ATI COMMUNITY
PRACTICE QUESTIONS.
- A nurse is conducting a screening class for hypertension. Which of the following
should be the nurse’s goal for secondary prevention?
a. Prevent the onset of the condition
b. Identify the severity of the condition
c. Identify the condition early
d. Deter condition-related complications
Rationale: C.
Secondary prevention measures identify and treat asymptomatic people who have
already developed risk factors or preclinical disease but do not have a clinically
apparent condition. The goal of secondary prevention is early identification of the target
condition. Primary prevention is used to prevent a health condition or disease outcome.
Primary prevention measures are provided to individuals to prevent the onset of a
targeted condition. A classic example of primary prevention is immunization. Tertiary
prevention activities involve the care of established disease. Attempts are made to
restore clients to optimal levels of function, minimize the negative effects of the disease,
and prevent disease-related complications. - A community health nurse is caring for a client who was exposed to human
immunodeficiency virus (HIV) 2 days ago. The client asks the nurse what she should
do. Which of the following responses should the nurse provide?
a. “I will administer an HIV today, and it will need to be repeated in 3 months”
b. “I will administer an HIV test today, and you will need to return in 48 hours to have me
read the results”
c. “You will need to have an HIV test every other week for 6 months”
d. “You will need to take prophylactic medications for 4 weeks”
Rationale: D.
The client will need to take prophylactic medications for 4 weeks to prevent the virus
from replicating within the body.
- A nurse is working in the triage area of an emergency department. Which of the
following activities is unlikely to be the nurse’s responsibility in this setting?
a. Fostering positive public relations for the facility
b. Preforming a comprehensive client assessment
c. Preventing cross-contamination of infectious clients
d. Educating a client and his family members
Rationale: D.
In the triage setting, the nurse’s priority is assessment and control of client flow. The
triage nurse does not allocate time to provide education to clients or their families.
Education is handled by the emergency department staff once the treatment of a client
begins. - A nurse is providing psychological counseling at a community center for families
who’s loved one dies in a fire. After learning that both of their children died in the fire, 2
parents’ express disbelief at the loss of their children. One parent states, “How will I
make it through this? Which of the following is an appropriate response by the nurse?
a. “Are you feeling overwhelmed right now?”
b. “Don’t worry. You will have plenty of help”
c. “Can I call someone to sit here with you”
d. “Anyone who has experienced a loss like this would feel the same way”
Rationale: A.
In this response, the nurse uses the therapeutic communication skill of restatement to
encourage the client to express feelings - A charge nurse is assembling a list of clients who can be safely discharged home to
accommodate incoming casualties following an earthquake. The nurse should
recognize that discharging which of the following clients would be unsafe?
a. A client who has osteomyelitis and will require 6 weeks of IV antibiotic therapy
b. A client who has Crohn’s disease and 1 day preoperative for an ileostomy
c. A client who has Alzheimer’s disease and is awaiting placement in a longterm care
facility
d. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a
brace
Rationale: D.
The client requires nasogastric suction and cannot be discharged safely home. A
postoperative ileus causes bowel obstruction, which could be life threatening. - A charge nurse is discussing staff nurses’ responsibilities in preplanning for response
to a disaster. Which of the following responsibilities should the nurse include in the
discussion?
a. Identify community resources that are available.
b. Evaluate the impact of a disaster on the community.
c. Assess survivors of a disaster for levels of psychological stress.
d. Link victims with support agencies to help with food, shelter, and counseling needs.
Rationale: A.
Identifying community resources is an important part of preplanning to increase
preparedness of a disaster. - A nurse is preparing to teach about communicable diseases. During which of the
following stages is the period in which a disease is contagious?
a. Communicability period
b. Convalescent period
c. Incubation period
d. Prodromal period
Rationale: A.
The communicability period is the time when a disease is contagious and can be
transmitted to others.
- A nurse is teaching a class about preventive care to clients who are at risk for
acquiring viral hepatitis. Which of the following information should the nurse include in
the presentation?
a. Avoid covering sores with bandages
b. Avoid hand washing after eating
c. Avoid foods prepared with tap water
d. Avoid eating meal
Rationale: C.
To decrease the risk of acquiring viral hepatitis, clients should prepare foods with
purified water. - A nurse is providing staff education about smallpox as a bioterrorism threat. Which of
the following statements indicates an understanding of this agent? (Select all that
apply.)
a. “Smallpox is transmitted person to person.”
b. “Infection is characterized by severe respiratory distress.”
c. “Smallpox vaccination ensures lifelong immunity.”
d. “Naturally occurring smallpox has been eradicated from the world.”
e. “Smallpox is often confused with varicella.”
Rationale: A, D, E.
is highly communicable through droplet or airborne inhalation or contact with lesions.
Naturally occurring cases of smallpox have been considered to be eradicated since