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Question 1

During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parents. Which of the following actions should the nurse take first?

A. Report the incident to local authorities
B. Check the child for injuries
C. Refer the parent to a social service agency
D. Enroll the parent in anger management classes

Answer 1

B. Check the child for injuries

Question 2

A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first?

A. Give positive feedback to students who make appropriate choices.
B. Help students recognize the value of making healthy food choices.
C. Provide students with resources about making wise choices independently.
D. Determine students’ motivation to learn about healthy food choices.

Answer 2

D. Determine students’ motivation to learn about healthy food choices.

Question 3

A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? (Select all that apply)

A. Investigate potential health and environmental issues.
B. Initiate support groups for parents of autistic children.
C. Provide wound care for clients in their homes.
D. Participate in local health surveillance activities.
E. Provide health-related education to community groups.

Answer 3

A. Investigate potential health and environmental issues.
D. Participate in local health surveillance activities.
E. Provide health-related education to community groups.

Question 4

A community health nurse is planning an educational program for a group of women who are postmenopausal. Which of the following outcomes is appropriate for this program?

A. Clients will schedule bone density screening.
B. Clients will arrange for mammograms every 3 years.
C. Clients will start hormone replacement therapy.
D. Clients will significantly decrease caloric intake.

Answer 4

A. Clients will schedule bone density screening.

Question 5

A nurse is working with a care manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?

A. The client is participating in a fee-for-service health care insurance program.
B. The provider is paid a fixed sum for the client on a monthly or yearly basis.
C. The client pays the insurer a percentage of the total costs for each service rendered by the provider.
D. The provider bills the client directly for a predetermined percentage of the cost of services.

Answer 5

B. The provider is paid a fixed sum for the client on a monthly or yearly basis.

Question 6

A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client?

A. Provide the client with a printed recipe.
B. Observe the client during preparation of traditional foods.
C. Use cookbooks to include traditional foods in meal plans.
D. Explain diabetes exchange list.

Answer 6

B. Observe the client during preparation of traditional foods.

Question 7

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 lots of health problems from being obese.
B. I am obese because it’s in my genes.
C. I have difficulty resisting the items in vending machines.
D. I know you don’t like me because I am obese.

Answer 7

B. I am obese because it’s in my genes.

Question 8

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. Mortality rate.
C. Informant interviews.
D. Housing quality.

Answer 8

D. Housing quality.

Question 9

A community health nurse is educating a parent about the importance of hepatitis B immunization. Which of the following explanations should the nurse give the parent about the disease?

A. One dose of the immunization gives children lifelong protection from hepatitis B.
B. Hepatitis B spreads easily among children through casual contact.
C. Many people who acquire acute hepatitis B develop chronic hepatitis.
D. People who have had a hepatitis B infection still need the immunization.

Answer 9

C. Many people who acquire acute hepatitis B develop chronic hepatitis.

Question 10

A first response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients?

A. A client who has superficial partial-thickness burn injuries over 5% of his body.
B. A client who has a femur fracture with a 2+ pedal pulse.
C. A client who is ambulatory and exhibits manic behavior.
D. A client who has a rigid abdomen with manifestations of shock.

Answer 10

D. A client who has a rigid abdomen with manifestations of shock.

Question 11

A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention?

A. Presenting community education programs about stress management.
B. Developing resources for victims of abuse.
C. Urging community leaders to make nonviolence a priority.
D. Assessing for risk factors of intimate partner abuse during health examinations.

Answer 11

B. Developing resources for victims of abuse.

Question 11

A public health nurse is caring for an employee who has been exposed to anthrax. Which of the following actions should the nurse take?

A. Alert the family members of coworkers about possible exposure to anthrax.
B. Place the employee under quarantine for 14 days.
C. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics.
D. Instruct the employee to wear a mask at work.

Answer 11

C. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics.

Question 12

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 include in the teaching as a manifestation of alcohol withdrawal?

A. Bradycardia.
B. Hypothermia.
C. Increased appetite.
D. Insomnia.

Answer 12

D. Insomnia.

Question 13

A nurse is 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. Assist the client to develop goals for obtaining shelter.
C. Discuss the risks of being homeless with the client.
D. Develop client teaching using a variety of strategies.

Answer 13

A. Determine the client’s understanding of her living situation.

Question 14

A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment?

A. Meet with community members to discuss methods of playground maintenance.
B. Partner with city officials and community members to improve the playground condition.
C. Work with local businesses to sponsor more trash receptacles in the playground.
D. Engage neighborhood families to monitor the playground for further trash buildup.

Answer 14

D. Engage neighborhood families to monitor the playground for further trash buildup.

Question 15

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?

A. Have the client’s daughter communicate information about the procedure.
B. Arrange for a member of the client’s community to interpret the teaching.
C. Identify the client’s spoken dialect prior to contacting an interpreter.
D. Use professional terminology when providing education prior to the procedure.

Answer 15

C. Identify the client’s spoken dialect prior to contacting an interpreter.

Question 16

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. Chlamydia.
B. Herpes simplex virus.
C. Group B Streptococcus B hemolytic.
D. Human papillomavirus.

Answer 16

A. Chlamydia.

Question 17

A clinic nurse is assessing a client who has measles. Which of the following findings should the nurse expect?

A. Koplik spots inside the mouth.
B. Persistent low-grade temperature.
C. Muscle aches and tenderness.
D. Rash confined to the trunk of the body.

Answer 17

A. Koplik spots inside the mouth.

Question 18

A community health nurse is planning a program for adolescents about preventing STIs. Which of the following actions should the nurse take first?

A. Collect data to identify barriers to learning.
B. Establish methods to evaluate program outcomes.
C. Obtain visual aids that feature adolescents.
D. Provide computer-based education.

Answer 18

A. Collect data to identify barriers to learning.

Question 19

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? (Select all that apply)

A. You should avoid sexual contact until therapy is complete.
B. Notify anyone with whom you have had sexual contact over the past 2 months.
C. You will need to take an antiviral medication for 30 days.
D. Once you complete treatment, you will have an acquired immunity against chlamydia.
E. You might experience painful urination until the infection has resolved.

Answer 19

A. You should avoid sexual contact until therapy is complete.
B. Notify anyone with whom you have had sexual contact over the past 2 months.
E. You might experience painful urination until the infection has resolved.

Question 20

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. Encourage the family to join a support group.
B. Provide the family with information about respite care.
C. Educate the family regarding the progression of dementia.
D. Engage the family in informal conversation.

Answer 20

D. Engage the family in informal conversation.

Question 21

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. Discuss the benefits of eating a well-balanced diet with the client’s family.
B. Assist the client and the client’s partner with finding an affordable exercise program.
C. Offer to accompany the client and the client’s partner during health care provider visits.
D. Ask family members about the impact of the disease on relationships within the family.

Answer 21

D. Ask family members about the impact of the disease on relationships within the family.

Question 22

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 client?

A. Administrator.
B. Nurse consultant.
C. Case manager.
D. Clinician.

Answer 22

C. Case manager.

Question 23

A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take?

A. Create diversionary activities for children.
B. Address the physical needs of clients.
C. Help clients gather needed supplies.
D. Explore feelings the clients are experiencing.

Answer 23

B. Address the physical needs of clients.

Question 24

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 teaching strategies. B. Presenter's credibility. C. Client's motivation. D. Client's education level.

Answer 24

C. Client's motivation.

Question 25

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? (Select all that apply) A. Use seasonings to enhance the flavor of foods. B. Provide sips of room temperature ginger ale between meals. C. Maintain the head of the client's bed in an elevated position after eating. D. Offer 120 ml (4 oz.) of cold 2% milk as a meal replacement. E. Assist the client in using guided imagery.

Answer 25

B. Provide sips of room temperature ginger ale between meals. C. Maintain the head of the client's bed in an elevated position after eating. E. Assist the client in using guided imagery.

Question 26

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 the benefits of breastfeeding. D. Provide dolls for the participants to demonstrate positioning.

Answer 26

D. Provide dolls for the participants to demonstrate positioning.

Question 27

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. Implementing a disaster triage plan with a local medical facility. B. Functioning as a manager at a temporary shelter. C. Assisting with the identification of a biological agent. D. Organizing a mass casualty drill for community members.

Answer 27

D. Organizing a mass casualty drill for community members.

Question 28

A 35-year-old client who has a diagnosis of tuberculosis 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. Help the client apply for Medicare B. Explore options for alternative therapies C. Arrange for medication through local agencies D. Send the client to the nearest facility for further evaluation

Answer 28

C. Arrange for medication through local agencies

Question 29

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. People who have substance use disorders B. Families who have children C. Adolescent runaways D. Men who are unemployed

Answer 29

B. Families who have children

Question 30

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

Answer 30

D. Coordinator

Question 31

A faith-based organization asks a community health nurse to develop a mobile meal program for older adults. Which of the following actions should the nurse plan to take first? A. Determine potential funding sources for the program B. Inquire about the availability of volunteers C. Identify alternative solutions to address concerns D. Perform a needs assessment

Answer 31

D. Perform a needs assessment

Question 32

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. Organize an influenza immunization clinic with the American Red Cross B. Perform wound care in the home of members C. Provide end of life care for members who are terminal D. Facilitate discharge from the facility to the home

Answer 32

A. Organize an influenza immunization clinic with the American Red Cross

Question 33

A community health nurse is caring for a client in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? A. Touching the hair of an African American client during an assessment B. Offering to shake hands when meeting an Asian client of the opposite gender C. Maintaining eye contact when interviewing a Native American client D. Including both hot and cold food items on a Hispanic client's menu

Answer 33

D. Including both hot and cold food items on a Hispanic client's menu

Question 34

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. Client enrollment in prevention programs C. Promotion of appropriate lifestyle changes D. Identification of family history of medical problems

Answer 34

A. Early detection of disease

Question 35

A school nurse is implementing health screening. Which of the following assessment findings should the nurse recognize as the highest priority? A. A child who has a BMI of 18 B. An adolescent who has scoliosis C. An adolescent who has psoriasis D. A child who has nits

Answer 35

D. A child who has nits

Question 36

A nurse is teaching a client who has a child with pertussis. Which of the following information should the nurse include? A. A humidifier should be placed beside the child's bed B. Household contacts will receive prophylactic antibiotics C. Transmission will be prevented because of herd immunity D. The child is most contagious after the rash develops

Answer 36

B. Household contacts will receive prophylactic antibiotics

Question 37

A home health nurse is scheduled for a first time visit to a client. Which of the following should the nurse perform first? A. Blood pressure screening B. Mental status examination C. Review of the neighborhood D. Family history

Answer 37

C. Review of the neighborhood

Question 38

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. Demographics B. Household members C. Occupation D. Health history

Answer 38

B. Household members

Question 39

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. Conducting counseling for at-risk parents B. Assessing a family for marital discord C. Teaching parenting techniques to new parents D. Providing treatment for a young adult who has a substance use disorder

Answer 39

C. Teaching parenting techniques to new parents

Question 40

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. Survey workers about job-related emotional stress C. Identify industrial toxins that are present in the environment D. Measure noise levels at various locations in the facility

Answer 40

D. Measure noise levels at various locations in the facility

Question 41

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. Motor vehicle safety B. Sports injury prevention C. Substance abuse prevention D. Gun safety

Answer 41

A. Motor vehicle safety

Question 42

A nurse of 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 outspoken expressions of pain are shameful. D. Asian cultural practices include suppressing pain to avoid burdening others.

Answer 42

D. Asian cultural practices include suppressing pain to avoid burdening others.

Question 43

The partner of an older adult client who has Alzheimer's disease reports that he is not eating. The nurse observes that the client's partner refuses to assist the client with feeding. The partner insists that 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 client's ability to self-feed. C. Direct the home health aide to assist with meals. D. Refer the client's partner to an Alzheimer's support group.

Answer 43

B. Determine the client's ability to self-feed.

Question 44

A nurse is planning priority interventions for a community health program. Which of the following interventions should the nurse include? A. Encourage enrollment and attendance at weight reduction programs. B. Educate children at a day care center about nutrition and exercise. C. Distribute health risk appraisal questionnaires at community functions. D. Measure the BMI of older adults at a community senior center.

Answer 44

B. Educate children at a day care center about nutrition and exercise.

Question 45

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 Centers for Disease Control and Prevention (CDC)? A. Office of the Surgeon General. B. State health department. C. Hospital infection control department. D. Local Red Cross chapter.

Answer 45

B. State health department.

Question 46

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 a complete eye examination every 2 years until the age of 64. B. You should have your hearing screened every 5 years. C. You should have your stool tested for blood every other year until the age of 74. D. You should have your fasting blood glucose level checked every 6 years.

Answer 46

A. You should have a complete eye examination every 2 years until the age of 64.

Question 47

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 be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment. B. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal. C. Attending Al-Anon meetings will help you identify a role model to assist you with making needed changes. D. You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment.

Answer 47

D. You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment.

Question 48

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 vaccine. B. The virus. C. The school. D. The children.

Answer 48

D. The children.

Question 49

A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder (PTSD). Which of the following interventions should the nurse implement? A. Provide coffee and snacks during the meetings. B. Avoid discussing the traumatic events experienced by the veterans. C. Change the meeting sites frequently. D. Teach the clients to practice deep breathing exercises.

Answer 49

D. Teach the clients to practice deep breathing exercises.

Question 50

A client states, "My life has no meaning right now." Which of the following responses should the nurse make? A. Have you been thinking about harming yourself? B. How long have you been feeling this way? C. Tell me what is going on with you right now. D. Do you really think your life has no purpose?.

Answer 50

C. Tell me what is going on with you right now.

Question 51

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 their teaching? A. The need for supplemental folic acid is greatest during the third trimester. B. The incidence of high birth weight infants is higher in adolescent pregnancy. C. Pregnant adolescents need to gain less weight than adult mothers. D. Caffeinated beverages should be replaced with caffeine-free beverages.

Answer 51

D. Caffeinated beverages should be replaced with caffeine-free beverages.

Question 52

A nurse should expect which of the following conditions in a client who has hypoglycemia? A. Oliguria. B. Diplopia. C. Hypoglycemia. D. Dizziness.

Answer 52

D. Dizziness.

Question 53

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 100 reported cases per 100,000 population. B. About 1 reported case per 10,000 population. C. About 10 reported cases per 10,000 population. D. About 1000 reported cases per 100,000 population.

Answer 53

D. About 1000 reported cases per 100,000 population.

Question 54

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 dresses her affected side first. B. The client bears weight on their arms when using crutches. C. The client coughs when swallowing her medications. D. The client's caregiver fills a pill organizer weekly.

Answer 54

C. The client coughs when swallowing her medications.

Question 55

A home health nurse manager is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take? A. Remove fresh flowers from the client's home. B. Wear a mask when within 3 feet of the client. C. Encourage the client to use a HEPA filter in the house. D. Double bag soiled dressings in polyethylene bags.

Answer 55

D. Double bag soiled dressings in polyethylene bags.

Question 56

A nurse is counseling a client who is to undergo enzyme-linked immunosorbent assay (ELISA) testing for HIV. Which of the following information should the nurse include? A. The test monitors the progression of the disease B. The test measures antibodies to the virus C. The test results are accurate 24 hours after exposure to the virus D. A positive result requires initiating immunoglobulin administration

Answer 56

B. The test measures antibodies to the virus

Question 57

A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? A. Teach the client about appropriate food choices. B. Refer the client to a diabetes mellitus support group. C. Identify the client's dietary preferences. D. Develop a nutritional program.

Answer 57

C. Identify the client's dietary preferences.

Question 58

A hospice nurse is planning care for a client who is near death. Which of the following actions should the nurse include in the client's plan of care to promote the client's comfort? A. Elevate the head of the client's bed. B. Offer the client ice chips. C. Turn the client every 4 hours. D. Provide oral care to the client every 6 hours.

Answer 58

A. Elevate the head of the client's bed.

Question 59

A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community? A. Ensure client adherence to the medication regimen. B. Perform tuberculosis screenings throughout the community. C. Report the active case to the public health department. D. Provide education to the community about the manifestations of tuberculosis.

Answer 59

C. Report the active case to the public health department.

Question 60

A home health nurse is assessing the health history of a new client. The nurse should identify that which of the following conditions increases the client's risk for falls? A. Chronic obstructive pulmonary disease. B. Chronic kidney disease. C. Osteoarthritis. D. Wide-angle glaucoma.

Answer 60

C. Osteoarthritis.

Question 61

A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider when selecting appropriate resources for the client? A. The website is updated every five years. B. The website is hosted by a dialysis equipment marketing group. C. The website is sponsored by a healthcare political action committee. D. The website provides a peer review process for publishing information.

Answer 61

D. The website provides a peer review process for publishing information.

Question 62

A community health nurse is providing teaching to a client who speaks a different language. Which of the following findings should the nurse document as an indication that the client understands the teaching? A. The client nods their head and smiles during the teaching. B. The client demonstrates what they learned during the teaching. C. The client wears their glasses and hearing aids during the teaching. D. The client makes frequent eye contact during the teaching.

Answer 62

B. The client demonstrates what they learned during the teaching.

Question 63

A nurse is performing a home hazard appraisal for a client who is experiencing weakness in the lower extremities and uses a walker. Which of the following recommendations should the nurse make? A. Sit on a shower chair while showering. B. Place several small throw rugs on non-carpeted floors. C. Ambulate without the walker for short distances. D. Use 40-watt bulbs in light fixtures.

Answer 63

A. Sit on a shower chair while showering.

Question 64

A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first? A. "Describe the place where you are currently living." B. "Apply moisture barrier ointment three times a day." C. "A social worker can help you with the cost of supplies." D. "Eat a balanced diet with high-protein snacks."

Answer 64

A. "Describe the place where you are currently living."

Question 65

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) A. Recommending a seating arrangement for a child in a body cast. B. Lobbying for funding for health promotion efforts. C. Creating a plan of care for children who have a diagnosis of diabetes mellitus. D. Organizing a program to promote skateboard safety. E. Teaching a class about risks of smoking cigarettes

Answer 65

B. Lobbying for funding for health promotion efforts. D. Organizing a program to promote skateboard safety. E. Teaching a class about risks of smoking cigarettes

Question 66

A home health nurse is visiting a client who is recovering from a stroke. The client's adult child has taken on the role of caregiver. Which of the following statements indicates they are adapting to their role change? A. "I will need financial assistance if I don't get back to my job soon." B. "I have a neighbor coming over so I can go get my hair cut and styled." C. "I apologize for the dishes piling up in the kitchen sink." D. "I am still trying to rearrange the furniture so they can use their walker."

Answer 66

B. "I have a neighbor coming over so I can go get my hair cut and styled."

Question 67

A nurse is instructing a newly licensed nurse about preparing educational documents for a primary prevention program. Which of the following statements by the newly licensed nurse indicates that health literacy needs are met? A. "I will use third person when conducting the presentation." B. "I will focus on medical facts instead of desired behaviors." C. "I will ensure the content is written at an 8th-grade level." D. "I will use a 16-point font when creating the handouts."

Answer 67

C. "I will ensure the content is written at an 8th-grade level."

Question 68

A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? A. "We should share our computer passwords with our manager." B. "HIPAA rules allow clients to receive a copy of their medical records." C. "HIPAA rules vary from state to state." D. "A client's diagnosis can be posted on the communication board inside the client's room."

Answer 68

B. "HIPAA rules allow clients to receive a copy of their medical records."

Question 69

A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide? A. "I don't want to lose control of my ability to make decisions." B. "I am afraid of experiencing pain near the end." C. "I know that everything will be better soon." D. "I am relying more and more on my partner for support."

Answer 69

C. "I know that everything will be better soon."

Question 70

A teacher suspects a child is being maltreated at home and takes them to the school nurse. Which of the following findings should the nurse report as an indication of possible maltreatment? A. The child has recent onset of urinary incontinence. B. The child receives free lunches at school. C. The child has bruises on both knees. D. The child reports having a toothache.

Answer 70

A. The child has recent onset of urinary incontinence.

Question 71

A home health nurse is providing teaching to a client who has diabetes mellitus about the proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching? A. "I will wear gloves when I discard the syringes." B. "I will store used syringes in a biohazard bag before discarding." C. "I will take containers of used syringes to the local recycling center." D. "I will discard the syringes in a metal container."

Answer 71

D. "I will discard the syringes in a metal container."

Question 72

A community health nurse is in the initial phase of planning a smoking cessation program. Which of the following actions should the nurse take first? A. Evaluate the methods of successful smoking cessation programs. B. Gain community support for the program. C. Determine the prevalence of smoking in the community. D. Formulate objectives for the smoking cessation program.

Answer 72

C. Determine the prevalence of smoking in the community.

Question 73

A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take? A. Request a referral for a social worker. B. Ask the client why they do not want to continue treatment. C. Discuss the client's wishes with their provider. D. Instruct the client that they need to change their advance directives first.

Answer 73

B. Ask the client why they do not want to continue treatment.

Question 74

A public health nurse is developing a protocol for the treatment of inhalation anthrax in the event of widespread public exposure. Which of the following pieces of information should the nurse plan to include? A. The anthrax vaccine is ineffective following direct anthrax exposure. B. Manifestations of anthrax infection appear within 3 days of exposure. C. Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax. D. Ciprofloxacin should be administered to asymptomatic clients who were directly exposed to anthrax.

Answer 74

D. Ciprofloxacin should be administered to asymptomatic clients who were directly exposed to anthrax.

Question 75

A home health nurse is reviewing a list of staff activities for the upcoming month. The nurse should identify that which of the following activities will provide feedback regarding care quality? A. Teaching clients' family members how to care for a wound in the home setting. B. Tracking the number of postoperative clients who are readmitted to the acute care facility. C. Orienting staff members to a new piece of equipment that will be used in the home setting. D. Organizing an event to improve the morale of the home health staff.

Answer 75

B. Tracking the number of postoperative clients who are readmitted to the acute care facility.

Question 76

A nurse is caring for a client who has terminal cancer and has decided to be discharged to receive palliative care at home. Which of the following statements made by the client indicates an understanding of palliative care management? A. Palliative care services end for my family upon my death. B. Palliative care is reserved for end-of-life. C. Palliative care will help to postpone my death. D. Palliative care aims to improve my quality of life.

Answer 76

D. Palliative care aims to improve my quality of life.

Question 77

A nurse is working for a hospice organization. The nurse should identify that which of the following criteria must be met for a client to qualify for hospice care? A. The client's insurance provides coverage for palliative care B. The client has declined additional life prolonging treatments C. The client requires inpatient care due to lack of a caregiver D. The client has documentation stating he has less than 12 months to live

Answer 77

B. The client has declined additional life prolonging treatments

Question 78

A community health nurse is providing support to the caregiver of a client who has new onset dementia. Which of the following statements should the nurse make to the caregiver? A. You should not expect any financial assistance for dementia. B. You should find a local support group for caregivers. C. You should not allow anyone else to care for your partner. D. You should complete all ADLs for your partner.

Answer 78

B. You should find a local support group for caregivers.

Question 79

A home health nurse is providing teaching to a client and their family about hospice care. Which of the following information should the nurse include in the teaching? A. Hospice care will provide life extending interventions. B. Hospice programs are designed for clients who have 6 months or fewer to live. C. Hospice care allows families to participate in the client's care. D. Hospice services end when the client dies.

Answer 79

B. Hospice programs are designed for clients who have 6 months or fewer to live.

Question 80

An occupational health nurse at a factory is planning upcoming health programs for employees. Which of the following actions demonstrates the use of secondary prevention strategies? A. Providing education about safety and injury prevention for employees B. Screening employees who were exposed to high levels of noise for hearing loss C. Coordinating disaster planning efforts at the factory D. Providing nutrition education to employees who have a BMI of greater than 30

Answer 80

B. Screening employees who were exposed to high levels of noise for hearing loss

Question 81

A nurse is conducting discharge planning for several clients. When reviewing information to report to other members of the interprofessional team, which of the following actions is the nurse's priority? A. Ask social services to inform a client about community support organizations B. Notify spiritual support personnel about a client who requests a visit C. Inform the physical therapist of activity restrictions for a client following a hip arthroplasty D. Request a dietitian consult for a client who asks for information about a vegan diet

Answer 81

C. Inform the physical therapist of activity restrictions for a client following a hip arthroplasty

Question 82

A faith community nurse is preparing to meet with another family from the same congregation as an adolescent who has leukemia. Which of the following actions should the nurse plan to take? A. Deny any requests to share the adolescent's diagnosis. B. Assess the family's needs for support or guidance. C. Refer the family to the adolescent's health care providers. D. Review the adolescent's care plans with the family.

Answer 82

B. Assess the family's needs for support or guidance.

Question 83

A home health nurse is explaining a HIPAA acknowledgement form to a client in preparation for them to sign it. Which of the following information should the nurse provide? A. I can share your current medical information with providers who are involved in your care. B. The billing department at the agency will have access to your medical record. C. Assistive personnel will be able to access your prior admission information. D. Your health care provider will assist you in making decisions about who to disclose your health information to.

Answer 83

A. I can share your current medical information with providers who are involved in your care.

Question 84

A public health nurse is assisting in emergency response following a natural disaster in a community. Which of the following situations observed by the nurse indicates the community is in the recovery phase of the disaster? A. Survivors are thankful for having survived the disaster. B. Outside responders are working long hours each day. C. Volunteers are experiencing burnout. D. The community adapts to a new state of normalcy.

Answer 84

D. The community adapts to a new state of normalcy.

Question 85

A nurse is caring for a client who has been taking echinacea as an alternative therapy for treatment. Which of the following findings should indicate to the nurse the treatment has been effective? A. The client's arthritis pain has improved. B. The client is sleeping through the night. C. The client's leg wound is healing. D. The client's blood pressure is 132/56 mm Hg.

Answer 85

C. The client's leg wound is healing.

Question 86

During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse take first? A. Contact the local health department. B. Establish a triage area. C. Administer oxygen therapy. D. Notify the parents of the students.

Answer 86

B. Establish a triage area.

Question 87

Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from rips in the heating duct insulation? A. National Institutes of Health B. Environmental Protection Agency C. Centers for Disease Control and Prevention D. Department of Health and Human Services

Answer 87

B. Environmental Protection Agency

Question 88

A community health nurse notes that six new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. Which of the following is the prevalence proportion for the community? A. 33.3/100,000 B. 40.0/100,000 C. 0.9/100,000 D. 73.3/100,000

Answer 88

D. 73.3/100,000

Question 89

A community health nurse is providing an in-service to new staff members on isolation precautions. Which of the following diseases should the nurse identify as requiring airborne precautions? A. Clostridium difficile B. Influenza C. Disseminated herpes zoster D. Respiratory syncytial virus (RSV)

Answer 89

C. Disseminated herpes zoster

Question 90

A community health nurse is discussing advance directives with a client. The nurse should identify that which of the following statements made by the client indicates an understanding of the purpose of advance directives? A. They ease the difficult decisions faced by those involved in my care. B. They decrease the potential for receiving palliative care. C. They help to uphold the ethical principle of veracity. D. They detail my doctor's decisions about my end-of-life care.

Answer 90

A. They ease the difficult decisions faced by those involved in my care.

Question 91

A community health nurse is developing a disaster-preparedness plan. Which of the following actions should the nurse take first when developing the plan? A. Assemble an emergency disaster response team. B. Evaluate the effectiveness of local disaster-preparedness drills. C. Identify the community's risks and capabilities. D. Provide education about first aid and triage.

Answer 91

C. Identify the community's risks and capabilities.

Question 92

A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min. Which of the following actions should the nurse take first? A. Assess the bladder for distention. B. Massage the client's fundus. C. Prepare to administer a prescribed oxytocic preparation. D. Assess client's blood pressure.

Answer 92

B. Massage the client's fundus.

Question 93

A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer. Which of the following interventions should the nurse include in the plan? A. Initiate topics of conversation that avoid the client's health status. B. Recommend the client seek out hospice services rather than seek treatment. C. Provide quiet time during visits for prayer or meditation. D. Place the client's name and medical condition on an online prayer chain.

Answer 93

C. Provide quiet time during visits for prayer or meditation.

Question 94

A school nurse is reviewing the family history of a school-age child who has a fractured ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply) A. One of the child's parents appears frightened of the other parent. B. Neither of the child's parents are financially stable. C. One of the child's parents has a history of alcohol use disorder. D. The child spends the weekends with their grandparents.

Answer 94

A. One of the child's parents appears frightened of the other parent. B. Neither of the child's parents are financially stable. C. One of the child's parents has a history of alcohol use disorder.

Question 95

A community health nurse is caring for a client who has laryngeal tuberculosis. Which of the following isolation precautions should the nurse recommend for this client? A. Airborne precautions B. Contact precautions C. Protective environment D. Droplet precautions

Answer 95

A. Airborne precautions

Question 96

A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. Which of the following actions should the nurse plan to take? A. Focus the discussion on the adolescent's future career plans. B. Determine how the adolescent's health has affected family roles. C. Ask another family from the same faith congregation to attend the meeting for support. D. Direct conversation to the parents to avoid embarrassing the adolescent.

Answer 96

B. Determine how the adolescent's health has affected family roles.

Question 97

A nurse is caring for a client who has been using tea tree oil as an alternative treatment. Which of the following client responses indicates the essential oil has been effective? A. "My athlete's foot is almost gone." B. I haven't had a migraine headache this month." C. The pain in my back has decreased." D. "My sleeping has improved over the last 3 weeks

Answer 97

A. "My athlete's foot is almost gone."

Question 98

A nurse manager in a community health clinic is reviewing the charts of four clients. Which of the following illnesses should the nurse manager recognize as a national notifiable condition? A. Gonorrhea B. Gastroenteritis C. Respiratory syncytial virus (RSV) D. Hepatitis E

Answer 98

A. Gonorrhea

Question 99

An occupational health nurse is planning a program on early detection of breast cancer for employees at a local business. Which of the following is the first action the nurse should take? A. Develop educational materials for employees. B. Have breast models available to employees during teaching sessions. C. Determine employee knowledge level of breast self-examination. D. Schedule a guest speaker to talk about breast cancer to employees

Answer 99

C. Determine employee knowledge level of breast self-examination.

Question 100

A nurse at a community mental health center is teaching a course for the family and friends of clients who have a gambling disorder. Which of the following statements by a participant indicates an understanding of the information? A. Family members should provide financial assistance during times of increased gambling. B. "Gambling behaviors can increase during times of stress." C. "There is no genetic link to an Increased risk for a gambling disorder." D. "A person must gamble at least four to six times per month to have a gambling disorder."

Answer 100

B. "Gambling behaviors can increase during times of stress."

Question 101

A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule? A. A 4-month-old infant who has Down syndrome B. An 18-month-old toddler who has failure to thrive C. A 12-month-old infant who has sickle cell disease D. A 3-year-old toddler who has leukemia

Answer 101

D. A 3-year-old toddler who has leukemia

Question 102

A nurse in a community health clinic is assessing a client who has two preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following questions should the nurse ask first? A. "Who is available to help you?" B. "Is there anything that makes you feel less depressed?" C. "Are you having any thoughts about hurting yourself?" D. "Could you describe how you are feeling today?"

Answer 102

C. "Are you having any thoughts about hurting yourself?"

Question 103

A community health nurse is teaching a group of clients about available resources to assist with recovery following a stroke. Which of the following resources should the nurse recommend for clients who are experiencing dysphagia? A. Speech-language pathologist B. Physical therapist C. Restorative aide. D. Occupational therapist

Answer 103

A. Speech-language pathologist

Question 104

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? A. I will make sure my child gets a measles, mumps, and rubella vaccine this week." B. I should take my child's rectal temperature daily." C. I should inspect my child's mouth for sores." D. I'm sure my child will feel better now that he can ride his bicycle

Answer 104

C. I should inspect my child's mouth for sores."

Question 105

A nurse is counseling a client who has advanced-stage lung cancer about the use of palliative care. Which of the following client statements indicates an understanding of the information? A. "If I choose palliative care, I can only go to the hospital if I stop breathing." B. "I need to stop treatments for my cancer before beginning palliative care." C. "If my oncologist recommends palliative care, it means that have about 6 months or less to live." D. "The purpose of palliative care is to provide comfort measures for cancer."

Answer 105

D. "The purpose of palliative care is to provide comfort measures for cancer."

Question 106

A nurse is caring for a client who has terminal cancer and has decided to be discharged and receive palliative care at home. Which of the following statements made by the client indicates an understanding of palliative care management? A. "Palliative care will help to postpone my death." B. "Palliative care is reserved for end of life." C. "Palliative care services end for my family upon my death." D. "Palliative care aims to improve my quality of life."

Answer 106

D. "Palliative care aims to improve my quality of life."

Question 107

A community health nurse is planning care for a group of migrant workers. The nurse should plan to engage in which of the following activities when assessing the clients' culture? A. Ask for assistance from local spiritual leaders if there is a language barrier. B. Collect all the data on the first visit with the workers. C. Interview community leaders for a perspective of community life. D. Incorporate one's implicit bias into planned delivery of care.

Answer 107

C. Interview community leaders for a perspective of community life.

Question 108

An occupational health nurse is planning health promotion activities for a group of workers in a local manufacturing plant. Which of the following are secondary prevention activities the nurse should plan to include? (Select all that apply.) A. Refer workers who report difficulty hearing for further auditory testing. B. Demonstrate proper lifting techniques for the workers. C. Encourage the workers to use back braces provided by the employer. D. Conduct visual screenings for workers operating equipment. E. Educate the workers on the importance of safety goggles.

Answer 108

A. Refer workers who report difficulty hearing for further auditory testing. D. Conduct visual screenings for workers operating equipment.

Question 109

A school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa. Which of the following actions should the nurse take? A. Ask the caregivers if the child recently used alcohol-based mouthwash. B. Check the child's classmates for parotid gland enlargement. C. Instruct the caregivers to increase the child's Vitamin B12 intake. D. Review the immunization records of the child's classmates.

Answer 109

D. Review the immunization records of the child's classmates.

Question 110

A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.) A. I can receive care in the hospital or at home." B. "I will need to have private insurance because Medicare does not cover hospice services." C. "I can discontinue hospice care whenever I want." D. "I will receive care from a variety of interprofessional team members." E. "My provider will recommend that I enter hospice care when I have 1 year left to live."

Answer 110

A. I can receive care in the hospital or at home." C. "I can discontinue hospice care whenever I want." D. "I will receive care from a variety of interprofessional team members."