sure the water heater setting is no higher than 140 degrees F. I will clip a pacifier onto my child's clothing during naps. The water heater should be at a setting no higher than 120 degrees F to prevent accidental burns. A school nurse is notified that an elementary school child is newly diagnosed with pertussis. Which of the following actions should the school nurse take? (select all that apply). Instruct the parent to keep the child home until the coughing stage has passed. Encourage family members to obtain prophylactic treatment. Quarantine the children in the child's class. Recommend the child receive a pneumococcal vaccine in 28 days. Check the immunization status of child's classmates. Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following should the community health nurse assess first? The need for the program. The accessibility of residences. The
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 becoming a victim of intimate partner abuse. Attempting to end the relationship with their partner. Lacking supportive friends outside the relationship. Having health issues that limit independence. Taking anti-anxiety or sedative medication. Those in a relationship with a potential or actual abuser heighten their risk for abuse when they attempt to leave the relationship. A community health nurse has conducted a teaching session abut breast self- examination. Which of the following best indicates whether or not the teaching was effective? Completion of a written quiz. Verbalization of the steps in the process. Demonstration on a breast model. Self-evaluation of the teaching session. is the best indicator of teaching effectiveness when teaching a psychomotor skill. A home health nurse is talking with a client whose partner died 3 months ago. The client states " I still can't believe my partner is gone sometimes." Which of the following is an appropriate nursing response. Many people experience these feelings while grieving for a lost loved one. Just give yourself some more time, and you'll feel better Tell me more about how you're feeling. I will schedule an appointment for you with the leader of your church. The nurse should encourage the client to share her feelings about her life without her partner. A home health nurse is orienting a newly licensed nurse who is drawing blood from a client for laboratory testing and gets stuck by used needle. Which of the following statements by the newly licensed nurse indicates a need for further teaching. The client will be tested for HIV. The client will be tested for hepatitis B virus. The client will be tested for hepatitis C virus. The client will be tested for hepatitis A virus.
The client would not be tested for hepatitis A because it is primarily transmitted by the oral-fecal route. ATI Community Health A nurse is teaching a client who has a new diagnosis of hepatitis A how to prevent the spread ofthe virus. Which of the following instruction should the nurse include? " Clean your bathroom fixtures with a chlorine bleach solution." A school nurse is discussing level of prevention with a teacher. Which of the following activities should the nurse identify as primary prevention strategy? Demonstrate proper hand washing 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 case manager is developing a discharge plan for a client who has a spinal cord injury and is in rehabilitation facility. Which of the following actions should the nurse take first? Determine the client's ability to perform self-care
An occupational health nurse is planning to use an interpreter during an educational session with a group of migrant workers who do not speak the same language as the nurse. Which of the following actions should the nurse take? (Select all that apply)
- Instruct the interpreter to guide the nurse in providing information in a culturally- sensitive manner
- Choose an interpreter who speaks the workers' language and dialect
- Evaluate the interpreter's approach to clients prior to the educational session A community health nurse is discussing the concept of epidemiology with a coworker. Which of the following interventions should the nurse provide as an example of the use of principles of epidemiology? Reviewing county health records for data on cases of chickenpox A community health nurse suspects an outbreak of scabies in the local area. Which of the following actions should the nurse take first? Determine incidence rate 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 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 nurse is assessing the risks and benefits of meal delivery services for older an older adult who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating? Benefience A community health nurse is developing a plan of care for a client who is Hispanic. Which of the following actions should the nurse include in the plan? Use therapeutic touch during conversation A nurse is conducting an education session at an assisted living facility for a group of clients who have osteoporosis. Which of the following statements should the nurse include in the teaching? Increase your daily intake of leafy green vegetables A nurse on the scene following a mass casualty explosion is triaging a client who
