403 COMMUNITY FINAL EXAM REVIEW profe - Copy

A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? A. Meningococcal conjugate B. Herpes Zoster ...

A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? A. Meningococcal conjugate B. Herpes Zoster C. Rotavirus D. Pneumococcal polysaccharide 2. Nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor? A. Diagnosis of diabetes Miletus B. Family history of cardiac disease C. Increase age D. Cigarette smoking 3. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? A. Teach plant workers about proper lifting techniques B. Set up an influenza immunization campaign C. Help plant workers identify signs of carpal tunnel syndrome D. Collaborate with physical therapists to develop program for injured employees to return to work 4. A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which of the following actions should the nurse take? A. Have students evacuated from the school and establish a triage area in the school parking lot. B. Move individual who are reporting symptoms to one of the affected classrooms and create a triage area inside C. Arrange for children transportation to the nearest emergency department and the group triage will occur there. D. Transport all children and school personnel to the nearest medical facility school busses 5. The nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following interventions should the nurse plan to use while caring for these clients? A. Initiate airborne precaution B. Administer an antitoxin C. Initiate droplet precautions D. Destroy the lines after use 6. A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protection equipment (PPE) is needed. Which of the following actions should the nurse take? A. Wait until the type of equipment needed is known B. Decontaminate victims before intervening C. Choose the highest level of protection equipment available. D. Use a dosimeter to measure the level of radiation in the area before intervening 7. A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? A. A negative pressure isolation room B. A semiprivate room with a client who has pediculosis capitis C. A positive pressure isolation room D. A private room. 8. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? A. A client experiencing a tension pneumothorax B. A client who has a closed upper extremity fracture C. A client who has full thickness burns over 80% of this body D. A client who has agonal respirations 9. a nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care? A. A client who has severe head injury respiratory rate 6/min and unresponsive B. A client who has a simple fracture of the femur, multiple scratches on both legs, and crying hysterically C. A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site. D. A female who is pregnant at 20 weeks of gestation has multiple cuts and abrasions and is walking around 10. A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take? A. Start CPR B. Place a red tag on the client’s upper body and attempt to help the next client in need C. Place a black tag on the client’s upper body and attempt to help the next client in need. D. Reposition the client upper airway a second time before assessing his respirations 11. A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)? A. Lyme disease B. Cytomegalovirus C. Streptococcus pharyngitis D. Toxoplasmosis 12. A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? A. Providing treatment for clients who have chronic obstructive pulmonary disease. B. Performing screening for sexually transmitted infections C. Administering influenza immunizations at local health fair D. Testing new nurses for exposure to TB 13. A charge nurse is discussing staff nurses’ responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? A. Identify community resources that are available. B. Evaluate the impact of a disaster on the community C. Asses survivors of a disaster for level of psychological stress D. Link victims with support agencies to help with food clothing shelter and counseling needs 14. A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? A. Anthrax B. Botulism C. Plague D. Smallpox 15. A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply) A. Smallpox is transmitted person to person B. Infection is characterized by severe respiratory distress C. Smallpox vaccination ensures lifelog immunity D. Naturally occurring smallpox has been eradicated from the world. E. Smallpox is often confused with varicella.