ATI RN
Community Health Assessment Questions Questions
Question 1 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 2 of 5
A 16-year-old female client returns to the clinic because she is pregnant for the first time.Which vaccine should the nurse plan to administer?
Correct Answer: A
Rationale: The correct answer is A: HPV vaccine. This vaccine is recommended for females up to age 26 to prevent cervical cancer and other HPV-related diseases. Given the client's age and gender, HPV vaccine is the most appropriate choice. Measles-mumps-rubella (MMR) vaccine (B) is not indicated in this scenario as the client is pregnant and not due for MMR vaccination. Option D, Hepatitis vaccine, is also not appropriate in this case as the client's pregnancy status should be evaluated before administering the vaccine. Option C is blank, so it is not a valid choice.
Question 3 of 5
Several employees who have a 10 year or longer hx of smoking ask the occupation nurse for assistance w/ smoking cessation. The RN develops a 2 month program that includes weekly group sessions on lifestyle changes and use of OTC products. Which measurement provides the best indication of the program's effectiveness?
Correct Answer: B
Rationale: The correct answer is B. Asking the employees to inform the group if they stop smoking and if they start back up provides the best indication of the program's effectiveness. This measurement directly tracks smoking behavior changes within the group, which is essential for evaluating the program's impact. It allows for real-time monitoring and feedback on individual progress. Choice A is not as effective because joining another smoking cessation group does not necessarily indicate success or failure of the current program. Choice C, surveying the employees about their smoking habits, may not provide accurate or timely information on actual behavior changes. Choice D, observing if employees are smoking in designated areas, is not reliable as employees may smoke outside of the observed areas. In summary, choice B is the best measurement as it directly tracks smoking behavior changes within the group, providing real-time feedback for evaluating the program's effectiveness.
Question 4 of 5
A community health RN believes that immunization rates in a lower socioeconomic section of the city are probably below the target set by the state health department. What action should the RN take FIRST to intervene with this health problem?
Correct Answer: C
Rationale: The correct answer is C: Review current epidemiological population data that might document a low immunization rate. This is the first action the RN should take because it provides objective evidence to confirm the suspicion of low immunization rates in the community. By reviewing the data, the RN can accurately assess the situation and determine the extent of the problem before implementing any interventions. Choice A (Take a health history on the members of the community) is incorrect because individual health histories may not provide a comprehensive view of the community's immunization rates. Choice B (Initiate an immunization program for the community) is incorrect because it is essential to first confirm the need for such a program through epidemiological data. Choice D (Refer all clients to the local health department) is incorrect as it does not address the root cause of the issue and may not be necessary if the RN can intervene effectively based on the epidemiological data.
Question 5 of 5
An assessment conducted last year of the health needs of children who attended a middle school indicated that bicycle injuries were a priority problem, so the RN developed a bicycle safety program. 6 weeks after completion of the program, a survey was sent home to parents & students. Which finding is the best indicator that the program was effective?
Correct Answer: A
Rationale: The correct answer is A because an increase in the number of students wearing helmets is a direct indicator that the bicycle safety program was effective. Wearing helmets reduces the risk of head injuries, which is crucial in preventing bicycle-related injuries. This change shows that the program successfully influenced the behavior of students to prioritize safety. Choice B is incorrect because a decrease in bruises from falls does not necessarily indicate that the safety program was effective as bruises are just one type of injury and not the most severe. Choice C is irrelevant as it pertains to a different safety measure (seatbelts in cars) and not related to the bicycle safety program. Choice D is also incorrect since knowing how to cross the street on a bicycle is important but does not directly measure the effectiveness of the overall safety program.