ATI RN
Community Assessment Questions Questions
Question 1 of 5
The multidisciplinary home health care team is discussing a female client diagnosed with
Correct Answer: B
Rationale: The correct answer is B because it directly addresses the immediate action needed by the home health nurse. Prioritizing actions ensures timely and appropriate care delivery. Choice A focuses on reporting without proposing a solution. Choice C suggests a non-urgent intervention. Choice D is incomplete and does not provide any guidance. In summary, choosing option B ensures prompt and effective care management for the client.
Question 2 of 5
A home health nurse knows that a 70-year-old male client who is convalescing at home following a hip replacement, is at risk for developing decubitus ulcers. Which physical characteristic of aging contributes to such a risk?
Correct Answer: C
Rationale: The correct answer is C: Thinning of the skin with loss of elasticity. As individuals age, the skin becomes thinner and loses its elasticity, making it more susceptible to damage and slower healing. This puts the 70-year-old male client at a higher risk for developing decubitus ulcers due to increased vulnerability of the skin to pressure and shearing forces. A: 16% increase in overall body fat - While increased body fat may impact overall health, it is not directly related to the development of decubitus ulcers. B: Reduced melanin production - Melanin production affects skin color and UV protection, but it is not directly linked to the risk of decubitus ulcers. D: Calcium loss in the bones - While calcium loss can lead to osteoporosis and bone fractures, it is not the primary factor contributing to decubitus ulcers in this scenario.
Question 3 of 5
Which presentation of an infectious disease is acquired through an indirect transmission?
Correct Answer: B
Rationale: The correct answer is B, Measles resulting from a daycare center outbreak, as it is acquired through indirect transmission. Measles spreads through respiratory droplets in the air, which can contaminate surfaces and objects in a shared environment like a daycare center. This indirect transmission occurs when a susceptible individual comes into contact with contaminated surfaces or objects. Choice A, syphilis contracted from a sexual partner, is an example of direct transmission through sexual contact. Choice C, malaria following exposure in a mosquito-infested area, is transmitted through the bite of an infected mosquito, which is considered vector-borne transmission. In summary, the indirect transmission of measles in a daycare center outbreak distinguishes it from the other choices, which involve direct or vector-borne modes of transmission.
Question 4 of 5
A senior high school student, whose immunization status is current, asks the school nurse which immunizations will be included in the precollege physical. Which vaccine should the nurse tell the student to expect to receive?
Correct Answer: B
Rationale: Rationale for Correct Answer (B - Measles, mumps, rubella): 1. Precollege physicals often require proof of MMR vaccination. 2. MMR vaccine protects against measles, mumps, and rubella. 3. These diseases are highly contagious and can spread easily in school settings. 4. MMR vaccination is crucial for preventing outbreaks in schools. 5. Hepatitis C (A) is not typically included in routine precollege physical immunizations. 6. Influenza type B (C) may be recommended seasonally but is not a routine precollege requirement.
Question 5 of 5
Lillian Wald was a significant person in the history of American nursing. Which contributions can be attributed to her? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because Lillian Wald was a pioneer in the development of public health nursing practice. She founded the Henry Street Settlement in New York City, where she provided nursing care to the impoverished immigrant population. This led to the establishment of the Visiting Nurse Service, which focused on preventive care and community health education. Choice B is incorrect because it is incomplete and does not specify any specific contribution made by Lillian Wald. Choice C is incorrect as Lillian Wald did not establish the first nursing service for occupational health. Choice D is incorrect as although Lillian Wald advocated for nursing registration, this was not her primary contribution to the field of nursing.