1) A nurse working in an infectious disease clinic is caring for a client
who has a new diagnosis of Lyme disease. Which of the following
agencies is responsible for voluntarily reporting cases of this
disease to the
...
1) A nurse working in an infectious disease clinic is caring for a client
who has a new diagnosis of Lyme disease. Which of the following
agencies is responsible for voluntarily reporting cases of this
disease to the Centers for Disease Control and Prevention?
b. Office of the Surgeon General
c. Local Red Cross chapter
d. Hospital infection control department
2) A case manager is completing discharge planning for a client who
has alcohol use disorder and cirrhosis of the liver. Which of the
following actions should the case manager take first?
a. Contact a social worker to assist the client with managing
finances.
b. Provide the client with information on self-help groups for
alcohol use disorder.
c. Arrange for a home health nurse to visit the client following
discharge.
3) A nurse is providing teaching to a client about directives regarding
end-of-life care. Which of the following information should the nurse
include in the teaching?
a. The client can verbally choose a health care proxy if two
nurses witness the designation.
b. The client’s family has the authority to revoke the do-notresuscitate order at any time.
d. The client can choose a non-family member as the
designated power of attorney.
4) A nurse in an antepartum clinic is reviewing the medical records of
four clients. Which of the following infectious conditions should the
nurse report to the Centers for Disease Control and Prevention?
a. Human papillomavirus
b. Bacterial vaginosis
c. Gonorrhea
d. Genital herpes simplex virus
5) A home health nurse is performing an eye assessment for an older
adult client. Which of the following findings is the priority for the
nurse to report to the provider?
a. Decreased near vision
b. Conjunctivitis
c. Hemianopsia
d. Increased sensitivity to glare
6) A home health nurse is caring for a client who has Clostridium
difficile infection. Which of the following actions should the nurse
take?
a. Obtain a surgical mask for the client to wear when away
from home.
b. Instruct the client to avoid the use of probiotics.
c. Use an alcohol-based hand sanitizer following care.
7) A nurse in a mobile health clinic is caring for a client who requires a
tetanus immunization and is accompanied by his daughter. The
client does not speak the same language as the nurse. Which of the
following actions should the nurse take?
a. Arrange for a member of the client’s community to interpret
the teaching.
b. Have the client's daughter communicate information about
the procedure.
d. Use professional terminology when providing education
prior to the procedure.
8) A parish nurse is counseling a family following a client's recent
diagnosis of heart disease. Which of the following actions should
the nurse take first?
a. Assist the client and the client’s partner with finding an
affordable exercise program.
b. Discuss the benefits of eating a well-balanced diet with the
client’s family.
d. Offer to accompany the client and the client’s partner during
health care provider visits.
9) A school nurse is planning primary prevention activities for the
school year. Which of the following actions should the nurse plan to
take?
b. Schedule hearing screenings for each grade level.
c. Provide referrals for students who have asthma.
d. Provide first aid for injured students.
10) A home health nurse is planning the initial home visit for a client
who has dementia and lives with his adult son’s family. Which of the
following actions should the nurse take first during the visit?
b. Provide the family with information about respite care.
c. Educate the family regarding the progression of dementia.
d. Encourage the family to join a support group.
a. State health department
d. Determine which home safety measures the client needs to
client and the provider.
c. The living will is a legally binding contract between the
d. Clean the client’s bathroom with a diluted bleach solution.
interpreter.
c. Identify the client’s spoken dialect prior to contacting an
relationships within the family.
c. Ask family members about the impact of the disease on
a. Monitor the immunizations status of students.
a. Engage the family in informal conversation.
11) A nurse is working with a case manager for a client who participates
in a health maintenance organization. The nurse should identify that
HMO provides which of the following payment structures?
a. The client pays the insurer a percentage of the total costs
for each service rendered by the provider.
c. The provider bills the client directly for a predetermined
percentage of the cost of services.
d. The client is participating in a fee-for-service health care
insurance program.
12) A nurse manager at a clinic is reviewing the preventative services
offered to clients. Which of the following activities should the nurse
identify as a secondary prevention activity?
a. Advocate for laws that prohibit texting while driving.
b. Refer a client who is recovering from a substance use
disorder to a social service program.
c. Provide a smoking cessation class.
13) A school nurse is planning safety education for a group of
adolescents. The nurse should give priority to which of the following
topics as the leading cause of death for this age group?
a. Substance abuse prevention
b. Sports injury prevention
c. Gun safety
14) A home health nurse is caring for a client who has chemotherapyinduced nausea that has been resistant to relief from
pharmacological measures. Which of the following interventions
should the nurse initiate? (SATA)
a. Use seasonings to enhance the flavor of foods.
e. Offer 120 mL (4oz) of cold 2% milk as a meal replacement.
15) A nurse is working with a community health care team to devise
strategies for preventing violence in the community. Which of the
following interventions is an example of tertiary prevention?
a. Urging community leaders to make nonviolence a priority
b. Presenting community education programs about stress
management
c. Assessing for risk factors of intimate partner abuse during
health examinations
16) A nurse is developing health promotion strategies for older adult
clients at an assisted living facility. Which of the following strategies
is the priority for the nurse to include?
a. Scheduling annual dental examinations for the clients
c. Encouraging the clients to exercise regularly
d. Providing the clients with a low-fat diet
17) A nurse is triaging clients who were involved in a commuter train
crash. Which of the following clients should the nurse choose for
transport to the emergency departments first?
a. A client who has a fracture of the humerus with a 2+ radial
pulse in the affected arm
b. A client who is exhibiting agonal respirations with fixed and
dilated pupils
d. An ambulatory client who has a nosebleed and reports
feeling dizzy
18) A nurse is assessing an outbreak of mumps among school-age
children. Using the epidemiological triangle, the nurse should
recognize which of the following is the host?
b. The virus
c. The vaccine
d. The school
19) A home health nurse is discussing electrical hazards with a client.
Which of the following statements should the nurse include?
a. “You should cover electrical cords with an area rug.”
c. “You should secure extension cords with clear packing
tape.”
d. “You should pull on the cord when unplugging items.”
20) A nurse in a clinic is reviewing home safety precautions with a client
who is to begin radioactive iodine therapy. Which of the following
statements by the client indicates an understanding of the teaching?
a. “I will wait 1 week after treatment to use a laxative.”
b. “I will allow my granddaughter to visit for 4 hours daily.”
c. “I will use cloth handkerchiefs instead of tissues.”
d. “I will use a toilet that is not used by others in my family.”
21) A community health nurse is teaching a group of parents about
manifestations of alcohol withdrawal. Which of the following
manifestations should the nurse include in the teaching?
a. Somnolence
c. Hypotension
d. Hyperglycemia
b. The provider is paid a fixed sum for the client on a monthly
d. Encourage a pregnant client to participate in prenatal care.
d. Motor vehicle safety
d. Maintain the head of the client’s bed in an elevated position
c. Provide sips of room-temperature ginger ale between
b. Assist the client in using guided imagery.
d. Developing resources for victims of abuse
b. Immunizing the clients against influenza
total body surface area
c. A client who has full-thickness burn injuries over 30% of his
a. The children
b. Seizures
b. “You should limit your use of extension cords.”
22) A nurse is reviewing levels of prevention with a newly licensed
nurse. Which of the following is an example of tertiary prevention?
a. Providing STI testing for students on a college campus
c. Educating adults about breast cancer screening guidelines
d. Promoting the use of helmets with children who ride
bicycles
23) A nurse is serving on a state task force for disaster planning. The
nurse is engaging in disaster preparedness efforts when performing
which of the following actions?
a. Functioning as a manager at a temporary shelter
b. Assisting with the identification of a biological agent
c. Implementing a disaster triage plan with a local medical
facility
24) A parish nurse is planning activities for a faith-based community.
Which of the following activities should the nurse include?
b. Offer primary care to uninsured members
c. Provide case management
d. Change a negative pressure wound therapy dressing
25) A nurse in a community health clinic is assessing a client who has
two preschoolers, was recently divorced, and is seeking help for
managing depression. Which of the following questions should the
nurse ask first?
b. “Could you describe how you are feeling today?”
c. “Is there anything that makes you feel less depressed?”
d. “Who is available to help you?”
26) A community health nurse encounters a client who has a suspected
bioterrorism-related illness. Which of the following actions should
the nurse take?
a. Report the client’s condition to the Federal Bureau of
Investigation.
b. Move the client to a quarantine area.
d. Disinfect contaminated areas of skin with isopropyl alcohol.
27) A nurse is teaching a group of clients about ways to prevent skin
cancer. Which of the following statements by the nurse
demonstrates a primary prevention strategy?
a. “Avoid direct sunlight between 10 am and 4 pm.”
b. “Apply cool tap water soaks for 20 minutes to relieve
sunburn.”
c. “Use acetaminophen as needed for sunburn.”
d. “Ensure you have a yearly skin examination with your
provider.”
28) A home health nurse is caring for a client who has terminal cancer
and no longer wants to receive enteral tube feedings. Which of the
following actions should the nurse take?
a. Complete an against medical advice form.
b. Request the facility chaplain to visit the client.
c. Ask the client to sign an informed consent form.
29) 7) A nurse working in an assisted care facility is developing a
disaster plan. Which of the following is the first action the nurse
should take?
a. Verify dates of the annual community-wide mass casualty
drill.
c. Identify materials needed for staff and resident education.
d. Develop response strategies specific to older adults.
30) A nurse is providing teaching to a 50-year-old female client. Which
of the following statements should the nurse include in the
teaching?
b. “You should have your fasting blood glucose level checked
every 6 years.”
c. “You should have your stool tested for blood every other
year until the age of 74.”
d. “You should have your hearing screened every 5 years.”
31) A nurse is providing teaching to a newly licensed nurse about case
management. The nurse should include which of the following tasks
is the responsibility of a case manager?
a. Perform employee risk assessment.
b. Enforce OSHA standards in the workplace.
c. Teach a smoking cessation support group.
32) A community health nurse is working with a task force to decrease
community violence. Which of the following planned interventions
should the nurse identify as a primary prevention strategy?
a. Providing sexual assault nurse examiner training for nurses
in the local clinic
b. Developing a protocol for managing victims of violence
d. Arranging for a local clinic to provide methadone treatment
33) A nurse educator is teaching a group of newly licensed nurses
about maintaining client confidentiality according to HIPAA
b. Teaching about inhaler use to a client who has asthma
d. Organizing a mass casualty drill for community members
a. Teach stress management strategies
a. “Are you having any thoughts about hurting yourself?”
d. Explain the process for completing a living will.
b. Determine potential environmental health hazards.
years until the age of 64.”
a. “You should have a complete eye examination every 2
d. Evaluate the cost-effectiveness of client treatments.
c. Providing parenting classes for local parents
c. Don personal protective equipment.
regulations. Which of the following statements by a licensed nurse
indicates an understanding of the teaching?
b. “We should share our computer passwords with our
manager.”
c. “HIPAA rules vary from state to state.”
d. “A client's diagnosis can be posted on the communication
board inside the client's room.”
34) A nurse is working for a hospice organization. The nurse should
identify which of the following criteria must be met for a client to
qualify for hospice care?
a. The client has documentation stating he has less than 12
months live.
b. The client’s insurance provides coverage for palliative care.
d. The client requires inpatient care due to lack of a caregiver.
35) A nurse is conducting home visits to postpartum adolescents who
participated in prenatal parenting classes. Which of the following
statements indicates an understanding of the teaching?
a. “I use baby talk when talking to my baby.”
b. “I limit the time her grandparents cuddle my baby to prevent
spoiling her.”
c. “I warm my baby’s bottle in the microwave for 30 seconds at
a time.”
36) A community health nurse is working with a migrant population. The
nurse should recognize which of the following interventions is
necessary to provide care to this population?
a. Treating clients on a fee-for-service basis
b. Offering health screenings at a community center
d. Requiring clients to show a work visa before they receive
care
37) A nurse at a rural clinic is interviewing a family who has different
cultural beliefs than the nurse. The family reports seeing a folk
healer. Which of the following statements should the nurse make?
a. “Many folk medicine treatments work by providing a
placebo effect.”
b. “I can refer you to a medical practitioner for your health care
needs.”
c. “Alternative medicine practices can be dangerous and
should be avoided.”
38) A nurse in a community clinic is assessing a client who reports
injecting heroin 1 hr ago. Which of the following findings should the
nurse expect?
b. Dilated pupils
c. Tachypnea
d. Nystagmus
39) A nurse case manager is providing discharge planning for a client.
The nurse is functioning in which of the following roles when
arranging for the delivery of medical equipment to the client’s
home?
b. Systems allocator
c. Advocate
d. Consultant
40) A mental health nurse is scheduling a home health appointment
with a client who has recently lost his partner in a motor-vehicle
crash. Which of the following statements by the client indicates the
need for immediate nursing intervention?
a. “I just feel so angry right now.”
b. “Everything is going to be fine soon.”
c. “I’m not going to talk to you about my problems.”
d. “There’s no need for anyone to come see me, including
you.”
41) A nurse is providing teaching to a newly licensed nurse about
secondary prevention strategies related to violence and abuse.
Which of the following strategies should the nurse include in the
teaching?
a. Coordinate a personal defense program at a local agency.
b. Refer clients to the appropriate community agency if signs
of abuse are evident.
c. Teach a parenting skills class at a child development center.
42) A nurse is planning primary prevention activities for the new school
year. Which of the following should the nurse include? (SATA)
a. Recommending a seating arrangement for a child in a body
cast
b. Teaching a class about the risks of cigarette smoking
c. Lobbying for funding for health promotion efforts
d. Creating a plan of care for children who have a diagnosis of
diabetes mellitus
e. Organizing a program to promote skateboard safety
43) A nurse at a community clinic is preparing an education guide about
cultural variances in expression of pain. W...................................................................CONTINUED
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