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A.T.I Community Health Proctored Exam 2025 – Complete Study Guide with Practice Questions, Exams of Nursing

Emory University Nursing

A.T.I Community Health Proctored Exam 2025 – Complete Study Guide with Practice Questions, Answers, and Expert Review for Guaranteed Success

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ATI Community Health Proctored Exam 2025 –

Complete Study Guide with Practice Questions,

Answers, and Expert Review for Guaranteed

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

for the provided list.

1. A parish nurse is planning activities for a faith-based community.1 Which of the

activities should the nurse include?

a. Teach stress management strategies.

b. Provide case management.

c. Offer primary care to uninsured members.

d. Change negative pressure wound therapy dressing.

Correct Answer: a. Teach stress management strategies.

Rationale:

• a. Teach stress management strategies: This is a common and appropriate

activity for a parish nurse. Parish nursing focuses on health promotion, disease

prevention, and spiritual care within a faith community.2 Teaching stress

management aligns with promoting holistic health and well-being.

• b. Provide case management: While parish nurses might assist with referrals,

comprehensive case management (coordinating complex medical care,

appointments, resources) is typically beyond the primary scope of a parish nurse

role, which often emphasizes health education and spiritual support.

• c. Offer primary care to uninsured members: Providing direct primary care

(diagnosis, treatment of acute/chronic illnesses) is usually outside the scope of

practice for a parish nurse, who often functions more as a health educator,

counselor, and resource referrer.

Partial preview of the text

Download A.T.I Community Health Proctored Exam 2025 – Complete Study Guide with Practice Questions and more Exams Nursing in PDF only on Docsity!

ATI Community Health Proctored Exam 2025 –

Complete Study Guide with Practice Questions,

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

A parish nurse is planning activities for a faith-based community.1 Which of the activities should the nurse include? a. Teach stress management strategies. b. Provide case management. c. Offer primary care to uninsured members. d. Change negative pressure wound therapy dressing. Correct Answer: a. Teach stress management strategies. Rationale:
- a. Teach stress management strategies: This is a common and appropriate activity for a parish nurse. Parish nursing focuses on health promotion, disease prevention, and spiritual care within a faith community.^2 Teaching stress management aligns with promoting holistic health and well-being.
- b. Provide case management: While parish nurses might assist with referrals, comprehensive case management (coordinating complex medical care, appointments, resources) is typically beyond the primary scope of a parish nurse role, which often emphasizes health education and spiritual support.
- c. Offer primary care to uninsured members: Providing direct primary care (diagnosis, treatment of acute/chronic illnesses) is usually outside the scope of practice for a parish nurse, who often functions more as a health educator, counselor, and resource referrer.

d. Change negative pressure wound therapy dressing: This involves direct, skilled bedside nursing care that requires specific medical orders and equipment. While a nurse is qualified to do this, it's not a typical role for a parish nurse within the community setting; it falls under acute or home health care.

A nurse is working with a case manager for a client who participates in a health maintenance organization (HMO). The nurse should identify that a health maintenance organization provides which of the following payment structures? a. The client pays the insurer a percentage of the total cost for each service rendered by the provider. b. The provider is paid a fixed sum for the client on a monthly or yearly basis. c. The client is participating in a fee-for-service health care insurance program. d. The provider bills the client directly a predetermined percentage for the cost of services. Correct Answer: b. The provider is paid a fixed sum for the client on a monthly or yearly basis.^4 Rationale:

b. The provider is paid a fixed sum for the client on a monthly or yearly basis: This describes capitation , which is the hallmark payment structure of a Health Maintenance Organization (HMO).^5 In capitation, providers receive a fixed amount per enrollee per period (e.g., month or year), regardless of how many services the enrollee uses.^6 This incentivizes providers to focus on preventive care and cost-effective management.
a. The client pays the insurer a percentage of the total cost for each service rendered by the provider: This describes coinsurance , which is a component of many insurance plans, but not the defining payment structure from the insurer to the provider in an HMO.
c. The client is participating in a fee-for-service health care insurance program: This describes a traditional insurance model where providers are paid for each service rendered.^7 This is in contrast to the HMO model which emphasizes managed care.
d. The provider bills the client directly a predetermined percentage for the cost of services: This describes aspects of copayments or deductibles , where the client pays a portion directly, but it doesn't describe the underlying payment structure between the insurer and the provider in an HMO.

c. "I carry my baby with me as I move around the house." d. "I use baby talk when talking to my baby." Correct Answer: c. "I carry my baby with me as I move around the house." Rationale:

c. "I carry my baby with me as I move around the house." : This statement indicates understanding of promoting infant safety and attachment. Keeping the baby close while moving around the house helps with bonding, allows for close monitoring, and demonstrates responsiveness to the baby's needs, contributing to a secure attachment.
a. "I warm my baby bottle in the microwave 30 seconds at a time." : This is incorrect and unsafe. Microwaving baby bottles is strongly discouraged because it can create "hot spots" in the milk, which can scald the baby's mouth and throat, even if the bottle feels cool on the outside.^9
b. "I limit the time her grandparents cuddle my baby to prevent spoiling." : This is incorrect. Infants cannot be "spoiled" by too much cuddling or attention.^10 Cuddling promotes bonding, security, and healthy development.^11
d. "I use baby talk when talking to my baby." : While using some "baby talk" (parentese) can be helpful for language development, excessive or exclusive use can hinder proper language acquisition. Parents should be encouraged to use clear, regular speech along with parentese.

A nurse is caring for a client who has hepatitis A. Which of the following reservoirs should the nurse identify for this infection? a. Blood b. Feces c. Genitourinary tract d. Skin Correct Answer: b. Feces Rationale:

b. Feces: Hepatitis A virus (HAV) is primarily transmitted via the fecal-oral route. This means the virus is shed in the feces of an infected person and then ingested by another person, often through contaminated food or water, or direct contact with an infected individual. Therefore, feces are the primary reservoir.

a. Blood: While hepatitis B and C are primarily blood-borne, hepatitis A is not typically transmitted through blood, although it can occur in rare circumstances (e.g., IV drug use, blood transfusions, though very rare now).
c. Genitourinary tract: This is incorrect. The genitourinary tract is not the primary reservoir for hepatitis A.
d. Skin: This is incorrect. The skin is not the primary reservoir for hepatitis A.

A nurse is triaging victims of a commuter train crash.12 Which of the following clients should be transported to the Emergency Department first? a. An ambulatory client whose nose is bleeding and who reports feeling dizzy. b. A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm. c. A client who is exhibiting agonal respirations with fixed pupils. d. A client who has full-thickness burn injuries over 30% of his total body surface area. Correct Answer: d. A client who has full-thickness burn injuries over 30% of his total body surface area. Rationale:

d. A client who has full-thickness burn injuries over 30% of his total body surface area: This client is classified as RED (immediate). Large full-thickness burns are critically serious due to massive fluid loss, risk of shock, infection, and airway compromise (if burns are to the face/neck).^13 This client has a high chance of survival with immediate intervention but will deteriorate quickly without it.
a. An ambulatory client whose nose is bleeding and who reports feeling dizzy: This client would likely be classified as GREEN (minor). While dizzy and bleeding, they are ambulatory, indicating stable circulation compared to other critical injuries.
b. A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm: This client would likely be classified as YELLOW (delayed). A closed fracture with a palpable pulse indicates stable circulation to the limb. While needing treatment, it is not immediately life-threatening.
c. A client who is exhibiting agonal respirations with fixed pupils: This client would be classified as BLACK (expectant/deceased). Agonal respirations (gasping breaths) and fixed pupils are signs of imminent or actual death,

c. A worker who is 7 weeks postoperative following a rotator cuff surgery and is labeling boxes. d. A worker who is wearing a back brace and bends at the waist when picking up a pallet. Correct Answer: d. A worker who is wearing a back brace and bends at the waist when picking up a pallet. Rationale:

d. A worker who is wearing a back brace and bends at the waist when picking up a pallet: This worker is at significant risk of injury. Bending at the waist when lifting heavy objects (like a pallet) places tremendous strain on the lumbar spine, even with a back brace.^16 Proper body mechanics for lifting involve bending at the knees and hips, keeping the back straight, and lifting with the legs.^17 The back brace provides support but does not negate the risk of improper lifting technique.
a. A worker who is standing in place for extended periods and rests one foot on a box: This is a correct ergonomic technique. Resting one foot on a box or footrest helps shift weight and reduce strain on the back and legs during prolonged standing, promoting better posture and circulation.^18
b. A worker standing with a wide base of support when pulling a cart towards himself: This is a correct ergonomic technique. A wide base of support provides stability and balance, especially when performing tasks that involve pulling or pushing, reducing the risk of falls or musculoskeletal strain.^19
c. A worker who is 7 weeks postoperative following a rotator cuff surgery and is labeling boxes: While recovering from surgery implies some vulnerability, labeling boxes is generally a light-duty task. If the worker has been cleared for this activity by their healthcare provider and occupational therapy, it might be part of their rehabilitation plan. The primary risk factor here is the bends at the waist behavior in option D, not necessarily the rotator cuff surgery itself unless the labeling task involves extreme reach or repetitive overhead motions.

A nurse is providing teaching to a newly licensed nurse about secondary prevention strategies related to violence and abuse.20 Which of the following strategies should the nurse include in the teaching? a. Teach a parenting skills class at a child development center. b. Assess clients for withdrawal and passivity during home health visits. c. Refer clients to the appropriate community agency if signs of abuse are evident.

Correct Answer: b. Assess client for withdrawal and passivity during home health visits. Rationale:

b. Assess clients for withdrawal and passivity during home health visits: This is a key secondary prevention strategy. Secondary prevention involves early identification and prompt intervention to prevent the progression of a health problem.^21 Assessing for signs like withdrawal and passivity during home visits allows the nurse to identify potential victims of violence or abuse early, enabling timely intervention and support before the abuse escalates or causes more severe harm.
a. Teach a parenting skills class at a child development center: This is an example of primary prevention. Primary prevention aims to prevent health problems before they occur (e.g., by teaching skills that promote healthy family dynamics and reduce the risk of abuse).^22
c. Refer clients to the appropriate community agency if signs of abuse is evident: This is an example of tertiary prevention. Tertiary prevention focuses on minimizing the long-term impact of a disease or condition (in this case, abuse) and supporting recovery and rehabilitation after the problem has already occurred.^23 The referral happens after identification, addressing the existing problem.

A community health nurse is working with a migrant population.24 The nurse should recognize which of the following interventions is necessary to provide care to this population? a. Requiring the clients to show a work visa before they receive care. b. Treating clients on a fee-for-service basis. c. Providing health services at work sites. d. Offer health screenings at a community center. Correct Answer: c. Providing health services at work sites. Rationale:

c. Providing health services at work sites: This is a highly effective intervention for migrant populations. Migrant workers often face significant barriers to accessing healthcare, including lack of transportation, long working hours, language barriers, fear of deportation, and limited funds.^25 Providing services directly at work sites (e.g., farms, construction sites) significantly improves

nurse is providing teaching to a client about directives regarding end-of life care. Which of the following information should the nurse include in the teaching? a. The client can chose a non-family member as the designated power of attorney b. The living will binding contract between the client and the provider c. The client family has the authority to revoke the do-not-resuscitate order at any time -

correct ans- - a. The client can chose a non-family member as the designated power of attorney 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? a. Encourage the family to join a support group b. Provide the family about respite care c. Engage the family in informal conversation d. Educate the family regarding the progression of dementia - - correct ans- - c. Engage the family in informal conversation A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentially according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? a. HIPAA rules vary from state to state b. We should share our computer password with our managers c. HIPAA rules allows clients to receive a copy of the medical records d. A client dx can - - correct ans- - c. HIPAA rules allows clients to receive a copy of the medical records A nurse is assessing an outbreak of mumps among school aged children. Using the epidemiological triangle, the

nurse should recognize that which of the following is the host? a. The vaccine b. The school c. The virus d. The children - - correct ans- - D. the children A home health nurse is caring for a client who has chemotherapy-induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? (SATA) a. Offer 120ml(4oz) of cold 2% milk as a meal replacement b. Maintain the head of the bed in an elevated position after eating c. Provide sips of room-temperature ginger ale between meals d. Use seasoning to enhance the flavor of foods e. Assist the client in using guided imagery - - correct ans- - B. Maintain the head of the bed in an elevated position after eating C. Provide sips of room-temp ginger ale between meals E. Assist the client in using guided imagery A nurse is working with community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention? a. Urging community leaders to make nonviolence a priority b. Developing resources for victims of abuse c. Assessing for risk factors of IPV during health examinations d. Presenting community education programs about stress managemen - - correct ans-

b. Developing resources for victims of abuse A nurse in an antepartum clinic is reviewing the medical records for 4 clients. Which of the following infectious

c. I will allow my granddaughter to visit for 4 hours daily d. I will use cloth handkerchiefs instead of tissues - - correct ans- - a. I will use a toilet that is not used by others in my family A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the following statements by the nurse demonstrates a primary prevention strategy? a. Avoid direct sunlight b/t 10am-4pm b. Apply cool tap water soaks for 20 mins to relieve sunburn c. Use acetaminophen as needed for sunburn d. Ensure you have a yearly skin examination with your provider - - correct ans- - a. Avoid direct sunlight b/t 10am-4pm A community nurse health nurse is working with a task force to decrease community violence. Which of the following planned interventions should the nurse identify as a primary prevention strategy? a. Providing parenting classes for local parents b. Arranging for a local clinic to provide methadone treatments c. Providing sexual assault nurse examiner training for nurses in the local clinic d. Developing protocols for managing victims of violence - - correct ans- - a. Providing parenting classes for local parents A nurse is developing health promotion strategies for older adult clients at an assisted living facility. Which of the following strategies is the priority for the nurse to include? a. Schedule annual dental examinations for the clients b. Encouraging the clients to exercise regularly c. Immunizing the clients against influenza d. Providing the clients with low-fat diet - - correct ans- - c. Immunizing the clients against influenza

A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include? a. You should cover electrical cords with an area rug b. You should pull on the cord when unplugging items c. You should limit your use of extension cords d. You should secure extension cords with clear packaging tape. - - correct ans- - c. You should limit your use of extension cords A nurse is caring for a client who asks "Can I decide not to continue with chemotherapy?" the nurse responds "This is your choice, and I'll support whatever decision you make." The nurse response is an example of which of the following? a. Nonmaleficence b. Veracity c. Autonomy d. Beneficence - - correct ans- - C. autonomy A nurse care manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging delivery of medical equipment to the client home? a. Advocate b. System allocator c. Consultant d. Coordinator - - correct ans- - D. Coordinator A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?

A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the following is an example of tertiary prevention? a. Promoting the use of helmets with children who ride bikes b. Providing STI testing for students on a college campus c. Teaching about inhaler use in a client who has asthma d. Educating adults about breast cancer screening guidelines - - correct ans- - C. Teaching about inhaler use in a client who has asthma A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review? a. An increase in levels of local air pollution b. An increase in client falls at home c. An increase in clients receiving annual flu vaccines d. An increase in client admission for home health care - - correct ans- - B. An increase in client falls at home 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? a. Client who has a finger fracture with a 2+ pedal pulse b. A client who has superficial partial thickness burns injuries over 5% of his body c. A client who is ambulatory in exhibits manic behavior d. A client who has rigid abdomen with manifestations of shock - - correct ans- - D. A client who has a rigid abdomen with manifestations of shock A mental health nurse is scheduling a home health appointment with a client who has recently lost his partner to a

motor vehicle crash. Which of the following statements by the client indicates a need for immediate nursing intervention? a. I just feel so angry right now b. Everything is going to be fine soon c. There's no need for anyone to come see me, including you d. I'm not going to talk to you about my problems - - correct ans- - B. Everything is going to be fine soon A school nurse is planning primary prevention activities for the school year. Which of the following should the nurse plan to take? a. Monitor the immunization status of students b. Provide referrals for students who have asthma c. Provide first aid for injured students d. Schedule hearing screening for each grade leve - - correct ans- - A. monitor the immunization status of students A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires special beds at home. Which of the following statements should the nurse make first? a. A social worker can help you with the cost of supplies b. Describe the place where you are currently living c. Apply moisture barrier ointment 3 times a day d. Eat a balanced diet with high protein snack - - correct ans- - B. Describe the place where you are currently living A community health nurse encounters a client who has suspected bioterrorism- related illness. Which of the

b. Recommending a seating arrangement for a child in a body cast c. Creating a plan of care for children who have a diagnosis of DM d. Organizing a program to promote skateboard safety e. Teaching a class about the risks of cigarette smoking - - correct ans- - A. lobbying for funding for health promotion effects D. Organizing a program to promote skateboard safety E. Teaching a class about the risks of cigarette smoking An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect? a. Oliguria b. Dizziness c. Hypoglycemia d. Diplopia - - correct ans- - B. Dizziness A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral feeding tube feeding. Which of the following actions should the nurse take? a. Request the facility Chaplin to visit the client b. Ask the client to sign an informed consent c. Complete an against medical advice form d. Explain the process for completing a living will - - correct ans- - D. Explain the process for completing a living will A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include which of the following tasks is the responsibility of a case manager? a. Enforce OSHA standards in the workplace

b. Teach a smoking cessation support group c. Evaluate the cost effectiveness of client treatments d. Perform employee risk assessment - - correct ans- - C. Evaluate the cost effectiveness of client treatments A nurse at a rural clinic is interviewing a family who has different cultural beliefs than the nurse. The family reports seeing a folk healer. Which of the following statements should the nurse make? a. Describe how you hope the treatments will affect your health b. Alternative health practices could be dangerous and should be avoided c. Many folk medicines treatments work by providing a placebo effect d. I can refer you to a medical practitioner for your health care needs - - correct ans- - A. Describe how you hope the treatments will affect your health A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? a. Educate children at a day care center about nutrition and exercise b. Measure the BMI of older adults at a community center c. Encourager enrollment and attendance at a weight0-reduction program d. Distribute health risk appraisal questionnaires at community functions - - correct ans- - A. Educate children at a day care center about nutrition and exercise A nurse in a community health clinic is assessing a client who has 2 preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following statements should the nurse ask first? a. Are you having any thoughts of hurting yourself b. Who is available to help you c. Could you describe how you are feeling today

A.T.I Community Health Proctored Exam 2025 – Complete Study Guide with Practice Questions, Exams of Nursing

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Download A.T.I Community Health Proctored Exam 2025 – Complete Study Guide with Practice Questions and more Exams Nursing in PDF only on Docsity!

ATI Community Health Proctored Exam 2025 –

Complete Study Guide with Practice Questions,

Answers, and Expert Review for Guaranteed

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