Practice Questions Part B
A public health nurse is conducting an educational session about Lyme disease for a group of older adult clients at a senior center. Which of the following statements should the nurse identify as an indication the the clients understand the teaching? A. "I can take penicillin for 10 to 14 days to manage Lyme disease." B. "I should get an annual immunization to prevent Lyme disease." C. "I can get Lyme disease from a mosquito bite." D. "I will have abdominal pain and diarrhea if I get Lyme disease."
A
A school nurse is creating a plan of care for an adolescent client who has asthma and is experiencing physical education class. Which of the following interventions should the nurse include? A. Administer a bronchodilator to the adolescent prior to class. B. Apply non-humidified oxygen via nasal cannula at 10 L/min to the adolescent 30 min prior to class C. Ask the client's guardian to schedule a pulmonary function test (PFT) for the adolescent. D. Instruct the adolescent to use a fluticasone inhaler every 15 min when wheezing begins during class
A
A community health nurse is participating in a quality improvement plan for a local health department. Which of the following techniques should the nurse use for process evaluation of the facility? SATA A. Focus group B. Written Audits C. Satisfaction survey D. Interviews E. Values self-study
A, B, C, D
A public health nurse is lobbying Congress funding for health screenings provided to migrant farm workers. Which of the following concepts is the nurse demonstrating? A. Principalism B. Deontology C. Communitarism D. Advocacy
Advocacy
A community health nurse is talking with a client who recently experience the loss of a child following a long illness. The nurse should recognize that which of the following statements made by the client indicates a potential for suicide? A. "I am at a loss for words. I cry all the time." B. "Nothing feels good to me and I know it never will." C. "I do not know why God took my baby." D. "It just does not seem possible."
B
A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first? A. A client who has COPD and an oxygen saturation of 90% B. A client who has a new onset of confusion and slurred speech C. A client who has a temperature of 38.3° C (101° F) D. A client with A superficial partial-thickness burn
B
A nurse in a community center is preparing to administer a TB skin test to multiple clients to screen for tuberculosis. Which of the following actions should the nurse take? A. Prepare the outer aspect of the forearm B. inject 0.1 mL of purified protein derivative to form the wheal. C. Insert the needle at a 45° angle. D. Create a wheal that measures about 15 mm in diameter.
B
A nurse in a community health clinic is providing home safety teaching to the guardian of a 2 month old infant. Which of the following statements by the guardian indicates an understanding of the nurse instructions? A. "I should place my baby's head on a pillow when he is napping on the couch." B. "I should offer my baby a pacifier at bedtime and when he takes naps during the day." C. "I should scrub my hands briskly for 10 seconds after changing my baby's diaper" D. "I should keep my home thermostat set between 75 and 80 degrees Fahrenheit."
B
A nurse in an ED is caring for a client who is homeless and has hypothermia. Which of the following actions should the nurse take? A. Ask the client why they did not seek shelter sooner. B. Initiate a referral to the facility's social worker. C. Tell the client everything will work out now that they are in the hospital. D. Notify the local law enforcement agency of the client's situation.
B
A nurse is performing a community assessment and discovers the need for interventions to address tertiary mental health issues. Which of the following interventions should the nurse implement? A. Assess clients who live in a long-term care facility for depression. B. Advocate for funding to support local rehabilitation services. C. Provide information about eating disorders to adolescents. D. Reinforce stress reduction techniques during a skills class with new parents and guardians.
B
A nurse is preparing a health promotion handout for older adult clients about nutrition. Which of the following strategies should the nurse use when creating the handout? A. Use 12 point font B. Use a sixth-grade reading level. C. Use brightly colored paper. D. Avoid the use of pictures
B
A nurse working in a local health department is providing home teaching to the guardian of a toddler who has atopic dermatitis and is experiencing sever pruritus. Which of the following instructions should the nurse give the guardian? A. Give the toddler a bubble bath every 8 hr B. Wash the toddler's clothes in a mild detergent. C. Apply dry, warm compresses to the affected area D. Set the toddler's room thermostat at 27° C (80° F) at bedtime.
B
A community health nurse is using statistical data to assess health outcomes in the local community. Which of the following measures is the nurse calculating when determining the TOTAL NUMBER OF deaths from stroke per total number of all deaths within the population over the prior 12 months? A. Cumulative incidence rate B. Crude mortality rate C. Proportionate mortality ratio D. Case fatality rate
C
A home health care nurse is teaching a client's family about preventing the transmission of Clostridium difficile. Which of the following transmission-based precautions should the nurse include in the teaching? A. Droplet B. Airborne C. Contact D. Protective environment
C
A nurse in a community health clinic is preparing to administer an immunization to a 5 y/o child. Which of the following actions should the nurse take? A. Reassure the child that the injection is not going to hurt. B. Ask the child's parent to leave the room during the injection. C. Ask the child to pretend to blow up a balloon during the injection. D. Request that the child count backwards from the number 10 during the injection.
C
A nurse is planning a community health project for a group of healthy older adult clients. Which of the following actions should the nurse plan as primary prevention activity? A. Screening each participant using a geriatric depression scale B. Establishing a monthly clinic to monitor participant blood pressure C.Starting a weekly exercise group for participants D. Scheduling bereavement support group meetings for participants
C
A nurse is preparing an education program about disaster preparedness for a community response team. Which of the following information should the nurse include about disaster triage? A. Triage takes place after clients are assigned a room in the emergency department. B. A client who has fixed and dilated pupils should receive priority care. C. Triage assists with the ethical allocation of available resources. D. A client who has a tension pneumothorax is assigned to the delayed triage category.
C
A nurse manage in a community health clinic is teaching a group of nurses about client rights and informed consent of the following statements should the manager include? A. "Clients can designate their partner to witness the signing of the informed consent form." B. "Clients can select an advance directives status on the consent form." C. "Clients can revoke their informed consent even after signing the form." D. "Clients must give verbal consent prior to receiving life-saving interventions."
C
A public health nurse is using the epidemiological triangle to plan interventions for seasonal farmworkers in the community. Which of the following interventions is targeted at the host? A. establishing regulations regarding the types of chemicals that can be used B. Preventing crowded working conditions C. Providing farmworkers with gloves and hats to use when working D. Encouraging farmworkers to limit the amount of time spent using vibrating equipment
C
A school nurse is screening a group of children for potential child maltreatment. Which of the following situations should the nurse report to the provider? A. A 6-year-old child who is wearing mismatched clothing B. A 5-year-old child who has several bruises on his shins and reports he fell while playing C. A 5-year-old child who does not have a coat in the winter and is wearing a short-sleeved shirt D. A 6-year-old child who has a broken right arm that is casted and reports she fell from a bike
C
A school nurse is notified that a school-age child has pertussis. Which of the following actions should the school nurse take? SATA A. Quarantine the children in the child's class B. Recommend that the child receive a pneumococcal vaccine in 28 days C. Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present D. Encourage family members to obtain prophylactic treatment E. Check the immunization status of the child's classmates
C, D, E
A charge nurse is orienting a group of newly hired nurses at a home health agency. Which of the following actions should the charge nurse include as an example of professional advocacy? A. Maintaining licensing requirements for continuing education B. Showing up at client homes during the time frame previously agreed upon C. Making client assignments based on staff preferences D. Sending opinion statements to legislators about laws that govern home health
D
A clinic nurse is instructing a 65-year-old client about immunizations. Which of the following should the nurse recommend that the client receive during this visit? A. Rotavirus B. Meningococcal conjugate C. HPV vaccine D. Pneumoccal vaccine
D
A community health nurse is conducting a chart review of a group of individuals who were each perpetrators of partner violence. Which of the following findings should the nurse identify as a risk factor for becoming a perpetrator? A. Frequent social interaction with friends B. High self-esteem C. Submissive D. Witnessing family violence
D
A nurse identifies an epidemic of influenza at a local assisted living facility. The nurse should identify which of the following as an environmental factor when using the epidemiological triangle to reduce disease transmission? A. Infectivity of the influenza virus B. Immunization of clients with the influenza vaccine C. Susceptibility of individual clients to the influenza virus D. Cohorting of clients who test positive for influenza
D
A nurse is preparing to administer medication to client who has active TB. Which of the following precautionary measures should the nurse take? A.Gloves B. Non-disposable equipment C. Eyewear D. N95 Mask
D
A nurse is working to improve health outcomes for people who are homeless. Which of the following actions should the nurse take first? A. Develop a free program that screens for high-risk health concerns. B. Work with local leaders to ensure people who are homeless have access to a food bank C. Advocate for a local multiservice center that is centrally located D. Identify the availability of local resources to assist people who are homeless.
D
A public health nurse is planning an educational program for a group of nurse at a community health department about pertussis infection. Which of the following information should the nurse include? A. Individuals who have had pertussis do not require immunization. B. Newborns should receive the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine prior to discharge from the hospital C. Individuals should receive an annual influenza vaccine to minimize the risk for infection with pertussis D. Individuals transmit the pertussis bacteria through airborne droplets
D
A public health nurse is working in a community that has a population of 24,096. There are 2,096 existing cases of heart disease within the population. The nurse can determine which of the following from this information? A. Mortality rate B. Attack rate C. Incidence proportion D. Prevalence proportion
D
A school nurse is conducting a vision screening for a school-age child who wears eyeglasses. Which of the following actions should the nurse take when using the Snellen eye chart? A. Dim the lights in the testing room. B. Ask the child to remove her eyeglasses prior to the test. C. Position the child 7.6 m (25 feet) from the chart. D. Screening each participant using a geriatric depression scale
D
A school nurse is discussing levels of prevention with a teacher. Which of the following activities should the nurse identify as a primary prevention strategy? A. Conduct vision and hearing screening for kindergarten enrollment. B. Report suspected child neglect to the proper authorities. C. Provide nutritional counseling for students who have diabetes D. Demonstrate proper hand washing techniques.
D
A community health nurse is caring for a client who has opioid use disorder. The nurse should make a referral to this client to which of the following support groups? A. Narcotics Anonymous (NA) B. Alcoholics Anonymous (AA) C. Nar-Anon D. National Alliance on Mental Illness (NAMI)
A
A community health nurse is working as a member of a disaster response team following a biological incident. Which of the following actions should the nurse take? A. Review surveillance reports to determine the effectiveness of the response. B. Immediately activate the Strategic National Stockpile for local use. C. Use a Geiger counter to detect exposure levels of first responders.
A
A hospice nurse is admitting a client who has cancer and is no longer receiving treatment. The client tells the nurse, "I don't understand why all of this has happened to me." Which of the following responses should the nurse make? A. "How do you feel about stopping your treatments?" B. "Everyone feels this way when first entering hospice care." C. "Why didn't you enter hospice care sooner?" D. "I think you made the right decision by foregoing treatment."
A
A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for their parent. Which of the following statements by the client indicates that she is experiencing role conflict? A. "I feel overwhelmed with not having enough time for my mom as well as my children." B. "I hope my siblings will be able to visit and help care for mom for a few days." C. "I am glad that my job is flexible, so I can accommodate my mom's needs." D. "I don't think my partner likes having to help more with the household chores."
A
A nurse at a county health department is caring for a client who is at 28 weeks of gestation. The nurse should identify which of the following characteristics as a risk for potential future abuse of the newborn? A. Frequent changing healthcare providers B.Acceptance of the fetus, as demonstrated by selecting a name for child C. Employment D. Nightmares during pregnancy
A
A nurse in a rural health clinic is caring for a client who has heart failure. The client states, I'm not going to take any more heart medicine." Which of the following responses should the nurse make? A. "Can you tell me more about your decision to stop taking your medicine?" B. "Why did you decide to stop your heart medicine?" C. "I think you should speak with your provider before you stop taking your medication." D. "I understand your feelings, but you should trust your provider."
A
A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of cultural assessment? A. Illness practices B. A client's immunization status C. Food allergies
A
A nurse is conducting a health promotion presentation to a group of older adult female clients between the ages of 65 and 75 years. Which of the following statements should the nurse include in the teaching? A. "You should have your cholesterol checked every 3 years." B. "You should have a colonoscopy every 5 years." C. "You should have your vision checked every 3 years." D. "You should have a mammogram every 5 years."
A
A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant? A. Tetanus, diphtheria, pertussis (Tdap) B. herpes zoster vaccine C. varicella vaccine D. Measles, mumps, and rubella
A
A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching? A. "I will increase the amount of red meat and milk in my child's diet." B. I will use hot water to prepare infant formula C. "I will vacuum our wood floors every week." D. "I will use a dry-sanding technique when preparing to repaint my front door."
A
A community health nurse is assigned to lead a county-level environmental task force. Which of the following activities should the nurse direct the task force to complete first? A. Recommend updates to local environmental policies. B. Review community-specific epidemiological data. C. Create program goals that align with Healthy People objectives. D. Distribute environmental health education materials to community members.
B
A community health nurse is discussing palliative care with the family of a client who has stage II ovarian cancer and is receiving chemotherapy. Which of the following statements should the nurse make regarding palliative care? A. "Palliative care is intended to prolong the life of your family member." B. "Palliative care will help your family member live as actively as possible." C. "Palliative care can't begin until your family member stops curative treatments." D. "Palliative care is limited to addressing the medical needs of your family member."
B
A community health nurse is made aware that several children, who are from the same family and did not receive immunizations, have contracted measles. Which of the following actions should the nurse take? A. Encourage the family to keep the children isolated during the incubation period. B. Report this information to the state health department. C. Speak to the guardians about getting the children immunized after they are disease free.
B
A community health nurse is providing care to a client who has stopped taking their prescribed b/p medication. Which of the following actions should the nurse take first? A. Advise the client that adherence to the medication regimen will promote healthy outcomes B. Determine the client's reason for discontinuing the medication. C. Educate the client about the benefits of the medication.
B