1. A nurse is counseling a client who is to undergo enzyme linked Immunosorbent assay testing for HIV. Which of the following information should the nurse Include?
(A):A positive result requires initiating Immunoglobul
...
1. A nurse is counseling a client who is to undergo enzyme linked Immunosorbent assay testing for HIV. Which of the following information should the nurse Include?
(A):A positive result requires initiating Immunoglobulin administration.
(B):ED The test measures antibodies to the virus
(C):The test monitors progression of the disease.
(D):The test results are accurate 24 hr after exposure to the virus.
2. A community health nurse is providing teaching to a group of clients who have alcohol use disorder. Which of the following findings should the nurse include In the teaching as a manifestation of alcohol withdrawal?
(A):Bradycardia
(B):Increased appetite
(C):Hypothermia
(D):Insomnia
3. A home health nurse is caring for a client who has chemotherapy-induced nausea that has been resistant to relief from pharmacological measures. which of the following interventions should the nurse Initiate? (Select all that apply.)
(A):Provide sips of room-temperature ginger ale between meats.
(B):Use seasonings to enhance the flavor of foods.
(C):Offer 120 mL (4 02) of cold 2% milk as a meal replacement.
(D):Maintain the head of the client's bed in an elevated position after eating.
(E):Assist the client in using guided imagery
4. A community health clinic nurse manager is reviewing the Incidence rate of chlamydia in the state. In a given year. 3,144 new cases were reported and the population was estimated at 325.986. Which of the following Is the Incidence rate in the state for the year?
(A):About 1 reported case per 10,000 population
(B):About 300 reported cases per 100,000 population
(C):About 10 reported cases per 1,000 population
(D):About 3 reported cases per 10,000 population
5. A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take?
(A):Address the physical needs of clients.
(B):Create diversionary activities for children.
(C):Help clients gather needed supplies.
(D):Explore feelings the clients are experiencing.
6. A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following Is the first action the nurse should take when assisting this client?
(A):Use cookbooks to Include traditional foods in meal plans.
(B):Observe the client during preparation of traditional foods,
(C):provide the client with printed recipes.
(D):Explain the diabetes exchange list.
7. A school nurse is implementing health screenings. Which of the following assessment findings should the nurse recognize as the highest priority?
(A):A child who has nits
(B):An adolescent who has scoliosis
(C):A child who has a BMI of 18
(D):An adolescent who has psoriasis
8. A 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she Is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment?
(A):Arrange for medication through local agencies.
(B):Send the client to the nearest facility for further evaluation.
(C):Explore options for alternative therapies.
(D):Help the client apply for Medicare.
9. A nurse Is providing education to a group of adolescents who are pregnant and attending high school. Which of the following Information should the nurse Include In the teaching?
(A):Caffeinated beverages should be replaced with caffeine-free beverages.
(B):The need for supplemental folic acid is greatest during the third trimester.
(C):The incidence of high birth weight infants is higher in adolescent pregnancy.
(D):Pregnant adolescents need to gain less weight than adult mothers.
10. A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client?
(A):Administrator
(B):Clinician
(C):Nurse consultant
(D):Case manager
11. A home health nurse is scheduled for a first-time visit to a client. Which of the following should the nurse perform first?
(A):Mental status examination
(B):Review of the neighborhood
(C):Blood pressure screening
(D):Family history
12. A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following Information should the nurse include?
(A):Native American cultural practices include being outspoken about pain.
(B):Chinese cultural practices Include enduring pain to prevent family dishonor.
(C):Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful,
(D):Middle Eastern cultural practices include hiding pain from close family members
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
(D):Motor vehicle safety
14. A nurse at a local health department is caring for several clients. Which of the following Infections should the nurse report to the state health department?
(A):Human papillomavirus
(B):Group B streptococcus B-hemolytic
(C):Herpes simplex virus
(D):Chlamydia
15. The partner of an older adult client who has Alzheimer's disease reports that he is not eating. The home health aide tells the nurse that the client's partner refuses to assist the client with feeding. The partner Insists the client feed himself without help. Which of the following is the priority action the nurse should take?
(A):Arrange for Meals on Wheels assistance.
(B):Refer the client's partner to an Alzheimer's support group
(C):Direct the home health aide to assist with meals.
(D):Determine the client’s ability to self-feed.
16. A clinic nurse Is assessing a client who has measles. Which of the following findings should the nurse expect?
muscle aches and tenderness Xoplik spots inside the mouth Rash confined to the trunk of the body Persistent low.grade temperature
17. A community health nurse Is Interviewing a client who reports Intimate partner abuse. which of the following actions should the nurse take?
(A):Ask three nurses of the same gender as the client to patriciate in the interview.
(B):Communicate disapproval of the partners actions.
(C):Record a summary of the client’s description of the event.
(D):Assist the client to create a plan of escape.
18. 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?
(C):userofessional terminology when providing education prior to the procedure.
(D):identify the client's spoken dialect prior to contacting an interpreter
19. 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):Assessing for risk factors of intimate partner abuse during health examinations
(B):Developing resources for victims of abuse
(C):Urging community leaders to make nonviolence a priority
(D):Presenting community education programs about stress management
20. A nurse is discussing short- and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion?
(A):"You will begin learning functional skills :o replace defense mechanisms and behaviors while in treatment "
(B):"Attending Al-Anon meetings will help you Identify a role model to assist you with making needed changes:
(C):Remaining physically active will help to minimize drowsiness and cn:115 associated with initial alcohol withdrawal.'
(D):"You will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment?
21. 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?
(A):Engage the family in informal conversation.
(B):Provide the family with information about respite care.
(C):Encourage the family to join a support group.
(D):Educate the family regarding me progression of dementia.
22. A nurse Is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first?
(A):Provide students with resources about making vise choices independently.
(B):Help students recognize the value of making healthy food choices
(C):Give positive feedback to student’s vino make appropriate choices.
(D):Determine Students' motivation to learn about healthy food choices.
23. Several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following services should the nurses plan to provide to the congregation?
(A):Facilitate Discharge from the facility to the home.
(B):Perform wound care in the home of members.
(C):Organize an influenza immunization clinic with the American Red Cross.
(D):Provide end-of-life care for members who are terminal
24. A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse Include in the teaching? (Select all that apply.)
(A):"you will need to take an antiviral meditation for 30 days."
(B):You might experience painful urination until the infection has resolved."
(C):"Once you complete treatment. you will have an acquired immunity against chlamydia."
(D):"Notify anyone with whom you have had sexual contact over the past 2 months."
(E):'You should avoid Sexual contact until therapy is complete."
25. 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?
(A):Consultant
(B):Advocate
(C):Coordinator
(D):Systems allocator
26. A nurse is working with a case manager for a client who participates In a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?
(A):The provider bills the client directly for a predetermined percentage of the cost of services.
(B):The provider is paid a fixed sum for the client on a monthly or yearly Oasis.
(C):The client is participating in a fee for service health care insurance program.
(D):The client pays the insurer a percentage of the total costs for each service rendered by the provider.
27. A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity?
(A):Client enrollment In prevention programs
(B):identification of `amity history of medical problems
(C):Early detection of disease
(D):promotion of appropriate lifestyle changes
28. A community health nurse as planning a smoking cessation class. Which of the following factors will have the greatest effect on the success of the class?
(A):Clients' motivation
(B):Presenters credibility
(C):Presenters teaching strategies
(D):Clients' education level
29. A home health nurse manager is caring for a client who has methicillin-resistant Staphylococcus aureus. Which of the following actions should the nurse take?
(A):Remove fresh flowers from the client's home.
(B):Double bag soiled dressings in polyethylene bags.
(C):wear a mask when within 3 feet of the client.
(D):Encourage the client to use a HEPA filter In the house.
30. A community health nurse is planning an educational program for a group of women who are postmenopausal. Which of the following outcomes is appropriate for this program?
(A):Clients will schedule bone density screenings.
(B):Clients will significantly decrease caloric intake.
(C):Clients will start hormone replacement therapy.
(D):Clients will arrange for mammograms every 3 years.
31. A community health nurse is caring for clients in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group?
(A):Including both hot and cold food Items on a Hispanic client's menu
(B):Maintaining eye contact when interviewing a Native American client
(C):Touching the hair of an African-American client during an assessment
(D):Offering to shake hands when meeting an Asian client of the opposite gender
32. A community health nurse is planning a program for adolescents about preventing STIs. Which of the following actions should the nurse take first?
(A):Establish methods to evaluate program outcomes.
(B):Collect data to identify barriers to learning.
(C):Provide computer-based education.
(D):Obtain visual aids that feature adolescents.
33. 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):implementing a disaster triage plan with a local medical facility
(B):Assisting with the identification of a biological agent
(C):Organizing a mass casualty drill for community members
(D):Functioning as a Manager at a temporary shelter
34. A nurse is conducting a community assessment. Which of the following Information should the nurse include as part of a windshield survey?
(A):housing quality
(B):informant interviews
(C):Demographic data
(D):Mortality rate
35. A nurse at a shelter is assisting with client triage after a tornado destroyed a community. Which of the following clients should receive priority care?
(A):A school-age client who has a head abrasion
(B):An older adult client who has a fractured arm
(C):An adult Client who is short of breath
(D):An infant client who is crying
36. 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):Discuss the benefits of eating a well-balanced diet with the client’s family.
(B):Assist the client and the client’s partner with finding an affordable exercise program.
(C):Offer to accompany the client and the dents partner during health care provider visits.
(D):Ask family members about the impact of the disease on relationships within the family.
37. A nurse is planning a primary prevention strategy for reducing obesity In a community. Which of the following strategies should the nurse use'
(A):Encourage enrollment and attendance at weight-reduction programs.
(B):Measure the BMI of older adults at a community senior center.
(C):Distribute health-risk appraisal questionnaires at community functions.
(D):Educate children at a day care center about nutrition and exercise.
38. 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?
(A):Office of the Surgeon General
(B):Local Red Cross chapter
(C):State health department
(D):hospital infection control department
39. An occupational health nurse Is discussing health promotion with a client who has a history of obesity. Which of the following comments Indicates the client Is using rationalization as a coping mechanism?
(A):I know you don’t like me because I am obese '
(B):I am obese because it’s in my genes."
(C):I have difficulty resisting the items in vending machines.
(D):I have lots of health problems from being obese.
40. A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first?
(A):Determine the clients understanding of her living situation.
(B):assist the client to develop goals for obtaining shelter.
(C):Develop client teaching using a variety of strategies.
(D):Discuss the risks of being homeless with the client.
41. In the last month. three cases of tuberculosis have been referred to the Health Department. Which of the following is the priority Information for the community health nurse to obtain from each client?
(A):Demographics
(B):Health history
(C):Household members
(D):Occupation
42. A government official reports to the health department that an employee was possibly exposed to anthrax. Which of the following actions should a public health nurse take?
(A):instruct the client to wear a mask at work.
(B):Refer coworkers who might have been exposed to a provider for prophylactic antibiotics
(C):Place the employee under quarantine for 14 days.
(D):Alert the family members of coworkers about then possible exposure to anthrax
43. A client arrives at a mental health clinic and tells the nurse that she has no purpose in life. Which of the following is the nurse’s priority response?
(A):Tell me what is going on with you right now.
(B):How long have you been feeling this way?
(C):Have you been thinking about harming yourself?
(D):Do you really think your life has no purpose?
44. A community health nurse is educating a parent about the Importance of hepatitis B immunization. Which of the following explanations should the nurse give the parent about the disease?
(A):Many people who acquire acute hepatitis B develop chronic hepatitis
(B):Hepatitis B spreads easily among children through casual contact.
(C):People who have had a hepatitis B infection still need the Immunization.
(D):One dose of the immunization gives children lifelong protection from hepatitis B
45. A home health nurse is visiting a client who had a stroke 2 months ago. Which of the following findings should the nurse report to the interprofessional care team?
(A):The client dresses her affected side first.
(B):The clients caregiver fills a pill organizer weekly.
(C):The client coughs when swallowing her medications.
(D):The client bears weight on her arms when using crutches.
46. A nurse manager in a local community health agency is creating a Job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse Include in the Job description? (Select all that apply.)
(A):Provide health related education to community groups.
(B):Participate in local health surveillance activates.
(C):initiate support groups for parents of autistic children.
(D):investigate potential health and environmental issues.
(E):Provide wound care for clients in their homes,
47. During a home health visit. a school age child who has muscular dystrophy confides In the nurse that he was struck by his parent. Which of the following actions should the nurse take first?
(A):Enroll the parent in anger management classes.
(B):Refer the parent to a social service agency.
(C):Check the child for injuries.
(D):Report the incident to local authorities.
48. A faith based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first?
(A):identify alternative solutions to address concerns.
(B):inquire about the availability of volunteers.
(C):Perform a needs assessment.
(D):Determine potential funding sources for the program.
49. A first response team is working at the location of a bombing Incident. A nurse triaging a group of clients should give treatment priority to which of the following clients?
(A):A client who has a femur fracture with a 2+ pedal pulse
(B):A client who is ambulatory and exhibits manic behavior
(C):A client who has a rigid abdomen with manifestations of shock
(D):A client who has superficial partial-thickness burn injuries over 5% of his body
50. A newly hired occupational health nurse is assessing hazards In the work environment. Which of the following actions will help the nurse detect potential physical hazards?
(A):Track rates of Illness Caused by Infection among employees.
(B):Measure noise levels at various locations in the
(C):identify industrial toxins that are present in the environment.
(D):Survey workers about Job-related emotional stress
51. A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse Include In the teaching?
(A):You should have your hearing screened every 5 years
(B):You should have your stool tested for blood every other year until the age of 74.
(C):You should have your fasting blood glucose level checked every 6 years
(D):You should have a complete eye examination every 2 years until the age of 64
52. A nurse is preparing an educational program about breastfeeding for a group of new parents- The nurse should use which of the following instructional strategies to promote psychomotor learning?
(A):Provide dolls for the participants to demonstrate positioning.
(B):Snow the group a video On Breastfeeding techniques.
(C):Review flashcards that Identify holding techniques with the group.
(D):Facilitate a discussion group about the genets of breastfeeding.
53. A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment?
(A):Partner city officials with community members to Improve the playground's condition.
(B):Engage neighborhood families to monitor the playground for further bash buildup.
(C):Meet with community members to discuss methods of playground maintenance.
(D):work with local businesses to sponsor more trash receptacles in the playground.
54. A nurse is working to reduce Individual and family violence in the local community. which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal?
(A):Assessing a family for marital discord
(B):Teaching parenting techniques to new parents
(C):Conducting counseling for at risk parents
(D):Providing treatment for a young adult who has a substance use disorder
55. 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 department first?
(A):A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm
(B):A client who has full thickness burn Injuries over 30% of his total body surface area
(C):A client who IS exhibiting agonal respirations with fixed and dilated pupils
(D):An ambulatory client who has a nosebleed and reports feeling dizzy
56. A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement?
(A):Provide coffee and snacks during the meetings.
(B):Teach the clients to practice deep breathing exercises.
(C):Avoid discussing traumatic events experienced by the veterans.
(D):Change the meeting sites frequently.
57. A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching?
(A):The child is most contagious after the rash develops.
(B):A dehumidifier should be placed beside the child's bed.
(C):Transmission will be limited because of herd immunity.
(D):Household contacts win receive prophylactic antibiotics.
58. A nurse Is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle. the nurse should recognize that which of the following is the host?
(A):The virus
(B):The children
(C):The vaccine
(D):The school
59. An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect?
(A):oliguria
(B):Dizziness
(C):Diplopia
(D):Hypoglycemia
60. A public health nurse is addressing community leaders at a forum about community improvement. The nurse should identify which of the following groups as being the fastest growing segment of the homeless population?
(A):People who have substance use disorders
(B):Men who are unemployed
(C):Adolescent runaways
(D):Families who have children
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