1. RN Notes Correct:
School-age child presents to the -Bus loading zone location
RNs office for SOB. PMHX mild -Constructions
intermittent asthma. Pt says, "I -Air freshener
started coughing a lot this morn- -Cooking odors
ing when I got to school, and it
has been getting worse all day. -Rationale: When recognizing cues, the
I always feel like this once I nurse should identify cooking odors, air
get to school." School environ- fresheners, construction with woodwork-
ment eval for asthma triggers. ing, and exhaust fumes from bus load-
Child's classroom next to school ing zone as asthma triggers. Addition-
cafeteria. Air fresheners in class- al triggers include air pollution, scented
room to decrease smell of school perfumes and body products, mold, and
cafeteria food. New HEPA filtra- secondhand smoke. When caring for a
tion system installed through- child who has asthma, the school nurse
out the school. Classroom door should identify potential triggers and im-
open for increased ventilation, plement a plan for removal of triggers to
bus loading zone positioned out- improve outcomes for the child.
side classroom. School is under
construction, woodworking cur-
rently in progress. School cam-
pus is a smoke-free zone per dis-
trict policy.
Which of the following findings
in the school environment should
the nurse identify as poten-
tial triggers for the school-aged
child's diagnosis? SATA
-Bus loading zone location
-Construction
-Air freshener
-Air filtration system
-Cooking odors
2. An occ health nurse is caring for Correct:
a 65 year old male . Pt needs - Age
employee physical exam. PMHX - Occupation
of HTN tx with antihypertensive - Length of work experience
, ATI: RN Community Health Online Practice 2023 B
medications. Client's new role
within the company will be in a Rationale:
warm climate and involves han- -When analyzing cues the nurse should
dling chemical agents. identify age, occupation, and length of
work experience as host factors that in-
Client. presented today for injury crease the client's likelihood of experi-
R/T spilled chemicals on hands. encing a work-related injury. Host factors
AAOX4. Bilat palms inflamed and. refer to characteristics of the individual.
irritated. Skin intact. In the occupational setting new workers
are at increased risk of experiencing a
After reviewing the employee's work-related injury. Older adult workers
health record, which of the follow- are at increased risk of injury due to age
ing host findings are increased related changes such as sensory alter-
the likelihood of the client expe- ations and delayed reaction times. The
riencing a work- related injury? client's occupation increases the risk of
Select 3 host factors. injury due to requirements of their role.
3. A home health nurse is reviewing Correct:
a client's EMR - Avoid wearing tight clothing over the
generator site
The client returned from the - Record your heart rate daily
OR following an implantable car- - Avoid exposure with handheld wand
dioverter/defibrillator (ICD) and metal detectors
pacemaker implant.
Rationale:
A home health nurse is provid- -When taking actions, the home health
ing client teaching. Which of the nurse should instruct the client to avoid
following information should the wearing tight clothing over the genera-
home health nurse include in the tor site, to record their pulse daily, and
client's discharge instructions? to avoid handheld wand metal detectors.
Wearing tight clothing over the genera-
SATA tor may cause irritation to it. The client
should record their pulse daily to ensure
that the pacemaker is functioning prop-
erly. Handheld wand metal detectors are
a potential direct source of electromag-
netic interference, which can cause mal-
function of the ICD.
, ATI: RN Community Health Online Practice 2023 B
4. A nurse is conductions a home -Correct: The client states they are leav-
visit with a client who reports a ing their partner
history of partner violence. The
nurse should identify which of -Rationale: A client's decision to leave
the following findings placed the their partner places them at greatest risk
client at greatest risk for partner for partner violence because the perpe-
violence? trator can view the client as a posses-
sion and fear loss of control. Whether the
- The client is at 13 weeks gesta- client actually leaves the relationship or
tion just threatens to leave, the client is at
- The client states they are leaving greatest risk for violence during this time
their partner
- The client is starting a new job
- The client visits friends without
the partner's knowledge
5. A nurse in a clinic is planning -Correct: Abstain from sexual inter-
teaching for a client who was course until antibody tests are negative
newly diagnosed with hepatitis C.
Which of the following instruc- -Rationale: Hepatitis C is transmitted
tions should the nurse include in through sexual intercourse. Therefore,
the teaching? the nurse should instruct the client to
abstain from sexual intercourse until an-
- Consume a low-carbohydrate tibody tests are negative.
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.
6. A community health nurse is con- -Correct: "I have a prescription bottle
ducting a vision screening at a magnifier to help me read my pill bottle
health fair for an older client labels."
who has age related macular de-
generation. Which of the follow- -Rationale: The client can obtain a pre-
ing statements should the nurse scription bottle magnifier, or other low-vi-
identify as an indication that the sion optical devices, to assist with read-
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