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ATI RN COMMUNITY HEALTH PROCTORED
RETAKE EXAM (Version 1, 2, 3, 4)
Each Test with NGN Questions and Verified Rationalized Answers
(Each test consists of 60 multiple choices questions with answers)
TABLE OF CONTENTS
ATI RN Community Health Proctored Exam Retake Version 1 ................................ 06
ATI RN Community Health Proctored Exam Retake Version 2 .................................36
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ATI RN Community Health Proctored Exam Retake Version 3 ................................ 69
ATI RN Community Health Proctored Exam Retake Version 4 .................................. 100
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SAMPLE V1
1. Day 3, 0800:
Adult client underwent rt knee arthroplasty 3 days ago is
scheduled for discharge on postop day 4.
History: Osteoarthritis, HTN, Hyper- thyroidism.
Meds: Celecoxib, Metoprolol, Levothyroxine,
Social hx: Client lives with adult child who is retired.
Day 3, 1400:
Front entrance w/ 2 steps to the front door, a ramp was recently added, & there is
sufficient lighting.The living room has excessive furniture, creating narrow pathways for
walking. Rugs throughout the house are non-secure. Polished wood floors. 2-story house
with the client's bedroom on the first floor. Full bathroom on the 1st floor. Walk-in
shower with a shower chair in place. Ele- vated toilet. No handrails present in the
bathroom. Night lights in the hallway and bathroom. Which of the following findings by
the nurse may present complications for the client? (SATA).
a. handrails
b. flooring
c. home entrance
d. inside walking pathway
e. rugs
Answer: a. handrails
b. flooring
d. inside walking pathway
e. rugs
2. A school nurse is reviewing the family history of a school-age child who has a fractured
ulna for the second time. Which of the following findings place the child at risk for child
abuse? (SATA)
a. Neither of the child's parents are financially stable.
b. The child's family has an indoor cat that sleeps with the child.
c. One of the child's parents appears frightened of the other parent.
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d. One of the child's parents has a history of alcohol use disorder.
e. The child spends the weekends with their grandparents.
Answer: c. One of the child's parents appears frightened of the other parent.
d. One of the child's parents has a history of alcohol use disorder.
3. A nurse is counseling a client who has a new diagnosis of chlamydia.Which of the following
information should the nurse include in the teaching? (SATA)
a. You should avoid sexual contact until therapy is complete.
b. You will need to take an antiviral medication for 30 days.
c. Notify anyone with whom you have had sexual contact over the past 2 months.
d. You might experience painful urination until the infection has resolved.
e. Once you complete treatment, you will have acquired immunity against
chlamydia.
Answer: a.You should avoid sexual contact until therapy is complete.
c. Notify anyone with whom you have had sexual contact over the past 2 months.
SAMPLE V2
4. A community health nurse is working with a migrant population.The nurse should
recognize that which of the following interventions is necessary to
provide care to the population?
A. Providing health services at work sites
B. Treating clients on a fee-for-service basis.
C. Requiring clients to show a work visa before they receive care.
D. Offering health screenings at a community center.
Answer: D.Offering health screen- ings at a community center.
5. Which of the following federal agencies should a community health nurse seek guidance
from regarding a public building that has asbestos leaking from rips in the heating duct
insulation?
A. National Institutes of Health
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B. Environmental Protection Agency
C. Centers for Disease Control and prevention
D. Department of Health and Human Resources
Answer: B. Environmental Protection Agency
6. During a routine school visit to physical education class, a nurse receives multiple reports
of shortness of breath, coughing, and nausea. Which of the following actions should the
nurse take first?
A. Establish a triage area
B. Notify the parents of the students
C. Contact the local health department
D. Administer oxygen therapy
Answer: A. Establish a triage area
SAMPLE V3
7. A case manager is completing discharge planning for a client who has alcohol use
disorder and cirrhosis of the liver. Which of the following actions should the case
manager take first?
a. Contact a social worker to assist the client with managing finances.
b. Provide client information on self-help groups for alcohol use disorder
c. Determine which home safety measure the client will need to implement
d. Arrange for a home health nurse to visit the client following discharge.
Answer: D. Arrange for a home health nurse to visit the client following discharge
8. A nurse in a community clinic is preparing and educational guide about cultural
variances in expression of pain. Which of the following information should the nurse
include?
A. Puerto Rican cultural practices include the view that outspoken expression of pain
is shameful.
b. Middle eastern cultural practices include hiding pain from close family members
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c. Native Americans cultural practices include being outspoken about pain.
d. Chinese cultural practices include enduring pain to prevent family dishon- or
Answer: D. Chinese cultural practices include enduring pain to prevent family dishonor
9. A faith based organization asks a community health nurse to develop mobile meal
program for older adults who are no longer driving. Which of the following should the
nurse plan to take first?
a. Inquire about availability of volunteers
b. Perform a needs assessment
c. Determine potential funding sources for the program.
d. Identify alternative solutions to address concerns.
Answer: B. Perform a needs assessment
SAMPLE V4
1. A community health nurse is providing screening for lipid disorders. Which of the
following is the primary goal of this activity?
2. early detection of disease
3. client enrollment in prevention programs
4. promotion of appropriate lifestyle changes
identification of family history of medical problems
Answer: 1. Early detection of disease
2. A school nurse is implementing health screening.Which of the following assessment
findings should the nurse recognize as the highest priority?
1. a child who has a BMI of 18
2. an adolescent who has scoliosis
3. an adolescent who has psoriasis
4. a child who has nits
Answer: 4. A child who has nits
3. Which of the following .........should the nurse include?
1. .............should be placed beside the child's bed
2. house hold contacts will receive prophylactic antibiotics
3. 3. transmission
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will be emitted because of herd immunity
4. the child is most contagious after
the rash develops
Answer: 2. house hold contacts will receive prophylactic antibiotics
ATI RN COMMUNITY HEALTH PROCTORED
RETAKE EXAM (Version 1)
Each Test with NGN Questions and Verified Rationalized Answers
(test consists of 60 multiple choices questions with answers)
1. Day 3, 0800:
Adult client underwent rt knee arthroplasty 3 days ago is
scheduled for discharge on postop day 4.
History: Osteoarthritis, HTN, Hyper- thyroidism.
Meds: Celecoxib, Metoprolol, Levothyroxine,
Social hx: Client lives with adult child who is retired.
Day 3, 1400:
Front entrance w/ 2 steps to the front door, a ramp was recently added, &
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there is sufficient lighting. The living room has excessive furniture, creating
narrow pathways for walking. Rugs throughout the house are non-secure.
Polished wood floors. 2-story house with the client's bedroom on the first
floor. Full bathroom on the 1st floor. Walk-in shower with a shower chair in
place. Ele- vated toilet. No handrails present in the bathroom. Night lights in
the hallway and bathroom. Which of the following findings by the nurse may
present complications for the client? (SATA).
a. handrails
b. flooring
c. home entrance
d. inside walking pathway
e. rugs
Answer: a. handrails
b.flooring
f. inside walking pathway
g. rugs
2. A school nurse is reviewing the family history of a school-age child who has a
fractured ulna for the second time. Which of the following findings place the
child at risk for child abuse? (SATA)
a. Neither of the child's parents are financially stable.
b. The child's family has an indoor cat that sleeps with the child.
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c. One of the child's parents appears frightened of the other parent.
d. One of the child's parents has a history of alcohol use disorder.
e. The child spends the weekends with their grandparents.
Answer: c. One of the child's parents appears frightened of the other parent.
d. One of the child's parents has a history of alcohol use disorder.
3. A nurse is counseling a client who has a new diagnosis of chlamydia.Which of
the following information should the nurse include in the teaching? (SATA)
a. You should avoid sexual contact until therapy is complete.
b. You will need to take an antiviral medication for 30 days.
c. Notify anyone with whom you have had sexual contact over the past 2
months.
d. You might experience painful urination until the infection has resolved.
e. Once you complete treatment, you will have acquired immunity against
chlamydia.
Answer: a. You should avoid sexual contact until therapy is complete.
c. Notify anyone with whom you have had sexual contact over the past 2 months.
4.A nurse in an antepartum clinic is reviewing the medical records of four
clients. Which of the following infectious conditions should the nurse report
to the Centers for Disease Control and Prevention?
A Gonorrhea
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B Bacterial vaginosis
C Human papillomavirus
D Genital herpes simplex virus
Answer: A. Gonorrhea
5. A nurse is evaluating outcomes for a client who is using alternative and
complementary therapies.Which of the following statements should the nurse
expect the client to make about therapeutic touch?
A "It helps my posture."
B "It strengthens my immune system."
C "It helps me relax more deeply."
D "It increases my energy."
Answer: C. "It helps me relax more deeply."
6.A nurse is developing a surveillance guide to assist with monitoring for
bioterrorist attacks.Which of the following situations should the nurse include
as an indication of possible bioterrorism?
A Report of rash and fever among over half the attendees at a recent college
sports event
B Report of four cases of tuberculosis among inmates residing at a correctional facility
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C Report of five cases of Fifth disease among preschoolers at a local day care
facility
D Report of increased national incidences of pertussis following decreased
immunization rates
Answer: A. Report of rash and fever among over half the attendees at a recent
college sports event
7. A newly hired occupational health nurse is assessing hazards in the work
environment.Which of the following actions will help the nurse detect potential
physical hazards?
A Track rates of illness caused by infection among employees.
B Survey workers about job-related emotional stress.
C Identify industrial toxins that are present in the environment.
D Measure noise levels at various locations in the facility.
Answer: D. Measure noise
levels at various locations in the facility.
8. A nurse at a primary care provider's office is conducting a client history.
Which of the following client actions should the nurse identify as a secondary
prevention activity?
A The client has stopped smoking cigars and now smokes a pipe.
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B The client increases their intake of St. John's wort to improve sleep.
C The client applies sunscreen twice a day when working as a lifeguard.
D The client attends a health seminar and has a cholesterol test.
Answer: D.The client attends a health seminar and has a cholesterol test.
9. A nurse in a health department is reviewing the infection reports for a group
of clients. For which of the following clients should the nurse file a report with
the CDC?
A A client who has herpes simplex type 1
B A client who has rubeola virus
C A client who has scarlet fever
D A client who has Kawasaki disease
Answer: B. A client who has rubeola virus
10. A community health nurse is working with a migrant population.The nurse
should recognize that which of the following interventions is necessary to
provide care to this population?
A Offering health screenings at a community center
B Providing health services at work sites
C Requiring clients to show a work visa before they receive care
D Treating clients on a fee-for-service basis
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Answer: A. Offering health screenings at a community center
11. A home health nurse is providing teaching to a client and their family about
hospice care. Which of the following information should the nurse include in
the teaching?
A Hospice services end when the client dies.
B Hospice care allows families to participate in the client's care.
C Hospice care will provide life-extending interventions.
D Hospice programs are designed for clients who have 9 months or fewer to
live.
Answer: B. Hospice care allows families to participate in the client's care.
12. A home health nurse is planning care for a client who has osteoarthritis.
Which of the following recommendations should the nurse make to the client?
A Avoid aerobic exercise.
B Take ginkgo supplements twice per day.
C Use lowered toilet seats in the home.
D Apply warmth to joints before physical activity.
Answer: D. Apply warmth to joints before physical activity.
13. A school nurse is planning to teach the parent of a school-age child who
has pediculosis capitis. Which of the following instructions should the nurse
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include in the teaching?
A Apply permethrin 1% cream rinse daily for 5 days.
B Soak combs in boiling water for 3 minutes every day.
C Seal non-washable items in plastic bags for 14 days.
D Dry bed linens in a hot dryer for 15 minutes.
Answer: B Soak combs in boiling water for 3 minutes every day.
14. A nurse in a community clinic is providing education to a group of adults
about preventing sexually transmitted infections (STIs).Which of the following
information should the nurse include in the teaching?
A A new condom should be used for each sexual act.
B Oil-based lubricants are recommended for use with condoms.
C Gonorrhea can be prevented by vaccinations.
D Older adults have a lower risk of contracting STIs.
Answer: A. A new condom should be used for each sexual act.
15. A 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 living will is a legally binding contract between the client and the
provider.
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B The client's family has the authority to revoke the do-not-resuscitate (DNR)
order at any time.
CThe client can verbally choose a health care proxy if two nurses witness the
designation.
D The client can choose a non-family member as the designated power of
attorney.
Answer: D. The client can choose a non-family member as the designated power of
attorney.
16. A public health nurse is developing a protocol for the treatment of inhalation anthrax in the event of widespread public exposure. Which of the
following information should the nurse plan to include?
A. Manifestations of anthrax infection appear within 3 days of exposure.
B. Ciprofloxacin should be administered to asymptomatic clients who were
directly exposed to anthrax.
C. The anthrax vaccine is ineffective following direct anthrax exposure.
D. Prophylactic treatment should be provided to clients for 10 days following
exposure to anthrax.
Answer: B. Ciprofloxacin should be administered to asymptomatic clients who
were directly exposed to anthrax.
17. A nurse is providing teaching to a client who has a confirmed case of
tuberculosis. Which of the following statements by the client indicates the
teaching has been effective?
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A. "I will need to have a special HEPA filter installed in my home."
B. "I will be taking medication daily for at least 6 months."
C. "I will be contagious until I have completed the full medication regimen."
D. "I will have a repeat tuberculin skin test in 6 weeks."
Answer: B. "I will be taking medication daily for at least 6 months."
18. A school nurse is teaching safety to a group of students regarding food
storage.Which of the following plans should the nurse provide to the congregation?
A Store members' food separately.
B Provide care for members who are terminally ill.
C Collaborate on a clinic with the American Red Cross.
D Ensure safe storage from the facility to the home.
Answer: D.Ensure safe storage from the facility to the home.
19. 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's response is an example of which of
the following ethical principles?
A Veracity
B Nonmaleficence
C Beneficence
D Autonomy
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Answer: D. Autonomy
20. A home health nurse is discussing how to meet the needs of a diverse
client population with a newly licensed nurse.The nurse should include which
of the following as an example of a nurse incorporating culturally competent
care?
A Integrating a client's desire to use acupuncture to manage pain into their
plan of care.
B Informing the guardian of a child that the use of cupping to prevent illness is
a form of child maltreatment.
C Using a family member as an interpreter when caring for a client who speaks
a different language than the nurse.
D Instructing a client who is pregnant and has gestational diabetes mellitus
that they must avoid the use of herbal
Answer: A. Integrating a client's desire to use acupuncture to manage pain into
their plan of care.
21. A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer. Which of the following interventions
should the nurse include in the plan?
A Recommend the client seek out hospice services rather than seek treatment.
B Initiate topics of conversation that avoid the client's health status.
C Place the client's name and medical condition on an online prayer chain.
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D Provide quiet time during visits for prayer or meditation.
Answer: D.Provide quiet time during visits for prayer or meditation.
22. A hospice nurse administered furosemide 80 mg PO 1 hour ago to a client
who has end-stage heart failure. Which of the following findings is an
indication that the furosemide has been effective?
A The client's potassium level is increased.
B The client reports relief of dyspnea.
C The client's weight is stable from the previous day.
D The client reports decreased hunger.
Answer: B. The client reports relief of dyspnea.
23. A case management nurse is planning discharge teaching for a client.
Which of the following interventions should the nurse plan to include for
secondary prevention?
A Teach the client about modifications for activities of daily living skills.
B Inform the client about home health visits to monitor effectiveness of care.
C Inform the client about ongoing screening for high-risk conditions.
D Teach the client about support groups in the community.
Answer: C. Inform the client about ongoing screening for high-risk conditions.
24.A nurse in a clinic is assessing a client who is suspected to have a West
Nile virus infection. Which of the following findings should the nurse identify
as the priority?
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A Myalgia
B Temperature 38.4° C (101.1° F)
C Decreased level of consciousness
D Vomiting
Answer: C. Decreased level of consciousness
25. A community health nurse is planning to develop health promotion activities for a community. Which of the following actions should the nurse take
first?
A Organize health-related events in schools and community centers.
B Collect community data to identify health concerns.
C Identify solutions to address community issues.
D Collaborate with community members to prioritize potential solutions.
Answer: B. Collect community data to identify health concerns.
26.A hospice nurse is talking with the partner of a client who is near death.
The partner states, "How will I go on without them? I already feel so alone."
Which of the following actions should the nurse take?
A Reassure the client's partner that it will get better.
B Express sympathy to the client's partner.
C Ask the client's partner if they need anything.
D Hug the client's partner.
Answer: B. Express sympathy to the client's partner.