PRACTICE B 2025-
2026
Instructions
All answers are underlined and all questions are in bold.
Questions
A case manager at a home health agency is obtaining
equipment for a client's home use. Which of the
following actions is a violation of client
confidentiality?
A. The case manager used a computer at the agency
with an automatic sign-off mechanism.
,B. The case manager left a clipboard with the client's
prescription information face up on the office desk.
C. The case manager sent a fax to the equipment
company on a machine using programmed speed dial.
D. The case manager shared the client's name with the
equipment company. <answer>B. The case manager left
a clipboard with the client's prescription information face
up on the office desk.
Rationale
When using a clipboard, the case manager should place
the clipboard on the desk face down so that a client's
personal health information is not visible to other
individuals.
A community health nurse is assigned to lead a
county-level environmental task force. Which of the
following activities should the nurse direct the task
force to complete first?
A. Review community-specific epidemiological data.
B. Recommend updates to local environmental
policies.
C. Create program goals that align with Healthy
People objectives.
,D. Distribute environmental health education materials
to community members. <answer>A. Review
community-specific epidemiological data.
Rationale
The first action the nurse should direct the task force to
take when using the nursing process is to conduct a
community assessment, which includes a review of
community-specific epidemiological data. The community
assessment will assist the task force in identifying
environmental health concerns within the county.
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?
A. Recommend that the adolescent meet with the
school guidance counselor to discuss educational
options.
B. Help the client obtain a provider for prenatal care.
C. Educate the client about contraceptives to prevent
future unplanned pregnancies.
D. Provide information on parenting classes so the
client can learn about caring for a newborn.
, <answer>B. Help the client obtain a provider for prenatal
care.
Rationale
The client is an adolescent and experiencing an
unplanned pregnancy, which are factors that place the
client and fetus at risk for complications. Therefore, when
using the safety/risk reduction approach to client care, the
first action the nurse should take is to assist the client in
obtaining prenatal care.
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 <answer>C. Informant
interviews
Rationale
The nurse should identify that informant interviews with
community members or leaders will provide direct data.