ATI RN Community Health Proctored

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Sample questions from ATI RN Community Health Proctored

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During a county health department clinic, a newly hired nurse reviews assignments for the day. Which task is appropriate to delegate to an unlicensed assistive personnel (UAP)?

   • A.Assess a client's understanding of a new anticoagulant prescription.
   • B.Obtain and document the height and weight of a client attending a routine wellness visit.
   • C.Teach a client with newly diagnosed hypertension how to use a home blood pressure monitor.
   • D.Develop a plan of care for a client recently discharged after a stroke.

   Rationale: Obtaining and documenting routine height and weight measurements is a predictable task that can be assigned to a UAP. Teaching, assessment, and care planning require the nurse's judgment and accountability. Delegation does not transfer the nurse's responsibility to evaluate whether the task was completed appropriately.

2. 2.A parent calls a public health clinic because a 6-week-old infant has a rectal temperature of 38.1 C (100.6 F). Which instruction should the nurse give first?

   • A.Schedule the infant for the next available routine well-child visit.
   • B.Offer extra oral fluids and call back if the fever lasts 24 hours.
   • C.Arrange immediate medical evaluation for the infant.
   • D.Give an age-appropriate dose of acetaminophen and recheck the temperature in 1 hour.

   Rationale: A fever of 38.0 C (100.4 F) or higher in an infant younger than 3 months requires prompt medical evaluation because serious infection can progress rapidly. Acetaminophen and observation at home could delay diagnosis, while extra fluids do not address the risk. A routine appointment is not an appropriate response to this urgent finding.

3. 3.Refer to the client's chart. Which actions should the public health nurse take regarding the client's worsening respiratory symptoms and positive tuberculosis screening results? Select all that apply.

   • A.Tell the client to stop all contact with household members until treatment is complete.
   • B.Instruct the client to cover coughs and wear a mask when around others while awaiting evaluation.
   • C.Wait for a confirmatory culture result before notifying public health authorities.
   • D.Arrange prompt evaluation by a qualified provider for possible active tuberculosis.
   • E.Use the health department's process to report the suspected case to public health authorities.

   Rationale: The worsening cough, weight loss, positive screening result, and abnormal chest radiograph require prompt evaluation for active tuberculosis and reporting according to public health requirements. Cough etiquette and masking help reduce transmission while the client is being evaluated. Waiting for culture confirmation can delay required reporting, and instructing the client to have no contact with household members is not a substitute for individualized infection-control guidance and public health follow-up.

4. 4.At change of shift, a community health nurse receives referrals for four clients. Which client should the nurse assess first?

   • A.A 72-year-old client who needs help arranging transportation to a routine eye appointment.
   • B.A 40-year-old client requesting a replacement copy of a food assistance application.
   • C.A 15-year-old client requesting information about confidential contraception services.
   • D.A 68-year-old client with diabetes who reports a new foot ulcer with spreading redness and fever.

   Answer and rationale are in the full material.

5. 5.A home health nurse visits a client who has limited mobility and uses home oxygen. Which finding requires the nurse to intervene immediately?

   • A.A family member is smoking in the room where oxygen is in use.
   • B.A backup oxygen cylinder is stored near the client's bed.
   • C.An oxygen cylinder is secured upright in its holder.
   • D.The oxygen tubing is routed along the wall away from the main walking path.

   Answer and rationale are in the full material.