Environmental Health Final Exam Questions

ATI LPN · Environmental Health Final Exam Questions

Question 1 of 58

You are following a patient after an acute hepatitis B infection. His serologies are shown below: HBsAg: Positive, HBeAg: Positive, IgM anti-HBc: Positive, IgG anti-HBc: Negative, Anti-HBs: Negative, Anti-HBe: Negative, HBV-DNA: Positive. Which term best describes his disease status?

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ATI LPN · Environmental Health Final Exam Questions

Question 2 of 58

You are evaluating a 25-year-old woman who reports frequent UTIs since getting married last year. In the last 12 months, she has had 5 documented infections that have responded well to antibiotic therapy. She has tried voiding after intercourse, she discontinued her use of a diaphragm, and tried acidification of her urine using oral ascorbic acid, but none of those measures decreased the incidence of infections. At this point, which of the following would be an acceptable prophylactic measure?

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ATI LPN · Environmental Health Final Exam Questions

Question 3 of 58

A nurse asks you to emergently see a patient who came to the office in distress without an appointment. He is 22 years old and is presenting with chest pain. He has never experienced this in the past, and is clearly agitated and upset. He reports a history of slightly elevated blood pressure, 'heartburn,' and says he is recovering from a recent viral upper respiratory infection. He admits to smoking one pack of cigarettes a day, and has used illegal drugs in the past. His blood pressure is 138/90, and physical examination is significant for tachycardia and diaphoresis. Which of his historical features are most suggestive of myocardial ischemia as a cause of his symptoms?

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ATI LPN · Environmental Health Final Exam Questions

Question 4 of 58

What are the numbers of biodiversity hotspots in the world?

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ATI LPN · Environmental Health Final Exam Questions

Question 5 of 58

What percentage of reunified children return to care after two years?

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ATI LPN · Environmental Health Final Exam Questions

Question 6 of 58

Responsible parenting indicates which health condition?

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ATI LPN · Environmental Health Final Exam Questions

Question 7 of 58

In the UK, which of the following childhood diseases has relied on herd immunity? Choose the correct answer.

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ATI LPN · Environmental Health Final Exam Questions

Question 8 of 58

Smoke, fumes, ash, dust, nitric oxide and sulphur dioxide are the main sources of

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ATI LPN · Environmental Health Final Exam Questions

Question 9 of 58

Which is the most prevalent system of medicine all over the world?

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ATI LPN · Environmental Health Final Exam Questions

Question 10 of 58

An 80-year-old man presents with mild, crampy, bilateral lower quadrant pain, decreased appetite, and low-grade fever for about 48 hours. Which of the following is most likely?

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ATI LPN · Environmental Health Final Exam Questions

Question 11 of 58

Alzheimer's and osteoporosis are examples of _______.

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ATI LPN · Environmental Health Final Exam Questions

Question 12 of 58

This about ecological succession is incorrect

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ATI LPN · Environmental Health Final Exam Questions

Question 13 of 58

A 19-year-old sexually active homosexual male asks you about his risk for hepatitis. He is currently asymptomatic and unsure of his immune status. Which of the following would you recommend?

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ATI LPN · Environmental Health Final Exam Questions

Question 14 of 58

In childhood disorders there are different types of problems such as Symptom-Based Disorders. One such disorder is known as encopresis, which means:

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ATI LPN · Environmental Health Final Exam Questions

Question 15 of 58

You are evaluating a 47-year-old woman complaining of bilateral lower extremity edema. She denies dyspnea, and on examination has no rales, JVD, or ascites. Her cardiac examination is normal. What would be the next step in the evaluation of her edema?

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ATI LPN · Environmental Health Final Exam Questions

Question 16 of 58

Trophic levels are formed by

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ATI LPN · Environmental Health Final Exam Questions

Question 17 of 58

Yellowing of Taj Mahal is an effect of

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ATI LPN · Environmental Health Final Exam Questions

Question 18 of 58

The greatest problem of water conservation is to reduce the amount of

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ATI LPN · Environmental Health Final Exam Questions

Question 19 of 58

Which of the following is the LEAST appropriate consideration when developing a disaster management plan?

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ATI LPN · Environmental Health Final Exam Questions

Question 20 of 58

What is the most likely cause of her symptoms?

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ATI LPN · Environmental Health Final Exam Questions

Question 21 of 58

You are talking with a 33-year-old woman who is complaining of headaches. She has had these headaches for 5 months, and they are increasing in frequency. She reports that the headaches may last anywhere from an hour to several days. They are now occurring about 5-10 times a month, without relationship to her menstrual cycle. She describes the headache as bilateral, and the pain is described as a pressure around her forehead. She denies nausea, is not sensitive to sound, but is sensitive to light during an attack. On examination, she has no obvious neurological deficit. What is the best approach to take at this point?

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ATI LPN · Environmental Health Final Exam Questions

Question 22 of 58

You are caring for a 46-year-old generally healthy woman. She is sexually active with her husband only. You recently completed her annual examination. Her Pap smear reports 'atypical glandular cells' and are reported to be of endometrial origin. She does not report any abnormal vaginal bleeding. Which of the following is the most appropriate next step?

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ATI LPN · Environmental Health Final Exam Questions

Question 23 of 58

Which of the following is not true about tubercle bacilli?

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ATI LPN · Environmental Health Final Exam Questions

Question 24 of 58

A 22-year-old woman is seeing her physician with complaints of breast pain. It is associated with her menstrual cycle and is described as a bilateral 'heaviness' that radiates to the axillae and arms. Examination reveals groups of small breast nodules in the upper outer quadrants of each breast. They are freely mobile and slightly tender. Which of the following statements is most correct?

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ATI LPN · Environmental Health Final Exam Questions

Question 25 of 58

Which of the following is the best indicator of SOÃ¢â€šâ€š POLLUTION?

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ATI LPN · Environmental Health Final Exam Questions

Question 26 of 58

Epidemiological studies have differed in their estimates of GAD in childhood populations. A UK study estimated the occurrence of Generalised Anxiety Disorder in less than what percentage of 5-10 yrs olds?

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ATI LPN · Environmental Health Final Exam Questions

Question 27 of 58

You are seeing a patient who has end-stage liver disease with cirrhosis due to hepatitis C. What will be her most likely cause of death?

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ATI LPN · Environmental Health Final Exam Questions

Question 28 of 58

The six rights of supply chain management include the following EXCEPT:

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ATI LPN · Environmental Health Final Exam Questions

Question 29 of 58

In the prenatal workup for one of your patients, you discover she is rubella nonimmune. When is the best time to vaccinate the patient against rubella?

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ATI LPN · Environmental Health Final Exam Questions

Question 30 of 58

You are doing a routine preoperative clearance for an otherwise healthy 60-year-old man undergoing a knee replacement. Which of the following laboratory tests should be ordered?

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ATI LPN · Environmental Health Final Exam Questions

Question 31 of 58

You administer medication to a child in the setting - which should you do?

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ATI LPN · Environmental Health Final Exam Questions

Question 32 of 58

A 64-year-old woman comes to see you as a new patient. She is interested in finding the cause of her hand deformities. Upon inspection, you see the joints in her hands are nodular and enlarged as in the picture below. Which of the following laboratory findings is likely in her case?

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ATI LPN · Environmental Health Final Exam Questions

Question 33 of 58

The organic material of the solid waste will decompose

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ATI LPN · Environmental Health Final Exam Questions

Question 34 of 58

What has been shown to play a role in acne development?

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ATI LPN · Environmental Health Final Exam Questions

Question 35 of 58

The water purification methods include all EXCEPT:

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ATI LPN · Environmental Health Final Exam Questions

Question 36 of 58

Identify and discuss the possible sources of air pollution in a household setting

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ATI LPN · Environmental Health Final Exam Questions

Question 37 of 58

You are discussing fatigue with one of your 53-year-old patients. She reports that her symptoms have occurred for the past 6 months, and have been getting progressively worse. She reports increased stress and working longer hours at work, and she is drinking a glass of red wine each evening after work to relax. Which component of her history points to a physical cause of her fatigue?

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ATI LPN · Environmental Health Final Exam Questions

Question 38 of 58

You are performing a screening physical examination on a 47-year-old man. He is generally healthy, and his review of systems is negative. His mother has type 2 diabetes, and he is overweight. Which of the following is generally accepted as the test of choice to screen for type 2 diabetes?

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ATI LPN · Environmental Health Final Exam Questions

Question 39 of 58

What do you call the process of collecting data as a means of learning about the family and acquiring of information that will provide the basis for nursing intervention?

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ATI LPN · Environmental Health Final Exam Questions

Question 40 of 58

A child cries after falling from the slide and won't stand - what should you do?

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ATI LPN · Environmental Health Final Exam Questions

Question 41 of 58

Yellow fever is transmitted by

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ATI LPN · Environmental Health Final Exam Questions

Question 42 of 58

Define the social environment

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ATI LPN · Environmental Health Final Exam Questions

Question 43 of 58

All of the following are examples of vector-borne illness due to viruses EXCEPT:

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ATI LPN · Environmental Health Final Exam Questions

Question 44 of 58

Who coined the term acid rain?

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ATI LPN · Environmental Health Final Exam Questions

Question 45 of 58

You are evaluating 32-year-old woman who has not menstruated in 4 months. She has a long history of irregular menstrual periods, but has never gone this long without a period in the past. She is not pregnant, her laboratory evaluation is normal, and you decide to perform a progestin challenge test. The week after she takes 10 mg of medroxyprogesterone acetate (Provera) for 7 days, she reports having a period. Which of the following is the most likely cause of her amenorrhea?

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ATI LPN · Environmental Health Final Exam Questions

Question 46 of 58

A 33-year-old woman is seeing you with a chief complaint of 'dizziness.' Upon further characterization, she describes 'unsteadiness' and a feeling that 'her balance is off.' Based on this description, which of the following terms should be used to characterize her complaint?

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ATI LPN · Environmental Health Final Exam Questions

Question 47 of 58

You are assessing a 59-year-old patient with an 80-pack-year history of smoking cigarettes. He stopped smoking 1 year ago. He reports a cough productive of white frothy sputum for the past 4 months. Reviewing his chart, you discover that he had a similar presentation last winter, with a cough that lasted more than 3 months. Given this information, what is his most likely diagnosis?

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ATI LPN · Environmental Health Final Exam Questions

Question 48 of 58

What is the most common organism?

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ATI LPN · Environmental Health Final Exam Questions

Question 49 of 58

All consumers are

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ATI LPN · Environmental Health Final Exam Questions

Question 50 of 58

Wildlife week is celebrated from

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ATI LPN · Environmental Health Final Exam Questions

Question 51 of 58

After a period of noncompliance, one of your type 1 diabetics has been hospitalized for diabetic ketoacidosis. He has required approximately 100 units of insulin in a 24-hour period in the hospital using a sliding scale. You decide to begin split-dose therapy with neutral protamine Hagedorn(NPH) and regular insulin. How much NPH insulin should be given to this patient in the morning?

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ATI LPN · Environmental Health Final Exam Questions

Question 52 of 58

Which of the following can act as a pioneer species in a xerach succession?

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ATI LPN · Environmental Health Final Exam Questions

Question 53 of 58

You are evaluating health disparities in your community and using mortality rates as a measure of overall health. Of the following, which population subgroup in the United States has the lowest mortality rate at each age of the lifespan?

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ATI LPN · Environmental Health Final Exam Questions

Question 54 of 58

The species which are likely to become extinct in the near future is called

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ATI LPN · Environmental Health Final Exam Questions

Question 55 of 58

What test determines the cause?

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ATI LPN · Environmental Health Final Exam Questions

Question 56 of 58

You are seeing a 19-year-old college student complaining of recurrent and persistent cough. She has been treated for 'bronchitis' several times, and you are concerned that her true diagnosis is asthma. Which of the following is most important in the diagnosis of asthma?

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ATI LPN · Environmental Health Final Exam Questions

Question 57 of 58

Main source of noise pollution

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ATI LPN · Environmental Health Final Exam Questions

Question 58 of 58

What type of activity is reviewing the use of cigarettes, drugs, and alcohol by the clinic nurse an example of?

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