Community Exam. Kill me.
A primary prevention strategy utilized by a school nurse is: a. providing bicycle safety education. b. identifying "at risk" students. c. serving as a case manager to sick students. d. administering first aid and medications.
A
The hospice nurse is visiting a client for the first time. The main goal of the initial visit is to: a. establish a trusting relationship with the client and the family. b. begin the physical assessment and medical history of the client. c. offer a basic care and hygiene schedule developed by hospice. d. determine the level of consciousness and needs of the client.
A
The occupational nurse is implementing primary prevention strategies t the local factory. Which of the following best represents a primary prevention strategy? a. Handing out pamphlets ergonomics b. Checking blood pressure of employees c. Obtaining exposure history from employees d. Administering a tetanus shot
A
2. The hospice nurse is educating the community on the difference between palliative care and hospice care. Which of the following will be included about hospice care? (SATA) a. A client must have a terminal diagnosis. b. The client's illness can no longer be treated. c. Clients are mostly treated at their place of residence. d. Hospice is open to anyone at any time of an illness. e. The focus is on symptom management.
AB
2. A local high school has a school-based health center. Which of the following services would most likely be offered? (SATA) a. Wellness care b. Immunizations c. Dental care d. Psychologist referrals e. Employment physicals
ABCD
2. The school nurse is aware that high risk behaviors targeted by Healthy People 2020 include: (SATA) a. drug and alcohol abuse b. unhealthy eating c. sedentary lifestyle d. tobacco consumption e. lack of literacy
ABCD
1. A congregation is trying to decide if there is a need for a Faith Community Nurse. Which of the following would best represent the reasons the congregation should consider having a faith community nurse? (SATA) a. The nurse is equipped to provide health education. b. The nurse will be a health advocate for everyone. c. The nurse can develop support groups within the community. d. The nurse will act as a healing coordinator. e. The nurse is available as a personal health counselor
ABCE
2. The occupational health nurse conducts a walk-thru of the facility for work-related exposure hazards. Which of the following will the nurse identify as work-related exposure hazards? (SATA) a. Hydrochloric acid stored in the breakroom b. Inconsistent handwashing after restroom visit c. Three lights out in the assembly area d. Reflective employee vests worn in the work area e. Loud machinery noise for factory line workers
ABCE
The occupational health nurse is conducting a walk-through survey of the factory. The nurse will make sure that: (SATA) a. factory workers are wearing the correct safety gear. b. safety signs are present throughout the warehouse. c. hazardous spill management sheets are accessible. d. workers are American Heart Association CPR certified. e. everyone is aware of ergonomics and its benefits.
ABCE
The baccalaureate prepared home health nurse is examining the pros and cons to becoming an advanced practice nurse in the home health field. Duties or responsibilities that are common to the advanced practice level in home health would include: (SATA) a. prescriptive authority. b. seeking consultations for clients. c. being a resource to other nurses. d. performing small surgical treatments. e. managing an interdisciplinary team.
ABE
2. A nurse is administering medications at school. Which of the following guidelines should be used by the nurse? (SATA) a. A current drug reference should be available. b. Collaboration with the student's PCP monthly. c. Medications must have a prescriptive label. d. Written parental consent must be on file. e. Nurses administer all "rescue" medications.
ACD
1. The school nurse is reviewing the health records of the incoming freshman class at the local high school. Which of the following must be in place before the student may attend school? (SATA) a. History of important health conditions b. Family health history c. Immunization status d. Religious denomination for emergencies e. Results of previous screenings
ACE
The hospice nurse provides care to clients that includes: (SATA) a. keeping clients pain free. b. administering chemotherapy. c. giving laxatives for constipation. d. overseeing diagnostic imaging. e. providing palatable foods and water.
ACE
The school nurse is caring for children when they need health care. Which of the following levels of prevention are being used? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Health promotion
C
2. The community health nurse is aware that _____________________ is not always covered in school sex education classes. a. human immunodeficiency virus b. sexually transmitted infections c. pregnancy prevention d. human sexuality
CD
The school nurse is providing an educational seminar to a group of middle school parents on the topic of __________ because it is the single leading cause of preventable death in the United States. a. alcohol usage b. sexually transmitted infections c. car accidents d. tobacco usage
D
3. Which of the following best demonstrates a responsibility of the home health nurse? a.Teaching a family how to emergently trach a client. b. Managing resources for best possible client outcomes. c.Handling all Medicaid and Medicare reimbursements. d. Writing prescriptions to aid in pain management.
B
Which of the following would be considered primary prevention for the occupational health nurse? a. Annual or biannual exam to check for hazards exposure. b. Implementation of a health fair with multidisciplinary vendors. c. Providing special accommodations for employees with health limitations. d. Counseling for workers who are affected by chronic disease.
B
1. The community health nurse is transitioning to a faith community nurse. Which of the following are true about the job requirements for the faith community nurse? (SATA) a. An associate degree/certificate in theology b. Entry level of at least a baccalaureate degree in nursing c. Experience as a bedside nurse d. Previous community health nurse experience e. Completion of a formal course on FCN
BCDE
An occupational health nurse is walking through a hospital. Which of the following observations would be concerning to the nurse? (Select all that apply.) (replaced by my question) a. A nurse shares that the floor census is at capacity. b. There is a wet floor but no sign or dry walk way. c. A nurse starts an IV without gloves. d. A hospital bed gives a shock when touched. e. Some biological substance is splattered on the wall.
BCDE
The community health nurse knows that hospice home care includes: (SATA) a. curative measures for end-of-life care. b. improving the quality of care for clients. c. providing grief support to families. d. supportive measures for the families. e. assistance with daily client care.
BCDE
1. The forklift driver complains of joint pain, swelling and reduced coordination. The first step in the assessment by the occupational health nurse would be: a. Determine that the signs and symptoms are being caused by nerve damage in the lower back b. Motivate all employees to take better care of themselves c. Establish that repetitive motion of driving the forklift has led to this condition. d. Obtain an order from the factory physician for a prescription of NSAIDS
C
3. The occupational health nurse along with the governmental agency, _____________________, is responsible for ensuring worker safety. a. FEMA b. EWS c. OSHA d. PAHO
C
3. The school nurse is providing information on childhood diabetes to a group of elementary school parents and stresses that the leading cause of this disease is related to: a. hereditary patterns. b. pancreatic insufficiency. c. decreased physical activities. d. diets high in fat.
C
A hospice client is taking strong narcotics with good pain control but is worried about becoming addicted. Which of the following is the best response by the nurse? a. "When we are dying, we don't worry about addiction." b. "You can try not to take it as often if you are concerned." c. "You may develop tolerance but you can't be addicted when you're using it for pain control." d. "We'll keep you comfortable using some non-narcotic drugs if that is what you prefer."
C
The occupational health nurse at a local factory is managing a client who was injured three months ago at work. The client has been cleared to return to work but is resisting the medical clearance. The occupational health nurse recognizes this as: a. POTS syndrome b. Post traumatic stress disorder c. Disability syndrome d. Avoidance disorder
C
The home health nurse is reviewing the three parts of the home visit which include the visit preparation, the visit and the _______________. a. visit documentation b. surrounding environment c. windshield survey d. reimbursement schedule
a
What challenges would an experienced hospice nurse, that has recently transitioned her position to a noncertified home health agency, face when assisting her client that is insured by Medicare? a. The client would have to pay out of pocket since they have Medicare. b. The client is required to pay 50% out of pocket. c. No challenges as there are no reimbursement issues. d. The client would have to appeal the restriction with Medicare.
a
A nurse is employed in the school setting. Which of the following activities would the nurse most likely perform? a. Conduct home visits to care for children who are at homebound. b. Coordinate the health education program for the school. c. Facilitate school attendance for students with communicable diseases. d. Schedule appointments to specialists for children with chronic diseases.
b
The client presents to the occupational health clinic with bilateral shoulder pain. The client states that in the past six months they have been working twice as hard due to a decrease in staffing. The nurse's main objective at this visit is to: a. offer workman's compensation information. b. complete a physical assessment and document the findings. c. reassure the client that the staffing will pick up very soon. d. refer the client to a case manager for follow-up.
b
The nurse is providing ongoing care to a pregnancy teenager. The nurse is utilizing ________________strategies. a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Health promotion
b
The occupational health nurse is explaining the history of occupational nursing to a group of students and identifies ___________________ as the person who was the first "occupational health nurse." a. Lillian Wald b. Ada Mayo Stewart c. Betty Moulder d. Clara Barton
b
The school nurse is planning to provide education to the school staff on healthy lifestyle choices and determines the best practice would be to: a. hand out pamphlets on the subject and ask for feedback. b. provide workshops on identified staff health needs. c. set up teleconferences focused on general health promotion. d. obtain medical records of all staff to determine needs.
b
1. The faith community nurse (FCN) is working within the church and is approached by a visitor who asks the question, "what is faith community nursing?" What is the nurse's best response? a. "The FCN focuses on only the physical health of the community." b. "The FCN provides care within the community separate from a faith-based community." c. "The FCN focuses on the care of the spirit as part of holistic health in a faith community." d. "The FCN acts as an associate pastor for the faith-based community."
c
2. A nurse has referred a home care client to hospice care. Which of the following best explains the rationale for this referral? a. To provide comfort and peace at a difficult time. b. To reduce the cost of care for the terminally ill. c. To keep clients at home until the end. d. To provide care for the terminally with a life expectation of a year.
c
The home health nurse is prioritizing the list of assigned clients. Which of the following will be seen first? a. A patient with COPD and a respiratory rate of 24. b. A 2 day post discharge patient with histoplasmosis. c. A patient doing his own pleurex drainage. d. A 3 day post discharge Heimlich chest tube removal
c
The school nurse is educating a group of diabetic students on good nutritional choices. The school nurse would approve a lunch that consisted of a: a. hamburger and French fries with milk b. personal pizza with a diet soda c. grilled chicken sandwich with green beans d. peanut butter and sugar-free jelly sandwich
c
The community nurse witnesses a student eating an apple, peanut butter & jelly sandwich and carrots with ranch dressing. Which part of the Model of Healthy Living is she displaying? a. Movement b. Medical c. Vegan diet d. Nutrition
d
