ATI RN COMMUNITY HEALTH PROCTORED EXAM

ATI RN COMMUNITY HEALTH PROCTORED EXAM

VERSION 32

1.A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?The client will walk for 30 min 5 days a week

• A public health nurse is assessing an older adult client who lives with a family member. The

nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first?Report the findings to a supervisor 3.A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instruction should the nurse include?Expect some breast dimpling or discharge with age 4.A community health nurse in a pediatric clinic is reviewing the history of a 12 years old client. Which of the following immunizations should the nurse expect to administer?Meningococcal conjugate 5.A CHN is conducting an education program on various environmental pollutants. The nurse should emphasize that clients who have which of the following disorders are especially vulnerable to ozone effects?Asthma 6.A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?Dysphagia 7.A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?Cigarette smoking 8.A school nurse is teaching a group of nurses newly hired to work in the school system about pediculosis capitis (head lice). Which of the following information is appropriate to include in the teaching?Nits that are shed into the environment are capable of hatching for up to 10 days 9.An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on the stove. Which of the following community resources should the nurse recommend for this client?Meals on Wheels 10.A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911? 1 / 2

Office of Emergency Management (OEM) 11.An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?Help plant workers identify signs of carpal tunnel syndrome 12.A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching?Unlike chickenpox, the vesicles of smallpox are more abundant on the face

• A school nurse receives a call that some children and teachers report being exposed to an

undetermined noxious gas odor presenting the classrooms and are experiencing dizziness. Which of the following actions should the nurse take?

• Have students evacuated from the school and establish a triage area in the school parking

lot.

• Move individuals who are reporting symptoms to one of the aected classrooms and create

a triage area inside the room.

• Arrange for client transportation to the nearest emergency department and tell the group

triage will occur there.

• Transport all children and school personnel to the nearest medical facility using school

buses Have students evacuated from the school and establish a triage area in the school parking lot

14.A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work but are not exhibiting manifestation of illness. Which of the following is the appropriate action for the nurse to take?Administer antibiotic therapy

15.A nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following isolation precautions should the nurse plant to use while caring for these clients.Initiate Droplet precaution

16.A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment PPE is needed. which of the following actions should the nurse take?Choose the highest level of PPE available

17.A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?A private room

18.A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first?

• A client experiencing a tension pneumothorax
• A client who has a closed upper extremity fracture
• A client who has full-thickness burns over 80% of his body
• A client who has agonal respirations

A client experiencing a tension pneumothorax.

19.A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for

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