Community HESI review
The nurse is conducting routine assessments of clients at an ambulatory clinic. Which assessment warrants immediate interventions by the nurse?
Hepatovax B was prescribed for a client who is allergic to yeast
The nurse is planning a series of health screening programs for elderly African-Americans which health problems should the nurse target for this population?
High blood pressure
The nurse is documenting a medical history of a young adult male client who has recently diagnosed with type one diabetes. He smokes two packs of cigarettes daily and his father died of a heart attack at age 45. Which annual screening is most important for the nurse to include?
Hyperlipidemia
A community health nurse is teaching a client who has tuberculosis about modes of disease transportation. The nurse recognizes that the client understands the concept when the client makes which of the following statements?
I will wear a mask when I am in enclosed area with other people
A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin skin test was prescribed by the healthcare provider. What intervention is most important for the nurse to implement prior to discharge?
Identify how the client will follow-up to have the results read.
A community health nurse is writing an emergency response plan for a daycare. Which of the following should be included in the plan?
Immunization protocol for various biological agents
A community health nurse is caring for a client in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group?
Include both hot and cold food items on a Hispanic clients menu
A nurse administer is a tuberculin skin test to a client who is HIV positive. Which of the following indicates a positive reaction to the test?
Induration at infection site of 8 MM
A 93-year-old client with a number of co-morbidities is assessed by the home health nurse. What problem is most important for the nurse to investigate further?
Medication interactions
While screening all children in the third grade for head lice, The school nurse observes that one girl has a brownish thickening on her neck. Which action should the nurse take in response to this finding?
Advise the children's parents to obtain a medical evaluation of the child
A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicates a need for additional teaching?
"I should use wool blankets on my bed when oxygen in use"
A nurse is caring for a client who has questions about his treatment plan. Which of the following should the nurse perform as a client advocate? (select all that apply)
-provide education to the client about the diagnosis -inform the client about the provider's responsibility to provide information -assist the client in preparing questions for the provider -affirm the client's decision about the treatment plan
The nurse is caring for four clients at a women's health clinic. Which client should the nurse assessed for risk of pelvic inflammatory disease?
20 year old with gonorrhea
The local health department needs to prioritize the distribution of influenza vaccinations due to a limited supply. In determining which individuals should receive the limited available vaccine, which person should the public health nurse ask to return to the clinic later when more vaccine is available?
A 60-year-old with diabetes and agoraphobia
A home health nurse is scheduling client visit for the day. Which of the following client should the nurse plan to visit first?
A 79 year old client with an exacer of COPD
A community health nurse is reviewing laboratory results for his caseload of clients. Which of the following is the highest priority finding?
A sputum specimen that is positive for tuberculosis
A public health nurse is evlautiong resources in a rural community. Which healthcare resource is most important to the community?
Accessibility to trauma care
A nurse is generating a list of voluntary agencies in the community. Which agency should be included in this listing?
American Diabetes Association
On a day when the temperature is expected to drop below freezing during the night, the nurses asked to determine which homeless adults are in most need of the limited spaces. Which one is more important?
An older male who is malnourished
A state public health nurse is asked to determine which country has the most living in it with a diagnosis of Alzheimer's disease. Which of the following measures will determine this information?
Analytic epidemiology
Which one is vertical transmission?
The mother is breast-feeding the infant
After presenting several teaching sessions to a group of high school students about the harmful effects of tobacco use, a nurse evaluates the teaching to be effective when a student states which of the following?
As long as I stop smoking while I am young, none of those diseases will affect me
After numerous patient teachings, a man with Parkinsons disease still cant instill his eye drops, what should the nurse do?
Ask a family member to help.
A nurse is caring for a client who asked can I decide not to continue with chemotherapy?. The nurse response this is your choice and I will support the decision you make. The nurses response is an example of which of the following ethical principles
Autonomy
A nurse wants to do research on infant death rate, where would she go?
Bureau of vital statistics.
A nurse is providing education to a group of adolescents who are pregnant and attend high school. Which of the following information should the nurse include in this teaching?
Caffeinated beverages should be replaced with caffeine free ones
An older adult client who is Medicare eligible and recovering from a ....
Client wheelchair transfer methods needs to be taught
On a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse take first?
Complete a physical and mental exam of the client
Female student with ADHD reports to school nurse that the student is having a difficult time each morning until it's time for the afternoon dose of medication. Which action should the nurse implement?
Determine if a child is taking morning dose
The nurse is serving on a medical center committee to update goals and protocols based on current national standards. Which goal most directly addresses the Healthy People 2020 initiative?
Decrease number of fire arms in school
A nurse is providing a staff development program on HIPPA regulations to the staff at a community Health clinic. Which of the following comments by one of the attendees would indicate a need for further teaching?
Demographic data that identify a client can be released without consent
A nurse is planning a nutrition class for a group of senior citizens at a community center who wants to emphasize the amount And types of fat and some food versus others. What is the best teaching method for the nurse to use?
Determine foods most often eaten by this group and discuss the nutritional panel of each product
The home health nurse visit a young male client with AIDS who has Kaposi's sarcoma and peripheral neuropathy's. His parents, who are the caretakers, tell the nurse that their son sleeps most of the time. The nurse assesses that the client is semi conscious with stable vital signs, cries out in pain when turned or moved, has a duragesic pain patch in place, and skin lesions that are closed and dried. Which intervention should the nurse implement?
Discuss end of life decisions with the clients parents
Which interventions should the nurse implement to help prevent a client from getting a vector-born infectious disease?
Discuss the importance of wearing insect repellent when camping
Which intervention should the nurse implement to prevent a client from getting a vector-born infectious disease?
Discussed the importance of wearing insect repellent when camping
A nurse is assisting with the development of a disaster management plan for a local community. During which of the following times should and a valuation plan be disclosed to the public?
During disaster preparedness activities
What population is Scoliosis most likely?
Early adolescent girls
A nurse is planning a primary prevention strategies for reducing obesity in a community. Which of the following strategies should the nurse use?
Educate children about nutrition and exercise at a daycare center
The community health nurse who works in a town that has a large chemical plant is concerned about the occurrence of a natural disaster related to chemical exposure. Which action is most important for the nurse to take?
Elicit the company's participation in a disaster preparedness program.
A nurse designs a series of four weekly classes for client with Type 2 diabetes. Which information should the nurse use as an outcome evaluation for the classes?
Fasting blood glucose average readings were 20% lower at the end of the classes
During home visit, the daughter of older adult tells nurse that she believes her mother should move in a retirement community. The mother states that though she needs assistance with meal prep, she is more comfortable in her own home. Before interviewing, which client assessment is most important for the nurse to complete?
Functional ability
A male migrant farm worker who lives in a mobile home with several other workers visits the Migrant Health Care Center. He reports increasing episodes of dizziness, headaches, abdominal cramps, and difficulty breathing. What nursing action has the highest priority?
Gather information about the client's recent exposure to pesticides
A Hispanic mother insists on using special candles to treat her child's ear infection. The nurse should demonstrate cultural accommodation by making which request?
Give the prescribed antibiotics in addition to using the candles.
A young adult man goes to an emergency department area after ...
Give the runner another print of fluids to drink
A child is brought to the school nurse by her teacher who thinks the child may have contracted Rubeola. Which of the following findings support this diagnosis?
Koplik spots in the oral mucosa
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program?
Measure the prevalence of pediculosis capitis among the children after four months
Prescription for discharge is written for an elderly female client who has asked to be discharged to her home. The client lives alone and is able to walk 10 to 15 feet with assistance. What action should the nurse implement first?
Meet with the case manager to plan a home safety evaluation
A nurse has started a group for senior citizens in a church setting. The group decides that their first project will be to begin a program for home-bound members. Which program outcome is the best measure of the project's effectiveness?
Number of home-bound seniors who are visited
Nurse is working in an area with a large Muslim community. It is important that the nurse understand and observes which belief of the Islamic faith?
Nurse of same gender should provide care to client
The public health nurse is creating a plan to increase state funding for a local health clinic. Which strategy is likely to be most effective in obtaining funding for the clinic?
Organize concerned citizens to write letters and telephone state representatives
A community health nurse is developing health promotion activities for a community. Which of the following is the highest priority action?
Participate in community assessment to identify community health problems
A government office worker is seen in the emergency department after opening an envelope containing a powder like substance which is similar to anthrax. Which discharge instruction should the nurse provide the client about concerning inhalation anthrax?
Return to emergency room at flu like symptoms develop within 42 hours
The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. What action should the nurse take first to intervene with this health problem?
Review current epidemiological population data that might document a low immunization rate
The community health nurse believes that immunization rates in a lower socioeconomic section of the city are probably below the Target set by state health department. Which actions should the nurse take to invert with his health group?
Review current epidemiological population data that might document a low immunization rate
A home health nurse is performing and I assessment and vision screening on an older adult client recently assigned to her care. Which of the following findings indicate a need for intervention?
Slightly yellow sclera
Client with history of COPD, being treated for pneumonia is currently taking care of by husband. Requires assistance when ambulating short distance, including bathroom. Which suggestion should be given?
Suggest obtaining a bedside commode
A teenage boy with a history of reoccurring a topic dermatitis tells the nurse that he wants to play high school football. Which action should the nurse take?
Tell the teenager to shower with non-perfume soaps immediately after practice
The parish nurse notes that an elderly male client has had a 5 pound weight loss since his check-up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client?
The Senior Citizen Center
A nurse is providing teaching to the wife of a client who has had a stroke regarding health related services that will be provided in the home. Which of the following statements by the wife indicates that the teaching has been effective?
The physical therapist will teach my husband exercises to increase hand dexterity
A community group proposes building a new well-child clinic because this year's demographics reflect that a large percentage of the population is less than 19 years of age. Which question indicates that the nurse understands the potential gaps in these data?
What percent of the population was under 19 years of age in each of the five previous years
A nurse is triaging victims of a commuter train crash. Which of the following clients should be transported to the emergency department first?
an ambulatory client whose nose is bleeding and who reports feeling dizzy
what can be reported to the CDC?
anthrax, TB, Diptheria
Older lady walking to bathroom denies needing help but lives alone. What to do?
assess for home safety
MMR only one dose but needs two dose, how should the school nurse let the parents know?
contact kindergarten parents that child needs to get MMR before school
Older lady has nursing diagnosis of social isolation and low nutrition status. what would be the best outcome fir the patient?
eat nutritious food at a senior nutrition center
Which of the following is an example of the responsibilities of public health nursing?
informing state health officials of a potential meningitis outbreak
A nurse is working with a client who is homeless. Which of the following is the first step that the nurse should take to advocate for this client?
refer the client to a public homeless shelter
A community health nurse is preparing to teach accident and injury prevention. Which of the following would be the priority topic for a family with a 10 year old child?
use if seat belts in automobiles
School nurse designing a program to prevent injury in Highschool students/adolescents. What is an important topic to address?
wearing seatbelts
