ATI RN
Community Health Assessment Questions Questions
Question 1 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 2 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 3 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.
Question 4 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 5 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.