N401 - Practice Questions

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? a. State health department b. Office of the Surgeon General c. Local Red Cross chapter d. Hospital infection control department

A. State Health Department

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? a. Engage the family in informal conversation. b. Provide the family with information about respite care. c. Educate the family regarding the progression of dementia. d. Encourage the family to join a support group.

a. Engage the family in informal conversation.

A school nurse is planning primary prevention activities for the school year. Which of the following actions should the nurse plan to take? a. Monitor the immunizations status of students. b. Schedule hearing screenings for each grade level. c. Provide referrals for students who have asthma. d. Provide first aid for injured students.

a. Monitor the immunizations status of students.

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? a. The children b. The virus c. The vaccine d. The school

a. The children

A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include? a. "You should cover electrical cords with an area rug." b. "You should limit your use of extension cords." c. "You should secure extension cords with clear packing tape." d. "You should pull on the cord when unplugging items."

b. "You should limit your use of extension cords."

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) a. Use seasonings to enhance the flavor of foods. b. Assist the client in using guided imagery. c. Provider sips of room temp ginger ale bw meals. d. Maintain the HOB at an elevated position after eating. e. Offer 120 mL (4oz) of cold 2% milk as a meal replacement.

b. Assist the client in using guided imagery. c. Provider sips of room temp ginger ale bw meals. d. Maintain the HOB at an elevated position after eating.

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? a. Scheduling annual dental examinations for the clients b. Immunizing the clients against influenza c. Encouraging the clients to exercise regularly d. Providing the clients with a low-fat diet

b. Immunizing the clients against influenza

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? a. Somnolence b. Seizures c. Hypotension d. Hyperglycemia

b. Seizures

A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the following is an example of tertiary prevention? a. Providing STI testing for students on a college campus b. Teaching about inhaler use to a client who has asthma c. Educating adults about breast cancer screening guidelines d. Promoting the use of helmets with children who ride bicycles

b. Teaching about inhaler use to a client who has asthma

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? a. The client pays the insurer a percentage of the total costs for each service rendered by the provider. b. The provider is paid a fixed sum for the client on a monthly or yearly basis. c. The provider bills the client directly for a predetermined percentage of the cost of services. d. The client is participating in a fee-for-service health care insurance program.

b. The provider is paid a fixed sum for the client on a monthly or yearly basis.

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. A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm b. A client who is exhibiting agonal respirations with fixed and dilated pupils c. A client who has a full thickness burn injuries over 30% of his TBSA d. An ambulatory client who has a nosebleed and reports feeling dizzy

c. A client who has a full thickness burn injuries over 30% of his TBSA

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? a. Assist the client and the client's partner with finding an affordable exercise program. b. Discuss the benefits of eating a well-balanced diet with the client's family. c. Ask family members about the impact of the disease on relationships within the family. d. Offer to accompany the client and the client's partner during health care provider visits.

c. Ask family members about the impact of the disease on relationships within the family.

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? a. Human papillomavirus b. Bacterial vaginosis c. Gonorrhea d. Genital herpes simplex virus

c. 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? a. Decreased near vision b. Conjunctivitis c. Hemianopsia d. Increased sensitivity to glare

c. 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? a. Arrange for a member of the client's community to interpret the teaching. b. Have the client's daughter communicate information about the procedure. c. Identify the client's spoken dialect prior to contacting an interpreter. d. Use professional terminology when providing education prior to the procedure.

c. Identify the client's spoken dialect prior to contacting an interpreter.

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? a. Advocate for laws that prohibit texting while driving. b. Refer a client who is recovering from a substance use disorder to a social service program. c. Provide a smoking cessation class. d. Encourage a pregnant client to participate in prenatal care.

c. Provide a smoking cessation class.

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? a. "I will wait 1 week after treatment to use a laxative." b. "I will allow my granddaughter to visit for 4 hours daily." c. "I will use cloth handkerchiefs instead of tissues." d. "I will use a toilet that is not used by others in my family."

d. "I will use a toilet that is not used by others in my family."

A home health nurse is caring for a client who has Clostridium difficile infection. Which of the following actions should the nurse take? a. Obtain a surgical mask for the client to wear when away from home. b. Instruct the client to avoid the use of probiotics. c. Use an alcohol-based hand sanitizer following care. d. Clean the client's bathroom with a diluted bleach solution.

d. Clean the client's bathroom with a diluted bleach solution.

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? a. Contact a social worker to assist the client with managing finances. b. Provide the client with information on self-help groups for alcohol use disorder. c. Arrange for a home health nurse to visit the client following discharge. d. Determine which home safety measures the client needs to implement.

d. 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? a. Urging community leaders to make nonviolence a priority b. Presenting community education programs about stress management c. Assessing for risk factors of intimate partner abuse during health examinations d. Developing resources for victims of abuse

d. Developing resources for victims of abuse

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? a. Substance abuse prevention b. Sports injury prevention c. Gun safety d. Motor vehicle safety

d. Motor vehicle safety

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? a. Functioning as a manager at a temporary shelterb. Assisting with the identification of a biological agentc. Implementing a disaster triage plan with a local medical facility d. Organizing a mass casualty drill for community members

d. Organizing a mass casualty drill for community members

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? a. The client can verbally choose a health care proxy if two nurses witness the designation. b. The client's family has the authority to revoke the do-not- resuscitate order at any time. c. The living will is legally binding contract between the client & the provider. d. The client can choose a non-family member as the designated power of attorney.

d. The client can choose a non-family member as the designated power of attorney.