ATI RN
Community Needs Assessment Questions Questions
Question 1 of 5
The nurse at a health fair has taken a client's blood pressure twice, 10 minutes COMMUNITY HEALTH PRACTICE EXAM - VERSION A
Correct Answer: A
Rationale: The correct answer is A because the nurse should record both blood pressure readings and report them to the healthcare provider for further evaluation. Blood pressure readings of 172/104 mm Hg and 164/98 mm Hg are elevated and require medical attention. Referring the client to a nutritionist (B) or assessing for stress (D) are not immediate actions needed for these high blood pressure readings. Placing the client in a recumbent position and calling paramedics (C) is only necessary in cases of hypertensive emergencies, which are not indicated in this scenario.
Question 2 of 5
The nursing education coordinator is creating employee orientation materials for staff
Correct Answer: A
Rationale: The correct answer is A because understanding the community health practice is crucial for providing effective care. Educating staff on client demographics, health needs, and cultural considerations can enhance patient outcomes. Option B is incorrect as it provides specific information rather than a general guideline. Options C and D are incomplete and do not address the community health aspect.
Question 3 of 5
The nurse is designing a community health project based on a report provided by the World Health Organization that describes healthcare problems in the United States. Which healthcare issue should the nurse give the highest priority when planning the project?
Correct Answer: C
Rationale: The correct answer is C: Number of people without access to healthcare. This should be the highest priority as it directly addresses a fundamental issue of healthcare accessibility and equity. Without access to healthcare, individuals cannot receive necessary medical care, leading to poorer health outcomes and increased healthcare disparities. Choice A (Overuse of diagnostic technology) is not the highest priority as it focuses on efficiency rather than accessibility. Choice B (Government-based health insurance) is important but does not directly address the issue of lack of access to healthcare. Choice D (The neonatal and infant mortality rates) is also important but does not target the root cause of lack of access to healthcare for the general population. Prioritizing addressing the number of people without access to healthcare will help improve overall health outcomes and reduce disparities in the community.
Question 4 of 5
The home health nursing director is conducting an educational program for registered nurses and practical nurses about Medicare reimbursement. To obtain payment for Medicare services, what must be included in the client's record?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Documentation of a skilled care service provided during the visit is essential for Medicare reimbursement as it demonstrates that the services delivered were medically necessary and met the criteria for coverage. Medicare requires evidence of skilled care to justify payment. Including this documentation ensures compliance with Medicare guidelines. Summary of Incorrect Choices: A: A prescription from the healthcare provider is not directly related to Medicare reimbursement. While prescriptions may be part of the client's record, they are not a mandatory requirement for Medicare payment. D: A copy of the client's health history and social is important for providing comprehensive care but not specifically required for Medicare reimbursement. This information may be part of the client's record for clinical purposes but does not directly impact reimbursement.
Question 5 of 5
The nurse is screening children at a local community health clinic for infectious diseases. Which child is at highest risk for hepatitis B virus (HBV)?
Correct Answer: A
Rationale: The correct answer is A, a newborn, as they are at higher risk due to potential exposure during birth from an infected mother. Newborns can acquire HBV through vertical transmission. Choice B, a 3-year-old, and choice D, a 7-year-old, are less at risk compared to newborns. Choice C, which seems to be incomplete, does not provide any relevant information.