ATI Community Health Proctored Exam 2023

Hospice & End-of-Life Coping:

1. A hospice nurse is caring for a client who is terminally ill. The client says they wish for a miracle cure. Which of the following actions by the client demonstrates that they are effectively coping?

• A. The client plans a family reunion in 6 months.
• B. The client journals about the experience of dying.
• C. The client expresses anger frequently.
• D. The client says they have accepted their condition.

Answer: B. Hospice emphasizes comfort and quality of life for terminal illness and uses an interprofessional, family-inclusive approach rather than curative treatment. Journaling about the experience of dying reflects active, healthy emotional processing.

Levels of Prevention:

2. A community health nurse is preparing an educational program about levels of prevention. Which of the following actions is an example of a secondary prevention intervention?

• A. Instructing elementary school students about healthy food choices.
• B. Giving a presentation about immunizations at a parent-teacher conference.
• C. Performing hypertension screenings in a community center.
• D. Teaching self-care strategies to a client who has had a stroke.

Answer: C. Secondary prevention focuses on early detection and prompt intervention, typically through screening or case finding — hypertension screening fits exactly.

Disaster Management Cycle:

3. A community health nurse is participating in a natural disaster drill. This activity would fall into which of the following phases of the disaster management cycle?

• A. Disaster prevention
• B. Disaster response
• C. Disaster preparedness
• D. Disaster recovery

Answer: C. Disaster preparedness includes planning, training, drills, and identifying community risks and response capabilities before an event occurs.

Bioterrorism Response:

4. A government official reports to the health department that an employee was possibly exposed to anthrax. Which of the following actions should a public health nurse take?

• A. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics.
• B. Place the employee under quarantine for 14 days.
• C. Alert the family members of coworkers about their possible exposure to anthrax.
• D. Instruct the client to wear a mask at work.

Answer: A. After a credible anthrax exposure, post-exposure antimicrobial prophylaxis is used for exposed individuals even before symptoms develop.

Communicable Disease Recognition:

5. A school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa. Which of the following actions should the nurse take?

• A. Ask the caregivers if the child recently used alcohol-based mouthwash.
• B. Check the child's classmates for parotid gland enlargement.
• C. Instruct the caregivers to increase the child's Vitamin B12 intake.
• D. Review the immunization records of the child's classmates.

Answer: D. Koplik spots are characteristic of measles (rubeola), a highly contagious vaccine-preventable disease that requires prompt public-health and exposure follow-up.

HIPAA & Disclosure:

6. A home health nurse is explaining a HIPAA acknowledgement form to a client in preparation for them to sign it. Which of the following information should the nurse provide?

• A. "The billing department at the agency will have access to your medical record."
• B. "Your health care provider will assist you in making decisions about who to disclose your health information to."
• C. "I can share your current medical information with providers who are involved in your care."
• D. "Assistive personnel will be able to access your prior admission information."

Answer: C. HIPAA protects health information while allowing appropriate access and disclosure for treatment, and it gives clients rights over their own medical information.

Home Safety:

7. A nurse is performing a home hazard appraisal for a client who is experiencing weakness in the lower extremities and uses a walker. Which of the following recommendations should the nurse make?

• A. Ambulate without the walker for short distances.
• B. Use 40-watt bulbs in light fixtures.
• C. Place several small throw rugs on non-carpeted floors.
• D. Sit on a shower chair while showering.

Answer: D. A shower chair reduces fall risk during a high-risk activity for a client with lower-extremity weakness — the other options either increase fall risk or reduce needed support.