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A.T.I Community Health Proctored Exam 2023 – Complete Test Bank with Real Questions, Exams of Nursing

Emory University Nursing

A.T.I Community Health Proctored Exam 2023 – Complete Test Bank with Real Questions and Verified Answers for the ATI Proctored Community Health Assessment

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2024/2025

Available from 07/16/2025

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ATI Community Health Proctored Exam 2023 –

Complete Test Bank with Real Questions and

Verified Answers for the ATI Proctored

Community Health Assessment

Here are the multi-choice questions with rationales and indicated correct answers for

the provided list.

1. A nurse is caring for a client with alcohol use disorder who has undergone

detoxification. Which of the following medications should the nurse expect the provider

to prescribe to assist the client with maintaining sobriety?

a) Varenicline

b) Clonidine

c) Buprenorphine

d) Disulfiram

Correct Answer: d) Disulfiram

Rationale:

• d) Disulfiram (Antabuse): This is the correct answer. Disulfiram is an aversion

therapy medication for alcohol use disorder. It works by interfering with the

metabolism of alcohol, leading to an accumulation of acetaldehyde if alcohol is

consumed. This causes unpleasant symptoms like nausea, vomiting, flushing,

headache, and palpitations, creating a deterrent to alcohol consumption. It is

used to help maintain sobriety after detoxification.

• a) Varenicline (Champix/Chantix): This is incorrect. Varenicline is a medication

used to help people stop smoking, not for alcohol use disorder.

• b) Clonidine: This is incorrect. Clonidine is an alpha-2 adrenergic agonist

primarily used to manage withdrawal symptoms (like hypertension, tachycardia,

and anxiety) during opioid or alcohol detoxification, but it is not typically

prescribed for long-term sobriety maintenance after detoxification.

• c) Buprenorphine: This is incorrect. Buprenorphine (Suboxone, Subutex) is an

opioid partial agonist used for the treatment of opioid use disorder, to reduce

cravings and withdrawal symptoms from opioids. It is not used for alcohol use

disorder.

Partial preview of the text

Download A.T.I Community Health Proctored Exam 2023 – Complete Test Bank with Real Questions and more Exams Nursing in PDF only on Docsity!

ATI Community Health Proctored Exam 2023 –

Complete Test Bank with Real Questions and

Verified Answers for the ATI Proctored

Community Health Assessment

Here are the multi-choice questions with rationales and indicated correct answers for the provided list.

A nurse is caring for a client with alcohol use disorder who has undergone detoxification. Which of the following medications should the nurse expect the provider to prescribe to assist the client with maintaining sobriety? a) Varenicline b) Clonidine c) Buprenorphine d) Disulfiram Correct Answer: d) Disulfiram Rationale:
- d) Disulfiram (Antabuse): This is the correct answer. Disulfiram is an aversion therapy medication for alcohol use disorder. It works by interfering with the metabolism of alcohol, leading to an accumulation of acetaldehyde if alcohol is consumed. This causes unpleasant symptoms like nausea, vomiting, flushing, headache, and palpitations, creating a deterrent to alcohol consumption. It is used to help maintain sobriety after detoxification.
- a) Varenicline (Champix/Chantix): This is incorrect. Varenicline is a medication used to help people stop smoking, not for alcohol use disorder.
- b) Clonidine: This is incorrect. Clonidine is an alpha-2 adrenergic agonist primarily used to manage withdrawal symptoms (like hypertension, tachycardia, and anxiety) during opioid or alcohol detoxification, but it is not typically prescribed for long-term sobriety maintenance after detoxification.
- c) Buprenorphine: This is incorrect. Buprenorphine (Suboxone, Subutex) is an opioid partial agonist used for the treatment of opioid use disorder, to reduce cravings and withdrawal symptoms from opioids. It is not used for alcohol use disorder.

A newly admitted client who has major depressive disorder states to the nurse, "I'm a failure, I can't even cope with the little things anymore." Which of the following responses should the nurse provide? a) "What happened in your life to make you feel like such a failure?" b) "It sounds as if you are feeling pretty overwhelmed right now." c) "Do you feel like you don't deserve to feel good about yourself?" d) "I know you feel like that now, but you'll feel differently when you get better." Correct Answer: b) "It sounds as if you are feeling pretty overwhelmed right now." Rationale:
- b) "It sounds as if you are feeling pretty overwhelmed right now." : This is the most therapeutic response. It uses reflection and validation. The nurse acknowledges and validates the client's expressed feelings of being overwhelmed, which is a common symptom of depression and a direct interpretation of "can't even cope with the little things." This open-ended statement encourages further communication and shows empathy without directly agreeing or disagreeing with the client's self-deprecating statement ("I'm a failure").
- a) "What happened in your life to make you feel like such a failure?" : This is less therapeutic. It asks for a broad, potentially overwhelming explanation and may lead the client to ruminate on negative past experiences rather than focus on their current feelings and potential solutions. It can also sound accusatory or demanding.
- c) "Do you feel like you don't deserve to feel good about yourself?" : While potentially true for someone with depression, this response is a closed-ended question and puts words into the client's mouth, possibly leading them to agree without fully exploring their feelings. It's less empathetic and more confrontational than validating their immediate feeling of being overwhelmed.
- d) "I know you feel like that now, but you'll feel differently when you get better." : This is a false reassurance and dismisses the client's current feelings. It can make the client feel misunderstood or that their feelings are being minimized, potentially hindering the therapeutic relationship. The nurse cannot promise future feelings.

b) Previous illnesses and surgeries. c) Events surrounding the client's recent illness. d) Sociocultural history. Correct Answer: a) Client's level of comfort and ability to participate in the interview. Rationale:

a) Client's level of comfort and ability to participate in the interview: The introductory (or orientation) phase of the nurse-client interview is focused on establishing rapport, trust, and setting the stage for data collection. This includes assessing the client's comfort, privacy, and their readiness and ability to engage in the interview. This step is crucial for ensuring accurate and productive information gathering.
b) Previous illnesses and surgeries, c) Events surrounding the client's recent illness, d) Sociocultural history: These pieces of information are part of the working phase of the interview, where the bulk of the data collection occurs after rapport has been established.

A nurse is planning to assess the abdomen of a client who reports feeling bloated for several weeks. Which of the following methods of assessment should the nurse use first? a) Inspection b) Auscultation c) Percussion d) Palpation Correct Answer: a) Inspection Rationale:

a) Inspection: When assessing the abdomen, the correct sequence for physical examination is Inspection, Auscultation, Percussion, then Palpation. Inspection is always done first to observe for visible characteristics like distention, symmetry, skin changes, or pulsations.
b) Auscultation: Auscultation (listening to bowel sounds) is done after inspection. If done after percussion or palpation, it could alter bowel sounds and lead to inaccurate findings.

c) Percussion: Percussion is performed after auscultation to assess for fluid, gas, or organ size.
d) Palpation: Palpation is performed last. It can alter bowel sounds and cause discomfort if done before the other steps.

A nurse is performing a comprehensive physical assessment of a client. The nurse should use inspection to assess which of the following? a) Liver size b) Pedal edema c) Skin texture d) Gait Correct Answer: d) Gait Rationale:

d) Gait: Inspection is the act of observing. Gait (the manner or style of walking) is primarily assessed through visual observation as the client walks.
a) Liver size: Liver size is assessed through palpation and percussion.
b) Pedal edema: Pedal edema (swelling of the feet/ankles) is primarily assessed through palpation (feeling for pitting) and visual inspection. However, the degree and pitting nature are determined by palpation. Inspection only notes presence.
c) Skin texture: Skin texture is primarily assessed through palpation (feeling for smoothness, roughness, dryness, etc.), although visual inspection can give some clues.

A nurse is caring for a client who is immobile. The nurse should recognize that immobility places the client at risk of which of the following health alterations? a) Increased intestinal motility b) Respiratory alkalosis c) Decreased cardiac output d) Hypocalcemia Correct Answer: c) Decreased cardiac output Rationale:

d) Inspect the client's mouth using a finger sweep: Using a finger sweep in an unresponsive client's mouth is dangerous due to the risk of being bitten or causing injury to the client's mouth. A tongue blade or padded tongue depressor should be used for inspection and to keep the mouth open, if necessary. A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client appears upset and refuses to take the medication before throwing the pill on the floor. Which of the following entries should the nurse enter into the clients medical record? A) the client refuses to take medication today B) The client states, "I will not take this pill." C) The client seemed angry and hostile D) The client threw the medication on the floor - correct ans- - D) The client threw the medication on the floor A nurse is a rehabilitation facility is observing an assistive personal (AP) help a client transfer from a bed to a wheelchair. Which of the following actions indicates to the nurse that the AP understands how to perform this task A) Locking the brakes on the bed and the wheelchair before moving the client B) Lowering the footplates of the wheelchair before the transfer C) Placing the wheelchair perpendicular to the bed D) Placing the wheelchair on the clients weaker side prior to the transfer - correct ans- - A) Locking the brakes on the bed and the wheelchair before moving the client A nurse is caring for a client who has cancer and refuses visitors because of his debilitated physical appearance. Which of the following comments should the nurse make? A) "You look just fine to me." B) "Nobody expects you to look beautiful in the hospital." C) "I understand how you feel. I would feel the same way." D) Would you like to talk about how you feel?" - correct ans- - D) "Would you like to talk about how you feel?"

A nurse is assessing the pH of a clients gastric fluid to confirm the placement of an NG tube in the stomach. Which of the following pH values should the nurse expect? A) 6 B) 2 C) 10 D) 8 - correct ans- - B) 2 A nurse is caring for a client who is scheduled to receive transcutaneous electrical nerve (TENS) for pain management. The client asks the nurse how a TENS unit helps to relieve pain. Which of the following responses should the nurse make? A) "It provides a distraction from the pain" B) "It modulates the transmission of the pain impulse" C) "It promotes increased circulation to the painful area" D) "It elicits a relaxation response" - correct ans- - B) "It modulates the transmission of the pain impulse" A nurse is performing a physical assessment of a client. The nurse should recognize that which of the following places the client at risk of impaired skin integrity? A) 3+ Achilles reflex B) Faint pedal pulses C) Feet warm to the touch bilaterally D) Capillary refill of <2 seconds - correct ans- - B) Faint pedal pulse A nurse is assessing a client. Which of the following findings should the nurse identify as an indication of protein-calorie malnourishment (SATA) A) Gingivitis B) Dry, brittle hair C) Edema D) Spoon-shaped nails E) Poor wound healing - correct ans- - B) Dry, brittle hair

A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take when providing oral care for the client? A) Test for the presence of the clients gag reflex B) Place the client in the supine position C) Use a firm toothbrush for tooth and gum care D) Use 2 gauze-wrapped fingers to hold the mouth open - correct ans- - A) Test for the presence of the clients gag reflex A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm^3. Which of the follow interventions should the nurse include? A) Avoid IM injections B) Assess the client for ecchymosis once per shift C) Do not allow the client to have visitors D) Encourage daily flossing between teeth - correct ans- - A) Avoid IM injection A nurse is preparing to assess the function of the clients trigeminal nerve (cranial nerve V). Which of the following items should the nurse gather for the test? A) Sugar B) Coffee C) Cotton wisps D) Snellen chart - correct ans- - C) Cotton wisps A nurse is teaching a client who is postoperative following a knee arthroplasty about the muscles he will need to strengthen in physical therapy. Which of the following muscle groups is responsible for movement at the knee joint? A) Antigravity

B) Antagonistic C) Synergistic D) Skeletal - correct ans- - B) Antagonistic A nurse is caring for a client who has a terminal illness. The family wants to care for the client at home. Which of the following statements indicates that the nurse understands family-centered care A) "Social services can contact various community resources that will be helpful." B) "I will review the care plan to make the necessary changes." C) "Let's set up a meeting time with the doctor to discuss your options for home care." D) "I will make a list of things we need to do before discharge." - correct ans- - C) "Let's set up a meeting time with the doctor to discuss your options for home care." A nurse has received a prescription for dextran to administer to a client. The nurse should recognize that dextran belongs in which of the following functional classifications A) Skeletal muscle relaxants B) Beta-adrenergic blockers C) Broad-spectrum anti-infective agents D) Plasma volume expanders - correct ans- - D) Plasma volume expanders A nurse is providing teaching to a client regarding protein intake. Which of the following foods should the nurse include as an example of an incomplete protein? A) Eggs B) Soybeans C) Lentils D) Yogurt - correct ans- - D) Lentils A nurse is caring for a client who has cancer and is experiencing pain. The nurse should implement which of the following interventions to assist the client with pain relief?

A newly licensed nurse is preparing to administer medications to a client. The nurse notes that the provider has prescribed a medication that is unfamiliar to him. Which of the following actions should the nurse take? A) Consult the medication reference book available on the unit B) Ask a more experienced nurse for information about the medication C) Call the clients provider and verify the prescription D) Ask the client if she takes this medication at home - correct ans- - A) Consult the medication reference book available on the unit A nurse in a providers office is assessing a client who has heart failure. The client has gained weight since her last, and her an,les are edematous. Which of the following findings is another clinical manifestation of fluid volume excess A) Sunken eyeball B) Hypotension C) Poor skin turgor D) Bounding pulse - correct ans- - D) Bounding pulse A nurse in an oncology clinic is assessing a client who is undergoing treatment for ovarian cancer. Which of the following statements by the client indicates she is experiencing psychological distress? A) "My parents are retired, and they have come to help with our children B) "I am going to ask my husband to go to counseling with me" C) "I keep having nightmares about my upcoming surgery" D) "My girlfriends bought me a nice wig" - correct ans- - C) "I keep having night,ares about my upcoming surgery" A nurse is assessing a client who has a sudden onset of severe back pain of unknown origin. Which of the following questions should the nurse ask to encourage discussion with the client? A) "Does the medication you're taking relieve the pain?" B) "Can you point to where the pain is the worst?"

C) "What do you think caused the onset of your pain?" D) "Changing positions makes your pain worse, right?" - correct ans- - C) "What do you think caused the onset of your pain?" A nurse is caring for a client who has acute renal failure. Which of the following assessments provides the most accurate measure of the clients fluid status? A) Daily weight B) Blood pressure C) specific gravity D) Intake and output - correct ans- - A) Daily weight A nurse is caring for a client who is unstable and has vital sign measured every 15 minutes by an electronic blood pressure machine. The nurse notices the machine begins to measure the blood pressure at varied intervals, and the readings are inconsistent. Which of the following actions should the nurse take? A) Turn on the machine every 15 min to measure the clients blood pressure B) Record only the blood pressure reading needed for 15 min intervals C) Obtain manual and automatic readings and compare them D) Disconnect the machine and measure the blood pressure manually every 15 min - correct ans- - D) Disconnect the machine and measure the blood pressure manually every 15 min A nurse is caring for a client who has a temperature of 38.7 C (101.7 F). Which of the following actions should the nurse take? A) Apply an alcohol-water solution to the clients skin B) Keel the clients bed linens dry C) Apply ice packs to the groin D) Limit the clients fluid intake to 1183 mL (40 oz) of fluid per day - correct ans- - B) Keep the clients bed linens dry

B) Pink, shiny tissue with a granular appearance C) Serosanguineous drainage D) Halo of erythema on the surrounding skin - correct ans- - D) Halo of erythema on the surrounding skin A nurse is caring for an adult client who has an NG tube in place and a prescription for continuous enteral feedings. Which of the following actions should the nurse perform to reduce the clients risk of aspiration A) Irrigate the tubing with 30ml of sterile water B) Elevate the head of the bed to 30 degrees or 45 degrees C) Suggest changing the feeding to lactose - free formula D) Warm the enteral formula to room temperature before feeding - correct ans- - B) Elevate the head of the bed to 30 degrees or 45 degrees A nurse is auscultating a clients lungs and identifies rhonchi over the trachea and bronchi. Which of the following actions should the nurse take? A) Limit the clients fluid intake B) Assist the client into a supine position C) Administer oxygen at 2 L/min D) Encourage the client to cough - correct ans- - D) Encourage the client to cough During a client care staff meeting, a nurse manager discusses potential problems with data security that affect confidential client information. Which of the following environments should the nurse manager, identify as an acceptable place for discussing clients information? A) Areas with no public access B) Outside the door of a clients room C) In the cafeteria during break D) In the hallway near the nurses station - correct ans- - A) Areas with no public access

A nurse is caring for a client who has a terminal illness. Which of the following findings indicates the clients death is imminent? A) Urinary retention B) Cold extremities C) Hypertension D) Tachycardia - correct ans- - B) Cold extremities A nurse is reviewing the laboratory values of a client who has a positive Chvosteks sign. Which of the following laboratory findings should the nurse expect? A) Decreased calcium B) Decreased potassium C) Increased potassium D) Increased calcium - correct ans- - A) Decreased calcium A nurse is preparing to administer a unit of packed RBC to a client. Which of the following pieces of information must the nurse verify with another nurse prior to administration? (SATA) A) The clients ID number B) The clients room number C) The clients name D) ABO compatibility E) Rh compatibility - correct ans- - A) The clients ID number B) The clients name D) ABO compatibility E) Rh compatibility A nurse is assessing a client who is experiencing stress and anxiety regarding a recent diagnosis. Which of the following findings should the nurse expect? A) Increased blood pressure

A nurse is planning care for a client who is confused and requires a prescription for wrist restraints. Which of the following interventions should the nurse include in the plan of care? A) Renew the prescription for the use of restraints within 24 hours B) Secure the restraints with the buckle side next to the clients skin C) Ensure 4 fingers can be inserted under the secured restraint D) Remove the restraint every 3 hours - correct ans- - A) Renew the prescription for the use of restraints within 24 hours A nurse on a medical unit is caring for a client who has been coughing intermittently during meals, attempting to clear her throat repeatedly, and eating only a small portion of each meal. The nurse should recommend a referral to which of the following members of the inter professional team to evaluate the client for dysphasia? A) A speech-language pathologist B) Social worker C) Physical therapist D) Occupational therapist - correct ans- - A) A speech-language pathologist A nurse is preparing to insert an indwelling urinary catheter for s female client. Which of the following actions should the nurse have the client perform just before inserting the catheter? A) Swallow water B) Prepare for a painful sensation C) Hold her breath D) Near down gently - correct ans- - D) Bear down gently A nurse is preparing to administer an IM injection to a young adult client. Which of the following injection sites is the safest to this client? A) Vastus lateralis B) Dorsogluteal C) Deltoid

D) Ventrogluteal - correct ans- - D) Ventrogluteal A nurse is admitting a client who will undergo a craniotomy. During the planning phase of the nursing process, which of the following actions should the nurse take? A) Establish client outcomes B) Collect information about past health problems C) Determine whether the client has met specific goals D) Identify the clients specific health problem - correct ans- - A) Establish client outcomes A nurse is caring for a client who is having difficulty breathing. The nurse should assist the client into which of the following positions? A) Supine B) Lateral C) Fowlers D) Trendelenburg - correct ans- - C) Fowlers A nurse is assisting a client who is eating at mealtime. Suddenly the client grabs her neck with both hands and appears frightened. Which of the following actions should the nurse take first A) Place an oxygen mask on the client B) Check the clients pulse C) Determine whether the client is able to breathe D) Wrap arms around the client from behind - correct ans- - C) Determine whether the client is able to breath A nurse is caring for a client who has a fecal impact ion. Before the digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? A) Carminative

A.T.I Community Health Proctored Exam 2023 – Complete Test Bank with Real Questions, Exams of Nursing

Related documents

Partial preview of the text

Download A.T.I Community Health Proctored Exam 2023 – Complete Test Bank with Real Questions and more Exams Nursing in PDF only on Docsity!

ATI Community Health Proctored Exam 2023 –

Complete Test Bank with Real Questions and

Verified Answers for the ATI Proctored

Community Health Assessment