RN Community 403 Proctored ati Final Exam with Answers
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Course
NURSING 4636
Institution
NURSING 4636
RN Community 403 Proctored ati Final Exam with Answers
A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for home modification?
a. The home has power strips that have breakers.
b. The client uses an electric toaster oven for cooki...
abstain from sexual intercourse until antibody tests are negative
consume a low carbohydrate diet until symptoms
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NURSING 4636
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RN Community 403 Proctored ati Final Exam
with Answers
A home health nurse is visiting with an older adult client. Which of the following
observations indicate the need for home modification?
a. The home has power strips that have breakers.
b. The client uses an electric toaster oven for cooking.
c. There are two rocking chairs in the living room.
d. The bathtub has a seat and a hand-held shower head
A case manager is planning an educational program for a client who has diabetes mellitus. Which
of the following activities should the nurse include when using the psychomotor domain of
learning?
a. show the client a video about how to monitor blood glucose levels
b. give the client a pamphlet about foot care
c. observe the client's technique for drawing up insulin
d. review the color diagram of the food pyramid with the client
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a
rehab facility. Which of the following actions should the nurse take first?
a. contact service providers to determine the availability of services offered
b. determine the client's ability to perform self-care
c. hold a care conference with the client and his family to discuss treatment options
d. evaluate the client's satisfaction with the case managers services
A school nurse is teaching health promotion to a group of staff members who sit at a desk and
use a computer for 8hr at a time. Which of the following information is the priority for the
nurse to include
a. take a walk after work
b. have your visual acuity assessed regularly
c. adjust your chair so your elbows are at desk height
d. point and flex your toes periodically
A nurse is assessing a new client. Which of the following information should the nurse include in
the cultural portion of the assessment?
a. employment status
b. history of illness
c. sexual
orientation d. food
preferences
,A nurse is collecting demographic data as part of a community assessment. Which of the
following information should the nurse include?
a. presence of condemned buildings
b. racial distribution
c. family genograms
d. number of open water sources
A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which
of the following statements should the nurse ID as an indication that the client is in the denial
stage of the grief process?
a. I'm going to plan my memorial service next week
b. I don't deserve to die. this just isn't fair
c. If I could just make it through this, I'd never smoke
again d. I'm looking forward to my daughter's wedding
next year
An occupational health nurse is planning to use an interpreter during an educational
session with a group of workers who speak a different language than the nurse. Which of
the following actions should the nurse take?
a. evaluate the interpreter's approach to clients prior to the educational session
b. instruct the interpreter to guide the nurse in providing info in a culturally sensitive manner
c. ask the interpreter to add info she feels may be necessary
d. encourage the interpreter to paraphrase the workers' questions and responses
d. choose an interpreter who speaks the workers language and dialect
A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hepatitis
C. Which of the following instructions should the nurse include in the teaching?
a. schedule an appointment for an immunoglobulin injection
b. wear a mask in public places while receiving treatment
c. abstain from sexual intercourse until antibody tests are negative
d. consume a low-carbohydrate diet until symptoms resolve
A home health nurse is reviewing several client requests regarding complementary strategies.
The nurse should ID that which of the following alternative therapies is contraindicated for the
client?
Kava for a client who has cirrhosis
A community health nurse is teaching a client who was newly diagnosed with active pulmonary
tuberculosis about disease transmission. Which of the following info should the nurse include?
a. household members should be placed in respiratory isolation
b. the client should have a repeat purified protein derivative test in 3 months
c. the client should use disposable utensils during meals
d. household members should take isoniazid for 6-12 months
,Household members should take isoniazid for at least 6mo
A nurse in a rural community is planning education for a young adult client who is a migrant
farm worker. Which of the following actions should the nurse include?
a. recommend a dental health screening
b. provide skin cancer information
c. provide forms to apply for Medicare
d. provide environmental health information
e. refer the client for a tuberculosis screening
A nurse is teaching a client who has a new diagnosis of hepatitis A about how to prevent the
spread of the virus. Which of the following instruction should the nurse include?
a. clean your bathroom fixtures with a chlorine bleach solution
b. rinse your toothbrush with hydrogen peroxide after each use
A community health nurse is planning to establish a community garden to introduce new
nutritious food options in the area. Which of the following actions should the nurse take first to
initiate the plan?
a. monitor the progress of the project to keep the project on course
b. select residents to take on leadership roles in the project
c. identify community members who demonstrate an interest in the project
d. hold a community information session to inform the residents of the plan
A palliative care nurse is teaching a client who has cancer about the services that are available
for the client. Which of the following statements should the nurse ID as an indication that the
client understands the teaching?
a. I can begin palliative care when i have less than 6 months to live
b. this type of care can help me with pain control
c. my family will not be involved with this type of care program
d. if I begin palliative care, i will have to stop my chemotherap
A community healht nurse is teaching a group of clients about environmental health hazards.
Which of the following examples should the nurse include as a possible source of carbon
monoxide exposure
A. motor vehicles
B. gas ranges
C. vented gas heaters
D. electric space heaters
A community health nurse is planning a health education program for adults. The nurse should
plan to take which of the following actions during the program?
, A. program content is organized topicall
B. pamphlets are written at a 12th grade level
C. the presentation is delivered via powerpoint slides
D. attendance at the program is voluntary
Provide take-home materials written at 6th grade level
An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse
should counsel the client about the risk for which of the following adverse effects?
Gastric ulcerations
Orthostatic hypertension
Hyperglycemia
Urinary retention
A public health nurse is developing a presentation for local day care providers about infectious
childhood diseases. Which statements should the nurse include
“Respiratory syncytial virus is spread through contact with respiratory secretions from an
infected person.”
“Rotavirus infections in children peak during the summer months.”
“Children who have fifth disease will exhibit bloody diarrhea.”
“Antiviral medications shorten the duration of a shigella infection.”
A home health nurse is planning care for the day. Which client should the nurse visit first
a. an older adult client who has a newly prescribed antihypertensive medication and needs a
BP check
b. an older adult client who was treated in the ED last night for a stage III pressure
ulcer c. a school-age child who was treated in the ED last night with status asthmaticus
d. a school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing
A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that
which condition is included on the Nationally Notifiable Infectious Condition list
a. varicella
b. scarlet fever
c. erythema infectious
d. molluscum contagiosa
A nurse is performing a home visit for a client who has TB. As the nurse is leaving the
clients house a neighbor asks "is it true that my neighbor has TB?", which response should
the nurse make
a. you should take precautions against this infection
b. have you ever been tested for TB?
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