ATI RN
Community Health Nursing 2 Exam Questions and Answers Questions
Question 1 of 5
Which one of the following is an example of tertiary prevention by a community health nurse (CHN)?
Correct Answer: C
Rationale: Correct Answer: C - Directly observing clients with active TB as they take their antituberculosis medications Rationale: 1. Tertiary prevention aims to prevent complications and deterioration in individuals with existing conditions, such as active TB. 2. Directly observing medication administration ensures adherence and effectiveness in treating active TB. 3. By monitoring medication intake, the community health nurse can prevent drug resistance and further spread of TB. 4. Administering the Mantoux test (A) is a form of secondary prevention to identify TB exposure, not treatment. 5. Assessing for signs and symptoms (B) is part of early detection (secondary prevention), not tertiary prevention. 6. Interpreting TB skin test results (D) is diagnostic and not directly involved in preventing complications in individuals already diagnosed with active TB.
Question 2 of 5
At a district board meeting, the community health nurse (CHN) requests funding for an after-school recreation program that promotes healthy, fun activities in an effort to decrease substance abuse. Which level of prevention does this exemplify?
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. This is because the after-school recreation program aims to prevent substance abuse before it occurs by promoting healthy activities. This aligns with primary prevention, which focuses on preventing the onset of health issues. Secondary prevention (B) involves early detection and treatment, while tertiary prevention (C) focuses on managing and minimizing the impact of existing health issues. Choice D is incorrect as the program primarily falls under primary prevention only.
Question 3 of 5
Which characteristics observed in an adolescent boy should always alert the community health nurse (CHN) to the possibility of suicide?
Correct Answer: B
Rationale: The correct answer is B. Questioning sexual orientation and history of depression are significant risk factors for suicide in adolescents. This indicates internal struggles and emotional distress. Choice A is incorrect as age alone is not a direct indicator of suicide risk. Choice C, threatening harm to peers, is concerning but does not directly relate to self-harm. Choice D, a history of torturing animals, is a sign of conduct disorder but not always indicative of suicidal ideation. In summary, questioning sexual orientation and history of depression are strong indicators of potential suicide risk in adolescents.
Question 4 of 5
Which statement about Salmonella made in a class about disease prevention indicates that additional teaching is needed?
Correct Answer: C
Rationale: The correct answer is C because Salmonella is not typically spread through blood exposure. Step 1: Salmonella is primarily transmitted through contaminated food or water. Step 2: Person-to-person contact and carrier animals are known modes of transmission. Step 3: Outbreaks are commonly linked to contaminated meat, poultry, and eggs. In contrast, spreading through blood is not a significant route of transmission for Salmonella. Other choices are incorrect because they align with established knowledge about Salmonella transmission.
Question 5 of 5
Which sexually transmitted infections (STIs) can be prevented through immunization?
Correct Answer: C
Rationale: The correct answer is C: Hepatitis B. Hepatitis B can be prevented through immunization with a vaccine. The vaccine provides long-term protection against the virus. Chlamydia, gonorrhea, and herpes are STIs that cannot be prevented through immunization. They are primarily transmitted through sexual contact and require other prevention methods such as safe sex practices and regular testing. Hepatitis B is the only STI in the list that has a vaccine available for prevention.