ATI RN
Community Health Assessment Questions Questions
Question 1 of 5
A nurse working in a community health setting is performing primary health screenings. Which individual is at highest risk for contracting an HIV infection? COMMUNITY HEALTH PRACTICE EXAM - VERSION A
Correct Answer: A
Rationale: The correct answer is A: A 17-year-old who is sexually active with numerous partners. This individual is at highest risk for contracting HIV due to engaging in unprotected sex with multiple partners, increasing the likelihood of exposure to the virus. Adolescents are a high-risk group due to factors like peer pressure, lack of awareness, and inconsistent condom use. Summary of other choices: B: A 45-year-old lesbian with two partners in the past year - Lesbian sexual activity has a lower risk of HIV transmission compared to heterosexual or male homosexual activity. C: A 30-year-old cocaine user who works in a topless bar - Cocaine use and working in a topless bar do not directly increase the risk of HIV transmission. D: A 34-year-old male homosexual in a monogamous relationship - Being in a monogamous relationship reduces the risk of contracting HIV compared to individuals with multiple sexual partners.
Question 2 of 5
Which client has the greatest risk for developing community-acquired pneumonia?
Correct Answer: D
Rationale: The correct answer is D, the 60-year-old homeless person who is an alcoholic and smokes, has the greatest risk for developing community-acquired pneumonia due to multiple risk factors. Alcoholism and smoking weaken the immune system and damage the lungs, increasing susceptibility to infections like pneumonia. Homelessness may lead to poor living conditions and limited access to healthcare, further increasing the risk. The other choices, a 40-year-old first-grade teacher, and a 75-year-old retired secretary, do not have the same level of risk factors as the homeless person. The retired secretary's exercise-induced wheezing may indicate asthma or another respiratory condition, but it does not directly increase the risk of pneumonia as much as the combination of alcoholism, smoking, and homelessness.
Question 3 of 5
A community health nurse is planning to implement an outreach program for a community group. Which criteria should the nurse clarify about the program when examining sources for funding?
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is the correct answer: 1. Identifying populations and individuals in need of healthcare services is crucial for securing funding as it demonstrates a clear target audience. 2. Funding sources want to ensure that their resources are directed towards those who truly need the services. 3. This criterion aligns with the fundamental principle of healthcare equity and accessibility. 4. By focusing on specific populations, the nurse can tailor the program to meet the unique needs of the community. Summary: - Choice A is incorrect as focusing on multiple health problems can dilute the program's impact and make it less targeted. - Choice C is incorrect as evaluating variations in health services is important but not directly related to securing funding for a specific outreach program. - Choice D is incorrect as offering services in various locations is practical but does not address the fundamental aspect of identifying the target population in need.
Question 4 of 5
The nurse is administering the measles, mumps, rubella (MMR) vaccine to a 12-month old child during the well-baby visit. Which age range should the nurse advise the parents to plan for their child to receive the MMR booster based on the current recommendations
Correct Answer: D
Rationale: Rationale: The correct answer is D (11 to 12 years of age) because the MMR vaccine is typically given in two doses, with the second dose recommended between 4-6 years old or 11-12 years old to ensure long-term protection. This timing is based on the child's immune response and disease susceptibility. Options A, B, and C are incorrect as they do not align with the recommended age range for the MMR booster dose. Option B suggests an earlier age range, while options A and C do not provide any specific age range for the MMR booster.
Question 5 of 5
The nurse plans to implement a community health program targeting teenage smoking. Prior to initiating this program, which information is most important COMMUNITY HEALTH PRACTICE EXAM - VERSION A for the nurse to obtain?
Correct Answer: A
Rationale: The correct answer is A: The incidence of smoking among the teenage population in this community. This is crucial as it provides essential data on the extent of the problem, helping the nurse tailor the program to address the specific needs of the community. Understanding the prevalence of teenage smoking will guide the development of effective interventions. Incorrect answers: B: The amount of available funding is important but not as critical as understanding the prevalence of smoking in the community. C: While Healthy People objectives are important guidelines, knowing the actual incidence of smoking in the community is more directly relevant. D: This choice is incomplete and does not provide any relevant information for planning a community health program.