Community Proctored Exam
A nurse in a community health clinic is assessing a client who has two preschoolers was recently divorced and is seeking help for major depression. Which of the following questions should the nurse ask first?
"Are you having any thoughts about hurting yourself?"
A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the following statement by the nurse demonstrate a priority prevention strategy?
"Avoid direct sunlight between 10 and 4pm."
A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special level 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 is teaching a client who has a terminal illness about hospice care. Which of the following statement by the client indicate an understanding of the teaching? (select all thar apply)
"I can receive care in the hospital or at home." b) "My provider will recommend that I entre hospice care when I have 1 year left to live." c) "I can discontinue hospice care whenever I want." e) "I will receive care from a variety of interprofessional team members."
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 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 warm my baby's bottle in the microwave for 30 seconds at a time."
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 caring for a child whose parent reports that their partner has been physically maltreating the child. The parent states, "My partner has moved out, so please don't tell anyone." Which of the following statements should the nurse make?
"State law requires health care providers to report suspected abuse."
A home health nurse is caring for a young adult client who has stage a ovarian cancer. The client tells the nurse they do not want to continue treatment. Which of the following statements should the nurse make?
"You have the right to refuse treatment."
A nurse is caring for a group of clients. For which of the following clients should the nurse recommend a referral for palliative care?
A client who has chronic kidney disease and wants to discontinue dialysis
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 department 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 who is standing in place for extended periods and rests one foot on a box
A nurse is participating in a qualify improvement committee for home health client. 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 counselling a family following a client's recent diagnosis of heart disease. Which of the following action should the nurse take first?
Ask family members about the impact of the disease on relationship 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 nurse is caring for a client who asks, "Can I decide not to continue not to continue with chemotherapy?" The nurse responds. "This is your choice and "I'II support whenever decision you make." The nurse's response is an example of which of the following ethical principles?
Autonomy
A nurse is working with a married couple who each have children from prior relationships living is the home. The nurse should clarify the family as which of the following household structure?
Blended family
A nurse at a community clinic is preparing an educational guide about cultural variance in expression of pain. which of the following information should the nurse include?
Chinese cultural practices include enduring pain to prevent family dishonor
A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral tube feeding. Which of the following actions should the nurse take?
Complete against medical advice form.
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?
Conjunctivitis
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 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 measure 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 intervention is an example of tertiary prevention?
Developing resource for victims of abuse
An occupational health nurse is assessing agricultural workers for acute 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 strategy for reducing obesity in a community. Which of the following strategies should the nurse use?
Educate children at a day care center about nutrients and exercise.
A home health nurse is planning the initial home visit 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 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 following infectious conditions should the nurse report to the Centers for Disease Control and prevention?
Gonorrhea
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 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 resident to determine the effectiveness of coping behaviors
A home health nurse is assessing a client who has hepatitis A. Which of the following findings should the nurse expect?
Malaise
A school nurse is planning primary prevention activities for the school year. Which of the following action should the nurse plan to take?
Monitor the immunization status of students
A nurse is 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 priority?
Move the client to another location
36. A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparation efforts when performing which of the following actions?
Organizing a mass casualty drill for community members
A home health nurse is caring for a client who 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? (Select all that apply).
Provide sips of room-temperature ginger ale between meals. Maintain the head of the client's bed in an elevated position after eating
A community health nurse is working with a migrant population. The nurse should recognize the which of the following interventions necessary to provide care to this population?
Providing health services at work sales
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 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 manifestation 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 responsible for voluntarily reporting cases of this disease to the center for disease control and prevention?
State Health Department
A school nurse is developing a plan to address the primary prevention of communicable disease. Which of the following interventions should the nurse include?
Teach proper hand hygiene techniques to students.
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 school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (select all that apply.)
Teaching a class about the risks of cigarette smoking
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 school nurse is assessing a child who has a fever and notices several bite marks on the child's arm. The nurse should referral for suspected child maltreatment based on which of the following additional findings? (Select all that apply)
The child is wearing open-toed shoes and the weather is cold outside. b) The child is frequently absent from school. The child tells the nurse that they are sick because they are bad.
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 client can choose a non-family member as the designated power of attorney.
A nurse is working for a hospice organization. The nurse should identify that which of the following criteria must be me for a client to qualify for hospice care?
The client has documentation stating he has less than 12 months to live.
A community health nurse is teaching a group of guardians of toddlers about toddlers increased risk for accidents and injuries. Which of the following rationales should the nurse provider?
Their motor skills are underdeveloped.
A home health nurse is caring for a client who has a clostridium difficile infection. Which of the following actions should the nurse take?
Use an alcohol-based hand sanitizer following care.
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 nurse educator is teaching a group of newly licensed nurse about maintaining client confidentially according to HIPPA regulation. which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
a) "HIPAA rules allow clients to receive a copy of their medical records."
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 nurse is providing teaching to a newly licensed nurse about case management. The nurse should include that which of the following tasks is the responsibility of a case manager?
evaluate the cost effectiveness of client's treatments
