Community Exam 2 EAQ PQ

A client is diagnosed as having the hepatitis B virus (HBV). The nurse reviews the client's health history for situations in which exposure may have occurred. Which event does the nurse determine is most likely the source of this infection? a. The client received a small tattoo on the arm'3 months ago. b. The client assisted in the emergency birth of a baby 2 weeks ago. c. The client worked for a month in an undeveloped area in a foreign country 4 months ago. d. The client attended an ecological conference in a large urban center 2 months ago.

a

A client with jaundice reports fatigue, abdominal pain, loss of appetite, dark urine, nausea, and vomiting. Which pathogen would the nurse associate with this client's clinical manifestations? a. Hepatitis C virus b. Candida albicans c. Varicella-zoster virus d. Cryptosporidium muris

a

A parent of three young children has contracted tuberculosis. Which medication would the nurse anticipate being prescribed for members of the family who have been exposed? a. Isoniazid b. Multiple-puncture test c. Bacille Calmette-Guérin d. Tuberculin purified protein derivative

a

After noting 12 mm of induration at the site of a tuberculosis skin test (TST) in a client with no tuberculosis risk factors, which information would the nurse give the client? a. The result is negative, and follow-up is not needed. b. The disease is active, and medication is required. c. Additional tests, such as a chest x-ray, are needed. d. The outcome is inconclusive and further testing is needed.

a

The nurse teaches a client who is concerned about hepatitis transmission routes. Which type of hepatitis spreads more frequently through food? a. Hepatitis A b. Hepatitis B c. Hepatitis C d. Hepatitis D

a

The school nurse is teaching a class about bicycle safety. The nurse determines that a child needs further teaching when the child makes which statement? a. "I will always wear a helmet and ride with traffic facing me." b. "I will always wear a helmet and walk my bike to cross busy streets." c. "I will always wear a helmet and keep as close to the curb as possible." d. "I will always wear a helmet and stay in a single file when I ride with my friends."

a

When the nurse is developing educational programs for parents of younger school-age children to promote safety, which information would the nurse include that would be appropriate for this age group? a. Use a helmet when bike riding. b. Place locks on cabinets. c. Refrain from alcohol use. d. Install front-facing car seats.

a

Which action would the clinic nurse take when a client with chronic obstructive pulmonary disease (COPD) has a 10-mm area of induration after Mantoux testing? a. Document the result as a negative finding. b. Teach the client about need for a chest x-ray. c. Discuss latent tuberculosis with client. d. Notify the local public health department.

a

Which action would the local health department nurse take to enhance local response when the local health department has been receiving reports of a recent increase in symptoms including headaches, dizziness, weakness, and nausea among local migrants in the region to help harvest tomato crops? a. Provide education to local providers and health centers regarding signs and symptoms of pesticide exposure. b. Ensure that resources are available during work hours to support adequate hydration. c. Initiate an epidemiologic study to identify the potential cause of the current symptoms. d. Conduct an assessment of the entire population (workers and their families) to determine possible causes of the current symptoms.

a

Which parental statement indicates the need for further education about food safety and choking in a toddler-age client? a. "Hot dogs are safe and do not present a choking hazard for my child." b. "Ice cream is safe and does not present a choking hazard for my child." c. "Chicken nuggets are safe and do not present a choking hazard for my child." d. "Mashed potatoes are safe and do not present a choking hazard for my child."

a

Which question would a home-care nurse ask an older adult, dependent on care provided by their adult son, who recently has become very withdrawn and has multiple bruises in various stages of healing on their arms and torso? a. "What can you tell me about how these bruises occurred?" b. "May I draw some blood to check your platelet levels?" c. "Has your son been hitting you or handling you roughly?" d. "Have you had issues with depression or bruising in the past?"

a

Which statement indicates the patient understands the origin of hepatitis C? a. "You can catch it while you're getting a tattoo." b. "You're more likely to get it in crowded living conditions." c. "The disease is passed from person to person by casual contact." d. "People working at restaurants can give it to you if they don't wash their hands."

a

Which statement would the nurse recall when encountering a client reporting a recent bite from a raccoon located in an area endemic with rabies? a. It is a viral infection characterized by convulsions and difficulty swallowing. b. It is a parasitic infestation characterized by encephalopathy and opisthotonos. c. It is a bacterial septicemia resulting in convulsions and a morbid fear of water. d. It is a catalyst for an autoimmune response that results in a maculopapular rash and fever.

a

When compared with their non-Hispanic white counterparts, which factors contribute to the health disparities among the older adult Hispanic population? Select all that apply. a. Value differences b. Language barrier c. Lack of health care facility d. Inadequate health insurance e. Poor diet and nutrition

a,b,c,d

Which information would the nurse obtain in a health history for a sexually active 16-year-old to determine the client's risk for sexually transmitted infections (STIs)? Select all that apply. a. Sexual practices b. Barrier protection use c. Gender of sexual partners d. Number of sexual partners e. Use of illicit drugs before sex

a,b,c,d,e

Which step is included in the process of completing an epidemiologic investigation in response to a recent increase in the number of people seen in the local emergency department with similar symptoms and an unknown cause? Select all that apply. a. Estimate the number of cases. b. Develop and evaluate a hypothesis. c. Confirm the existence of an outbreak. d. Verify the diagnosis and/or define a case. e. Orient the data collected to person, place, and time. f. Institute control measures and communicate findings.

a,b,c,d,e,f

Which topic would the school nurse include in a sexual-education presentation for 10-year-olds? Select all that apply. a. Erections b. Contraception c. Menstrual cycle d. Time for questions e. Separate gender sessions f. Sexually transmitted infections

a,b,c,d,e,f

Which foods increase the risk of aspiration or are choking hazards for toddlers? Select all that apply. a. Peas b. Nuts c. Cheese d. Noodles e. Hot dogs

a,b,e

Which instructions would the nurse give to an adolescent to prevent sexually transmitted infections? Select all that apply. One, some, or all responses may be correct. a. "Use condoms or barrier methods every time." b. "Abstain from any kind of sexual activity." c. "Be sure to stay up-to-date with your vaccinations." d. "It is safest if you and your partner are monogamous." e. "Remember to have regular screenings for sexually transmitted infections."

a,c,d

Which topic will the school nurse include in adolescent education on sexually transmitted infections (STIs)? Select all that apply. a. Condom use b. Sexual identity c. Types of contraception d. Number of sexual partners e. Alcohol and drug consumption

a,c,d

Which action would the nurse implement when assessing a client with a new diagnosis of syphilis? Select all that apply. One, some, or all responses may be correct. a. Ask the client about medication allergies. b. Use the fingers of one hand to palpate lesions. c. Examine the client's lymph nodes for enlargement. d. Gather information about any ulcers or rashes. e. Perform a Papanicolaou (Pap) test (smear) of the cervix. f. Ask about the client's sexual activity and protection methods.

a,c,d,f

Which statement indicates a client understands transmission of the human immunodeficiency virus (HIV)? Select all that apply. a. "I can contract HIV by participating in oral sex." b. "I can contract HIV by eating from used utensils." c. "HIV is contracted by using contaminated needles!" d. "I can contract HIV by using the bathroom of a person who is HIV positive." e. "Babies can contract HIV because of contact with maternal blood during birth."

a,c,e

Which risk factors are associated with adolescent suicide? Select all that apply. a. Victim of family violence b. Limited or strained family finances c. Member of a single-parent household d. Dependence on alcohol, drugs, or both e. Uncertainty related to sexual orientation f. Repeated demonstration of poor impulse control

a,d,e,f

Which type of hepatitis is commonly spread by consuming contaminated food and water or by fecal contamination? Select all that apply. a. Hepatitis A b. Hepatitis B c. Hepatitis C d. Hepatitis D e. Hepatitis E

a,e

A client arrives at a health clinic reports, "I am here to have my tuberculin skin test read." The nurse notes a 7-mm indurated area at the injection site. Which nurse's statement describes this result? a. "The result indicates that you have active tuberculosis." b. "The result indicates you are infected with the tuberculosis organism." c. "The result indicates there are no tuberculin antibodies in your system." d. "The result indicates you have a secondary infection related to the tuberculin organism."

b

After the tuberculin skin test for a client with diabetes and chronic kidney disease reads 10 mm, which action would the nurse take next? a. Obtain sputum tests for 3 days. b. Schedule the client for a chest x-ray. c. Teach the client about the multidrug tuberculosis treatment regimen. d. No further action after documenting the finding in the client's record.

b

The nurse educator of a college health course is discussing tattoos with the class. Which type of hepatitis associated with tattoos would the nurse include in the teaching plan? a. Hepatitis A b. Hepatitis C c. Hepatitis D d. Hepatitis E

b

The nurse is involved in an international committee to address global health problems. To best meet the challenge associated with a potential emerging influenza pandemic, the nurse would make which suggestion? a. Stockpile antibiotics. b. Establish a global surveillance plan. c. Limit vaccination programs to school-aged children. d. Initiate vaccination programs during the months of August and September.

b

Which action would the nurse implement regarding the public health implications of a 16-year-old adolescent diagnosed with gonorrhea? a. Interviewing the adolescent's parents b. Identifying and locating the client's sexual contacts c. Instructing the client about birth control measures d. Determining the reasons for the client's promiscuity

b

Which action would the occupational health nurse take after a tuberculin skin test (TST) on a nurse working in the emergency department revealed an 11-mm induration? a. Plan for a repeat TST in 1 year. b. Schedule the nurse for a chest x-ray. c. Ask the nurse to provide sputum specimens. d. Teach about the multiple drug treatment regimen.

b

Which comment made by health-department staff during evaluation of health-department training for human immunodeficiency virus (HIV) surveillance requires clarification by the nurse? a. If the HIV antibody test is positive, it will be followed with a Western blot test to check for false positives, correct? b. The HIV antibody test helps us identify people with symptomatic acquired immunodeficiency syndrome (AIDS) so that we can get them early treatment. c. It seems odd that voluntary screening for HIV can either be anonymous or confidential, but / guess maybe more people will come for screening if its anonymous. d. We need to encourage voluntary HIV screening for all individuals between the ages of 13 and 64 according to the Centers for Disease Control and Prevention (CDC).

b

Which response would a nurse give when a client asks what to expect when beginning treatment for tuberculosis? a. "Therapy will last a few weeks." b. "Therapy will occur over two phases." c. "Therapy will involve one medication." d. "Therapy will require monitoring kidney function."

b

Which response would the nurse at the community clinic provide to a client recently diagnosed with syphilis who is hesitant to share the names and locations of those with whom they had sexual relations because of fear of retribution? a. "I understand your fear, but don't you think they have the right to know?" b. "If you give us a list, we will contact them. We will not be identifying you as the source." c. "Unfortunately, you are legally required to do so and can be charged if you choose not to." d. "I would encourage you to contact them yourself; it may be better than hearing it from a third party."

b

Which response would the nurse give to a client with tuberculosis who asks about the communicability of the disease? a. "Tuberculosis is not communicable at this time." b. "Untreated active tuberculosis is communicable." c. "Tuberculosis is communicable during the primary stage." d. "With the newer long-term therapies, tuberculosis is not communicable."

b

Which response would the nurse have when a parent expresses concern that their toddler loves to play dress-up with jewelry? a. "Make sure you supervise your child during play." b. "Jewelry poses a choking risk to your child." c. "You may want to buy play jewelry made for children." d. "The necklaces or the larger pieces are okay to play with.

b

Which strategy would the nurse recommend to a parent to encourage a 5-year-old to wear a helmet while bicycling? a. "You should forbid your child from riding a bicycle." b. "You should wear your helmet while riding your bicycle.". c. "You should limit your child's bicycling to a defined area." d. "You should tell your child about the risks associated with not wearing a helmet."

b

Which actions would be included in the safety plan for a woman in crisis, who is emotionally and physically abused by her husband? Select all that apply. a. Limiting contact with the abuser b. Determining a sate place to go in an emergency c. Memorizing the domestic violence hotline number d. Obtaining a bank loan to finance leaving the abuser e. Arranging for a family member to assist her in leaving

b,c

Which condition triggers humoral immunity? Select all that apply. a. Tuberculosis b. Atopic diseases c. Bacterial infection d. Anaphylactic shock e. Contact dermatitis

b,c,d

Which education would the nurse provide the parent of a toddler about the ingestion of plants? Select all that apply. a. "Plants are infrequently ingested!" b. "Plants may cause contact dermatitis." c. "Plants place your child at risk for choking!" d. "Plants that are ingested are sometimes fatal." e. "Plants that are ingested can irritate the gastrointestinal [Gl] tract."

b,c,d,e

Which action transmits the human immunodeficiency virus (HIV)? Select all that apply. a. Multiple mosquito bites b. Sharing syringe needles c. Breast-feeding a newborn d. Dry kissing an infected individual e. Anal intercourse f. Sharing drinking glasses

b,c,e

Which clinical manifestation is associated with a diagnosis of tuberculosis? Select all that apply. a. Diarrhea b. Anorexia c. Weight gain d. Hemoptysis e. Night sweats

b,d,e

The nurse provides education for a client about prophylactic measures that minimize the risk of contracting hepatitis B. Which actions would be included in the teaching plan? Select all that apply. a. Preventing constipation b. Screening of blood donors c. Avoiding shellfish in the diet d. Limiting hepatotoxic medication therapy e. Maintaining a monogamous sexual relationship

b,e

A married woman reports intermittent episodes of being beaten by her husband. Which behavior is typical of the honeymoon stage in the cycle of domestic violence? a. Husband has a few extra drinks with coworkers b. Wife spends extra time cleaning the house c. Husband brings flowers and shows kindness d. Wife stays at work late to avoid the husband

c

Which clinical manifestation would cause the nurse to suspect that a toddler-age client ingested a corrosive agent such as bleach? a. Choking b. Gagging c. Drooling d. Vomiting

c

Which criteria would the nurse consider when determining if an infection is a health care-associated infection? a. Originated primarily from an exogenous source b. Is associated with a medication-resistant microorganism c. Occurred in conjunction with treatment for an illness d. Still has the infection despite completing the prescribed therapy

c

Which intervention is the best approach to condom use for prevention of sexually transmitted infection? a. Use of spermicide b. Use of oil-based lubricants c. Use of a condom with oral sex d. Use of natural membrane condoms

c

Which practical response would the nurse provide a sexually active female client who is upset with her diagnosis of gonorrhea and asks the nurse, "What can I do to prevent getting another infection like this?" a. "Douche after every sexual intercourse." b. "Avoid engaging in sexual behaviors." c. "Insist that your partner uses a condom." d. "Use a spermicidal cream with sexual intercourse."

c

Which statement by the female client with a diagnosis of gonorrhea indicates she has understood the teaching by the nurse on how to avoid future infection? a. "I'll douche after each time I have sex." b. "Having sex is a thing of the past for me." c ."My partner has to use a condom all the time." d. 'I'll be using a spermicidal cream from now on."

c

Which topic would the nurse include when teaching a client who is being treated for active tuberculosis and has a productive cough? a. Reasons to avoid going outside b. Need for continued hospitalization c. Use of disposable tissues when coughing d. Benefits of attending community events

c

A 2-year-old child is admitted with multiple fractures and bruises, and abuse is suspected. Which assessment finding supports the nurse's suspicion? Select all that apply. a. Bedwetting b. Thumb-sucking c. Difficulty consoling d. Underdevelopment for age e. Demands for physical closeness

c,d

While assessing an older adult during a regular health checkup, the nurse finds signs of elder abuse. Which physical finding would confirm the nurse's suspicion? Select all that apply. a. Presence of hyoid bone damage b. Presence of cognitive impairment c. Presence of burns from cigarettes d. Presence of bedsores e. Presence of unexplained bruises on the wrist(s)

c,d,e

Once an infant is stabilized after a choking incident, which statement made by the parents indicates a need for teaching? a. "The baby is always buckled into the stroller or infant seat." b. "The spaces between the slats of the crib are only 2 inches wide." c. "The pacifier is never placed on a string around our baby's neck." d. "The crib is filled with many small stuffed animals with button noses."

d

The nurse in a hospital skilled nursing unit witnesses a clients spouse vigorously shaking the elderly client who has dementia after the client has had an episode of incontinence. After discussing concerns with the nurse manager, to whom would the nurse report this observation? a. The client b. The client's spouse c. The primary health care provider d. Adult Protective Services

d

When would the client have a tuberculin skin test with purified protein derivative (PPD) read? a. 1 week b. Within 12 hours c. 24 to 48 hours d. 48 to 72 hours

d

Which parental statement indicates accurate understanding of bicycle safety for the school-age client? a. "My child should ride opposite of traffic." b. "My child should ride the bicycle through crosswalks." c. "My child should avoid hand signals in advance of stopping." d. "My child should keep as close to the curb as possible when in the street."

d

Which parental statement would the nurse recognize as indicating the need for further education about bicycle safety for a school-aged client? a. "My child should be able to place both feet on the ground while seated." b. "My child should be able to easily grasp the brake handles and squeeze them." c. "My child will be required to wear a bicycle helmet if he or she wants to ride a bike." d. "My child should be able to safely ride after being supervised for a couple of days."

d

The nurse reviews the history to find an adolescent has a tattoo on the neck and piercings on the ear and eyebrow. During the next visit, the nurse finds a new tattoo on the right upper arm and another piercing on the nose. Which would be the priority nursing intervention in this situation? Select all that apply. a. Prepare a proper diet plan for the adolescent. b. Instruct the adolescent to get an electrocardiogram. c. Instruct the adolescent to perform regular exercises. d. Screen the adolescent for human immunodeficiency virus (HIV). e. Schedule an appointment for administering the hepatitis vaccine.

d,e

Which tertiary interventions would the nurse use for a young adult who sustained injuries as a result of physical battering by her partner? Select all that apply. a. Contacting family members to provide support b. Discussing the legal ramifications of not pressing charges c. Offering to discuss the abusive behavior with her spouse d. Identifying the benefits of attending a support group for battered women e. Providing her with information regarding local domestic violence shelters

d,e