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. A home health nurse is visiting a client who had a stroke 2 months ago. Which of the following findings should the nurse report to the interprofessional care team? a. The client bears weights on he... r arm when using crutches b. The client dresses her affected side first c. The client coughs when swallowing her medications d. The clients caregiver fills a pill organizer weekly. 2. A community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year, 3,144 new cases were reported and the population was estimated at 325,986. Which of the following is the incidence rate in the state for the year? a. About 10 reported cases per 1,000 population b. About 300 reported cases per 100,000 population c. About 1 reported case per 10,000 population d. About 3 reported cases per 10,000 population 3. An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect? a. Oliguria b. Diplopia c. Hypoglycemia d. Dizziness 4. A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in the teaching? a. The need for supplemental folic acid is greatest during the third trimester b. Pregnant adolescents need to gain less weight than adult mothers c. Caffeinated beverages should be replaced with caffeine-free beverages d. The incidence of high birth weight infants is higher in adolescent pregnancy. 5. A client arrives at a mental health clinic and tells the nurse that she has no purpose in life. Which of the following is the nurse’s priority response? a. How long have you been feeling this way? b. Have you been thinking about harming yourself? c. Tell me what is going on with you right now? d. Do you really think your life has no purpose? 6. A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement? a. Avoid discussing the traumatic events experienced by the veterans b. Change the meeting sites frequently c. Provide coffee and snacks during the meetings d. Teach the clients to practice deep breathing exercises 7. A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize that which of the following is the host? a. The virus b. The school c. The vaccine d. The children 8. A nurse is discussing short- and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion? a. You will being learning functional skills to replace defense mechanisms and behavioral while in treatment b. You will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment c. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal d. Attending Al-Anon meeting will help you identify a role model to assist you with making needed changes. 9. A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching? a. You should have your hearing screened every 5 years b. You should have a complete eye examination every 2 years until the age of 64 c. You should have your fasting blood glucose level checked every 6 years d. You should have your stool tested for blood every other year until the age of 74. 10. 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 Center for Disease Control and Prevention? a. Local Red Cross chapter b. Hospital Infection Control Department c. State health department d. Office of the Surgeon General 11. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? a. Encourage enrollment and attendance at weight reduction programs b. Measure the BMI of older adults at the community senior center c. Educate children at a day care center about nutrition and exercise d. Distribute health-risk appraisal questionnaires at community functions 12. The partner of an older adult client who has Alzheimers disease reports that he is not eating. The home health aid tells the nurse that the client’s partner refuses to assist the client with feeding. The partner insists the client feed himself without help. Which of the following is the priority action the nurse should take? a. Arrange for Meals on Wheels assistance b. Determine the clients ability to self-feed c. Refer the client’s partner to an Alzheimer’s support group. d. Direct the home health aide to assist with meals 13. A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include? a. Middle eastern cultural practices include hiding pain from close family members. b. Native American cultural practices include being outspoken about pain c. Puerto Rican cultural practices include the view that the outspoken expressions of pain are shameful. d. Chinese cultural practices include enduring pain to prevent family dishonor. 14. 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. Sports injury prevention b. Gun safety c. Motor vehicle safety d. Substance abuse prevention 15. A newly hired occupational health nurse is assessing hazards in the work environment which of the following actions will help the nurse detect potential physical hazards? a. Track rates of illness caused by infection among employees b. Identify industrial toxins that are presents in the environment (chemical) c. Survey workers about job-related emotional stress d. Measure noise levels at various location in the facility (physical) 16. A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal? a. Providing treatment for a young adult who has a substance use disorder b. Teaching parenting techniques to new parents c. Conducting counseling for at-risk parents d. Assessing a family for mental discord. 17. In the last month, three cases of tuberculosis have been referred to the Health Department. Which of the following is the priority information for the community health nurse to obtain from each client? a. Household members b. Health history c. Demographics d. Occupation 18. A home health nurse is scheduled for a first time visit to a client. Which of the following should the nurse perform first? a. Review of the neighborhood b. Mental status examination c. Family history d. Blood pressure screening 19. A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching? a. A dehumidifier should be placed beside the child’s bed b. Transmission will be limited because of herd immunity c. The child is most contagious after the rash develops d. Household contacts will receive prophylactic antibiotics 20. A school nurse is implementing health screenings. Which of the following assessment findings should the nurse recognize as the highest priority? a. An adolescent who has scoliosis b. A child who has nits c. An adolescent who has psoriasis d. A child who has a BMI of 18 21. A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity? a. Early detection of disease b. Identification of family history of medical problems c. Promotion of appropriate lifestyle changes d. Client enrollment in prevention programs 22. A community health nurse is caring for clients in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? a. Offering to shake hands when meeting an Asian client of the opposite gender b. Touching the hair of an African-American client during an assessment c. Maintaining eye contact when interviewing a Native-American client d. Including both hot and cold food items on a Hispanic client’s menu. 23. Several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following services should the nurses plan to provide to the congregation? a. Provide end-of-life care for members who are terminal b. Organize an influenza immunization clinic with the American Red Cross c. Perform wound care in the home of members d. Facilitate discharge from the facility to the house 24. A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first? a. Determine potential funding sources for the program b. Identify alternative solutions to address concerns c. Inquire about the availability of volunteers d. Perform a needs assessment 25. A nurse case manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client’s home? a. Consultant b. Systems allocator c. Advocate d. Coordinator 26. A nurse is counseling a client who is to undergo enzyme-linked immunosorbent assay testing for HIV. Which of the following information should the nurse include? a. A positive result requires initiating immunoglobulin administration b. The test measures antibodies to the virus c. The test results are accurate 24 hr after exposure to the virus d. The test monitors progression of the disease 27. A public health nurse is addressing community leaders at a forum about community improvement. The nurse should identify which of the following groups as being the fastest-growing segment of the homeless population? a. Men who are unemployed b. People who have substance use disorders c. Families who have children d. Adolescent runaways 28. A 35-year-old client who has a diagnosis of TB informs the provider’s office that she is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment? a. Send the client to the nearest facility for further evaluation b. Explore options for alternative therapies c. Arrange for medication through local agencies (bc funding) d. Help the client apply for Medicare (for 65+) 29. 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. Organizing a mass casualty drill for community members (p.66) b. Functioning as a manager at a temporary shelter c. Assisting with the identification of a biological agent d. Implementing a disaster triage plan with a local medical facility 30. A nurse is preparing an educational program about breastfeeding for a group of new parents. The nurse should use which of the following instructional strategies to promote psychomotor learning? a. Review flashcards that identify holding techniques with the group b. Show the group a video on breastfeeding techniques c. Facilitate a discussion group about benefits of breastfeeding d. Provide dolls for the participants to demonstrate positioning.  (involves performing the skill) 31. 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. Offer 120 ml(4oz) of cold 2% milk as meal replacement b. Assist the clients in using guided imagery c. Provide sips of room-temperature ginger ale between meals d. Using seasoning to enhance the flavors of food e. Maintain the head of the client's bed in an elevated position after eating 32. A community health nurse is planning a smoking cessation class. Which of the following factors will have the greatest effect on the success of the class? a. Presenter’s credibility b. Clients motivation c. Clients education level d. Presenter teaching strategies 33. A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take? a. Help clients gather needed supplies b. Address the physical needs of clients c. Create diversionary activities for children d. Explore feelings the clients are experiencing 34. A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the clients? a. Administrator b. Case manager c. Nurse consultant d. Clinician 35. 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. Ask family members about the impact of the disease on relationship within the family. b. Discuss the benefits of eating a well-balanced diet with the client’s family c. Offer to accompany the client and the client’s partner during health care provider visits d. Assist the client and the client’s partner with finding an affordable exercise program. 36. 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. Educate the family regarding the progression of dementia b. Encourage the family to join a support group (you dont know if they need) c. Provide the family with information about respite care (too soon to give) d. Engage the family in informal conversations 37. A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in the teaching? (SATA) a. You will need to take an antiviral medication for 30 days b. You should avoid sexual contact until therapy is complete c. Notify anyone with whom you have had sexual contact over the past 2 months d. Once you complete treatment, you will have an acquired immunity against chlamydia e. You might experience painful urination until the infection has resolved. 38. A community health nurse is planning a program for adolescents about preventing STDs. Which of the following actions should the nurse take first? a. Obtain visual aids that feature adolescents b. Establish methods to evaluate program outcomes c. Provide computer-based education d. Collect data to identify barriers to learning 39. A clinic nurse is assessing a client who has rubeola/measles. Which of the following findings should the nurse expect? a. Koplik spots inside the mouth b. Rash confined to the trunk of the body c. Muscle aches and tenderness d. Persistent low-grade temperature 40. A nurse at a local health department is caring for several clients. Which of the following infections should the nurse report to the state health department? a. Herpes simplex virus b. Human papilloma virus c. Group B streptococcus B-hemolytic d. Chlamydia  List of communicable diseases 41. A nursing 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 a nurse. Which of the following actions should the nurse take? a. Use professional terminology when providing education prior to the procedure (that would be a hard no) b. Identify the client's spoken dialect prior to contacting an interpreter c. Arrange for a member of the clients community to interpret the teaching d. Have the clients daughter coming to the information about the procedure 42. A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse takes first to promote a clean and safe environment? a. Engage neighborhood families to monitor the playground for further trash buildup b. Partner city officials with community members to improve the playground condition c. Work with local businesses to sponsor more trash receptacles in the playground d. Meet with community members to discuss methods of playground maintenance  You want to do the “least invasive” first 43. A nurses caring for a client who is homeless. Which of the following actions should the nurse take first? a. Determine the client's understanding of her living situation b. Discussed the risks of being homeless with the client c. Assisted client to develop goals for obtaining shelter d. Develop client teaching using a variety of strategies 44. A community health nurse is providing teaching to a group of clients who have alcohol use disorder. Which of the following findings should the nurse including the teaching as a manifestation of alcohol withdrawal? a. Bradycardia (tachy) b. Insomnia (sleep disturbances, p. 52) c. Increased appetite (Nah bc N/V) d. Hypothermia 45. A government official reports to the health department that an employee was possibly exposed to anthrax. Which of the following actions should the public health nurse take? a. Instruct the client to wear a mask at work b. Place employee under quarantine for 14 days ? c. Alert the family members of coworkers about their possible exposure anthrax (not transmitted person to person) d. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics  Yes because, it's not a confirmed case yet, so you want to take precautions before the results come back 46. A nurse is working with the community healthcare team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention? a. Assessing for risk factors of intimate partner abuse during health exams b. Developing resources for victims of abuse c. Urging community leaders to make non violence a priority (S) d. Presenting community education programs about stress management (P) 47. A first response team is working at the location of the bombing incident. The nearest triaging a group of clients should give treatment priority to which of the following clients? a. A client who has a ridge and abdomen with manifestations of shock b. A client who has superficial partial thickness burn injuries over 5% of his body (Green) c. A client who is ambulatory and exhibit manic behavior (seems like green) d. A client who has femur fracture with a 2+ pedal pulse (Green) 48. A community health nurse is educating a parent about the importance of hepatitis B immunization. Which of the following explanation should the nurse give the parent about the disease? a. People who have had a hepatitis B infection still need the immunization b. One dose of the immunization gives children lifelong protection from hepatitis B c. Many people who acquire acute hepatitis B developed chronic hepatitis d. Hepatitis B spreads easily among children through casual contact 49. A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey? a. Demographic data b. Informant interviews c. Mortality rate d. Housing quality 50. An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comments indicates the client is using rationalization as a coping mechanism? a. I have difficulty resisting the items in vending machines b. I have lots of health problems from being obese c. I know you don’t like me because I am obese d. I am a beast because it’s in my genes 51. A home health nice manager is caring for a client who is methicillin-resistant staphylococcus aureus. Which of the following actions should the nurse? a. Encourage the client to use the HEPA filter in the house b. Double bag soiled dressings in polyethylene bag c. Remove fresh flowers from the client's home d. Wear a mask when within 3 feet of the client 52. A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional culture foods to fit her meal plan. Which of the following is the first action the nurse should take when assessing this client? a. Observe the client during preparation of traditional foods b. Provide the client with printed recipes c. Use cookbooks to include additional foods in meal plan d. Explain the diabetes exchange list 53. A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization (HMO) provides which of the following payment structures? a. The client pays the insurer a percentage of the total cost 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 [Show More]

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