Description

NR 442 Community Health Practice Exam A (50 Items)

1. A community health nurse is planning a presentation 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
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?
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?
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?
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?
6. A community health nurse is conducting a needs assessment of a community. The nurse should identify which of the following methods will yield direct data?
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?
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).
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?
10. A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
27. A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include?
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?
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?
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?
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?
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.)
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?
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?
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?
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?
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?
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?
39. A nurse is planning a health promotion activity for the local community. Which of the following activities should the nurse include as an?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?