PH FINAL PROCTOR A
A nurse is planning an in-service about isolation precautions for her coworkers. For which of the following infections should the nurse identify the need for contact precautions?
Herpes simplex
A nurse in a community health clinic is assessing a client who has two preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following questions should the nurse ask first?
"Are you having any thoughts about hurting yourself?"
A home health nurse is caring for a client who has Clostridium difficile infection. Which of the following actions should the nurse take?
Clean the client's bathroom with a diluted bleach solution.
A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the following statements by the nurse demonstrates a primary prevention strategy?
"Avoid direct sunlight between 10 am and 4 pm."
A nurse at a rural clinic is interviewing a family who has different cultural beliefs than the nurse. The family reports seeing a folk healer. Which of the following statements should the nurse make?
"Describe how you hope the treatments will affect your health."
A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?
"Describe the place where you are currently living."
A mental health nurse is scheduling a home health appointment with a client who has recently lost his partner in a motor-vehicle crash. Which of the following statements by the client indicates the need for immediate nursing intervention?
"Everything is going to be fine soon."
A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a licensed nurse indicates an understanding of the teaching?
"HIPAA rules allow clients to receive a copy of their medical records."
A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statements by the client indicates an understanding of the teaching? (SATA)
"I can receive care in the hospital or at home." "I will receive care from a variety of interprofessional team members." "I can discontinue hospice care whenever I want."
A nurse is conducting home visits to postpartum adolescents who participated in prenatal parenting classes. Which of the following statements indicates an understanding of the teaching?
"I carry my baby with me as I move around the house."
A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?
"I know that everything will be better soon."
A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which of the following statements by the guardian indicates an understanding of the teaching?
"I should inspect my child's mouth for sores."
A nurse in a clinic is reviewing home safety precautions with a client who is to begin radioactive iodine therapy. Which of the following statements by the client indicates an understanding of the teaching?
"I will use a toilet that is not used by others in my family."
A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?
"You should have a complete eye examination every 2 years until the age of 64."
A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include?
"You should limit your use of extension cords."
A first-response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients?
A client who has a rigid abdomen with manifestations of shock
A nurse is triaging clients who were involved in a commuter train crash. Which of the following clients should the nurse choose for transport to the emergency departments first?
A client who has full-thickness burn injuries over 30% of his total body surface area
An occupational health nurse is completing a walk-through of a factory to identify workers at risk for injury. Which of the following workers should the nurse identify as being at risk?
A worker standing with a wide base of support when pulling a cart toward himself
A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review?
An increase in client falls at home
A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
Ask family members about the impact of the disease on relationships within the family
A nurse is providing teaching to a newly licensed nurse about secondary prevention strategies related to violence and abuse. Which of the following strategies should the nurse include in the teaching?
Assess clients for withdrawal and passivity during home health visits.
A home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? (SATA)
Assist the client in using guided imagery. Provide sips of room-temperature ginger ale between meals. Maintain the head of the client's bed in an elevated position after eating.
A nurse is caring for a client who asks, "Can I decide not to continue with chemotherapy?" The nurse responds, "This is your choice, and I'll support whatever decision you make." The nurse's response is an example of which of the following ethical principles?
Autonomy
A nurse at a community clinic is preparing an education guide about cultural variances in expression of pain. Which of the following information should the nurse include?
Chinese cultural practices include enduring pain to prevent family dishonor.
A nurse case manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home?
Coordinator
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?
Determine potential environmental health hazards.
A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first?
Determine the client's understanding of her living situation.
A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first?
Determine which home safety measures the client needs to implement.
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?
Developing resources for victims of abuse
An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect?
Dizziness
A community health nurse encounters a client who has a suspected bioterrorism-related illness. Which of the following actions should the nurse take?
Don personal protective equipment
A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use?
Educate children at a daycare center about nutrition and exercise
A nurse manager at a clinic is reviewing the preventative services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity?
Encourage a pregnant client to participate in prenatal care.
A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
Engage the family in informal conversation
A nurse in a community clinic is assessing a client who reports injecting heroin 1 hr ago. Which of the following findings should the nurse expect?
Euphoria
A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include which of the following tasks is the responsibility of a case manager?
Evaluate the cost-effectiveness of client treatments.
A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral tube feedings. Which of the following actions should the nurse take?
Explain the process for completing a living will.
A nurse is caring for a client who has hepatitis A virus. Which of the following reservoirs should the nurse identify for this infection?
Feces
A nurse in an antepartum clinic is reviewing the medical records of four clients. Which of the following infectious conditions should the nurse report to the Centers for Disease Control and Prevention?
Gonorrhea
A home health nurse is performing an eye assessment for an older adult client. Which of the following findings is the priority for the nurse to report to the provider?
Hemianopsia
A nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. The client does not speak the same language as the nurse. Which of the following actions should the nurse take?
Identify the client's spoken dialect prior to contacting an interpreter
A nurse is developing health promotion strategies for older adult clients at an assisted living facility. Which of the following strategies is the priority for the nurse to include?
Immunizing the clients against influenza
A public health nurse is developing protocols to use in emergency shelters following a disaster. Which of the following interventions should the nurse include as a secondary prevention strategy for clients who survive a disaster?
Interviewing shelter residents to determine the effectiveness of coping behaviors
A school nurse is planning primary prevention activities for the school year. Which of the following actions should the nurse plan to take?
Monitor the immunizations status of students
A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group?
Motor vehicle safety
A nurse in an extended care facility enters the room of a client and notices a fire in the trash can. Which of the following actions is the nurse's priority?
Move the client to another location.
A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions?
Organizing a mass casualty drill for community members
A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first?
Perform a needs assessment.
A community health nurse is working with a migrant population. The nurse should recognize which of the following interventions is necessary to provide care to this population?
Provider health services at work sites
A community health nurse is working with a task force to decrease community violence. Which of the following planned interventions should the nurse identify as a primary prevention strategy?
Providing parenting classes for local parents
A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching?
Seizures
A school nurse is caring for a child who has muscular dystrophy and is having difficulty swallowing at lunch. Which of the following referrals should the nurse initiate?
Speech-language therapist
A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the Centers for Disease Control and Prevention?
State health department
A parish nurse is planning activities for a faith-based community. Which of the following activities should the nurse include?
Teach stress management strategies
A nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (SATA
Teaching a class about the risks of cigarette smoking Lobbying for funding for health promotion efforts Organizing a program to promote skateboard safety
A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the following is an example of tertiary prevention?
Teaching about inhaler use to a client who has asthma
A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize which of the following is the host?
The children
A nurse is working for a hospice organization. The nurse should identify which of the following criteria must be met for a client to qualify for hospice care?
The client has declined additional life-prolonging treatments.
A nurse is providing teaching to a client about directives regarding end-of-life care. Which of the following information should the nurse include in the teaching?
The living will is a legally binding contract between the client and the provider
A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that HMO provides which of the following payment structures?
The provider is paid a fixed sum for the client on a monthly or yearly basis.
