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Exam Review

ATI RN Community Health 2023

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Total Questions : 54

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Question 1:
  • 2 days ago:
    • Temperature: 38.7 C (101.7 F)
    • Heart rate: 85/min
    • Respiratory rate: 18/min
    • Blood pressure: 115/72 mm Hg
  • Current:
    • Temperature: 38.5 C (101.3 F)
    • Heart rate: 82/min
    • Respiratory rate: 17/min
    • Blood pressure: 118/76 mm Hg
  • The client presents to the clinic for new onset of headache and chills. They returned from a trip to South Asia 3 days ago. The client has scattered, raised, pruritic lesions on their right leg and states, “They are flea bites, I got them when I was on my trip.” Lungs are clear to auscultation bilaterally.
  • The client returns to clinic for persistent fever, body aches, and new onset of weakness. They state, “I noticed a bump in my groin last night and it really hurts.” Tender, inguinal lymphadenitis are present in the right groin. Lungs are clear to auscultation bilaterally.

A nurse in a public health department is caring for a client.

Exhibits

Which of the following data in the client’s medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.

Answer and Explanation

A
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Question 2:

An older adult client reports to the clinic for a painful rash. A cluster of papulovesicular lesions is present on the left side of the trunk. The client was evaluated by a provider and diagnosed with herpes zoster.

A preschooler was brought in for a return visit following a fever. Laboratory results from one day ago show a lead level of 12 mcg/dL (normal is less than 3.5 mcg/dL) and a positive streptococcus test.

An adolescent was brought in with a report of headache, fever, pain with swallowing, and a sore and red throat for three days. Vital signs are as follows: Temperature 38.8 C (101.8° F), Respiratory rate 20/min, Blood pressure 143/82 mm Hg, Oxygen saturation 95% on room air. Throat and nose culture show a positive streptococcus Pyogenes rapid antigen detection screen.

A client reports to the clinic for reading of a tuberculin skin test administered two days ago. They reported a two- week history of lethargy and recent travel to South America. Vital signs are as follows: Temperature 38.4° C (101.1° F), Heart rate 118/min, Respiratory rate 28/min, Oxygen saturation 93% on room air. Mantoux tuberculin skin testing shows a reddish induration greater than 10mm.

A nurse manager in a public health clinic is reviewing the charts of five recent clients.

Exhibits

The nurse manager should identify which of the following clients as having conditions that require national notification?

Please select all that apply:

Answer and Explanation

A
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Question 3:

 

As a community health nurse developing a disaster-preparedness plan, what is the first action you should take?

 

Answer and Explanation

A
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Question 4:

 

When developing a protocol for treatment of inhalation anthrax in the event of widespread public exposure, what information should be included?

 

Answer and Explanation

A
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Question 5:

 

Which statement by a newly licensed nurse indicates an understanding of maintaining client confidentiality according to HIPAA regulations?

 

Answer and Explanation

A
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Question 6:

 

What isolation precautions should be recommended for a client who has laryngeal tuberculosis?

 

Answer and Explanation

A
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Question 7:

 

Which response by a client who has AIDS indicates a risk for suicide?

 

Answer and Explanation

A
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Question 8:
What is the first action to take when planning a program on early detection of breast cancer for employees at a local business?
Answer and Explanation

A
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Question 9:
What is the first action to take in the initial phase of planning a smoking cessation program?
Answer and Explanation

A
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Question 10:

A school nurse is conducting an assessment on a child and notices the presence of Koplik spots on the child’s buccal mucosa.
What should be the nurse’s next course of action?

Answer and Explanation

A
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