1. A home health nurse is teaching the parents of a toddler about complication of influenza. Which of the following complication is the priority for the nurse to discuss? a. Pneumonia b. Sinusitis c. Dehydration d. Otiti
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1. A home health nurse is teaching the parents of a toddler about complication of influenza. Which of the following complication is the priority for the nurse to discuss? a. Pneumonia b. Sinusitis c. Dehydration d. Otitis Media 2. A nurse working with parents suspected of child abuse recognizes that the social most predictive of abusive behaviour is a. Inadequate living conditions b. Relationship difficulties c. Social isolation d. Prior exposure to violence 3. In the last month, three cases of tuberculosis have been referred to the health department. Which of the following would be the priority information for the community health nurse to obtain from each client? a. Demographics b. Health history c. Occupation d. Household members 4. The wife of an adult client who has Alzheimer’s disease reports that he is not eating. The home health aide later tells the nurse that the wife is refusing to feed him, insisting that he do it himself. Which of the following is the priority action the nurse should take? a. Refer the client’s wife to an Alzheimer’s support group. b. Direct the home health aide to assist with meals. c. Arrange for Meals on Wheel assistance. d. Determine the clients’ ability to self-feed 5. 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. Presenting community education programs on stress management b. Urging community leaders to make nonviolence a priority c. Assessing for risk factors of intimate partner abuse during health examination d. Developing resources for victims abuse 6. A home health nursing is conducting an initial assessment for a client who is prescribed warfarin sodium (Coumadin). Which of the following clinical findings is associated with thrombocytopenia? a. Distended jugular veins b. Polyuria c. Akathisia d. Black tarry stools 7. A nurse is reviewing data for communicable disease in his rural public health region. Which of the following data should the nurse identify as an agent factors affecting the spread of communicable disease? a. A change in the prevalence of older adults obtaining the pneumococcal vaccine b. An increase in the migrant farm workers living in the community c. A decrease in the number of ambulatory clinics in the area d. An antigenic shift in the composition of the strain of influenza 8. A community health nurse in the initial phase of planning a smoke cessation program. Which of the following is the following is the first action the nurse should take? a. Determine the prevalence of smoking in the community b. Formulate objectives for the smoking cessation program c. Gain community support for the program d. Evaluate the methods of successful smoke cessation programs 9. Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from rips in the heating duct insulation? a. Department of Health and Human Resources b. National Institute of Health c. Centers of Disease Control and Prevention d. Environmental Protection Agency 10. 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 would be appropriate to include in the job description? (Select all that apply) a. Initiate support groups for parents of autistic children. b. Provide health-related education to community groups c. Investigate potential health and environmental issues d. Provide wound care for client in their homes e. Participate in local health surveillance activities 11. A home health nurse is providing education for a client who has esophageal cancer and reports dysphagia. Which of the following instructions should the nurse include in the teaching? a. “You should include thin soups and liquids in you meal plan?” b. “You should weigh yourself once each week” c. “You should place you food on the front of your tongue when eating” d. “You should maintain a chin tuck position when swallowing” 12. 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. Pregnant adolescents need to gain less weight than adult mothers b. The need for supplemental folic acid is greatest during the 3rd trimester c. Caffeinated beverages should be replaced with caffeine-free d. The incidence of high birth weight infants is higher adolescent pregnancy 13. A client comes to a mental health clinic and tells the nurse that he has no purpose in life. Which of the following is the nurse’s priority response? a. Tell what is going on with you right now? b. Do you really think your life has no purpose? c. Have you been thinking about harming yourself? d. How long have you been feeling this way? 14. A nurse in a pediatric clinic is evaluating a child who has fifth disease. Which of the following finding is associated with this diagnosis? a. Facial rash b. Epistaxis c. Raised blisters d. Conjunctivitis 15. A nurse is working with a client who presents with whooping cough. Based on the epidemiological triangle, which of the following is considered the environment for this situation? a. Human population distribution b. Immunization status c. Pertussis virus d. Decreased disease resistance 16. A community health nurse is planning to use a web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider in selecting appropriate resources for the client? a. The website provides a peer review process for publishing information b. The website is hosted by a dialysis equipment marketing group. c. The website is sponsored by a health care political action committee d. The website is updated every 5 years 17. A home health nurse is conducting an initial intake assessment with a client who has hypothyroidism. Which of the following assessment findings is associated with this disease? a. Bradycardia b. Profuse sweating c. Bulging eyes d. Muscle weakness 18. A client with Diabetes Mellitus asks the 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. Provide the client with printed recipes b. Observe the client during preparation of traditional foods c. Use cookbooks to include traditional foods in meal plans d. Explain the diabetes exchange list 19. A nurse has provided a training session about disease prevention for staff at a community summer camp. When asked to provide an example of vector-borne illness, which of the following response indicated the teaching has been effective? a. E. Coli b. Lyme disease c. Chicken pox d. Pediculosis 20. Several nurses affiliated with a church are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following is appropriate to include in regard to care they could provide? a. Perform wound care in the home of members b. Organize flu immunization clinic with the American Red Cross c. Facilitate discharge from the hospital to the home d. Provide end-of-life care for terminal members 21. The wife and son of a client with a terminal illness have just received information regarding hospice care from a nurse. Which of the following statement indicated a need for further teaching? A or B a. My husbands physician will no long be involved in his care b. My father’s care will be provided by a variety of health care specialists c. Hospice can be discontinued if my husband decides to start treatment again d. My father can be cared for either in the hospital or at home 22. A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicated a need for additional teaching? a. I should keep my oxygen tank at least 5 feet away from the television b. I should notify the local fire department that oxygen is being used in my home c. I should use wool blanket on my bed when oxygen is in use d. I should avoid being in the same room as burning candles when I’m using oxygen 23. A case manager nurse is caring for a client being discharged post total hip arthroplasty. Which of the following activities is an example of the nurse functioning in the negotiator role? a. Scheduling appointments for physical therapy services b. Discussing payment options with various pharmacies c. Providing social services with a list of needed referrals d. Reporting safety concerns to the home health agency 24. A nurse is preparing a presentation on the epidemiology of HIV and AIDS for an organization planning to open an HIV clinic. Which of the following information should the nurse include? a. Document cases of HIV transmission in school settings are increasing b. HIV diagnosis rates are disproportionately higher among minority groups c. People with injection drug use disorder are at greater risk for HIV diagnosis d. Enzyme-linked immunosorbent essay (EIA) testing diagnoses HIV in infants 25. A community health nurse is teaching a group of parents about manifestation of alcohol withdrawal syndrome. Which of the following manifestations should the nurse include in the teaching? a. Tactile hallucinations b. Hypotension c. Somnolense d. Slow reactive pupils 26. A nurse at a clinic is caring for a client during a post partum visit following vaginal delivery. The client has a perineal laceration and reports pain. Which of the following interventions should the nurse recommend? a. Apply witch hazel pads after defecation b. Insert glycerin rectal suppositories as needed c. Place a pillow across the lower abdomen when coughing d. Decrease fiber in the diet 27. A home health nurse is making a home safety evaluation visit with an older adult client recently discharged from the hospital after being diagnosed with diabetes mellitus. Which of the following findings indicates a need for a corrective intervention. (select all that apply.) a. A rubber-backed bath mat is on the floor outside of the shower b. An extension cord extends across the floor from the electrical outlet to floor lamp c. A hot water heater is a set at 130 F d. A red light is kept on in the bedroom at night e. The floors of the house are made of wood 28. A nurse is preparing a presentation about disease management for a group of older adults who have osteoarthritis. Which of the following guidelines should the nurse include? a. Sit with the back of the chair recline while resting b. Bend at the waist to pick up objects off the floor c. Increase exercise repetitions when joints are inflamed d. Removed hot dishes from oven with both hands 29. 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. Maintaining eye contact when interviewing a Native- American client b. Including both hot and cold food items on a Hispanic client’s menu c. Offering to shake hands when meeting in Asian client of the opposite gender d. Touching the hair of an African-American client during assessment 30. A home health nurse is completing an assessment of a client who is undergoing radiation therapy for cancer of the mastoid. Which of the following is an expected finding? a. Pale skin over the affected area b. Increased salivation c. Excessive lacrimation d. Hoarseness 31. A Parish nurse is planning activities for faith-based community. Which of the following activities should the nurse include? a. Change a wound vac dressing b. Provide case management c. Teach stress management strategies d. Offer primary care to uninsured members 32. A home health care nurse is visiting a clent who has heart failure and a new prescription for furosemine (Lasix). Which of the following instructions should the nurse give the client? a. Eat high-potassium foods b. Take aspirin if muscle aches develop c. Expect some swelling in the hands and feet d. Take the medication at bedtime 33. A group of technicians from a local automotive repair shop present to an urgent care clinic with reports of dizziness, headaches, and nausea. After providing needed care to the clients, which of the following government agencies should the nurse notify to follow up on these reports? a. Environmental protection agency b. Department of health and human services c. Centers of disease control and prevention d. Occupational Safety and Health Administration 34. A School nurse is preparing in educational program about pediculosis capitis (head lice) for the parents of elementary school children. Which of the following instructions should the nurse include in the teaching? a. Soak combs in boiling water for 10 min b. Use a nit comb in the child’s hair every other day c. Apply a second permethrin (nix) treatment within 3 days d. Seal stuffed animals in plastic bags for 7 days 35. Which of the following should the nurse include in a cultural assessment? a. Family relationships b. Personal medical history c. Primary health concerns d. Occupational status 36. A community health nurse is reviewing the health record of a client who has a new prescription for aspirin. Which of the following findings places the client at risk of an adverse effect of this medication? a. Peptic ulcer disease b. Rheumatoid arthritis c. History of ischemic stroke d. Family history of colorectal cancer 37. A nurse is planning an educational program for a new inmate in a correctional facility. Which of the following topics is most important for the nurse to include in the teaching? a. Communicable disease b. Stress reduction techniques c. Anger management techniques d. Substance abuse prevention 38. A community health nurse working with a migrant population recognizes that which of the following is necessary to provide care to the population? a. Offering health screenings at a community center b. Requiring clients to show a work visa before they receive care c. Providing health services at work sites d. Treating clients on a free for service basis 39. A community health nurse notes that 6 new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, 5 cases were reported. The population of the community is 15,000 people. What is the prevalence proportion for the community? a. 40.0/100,000 b. 73.3/100,000 c. 33.3/100,000 d. 0.9/100,000 40. 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. An adult client who is short of breath b. An infant client who is crying c. An older adult client who has a fractured arm d. A school-age client who has a head abrasion 41. During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which if the following actions should the nurse take first? a. Administer oxygen therapy b. Establish a triage area c. Contact the local health department d. Notify the parents of the students 42. The nurse instructing a child who has asthma how to use the MDI. After depressing the canister, in which order should the client continue to use the MDI? (put it in order) a. Inhale slowly, hold breathe, breath out slowly, remove inhaler 43. A home health care nurse is teaching a client how to manage a central venous access device at home. Which of the following statement by the client indicates an understanding of the teaching? a. Ill replace the cap on each lumen every 14 hours b. Ill make sure we flush the central line once every week c. Ill expect occasional drainage where the catheter goes in d. Ill make sure to keep the catheter taped to my skin 44. A nurse volunteering at a local community center is addressing a variety of health needs with a group of older adult clients. Which of the following interventions would be considered a tertiary prevention strategy? a. Distributing literature regarding signs and symptoms of a stroke b. Providing a class on living with arthritis c. Calculating the BMI of all the clients d. Holding cooking class that focuses on low sodium meal 45. A community health nurse is calculating mortality rates due to AIDS. Of 24,600 deaths in population in a year 1,088 deaths were attributed to AIDS. What is the proportionate mortality ratio of death due to AIDS expressed as a percentage? a. 4.4% 46. A school nurse is planning a primary prevention activities for the new school year. Which of the following should the nurse include? Select all that apply a. Recommending a seating arrangement for a child in a body cast b. Creating a plan of care for children diagnosed with diabetes c. Lobbying for funding for health promotion efforts d. Teaching a class about the risk of cigarette smoking e. Organizing a program to promote skateboard safety 47. The home health nurse is teaching a client who is newly diagnosed with diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? a. I will limit any fluid intake to one liter daily b. I will take my insulin 30 minutes before exercise c. I will use a mirror to inspect my feet daily d. I will eat a low residue diet 48. A nurse is providing education to the family of a school age child who has pertussis. Which of the following should be included in the teaching? a. Household contacts will receive prophylactic antibiotics b. Transmission will be limited because of herd immunity c. The child is most contagious after the rash develops d. A dehumidifier should be placed beside the child’s bed 49. A nurse is serving one a state task force of disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions? a. Functioning as manager at a temporary shelter b. Assisting with the identification of a biological agent c. Implementing a disaster triage plan with a local hospital d. Organizing a mass casualty drill for community members 50. A nurse is working in an occupational health setting. Which of the following is a primary prevention activity for the nurse? a. Demonstrating proper body mechanics b. Conducting smoking cessation classes c. Developing health surveillance programs d. Processing workers compensation claims 51. A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity? a. Promotion of appropriate lifestyle changes b. Early detection of disease c. Client enrolment in prevention programs d. Identification of family history of medical problems 52. A nurse is providing teaching to client who has a confirmed case of tuberculosis. Which of the following statements by the client indicates teaching has been effective? a. I will be contagious until I have completed the full medication regimen b. I will be take medication daily for at least 6 months c. I will have a repeat tuberculin skin test in 6 weeks d. I will need to have a special HEPA filter installed in my home 53. A home health nurse is providing teaching to a client who has chronic obstructive disease and is experiencing weight loss. Which of the following should the nurse include in the teaching? a. Begin meals with high calorie foods b. Use the prescribed bronchodilators after meals c. Drink additional fluids with meals d. Eat high carbohydrates, low protein foods 54. A community health nurse has recognized an outbreak of influenza at a local school. Which of the following actions is secondary level of preventions? a. Checking for possible exposure to influenza b. Recommending annual influenza vaccines c. Instructing about proper hand hygiene d. Sending febrile children home from school 55. 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. Identify materials needed for staff and resident education b. Determine potential environmental health hazards c. Develop response strategies specific to older adults d. Verify dates of the annual community wide mass casualty drill 56. A nurse is caring for a client who asks, “Can I decide not to continue with chemotherapy? The nurse response, “this is your choice and ill support whatever decision you make. “The nurse’s response is an example of which of the following ethical principles? a. Nonmaleficience b. Beneficence c. Veracity d. Autonomy 57. A community health clinic nurse manager is reviewing 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 10 reported cases per 1,000 population b. About 1 reported case per 10,000 population c. About 3 reported cases per 10,000 population d. About 300 reported cases 100,000 population 58. 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. Nurse consultant b. Case manager c. Clinician d. Administrator 59. A nurse is teaching the family of a client who was recently admitted to hospice care about pain management. Which of the following statements by the clients’ partner indicates in understanding of the teaching? a. I will avoid giving breakthrough medication as the progression toward death b. I will give her the lowest dose possible to prevent dependency c. I will plan to give long acting pain medication to her on a regular basis d. Once she is taking the maximum dosage of pain medicines, it means death is near 60. Upon performing routine screenings, a school nurse identifies three classrooms with students who have pediculosis. Using principles of epidemiology, which of the following is the next action the nurse should take? a. Calculate the incidence rate among students in the school b. Search the CDC database to determine the typical incidence rate for this age group c. Review class rosters to determine whether a common host exists in the three classrooms. d. Provide education to the parents of children who are infected
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