NR442 - RN Community Health Practice Assessment A (50 Items) - John Mixer - Final Report Of 100%.doc

Document Content and Description Below

NR442 - RN Community Health Practice Assessment A (50 Items) - John Mixer - Final Report Of 100%. NR442 - Community Health Practice Exam A (50 Items) 1. A community health nurse is planning a pres... entation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease a. Withdrawal from social activities b. Forgetting the location of common object c. Experiencing incontinence d. Neglecting personal hygiene 2. A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures in women experiencing menopause. Which of the following primary prevention strategies should the nurse implement? a. Advise the women to keep their immunizations updated. b. Encourage the women to participate in weight-bearing activities. c. Educate the women about the importance of limiting sun exposure. d. Instruct at-risk women to increase their intake of foods high in vitamin E. . 3. A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse identify as an indication that the client is in the denial stage of the grief process? a. "I'm looking forward to my daughter's wedding next year." b. "I don't deserve to die. This just isn't fair." c. "If I could just make it through this, I'd never smoke again." d. "I'm going to plan my memorial service next week." 4. A home care nurse is visiting an older adult and notes that unwashed dishes are piled up and newspapers cover the front steps. Which of the following questions should the nurse to ask the client to determine if he is socially isolated? a. "Why haven't you brought in your newspapers?" b. "Do you need help completing your housework?” c. "How often do you have visitors come to see you?" d. "Have you considered moving to an assisted living facility?" 5. A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion? a. The faith community nurse can provide pharmacologic pain management for clients who have a terminal illness. b. The faith community nurse can plan safety training for employees in a local factory. c. The faith community nurse can provide wound care for clients in their homes. d. The faith community nurse can facilitate substance abuse support groups. 6. A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data? a. Health surveys b. Medical records c. Informant interviews d. Morbidity/mortality statistics 7. 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 use a dry-sanding technique when preparing to repaint my front door." b. "I will vacuum our wood floors every week." c. "I will increase the amount of red meat and milk in my child's diet." d. "I will use hot tap water to prepare my baby's formula." 8. 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? (Select all that apply). a. Focus groups b. Written audits c. Satisfaction survey d. Interviews e. Values self-study 9. A community health nurse is planning an in-service about STIs for a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis? a. Malaise b. Maculopapular rash on palms c. Chancre d. Lymphadenopathy 10. A community health nurse is caring for an adolescent who is seeking help for unplanned pregnancy. Which of the following actions should the nurse take first? a. Recommend that the adolescent meet with the school guidance counselor to discuss educational options. b. Request permission to interview the father of the child to obtain a medical history c. Help the client obtain a provider for prenatal care d. Provide information on parenting classes so the client can learn about caring for a newborn 11. 1. A community health nurse is planning to establish a community garden to address the lack of nutritious food options in the area. Which of the following actions should the nurse take first to initiate the plan? a. Identify community members who demonstrate an interest in the project. b. Hold a community information session to inform the residents of the plan c. Select residents to take on leadership roles in the project d. Monitor the progress of the project to keep the project on course . 12. A nurse is conducting a home visit for an older adult client. The nurse should identify which of the following findings as an indicator of possible neglect? a. Lives alone b. Taking outdated prescriptions c. Has a BMI of 25 d. Presence of alcohol in the home 13. A nurse is caring for a 16-year-old client who has a new diagnosis of human papillomavirus. Which of the following actions should the nurse take? a. Report the infection to the state health department b. Instruct the client to return for a blood test in 1 month. c. Administer ceftriaxone 250mg IM. d. Teach the client how to apply imiquimod 5% cream to the lesions. . 14. A school nurse is reviewing the records of four students who are returning to school after being diagnosed with methicillin-resistant staphylococcus aureus (MRSA). Which of the following actions should the nurse take? a. Coordinate an immunization clinic at the school b. Recommend prophylactic treatment for classmates c. Report the cases of MRSA to child protective services d. Provide education about MRSA throughout the school system 15. A public health nurse is conducting an education 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 that the client understands the teaching? a. "I should get an annual immunization to prevent Lyme disease." b. "I can take penicillin for 10 to 14 days to manage 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." 16. A school nurse is educating a group of high school student about recommended dietary guidelines. Which of the following statements by a student indicates an understanding of the teaching? a. "I can consume up to 25 percent of my daily calories from saturated fatty acids." b. "I should consume less than 300 milligrams per day of dietary cholesterol." c. "I can increase my daily consumption of foods that contain refined grains." d. "I should consume 800 milligrams per day of dietary calcium." 17. A community health nurse is creating a program to reduce domestic violence in the community. Which of the following interventions should the nurse identify as secondary prevention? a. Creating a public service announcement about the warning signs of intimate partner abuse b. Recognizing and reporting suspected abuse to the appropriate protective services c. Collaborating with support agencies to ensure the ongoing treatment for abuse e. Educating individuals and groups about preventing domestic and community abuse 18. A nurse in a clinic is planning teaching for a client who was newly diagnosed with hepatitis C. Which of the following instructions should the nurse include in the teaching? a. Consume a low-carbohydrate diet until symptoms resolve. b. Schedule an appointment for an immunoglobulin injection. c. Abstain from sexual intercourse until antibody tests are negative. d. Wear a mask in public places while receiving treatment. 19. 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. The client recently married the father of her unborn baby. b. The client works part-time at a local restaurant. c. The client has changed providers three times during her pregnancy. d. The client has recurring nightmares about her unborn baby. 20. A public health nurse is planning an educational program for a group of nurses at a community health department about pertussis infection. which of the following information should the nurse include? a. Individuals should receive an annual influenza vaccine to minimize the risk of infection with pertussis. b. Newborns should receive the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine prior to discharge from the hospital. c. Individuals who have had pertussis do not require immunization. d. Individuals transmit the pertussis bacteria through airborne droplets. 21. A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications? a. Warfarin b. Metoprolol c. Digoxin d. Diltiazem 22. 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. "You will be able to access my mother's hospital medical records for us to review." b. "You will be able to give my mother's pain medication." c. "You can submit invoices to Medicare to reimburse you for your services." d. "You will coordinate with volunteers who will come to help my mother." 23. 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. Contact precautions b. Droplet precautions c. Airborne precautions d. Protective environment 24. A nurse is performing a home visit for a client who has tuberculosis (TB). As the nurse is leaving the client's house, a neighbor asks, "Is it true that my neighbor has TB?" Which of the following responses should the nurse make? a. "You should ask the public health department." b. "Do you have questions about tuberculosis?" c. "Have you ever been tested for tuberculosis?" d. "You should take precautions against this infection." Rationale: This response addresses the neighbor's concerns while protecting the client's confidentiality. 25. A nurse is developing a genogram for a client to determine education needs. Which of the following health risk information should the nurse expect to obtain with this tool? a. Biological b. Behavioral c. Social d. Economic 26. An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects? a. Gastric ulceration b. Orthostatic hypotension c. Hyperglycemia d. Urinary retention . 27. A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include? a. Minority populations may be at greater risk for abuse. b. Intimate partner abuse occurs more frequently in lower socioeconomic households. c. Child abuse is more common in homes where intimate partner abuse is present. d. Children who are abused are less likely to become abusers. 28. A nurse in an emergency department is triaging clients following an explosion at a local factory. Which of the following clients should the nurse identify as the priority? a. A client who has superficial burns to 10% of the abdomen b. A client who has tracheal deviation and shortness of breath c. A client who has agonal respirations and an open head injury d. A client who has a fracture of the humerus and a bleeding foot laceration 29. A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? a. Provide education about risk factors for hypertension. b. Conduct a hypertension screening clinic for the community. c. Teach clients who have a family history of hypertension how to monitor blood pressure. d. Implement an exercise program for clients who have hypertension. 30. A home health nurse is conducting a follow-up visit for a client who was recently discharged from an acute rehabilitation program. Which of the following actions should the nurse take? a. Tell the client to take naltrexone daily. b. Instruct the client to take buprenorphine for the next 9 to 12 months. c. Teach the client to avoid foods that contain tyramine. d. Schedule transcranial magnetic stimulation (TMS) biweekly. 31. A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment? a. Immunization status b. Sexual activity c. Illness practices d. Food allergies 32. A school nurse is notified that a school-age child has been newly diagnosed with pertussis. Which of the following actions should the nurse take? (Select all that apply.) a. Instruct the parent to keep the child at home until the coughing stage has passed. b. Encourage family members to obtain prophylactic treatment. c. Quarantine the children in the child's class. d. Recommend that the child receive a pneumococcal vaccine in 28 days. e. Check the immunization status of the child's classmates. 33. A nurse is caring for a client who has stage IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care? a. Make the hospice referral in accordance with the client's decision b. Verify that the client's health insurance pays for hospice services c. Recommend a second opinion from another provider d. Assess whether or not the family agrees with the client's decision 34. A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include which of the following vaccines is safe to administer to a client who is pregnant? a. Herpes zoster b. Tetanus, diphtheria, pertussis (Tdap) c. Varicella d. Measles, mumps, rubella 35. A community health nurse is providing care to a client who has stopped taking his prescribed blood pressure medication. Which of the following actions should the nurse take first? a. Inform the provider of the client's decision b. Determine the client's reason for discontinuing the medication c. Discuss the consequences of discontinuing the medication with the client d. Provide the client with an educational pamphlet about the medication . 36. Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following should the community health nurse assess first? a.The leadership support of the community b. The availability of volunteers c. The availability of volunteers d. The need for the program 37. A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take? a. Wear gloves. b. Wear a gown. c. Use disposable equipment. d. Use an N95 respirator. 38. A community health nurse is reviewing plans for a health education program. The nurse should identify that which of the following components of the plan needs to be changed? a. Program content is organized topically. b. Pamphlets are written at a 12th-grade level. c. The presentation is delivered via a computer slide presentation. d. Attendance at the program is voluntary 39. A nurse is planning a health promotion activity for the local community. Which of the following activities should the nurse include as an? a. Teaching foot care to adults who have diabetes mellitus b. Testing school-age children for lead exposure c. Providing tuberculosis screenings for day care providers d. Teaching meal planning classes to older adults 40. A home health nurse is providing nutritional instructions to a client who has COPD and is malnourished. Which of the following instructions should the nurse include? a. Drink at least 480 mL (16 oz) of liquid with each meal. b. Avoid foods that contain eggs c. Lie flat for 15 to 30 mins after eating d. Use milk instead of water when making canned soup 41. A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which of the following conditions is included on the Nationally Notifiable Infectious Conditions list? a. Varicella b. Erythema infectiosum c. Scarlet fever d. Molluscum contagiosum 42. A nurse is caring for a client who has recently emigrated from another country and states, "The health care system in my country was better and should be used everywhere." The nurse should recognize that the client is demonstrating which of the following behaviors? a. Social organization   b. Cultural imposition c. Ethnocentrism d. Stereotyping 43. A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is most important for the nurse to include in an attempt to lower adolescent mortality rates? a. Underage smoking b. Safer sex practices c. Safety belt use d. Heart-healthy diet 44. A nurse in an emergency department is caring for a client who is homeless and has hypothermia. Which of the following actions should the nurse take? a. Notify the local law enforcement agency of the client's situation b. Initiate a referral to the facility's social worker. c. Ask the client why he did not seek shelter sooner. d. Tell the client that everything will work out now that he is in the hospital. 45. A nurse in a community health clinic is preparing to administer an immunization to a 5-year-old child. Which of the following actions should the nurse take? Ask the child to pretend to blow up a balloon during the injection. Reassure the child that the injection is not going to hurt. Ask the child's parent to leave the room during the injection. Request that the child count backwards from the number 10 during the injection. 46. A nurse is developing a community education program about risk factors for family violence. The nurse should include which of the following circumstances as a risk factor for? a. Attempting to end the relationship b. Lacking supportive friends outside the relationship. c. Having health issues that limit independence d. Taking antianxiety or sedative medications 47. A home health nurse is planning care for a client who reports practicing traditional Asian health beliefs. The nurse should recognize that the client participates in which of the following actions? a. Place a cup of steam against the skin to draw out toxins from the body b. Applies cool compresses across the body to reduce fever c. Avoids eating dairy and meat products during the same meal d. Visits a shaman to seek healing from illness 48. A community health nurse is conducting vision screenings at a health fair for an older adult client who has age-related macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting to the changes? a. "I have a prescription bottle magnifier to help me read my pill bottle labels." b. "I canceled all of my magazine prescriptions since I can't read them." c. "I purchased green towels to use in my bathroom." d. "I have learned that I cannot to go outside when the sun is bright." . 49. A community health nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the nurse provide regarding support programs for these individuals? a. Alcoholics Anonymous (AA) is a support group that requires disclosure of attendance to employ]ers. b. Narcotics Anonymous (NA) is a one-on-one program that assists clients. c. Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovery program. d. Narcotics Anonymous (NA) will cure a client from her substance use disorder if she stays involved with the program. 50. An occupational health nurse in a factory is performing a routine tuberculosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse take? a. Instruct the employee to prepare a list of close personal contacts. b. Initiate an employee immunization program. c. Instruct the employee to wear an N95 respiratory mask. d. Administer prophylactic penicillin to other employees. [Show More]

Last updated: 1 year ago

Preview 1 out of 15 pages