ATI COMMUNITY HEALTH PROCTORED EXAM (10 VERSIONS) - UPDATED FOR 2025 TOP SCORE 100% DET, Exams of Health sciences

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ATI COMMUNITY HEALTH PROCTORED

EXAM

(10 VERSIONS) - UPDATED FOR 2025 TOP

SCORE 100% DETAILED & VERIFIED

SOLUTIONS, EXAMS OF NURSING

4. clients will significantly decrease caloric intake
5. a nurse is working with a care manager for a client who participates in a health maintenance organization. the nurse should identify that a health maintenance organization provides which of the following payment structures.
6. the client is participating in a fee for service health care insurance program
7. the provider is paid a fixed sum for the client on a monthly or yearly basis 3. the client pays the insurer a percentage of the total costs for each service rendered by the provider
8. the provider bills the client directly for a predetermined percentage of the cost of services 6. a client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. which of the following is the first action the nurse should take when assisting this client?
9. provide the client with a printed recipe
10. observe the client during preparation of traditional foods
11. use cookbooks to include traditional foods in meal plans
12. explain diabetes exchange list 7. a home health nurse manager is caring for a client who has methicillin resistant staphylococcus aureus. which of the following actions should the nurse take?
13. remove fresh flowers from the client’s home
14. wear a mask when within 3 feet of the client 3. encourage the client to use a hepa filter in the house 4. double bag soiled dressing in polyethylene bags. 8. an occupational health nurse is discussing health promotion with a client

who has a history of obesity. which of the following comments indicates the client is using rationalization as a coping mechanism?

1. i have lots of health problems from being obese
2. I am obese it’s in my genes
3. i have difficulty resisting the items in vending machines
4. i know you don’t like me because i am obese 9. a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey?
5. demographic data
6. mortality rate
7. informant interviews
8. housing quality 10. a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?
9. one dose of the immunization gives children lifelong protection from hepatitis B
10. hepatitis B spreads easily among children through casual contact
11. many people who acquire acute hepatitis B develop chronic hepatitis
12. people who have had a hepatitis B infection still need the immunization 11. a first response team is working at the location of a bombing incident. a nurse triaging a group of clients should give treatment priority to which of the following clients.
13. a client who has superficial partial thickness burn injuries over 5% of his body
14. a client who has a femur fracture with a 2+ pedal pulse
15. a client who is ambulatory and exhibits manic behavior 4. a client who has a rigid abdomen with manifestations of shock. 12. a nurse is working with a community health care team to devise strategies for preventing violence in the community. which of the following interventions is an example of tertiary prevention?

3. work with local businesses to sponsor more trash receptacles in the playground
   4. engage neighborhood families to monitor the playground for further trash buildup 17. a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?
4. have the client’s daughter communicate information about the procedure
5. arrange for a member of the client’s community to interpret the teaching
6. identify the clients spoken dialect prior to contacting an interpreter
7. use professional terminology when providing education prior to the procedure 18. a nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department?
8. chlamydia
9. herpes simplex virus
10. group B Streptococcus B hemolytic
11. human papillornavirus 19. a clinic nurse is assessing a client who has measles. which of the following findings should the nurse expect? 1. koplik spots inside the mouth
12. persistent low grade temperature
13. muscle aches and tenderness
14. rash confined to the trunk of the body 20. a community health nurse is planning a program for adolescents about preventing STIs. which of the following actions should the nurse take first?
15. collect data to identify barriers to learning
16. establish methods to evaluate program outcomes
17. obtain visual aids that feature adolescents
18. provide computer based education

21. a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply)

1. you should avoid sexual contact until therapy is complete
2. notify anyone with whom you have had sexual contact over the past 2 months
3. you will need to take an antiviral medication for 30 days
4. once your complete treatment you will have an acquired immunity against chlamydia
5. you might experience painful urination until the infection has resolved 22. a home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son’s family. which of the following actions should the nurse take first during the visit? 1. encourage the family to join a support group
   2. provide the family with information about respite care
   3. educate the family regarding the progression of dementia
   4. engage the family in informal conversation 23. a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease. which of the following actions should the nurse take first? 1. discuss the benefits of eating a well-balanced diet with the client’s family 2. assist the client and the clients partner with finding an affordable exercise program
   5. offer to accompany the client and the clients partner during health care provider visits
   6. ask family members about the impact of the disease on relationships within the family 24. a nurse is caring for a client who is having difficulty performing activities of daily living. the nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client.

show the group a video on breastfeeding techniques

3. facilitate a discussion group about the benefits of breastfeeding
4. provide dolls for the participants to demonstrate positioning 29. a nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster preparedness efforts when performing which of the following actions
5. implementing a disaster triage plan with a local medical facility
6. functioning as a manager at a temporary shelter
7. assisting with the identification of a biological agent
8. organizing a mass casualty drill for community members 30. a 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she is unable to pay for the treatment. which of the following actions by the nurse will facilitate obtaining appropriate treatment?
9. help the client apply for Medicare
10. explore options for alternative therapies
11. arrange for medication through local agencies
12. send the client to the nearest facility for further evaluation 31. a public health nurse is addressing community leaders at a forum about community improvement. the nurse should identify which of the following groups as being the fastest growing segment of the homeless population.
13. people who have substance use disorders
14. families who have children
15. adolescent runaways
16. men who are unemployed

32. a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include? 1. the test monitors progression of the disease 2. the test measures antibodies to the virus the test results are accurate 24 hr. after exposure to the virus 4. a positive result requires initiating immunoglobulin administration 33. a nurse case manager is providing discharge planning for a client. the nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client’s home 1. consultant 2. systems allocator 3. advocate 4. coordinator 34. a faith based organization asks a community health nurse to develop a mobile meal program for older .................................... the following actions should the nurse plan to take first. 1. determine potential funding sources for the program 2. inquire about the availability of volunteers 3. identify alternative solutions to address concerns 4. perform a needs assessment 35. several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should the nurses plan to provide to the congregation? 1. organize an influenza immunization clinic with the American red cross 2. perform wound care in the home of members 3. provide end of life care for members who are terminal

37. a community health nurse is providing screening for lipid disorders. which of the following is the primary goal of this activity? 1. early detection of disease 2. client enrollment in prevention programs 3. promotion of appropriate lifestyle changes 4. identification of family history of medical problems 38. a school nurse is implementing health screening. which of the following assessment finding should the nurse recognize as the highest priority? 1. a child who has a BMI of 18 2. an adolescent who has scoliosis 3. an adolescent who has psoriasis 4. a child who has nits 39. which of the following ......... should the nurse include 1. should be placed beside the child’s bed 2. house hold contacts will receive prophylactic antibiotics 3. transmission will be emitted because of herd immunity 4. the child is most contagious after the rash develops 40. a home health nurse is scheduled for a first time visit to a client. which of the following should the nurse perform first? 1. blood pressure screening 2. mental status examination 3. review of the neighborhood 4. family history 41. in the last month three cases of tuberculosis have been referred to the health department. which of the following is the priority information for the community health nurse to obtain from each client? 1. demographics 2. house hold members 3. occupation 4. health history 42 a nurse is working to reduce individual and family violence in the local community. which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal? 1. conducting counseling for at risk parents

2.. assessing a family for marital discord 3 .. teaching parenting techniques to new parents

4. providing treatment for a young adult who has a substance use disorder 43. a newly hired occupational health nurse is assessing hazards in the work environment. which of the following actions will help the nurse detect potential physical hazards?
5. track rates of illness caused by infection among employees
6. survey workers about job related emotional stress
7. identify industrial toxins that are present in the environment
8. measure noise levels at various locations in the facility 44. a school nurse is planning safety education for a group of adolescents. the nurse should give priority to which of the following topics as the leading cause of death for this age group 1. motor vehicle safety
9. sports injury prevention
10. substance abuse prevention
11. gun safety 45. a nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. which of the following information should the nurse include?
12. middle eastern cultural practices include hiding pain from close family members
13. native American cultural practices include being outspoken about pain
14. Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful
15. Chinese cultural practices include enduring pain to prevent family dishonor 46. the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse ....... client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take? 1. arrange for meals on wheels’ assistance
16. determine the client’s ability to self-feed
17. direct the home health aide to assist with meals

3. attending Al anon meetings will help you identify a role model to assist you with making needed changes
4. you will begin learning functional skills to replace defense mechanisms and behaviors while in treatment 51. a nurse is assessing an outbreak of mumps among school age children. using the epidemiological triangle. the nurse should recognize that which of the following is the host.
5. the vaccine
6. the virus
7. the school
8. the children 52. a community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. which of the following interventions should the nurse implement?
9. provide coffee and snacks during the meetings
10. avoid discussing the traumatic events experienced by the veterans
11. change the meetings sites frequently
12. teach the clients to practice deep breathing exercises 53. client states my life has no meaning right now.
13. have you been thinking about harming yourself
14. how long have you been feeling this way
15. tell me what is going on with you right now
16. do you really think your life has no purpose

54. a nurse is providing education to a group of adolescents who are pregnant and attending high school. which of the following information should the nurse include in their teaching? 1. the need for supplemental folic acid is greatest during the third trimester 2. the incidence of high birth weight infants is higher in adolescent pregnancy 3. pregnant adolescent need to gain less weight than adult mothers 4. caffeinated beverages should be replaced with caffeine-free beverages 55. nurse expect 1. oliguria 2. diplopia 3. hypoglycemia 4. dizziness 56. a community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. in a given year, 3144 new cases were reported and the population was estimated at 325,986. which of the following is the incidence rate in the state for the year? 1. about 300 reported cases per 100,000 population 2. about 1 reported case per 10,000 population 3. about 10 reported cases per 1000 population 4. about 3 reported cases per 10,000 population 57. a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team? 1. the client dresses her affected side first. 2. the client bears weight on their arms when using crutches 3. the client coughs when swallowing her medications 4. the client’s caregiver fills a pill organizer weekly

▪ HYPERTENSION

▪ Hallucinations ▪ Anxiety ▪ Increased respirations ▪ Fever ▪ Tonic colonic seizures ▪ Diaphoresis o African Indian health medications and beliefs~ seek SHAMAN for healing of an infection o ANTHRAX exposure ▪ Ciproflaxin is the treatment of choice and should be used prophylactically o Asian health beliefs~ steam removes toxins from the body—heated blanket (ying and yang theory) o Autonomy means respecting a client’s right to choose and refuse o Beneficence is maximizing benefits and minimizing possible harm o Breast cancer prevention includes yearly exams beginning at 40 years old o Calculating disease incidence and prevalence cases / population total X 1000 o Indications of digoxin toxicity ▪ Hypokalemia ▪ Fatigue ▪ Weakness ▪ Vision changes ▪ GI affects o Caregiver burden responses~ fatigue, difficulty sleeping, illness o Care of migrant workers health problems

1. Dental disease
2. Tuberculosis
3. Chronic conditions
4. Stress and anxiety
5. Leukemia
6. Iron deficiency anemia
7. Cancer

8. Lack of parental care o Caribbean nations health beliefs and medicine~ voodoo and witchcraft o Caring for a client with GONORRHEA ▪ Notionally notifiable disease ▪ Women are frequently ASYMPTOMATIC ▪ Yearly screening for women over 25 with risk factors ▪ At risk population—pregnant women—should be screening at 1st^ prenatal visit and identify and treat all partners ▪ Administer erythromycin to all infants following delivery ▪ Ceftriaxone IM or azithromycin PO ▪ It is the providers responsibility to report ▪ State notification is voluntary ▪ If left untreated can lead to PID and cause infertility ▪ Medication Ceftriaxone o Case management nurses identify referrals that clients need, promote interpersonal service and increase involvement, decrease cost by improving outcomes, provide education to optimize health participation, and advocate for services and client rights o Case managers provide referral information, facilitate movement through health care system, negotiate and collaborate o Category A biological agents ▪ Tularemia ▪ Botulism o Christian religion medicine and health beliefs~ believe in faith healing o Hospice care is to control manifestations o Clients rights
9. Right to information disclosure
10. Right to privacy
11. Right to informed consent
12. Right to confidentiality
13. Right to participate in treatment decisions o Colds and other illnesses are not contraindications for getting immunizations o What identifies as secondary data ▪ Birth statistics