Community NCLEX Questions
D
A case management nurse is preparing to initiate referrals for a client as part of discharge planning. Which of the following factors should the nurse take first? A) Monitor the client's satisfaction with the referral B) Provide the client information to referral agencies C) Review available resources with the client D) Identify the referrals that the client needs
C
A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy? A) Providing support groups for new parents B) Screening a client whose partner was recently murdered C) Teaching a client who has schizophrenia about medication interactions D) Discussing stress reduction techniques with employees at an industrial site
C
A community health nurse is implementing health programs with several populations in the local area. In which following situations is the nurse using primary prevention? A) Performing a home safety check at a client's home B) Teaching heathy nutrition to clients who have hypertension C) Providing influenza immunizations to employees at a local preschool D) Implementing a program to notify individuals exposed to a communicable disease
A
A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following information should the nurse determine when conducting a work site survey? A) Work practice of the employees B) Past exposure to specific agents C) Past jobs of individual employees D) Length of time working in current role
A
A nurse developing a community health program is determining barriers to community resource referrals. Which of the factors should the nurse include as an example of a resource barrier? A) Costs associated with the services B) Decreased motivation C) Inadequate knowledge of the resources D) Lack of transportation
A
A nurse is advocating for local leaders to place a newly-approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principals? A) Distributive justice B) Fidelity C) Respect for autonomy D) Veracity
D
A nurse is assessing for malnutrition, which of the following symptoms would you expect? A) Increased vital capacity B) Moist skin C) Heat intolerance D) Altered mental status
A
A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take first? A) Assess the remainder of their body for rash B) Refer the child to protective services C) Question the parents about how the marks occurred on the child's cheeks D) Obtain the child's temperature
C
A nurse is caring for a client who has a history of alcohol abuse and is experiencing frequent nose bleeds and bruising. This is an indicator of which of the following conditions? A) Malnutrition B) Diabetes mellitus C) Cirrhosis D) Hepatitis A
A, B, E
A nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (select all that apply) A) Birth statistics B) Previous health survey results C) Windshield survey D) Community forum E) Health records
B
A nurse is completing a needs assessment and beginning the analysis of the data. Which of the following actions should the nurse take first? A) Determine the health patterns within the collected data B) Compile the collected data into a database C) Ensure data collection is complete D) Identify the health needs of the local community?
A
A nurse is conducting a community assessment. Which of the following community data collection methods is the nurse using when having direct conversations with individual members of the community? A) Key informant interviews B) Participant observation C) Focus groups D) Health surveys
D
A nurse is planning a community health program. Which of the following actions should the nurse include as part of the evaluation plan? A) Determine availability of resources to initiate the plan B) Gain approval for the program from local leaders C) Establish a timeline for implementation of interventions D) Compare program impact to similar programs
A
A nurse is planning care for a client with viral hepatitis. Which of the following actions should the nurse include in the plan of care? A) Encourage a diet high in carbohydrates B) Administer acetaminophen for pain C) Encourage eating three large meals daily D) Include high protein snacks
A
A nurse is planning interventions for migrant farm workers in a rural area. Which of the following should the nurse include as part of a primary prevention strategy? A) Establish food banks at locations throughout the community B) Provide employers handouts on recognizing pesticide toxicity C) Partner with clinics to provide on-site care for acute injuries D) Create handouts on identifying skin cancer in multiple languages
A, C, E
A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? A) Ethnicity of the community members B) Individuals who hold power within the community C) Natural community boundaries D) Prevalence of disease E) Presence of public protection
A
A nurse is providing teaching to clients who have been diagnosed with iron deficiency anemia. Which of the following would the nurse include as a food which assists with the absorption of iron when consumed with nonheme iron? A) Tomato juice B) Tea C) Milk D) Beans
B
A nurse is reviewing the various roles of a community health nurse. Which of the following actions is an example of a nurse functioning as a consultant? A)Advocating for federal funding of local health screening programs B)Updating state health officials about health needs of a local community C)Facilitating discussion of a client's ongoing needs with the interprofessional team D)Performing health screenings for high blood pressure at a local health fair
D
A nurse is talking to a client who asks for additional information about hospice. Which of the following statements should the nurse make? A) "Clients who require skilled nursing care at home qualify for hospice care" B) "One function of hospice is to provide teaching to clients about life-sustaining measures" C) "Hospice assists clients to develop skills needed to care for themselves independently" D) "A component of hospice care is to control the client's manifestations"
A
A nurse is working with a client who has systemic lupus erythematosus and recently lost their health insurance. Which of the following actions should the nurse take in the implementation phase of the case management process? A) Coordinating services to meet the client's needs B) Comparing outcomes with original goals C) Determining the client's financial constraints D) Clarifying roles of interprofessional team members
A
A nurse reports an incidence of suspected child abuse. One of the parents becomes very angry and demands the nurse to explain their actions. Which of the following statements is appropriate? A) "As a nurse I am required by law to report suspected child abuse" B) "I cannot discuss this with you, but I can get my supervisor" C) "The provider is coming to explain" D) "I reported to my supervisor who notified the authorities"
C
A public health nurse is reviewing the outcomes of an exercise program at various locations. Which following aspects of the care does this finding evaluate? A) Timeliness B) Client-centered C) Equity D) Safety
B
A school nurse is planning health promotion and disease prevention activities for the upcoming school year. In which of the following situations is the nurse planning a secondary prevention strategy? A) Placing posters with images of appropriate hand hygiene near restrooms B) Routinely checking the students for pediculosis throughout the school year C) Implementing age-appropriate injury prevention programs for each grade level D) Working with the dietician to determine carbohydrate counts for the students with diabetes mellitus
C
A school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following care roles is the nurse functioning? A) Direct caregiver B) Consultant C) Case manager D) Counselor
A, C
An occupational health nurse is consulting with senior management of a local industrial facility. When discussing work-related illness and injury, the nurse should include which of the following factors as physical agents? (select all that apply) A) Noise B) Aging C) Lighting D) Viruses E) stress
