Community Practice test A.

A nurse is performing a home visit for a client who has tuberculosis (TB). As the nurse is leaving the client's house, a neighbor asks, "Is it true that my neighbor has TB?" Which of the following responses should the nurse make?

"Do you have questions about tuberculosis?"

A nurse in an emergency department is triaging clients following an explosion at a local factory. Which of the following clients should the nurse identify as the priority?

A client who has tracheal deviation and shortness of breath

A nurse in a community health clinic is preparing to administer an immunization to a 5-year-old child. Which of the following actions should the nurse take?

Ask the child to pretend to blow up a balloon during the injection.

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 intimate partner abuse?

Attempting to end the relationship

A community health nurse is planning an in-service about STIs for a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis?

Chancre

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?

Determine the client's reason for discontinuing the medication.

A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures in women experiencing menopause. Which of the following primary prevention strategies should the nurse implement?

Encourage the women to participate in weight-bearing activities.

A nurse is caring for a client who has recently emigrated from another country and states, "The health care system in my country was better and should be used everywhere." The nurse should recognize that the client is demonstrating which of the following behaviors?

Ethnocentrism

A community health nurse is participating in a quality improvement plan for a local health department. Which of the following techniques should the nurse use for process evaluation of the facility? (Select all that apply.)

Focus groups Written audits Satisfaction survey Interviews

A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease?

Forgetting the location of common objects

An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects?

Gastric ulcerations

A public health nurse is planning an educational program for a group of nurses at a community health department about pertussis infection. Which of the following information should the nurse include?

Individuals transmit the pertussis bacteria through airborne droplets.

A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data?

Informant interviews

A nurse in an emergency department is caring for client who is homeless and has hypothermia. Which of the following actions should the nurse take?

Initiate a referral to the facility's social worker.

A community health nurse is reviewing plans for a health education program. The nurse should identify that which of the following components of the plan needs to be changed?

Pamphlets are written at a 12th-grade level.

A home health nurse is planning care for a client who reports practicing traditional Asian health beliefs. The nurse should recognize that the client participates in which of the following actions?

Places a cup of steam against the skin to draw out toxins from the body

A school nurse is reviewing the records of four students who are returning to school after being diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?

Provide education about MRSA throughout the school system.

A community health nurse is creating a program to reduce domestic violence in the community. Which of the following interventions should the nurse identify as secondary prevention?

Recognizing and reporting suspected abuse to the appropriate protective services

A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is the most important for the nurse to include in an attempt to lower adolescent mortality rates?

Safety belt use

A nurse is caring for a 16-year-old client who has a new diagnosis of human papillomavirus. Which of the following actions should the nurse take?

Teach the client how to apply imiquimod 5% cream to the lesions.

A nurse is planning health promotion activities for the local community. Which of the following activities should the nurse include as an example of primary prevention

Teaching meal planning classes to older adults

A home health nurse is conducting a follow-up visit for a client who was recently discharged from an acute rehabilitation program for alcohol use disorder. Which of the following actions should the nurse take?

Tell the client to take naltrexone daily.

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?

Tetanus, diphtheria, pertussis (Tdap)

A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion?

The faith community nurse can facilitate substance abuse support groups.

A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take?

Use an N95 respirator.

A home health nurse is providing nutritional instructions to a client who has COPD and is malnourished. Which of the following instructions should the nurse include?

Use milk instead of water when making canned soup.

A nurse in an emergency dept is triaging clients following an explosion at a local factory. Which of the following clients should the nurse ID as the priority?

a client who has tracheal deviation and shortness of breath

A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching?

"I will increase the amount of red meat and milk in my child's diet."

A public health nurse is conducting an educational session about Lyme disease for a group of older adult clients at a senior center. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

"I can take penicillin for 10 to 14 days to manage Lyme disease."*******

A community health nurse is conducting vision screenings at a health fair for an older adult client who has age-related macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting to the changes?

"I have a prescription bottle magnifier to help me read my pill bottle labels."

A school nurse is educating a group of high school students about recommended dietary guidelines. Which of the following statements by a student indicates an understanding of the teaching?

"I should consume less than 300 milligrams per day of dietary cholesterol."

A faith community nurse is teaching the daughter of a client who has a terminal illness about her role as a member of the client's health care team. Which of the following statements by the daughter indicates an understanding of the teaching?

"You will coordinate with volunteers who will come to help my mother."

A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include? A. Intimate partner abuse occurs more frequently in lower socioeconomic households B. Child abuse is more common in homes where intimate partner abuse is present C. Children who are abused are less likely to become abusers D. Minority populations may b a greater risk for abuse

B. Child abuse is more common in homes where intimate partner abuse is present

A nurse is caring for a client who has stage IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care?

Make the hospice referral in accordance with the client's decision

A community health nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the nurse provide regarding support programs for these individuals?

Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovery program.

A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first?

Help the client obtain a provider for prenatal care.

A community health nurse is planning to establish a community garden to address the lack of nutritious food options in the area. Which of the following actions should the nurse take first to initiate the plan?

Identify community members who demonstrate an interest in the project.

A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment?

Illness practices

A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Implement an exercise program for clients who have hypertension.

An occupational health nurse in a factory is performing a routine tuberculosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse take?

Instruct the employee to prepare a list of close personal contacts.

A school nurse is notified that a school-age child has been newly diagnosed with pertussis. Which of the following actions should the school nurse take? (Select all that apply.)

Instruct the parent to keep the child at home until the coughing stage has passed. Encourage family members to obtain prophylactic treatment. Check the immunization status of the child's classmates is correct.

A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which of the following conditions is included on the Nationally Notifiable Infectious Conditions list?

Varicella

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?

Warfarin

A nurse at a county health department is caring for a client who is at 28 weeks of gestation. The nurse should identify which of the following characteristics as a risk for potential future abuse of the newborn?

he client has changed providers three times during her pregnancy.