NURSING 330
COMMUNITY HEALTH ONLINE PRACTICE B
1. A nurse is providing safety information to the parents of an infant. Which of the following
statements by a parent indicates the need for further teaching?
Answer: “I
...
NURSING 330
COMMUNITY HEALTH ONLINE PRACTICE B
1. A nurse is providing safety information to the parents of an infant. Which of the following
statements by a parent indicates the need for further teaching?
Answer: “I will make sure the water heater setting is no higher than 140 degrees F
2. A nurse is planning to teach a community group about the meningococcal vaccine. For which of
the following individuals is this vaccination recommended?
Answer: An individual moving into a dormitory setting
3. A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the
following actions should the nurse take first?
Answer: Examine the client’s oral mucous membranes
4. A nurse is caring for a 50-year-old client who has diabetes mellitus, recently lost his job, and has
no health insurance. The nurse should advise the client to do which of the following?
a. Answer: Contact Medicaid to determine eligibility
5. A nurse manager is providing orientation to a nurse who is new to hospice care. Which of the
following statements indicates that the new nurse needs additional orientation?
a. Answer: “I will provide care and education to clients in order to promote recovery.”
6. A nurse in a rural community is planning education for a young-adult client who is a migrant
farm worker. Which of the following should the nurse include in the plan of care? (select all that
apply)
Answer: Provide environmental health information, provide skin cancer information,
conduct TB screening, Conduct dental health screening,
7. A school nurse sees four students in 1 week who have a return-to-school release after being
diagnosed with MRSA. Which of the following actions should the nurse take?
Answer: Provide education about MRSA throughout the school system
8. A nurse who is facilitating a support group in a community center notices that one member of
the group expresses anger repeatedly. Which of the following strategies should the nurse use to
facilitate the group process with this member?
Answer: Focus more on the group members who have a positive outlook9. A home health nurse is assessing a client who has a prescription for captopril to treat heart
failure. Which of the following findings is an adverse effect of this medication?
Answer: Dry Cough
10. A home health nurse is talking with a client whose partner died 3 months ago. The client states,
“I still can’t believe my partner is gone sometimes.” Which of the following is an appropriate
nursing response?
Answer: “Tell me more about how you’re feeling.”
11. A clinic nurse manager is developing an education program on tuberculin skin testing. The nurse
should include that which of the following can cause a false-negative result? (select all that
apply.)
Answer: Advanced HIV or AIDS is correct, Time between exposure and screening, age of
the client,
12. Community leaders have requested a meeting with a community health nurse to discuss
creating a mobile meals program. Which of the following should the community health nurse
assess first?
Answer: The need for the program
13. The daughter of a client who is terminally ill and at the end of life approaches the hospice nurse
and asks what she can do to help relieve her father’s anxiety. Which of the following
interventions should the nurse suggest?
Answer: Give the client brief hand messages
14. A public health nurse is working in a community that has a population of 24,096. There are
2.096 existing cases of heart disease within the population. The nurse can determine which of
the following from this information?
Answer: Prevalence proportion
15. A nurse working for a non-profit organization with limited resources is asked to develop an
education program that will benefit a supporting agency’s employees. The nurse was planning
another program to benefit more people in the community. Which of the following is an ethical
tenet the nurse should follow in deciding which program to implement?
Answer: Place the needs of the community above those of special interest groups
16. A community health nurse is asked to give a health education program to a group of AfricanAmerican men age 40-75. Considering the health concerns of this group, which of the following
topics is most important to include in the program?
Answer: Prostate cancer screening17. A newly licensed nurse in a public health agency is assigned to assist with the task force that is
responsible for the core function of assessment. Which of the following is a task that the nurse
could be assigned that would be consistent with the focus of the task force?
Answer: investigating local health hazards
18. A newly licensed nurse is performing a community assessment. While collecting secondary data
at the library, the nurse is approached by a community member who is concerned about air
pollution. Which of the following statements by the nurse indicates a need for further education
regarding confidentially?
Answer: “The circulation supervisor at the library is concerned about the amount of air
pollution coming from the town’s industrial corridor.”
19. A nurse is providing education regarding lead exposure to a group of clients who live in a
subsidized housing development built in 1968. Which of the following client statements
indicates an understanding of the teaching?
Answer: “I will increase the amount of red meat and milk in my child’s diet.”
20. A nurse in a community health center is talking with a client who is receiving treatment for an
opioid addiction. Which of the following statements by the nurse is appropriate for encouraging
the client to attend his 12 step meetings?
Answer: “At Narcotics Anonymous, your willingness to change will be crucial for your
sobriety.”
21. A community health nurse is providing education to a group of children who have asthma.
Which of the following statements indicates an understanding of the teaching?
Answer: “I will stay indoors during cold weather.”
22. A school health nurse is caring for an adolescent newly diagnosed with type 1 diabetes mellitus.
Which of the following actions is appropriate to include in the client’s plan of care?
Answer: Consult with a dietitian to determine an appropriate school lunch for the client
23. A nurse is planning health promotion activities for the local community. Which of the following
is an example of primary prevention?
Answer: Teaching meal planning classes to older adults.
24. A community health nurse is providing care to a client who has stopped taking his prescribed
blood pressure medication. Which of the following actions should the nurse take first to
promote adherence to treatment?
Answer: Determine the client’s reason for discontinuing the medication
25. A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since
seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba may alter
the effects of which of the following medications?
Answer: Warfarin26. A community health nurse is providing anticipatory guidance to a group of adolescents. To
reduce premature deaths in this age group, which of the following topics would be most
important to discuss?
Answer: safety belt use
27. A nurse in community health center is talking with the parent of an adolescent who is concerned
that her son seems depressed and is giving away his favorite belongings. Which of the following
actions should the nurse take?
Answer: is D
28. A community health nurse is caring for a client who has a new diagnosis of Lyme Disease. The
requirements for a reporting Lyme disease are mandated by which of the following?
Answer: Individual state law
29. A community health nurse has conducted a teaching session about breast self-examination.
Which of the following best indicates whether or not the teaching was effective?
Answer: Demonstration on a breast model
30. A school nurse is helping a student schedule speech therapy and physical therapy appointments
that do not interfere with the student’s academic schedule. This is an example of which of the
following roles of the school nurse?
Answer: Case manager
31. A school nurse is notified that an elementary school child is newly diagnosed with pertussis.
Which of the following actions should the school nurse take? (select all that apply)
Answer: Instruct the parent to keep the child home until the coughing stage has passed,
encourage family members to seek treatment, check immunization status of the child’s
classmates
32. A client asks a home health infusion nurse the difference between a peripheral IV line and a
peripherally inserted central catheter (PICC) for long-term venous access. Which of the following
responses is appropriate?
Answer: “The central catheter does not require replacement as often as a peripheral
IV.”
33. A nurse is collecting demographic data as a part of a community assessment. Which of the
following should be included?
Answer: Racial distribution
34. A community health nurse is planning an in-service about sexually transmitted infections to a
group of adolescents. Which of the following clinical findings should the nurse include as a
manifestation of primary syphilis?
Answer: Chancre35. A nurse is developing a community education program about risk factors for family violence. The
nurse should include which of the following circumstances as a risk factor for becoming a victim
of intimate partner abuse?
Answer: attempting to end the relationship with their partner
36. A nurse in a clinic is planning teaching for a client who is newly diagnosed with hep C. which of
the following instructions should the nurse include in the teaching?
Answer: abstain from sexual intercourse until antibody tests are negative
37. A community health nurse is preparing a community presentation about the epidemiological
triangle. Which of the following elements is a host?
Answer: a raccoon with rabies
38. A public health nurse is providing an educational program about inhalation anthrax to a group of
first responders in the community. Which of the following statements by a member of the group
indicates an understanding of the teaching?
Answer: a person exposed to inhalation anthrax may develop a dry cough
39. A community health nurse is conducting an educational program for parents about the effects of
pollution on preschool-age children. Which of the following statements by a parent indicates an
understanding of the teaching?
Answer: children breathe more rapidly than adults, which increases their exposure to air
pollutants.
40. A home health nurse is caring for an older adult client who has diabetes mellitus complicated by
severe peripheral neuropathy. Which of the following instructions should the nurse provide the
client to avoid injury to the feet and lower legs? (select all that apply)
Answer: test bath water with a thermometer before entering, inspect feet for areas of
redness daily, monitor temperature of feet and lower extremities for changes.
41. Which of the following activities done by a nurse is considered public health nursing?
Answer: reviewing morbidity and mortality data for the community
42. A community health nurse is visiting a family that has newborn twins and two school-age
children. The parents tell the nurse they are emotionally and financially overwhelmed. Which of
the following referrals are appropriate? (Select all that apply.)
Answer: postpartum support group, women, infants, and children (wic) program, free
school lunch program
43. A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and
noisy breathing. Which of the following actions should the nurse take?
Answer: use a fan in the client’s room44. A nurse is preparing a community education program about health care needs during
pregnancy. The nurse should include that which of the following vaccines is safe to administer to
a client who is pregnant?
Answer: Tetanus, diphtheria, pertussis
45. A nurse at a rehabilitation facility is providing discharge teaching for a client who is recovering
from a stroke. Which of the following statements should the nurse include?
Answer: you should use a hand-held mirror to improve your ability to see objects
around you.
46. A community health nurse is teaching a group of older adults about environmental health
hazards. A need for additional teaching is indicated when a group member lists which of the
following as a possible source of carbon monoxide exposure?
Answer: Electric space heaters
47. A home health nurse is planning care for the day. Which of the following clients should the
nurse visit first?
Answer: a school-aged child who was treated in the ED last night with status
asthmaticus.
48. A home health nurse is orienting a newly licensed nurse who is drawing blood from a client for
laboratory testing and gets stuck by a used needle. Which of the following statements by the
newly licensed nurse indicates a need for further teaching?
Answer is D.
49. A community health nurse is planning a presentation to aging adults who have a family history
of Alzheimer’s disease. The nurse should include that which of the following behaviors is an
early manifestations of the disease?
Answer: difficulty learning new things
50. An occupational health nurse is assessing a client who reports taking ibuprofen daily for several
years. The nurse should counsel the client on the risk for which of the following conditions?
Answer: gastric ulcerations
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