Home Health Nursing 100 Question
Practice Exam With Correct Verified
And Well Analyzed Answers Graded
A+
1. A home health nurse is preparing for the first visit to a client
recently discharged after treatment for heart failure. Which
action should the nurse perform first?
A. Review the client’s discharge summary and medication list B.
Bring educational pamphlets about low-sodium diets C. Prepare
equipment for wound care D. Contact the pharmacy for medication
refills
Answer: A. Review the client’s discharge summary and medication
list
Rationale: Reviewing the discharge summary and medications allows
the nurse to understand the client’s diagnoses, treatment plan, safety
concerns, and follow-up needs before entering the home. Preparation
improves continuity of care and helps prevent medication errors or
omissions.
2. Which statement by a client indicates understanding of oxygen
safety in the home?
A. “I can smoke if I stay near an open window.” B. “I should keep
oxygen tanks near the stove for warmth.” C. “I will avoid using
candles while oxygen is in use.” D. “I should cover the oxygen tank
with a blanket.”
Answer: C. “I will avoid using candles while oxygen is in use.”
,Rationale: Oxygen supports combustion and greatly increases fire
risk. Open flames such as candles, matches, or cigarettes should never
be used around oxygen equipment. Proper oxygen safety education is
essential in home health care.
3. A home health nurse notices loose rugs and cluttered walkways
in an older adult’s home. What is the nurse’s priority action?
A. Recommend replacing the furniture B. Educate the client about
fall prevention C. Call the client’s family immediately D. Report the
home to social services
Answer: B. Educate the client about fall prevention
Rationale: Loose rugs and clutter increase fall risk, especially in older
adults. The nurse should provide education about creating a safer
environment by removing hazards and improving mobility pathways.
4. A client with diabetes asks why the nurse checks the feet
during each home visit. What is the best response?
A. “Foot care prevents unnecessary nail trimming.” B. “People with
diabetes can develop unnoticed foot injuries.” C. “Checking the feet
improves blood glucose levels.” D. “Foot exams are required by
home health policy.”
Answer: B. “People with diabetes can develop unnoticed foot
injuries.”
Rationale: Diabetes can cause neuropathy and poor circulation,
making clients less aware of injuries and slower to heal. Regular foot
assessment helps prevent ulcers, infections, and amputations.
5. Which client should the home health nurse visit first?
,A. A client requesting dietary teaching B. A client with a blood
pressure of 118/72 mm Hg C. A client reporting sudden shortness of
breath D. A client needing routine dressing changes
Answer: C. A client reporting sudden shortness of breath
Rationale: Sudden shortness of breath may indicate respiratory
distress, pulmonary embolism, or worsening heart failure and requires
immediate assessment. Priority should always be given to potentially
life-threatening conditions.
6. A nurse is teaching a client how to prevent infection of a
urinary catheter. Which statement by the client indicates a
need for further teaching?
A. “I will keep the drainage bag below bladder level.” B. “I will
wash my hands before touching the catheter.” C. “I will disconnect
the tubing daily for cleaning.” D. “I will avoid pulling on the
catheter tubing.”
Answer: C. “I will disconnect the tubing daily for cleaning.”
Rationale: Frequent disconnection of the catheter system increases the
risk of contamination and infection. The drainage system should
remain closed unless specifically ordered or necessary.
7. A home health nurse is caring for a client with chronic
obstructive pulmonary disease (COPD). Which finding
requires immediate intervention?
A. Mild exertional dyspnea B. Pulse oximetry reading of 82% C.
Productive cough with white sputum D. Use of pursed-lip breathing
Answer: B. Pulse oximetry reading of 82%
, Rationale: An oxygen saturation of 82% indicates severe hypoxemia
and inadequate oxygenation. Immediate intervention is needed to
prevent respiratory failure or tissue hypoxia.
8. Which action best promotes medication adherence in the home
setting?
A. Providing all medications in unlabeled containers B. Encouraging
the client to skip doses if side effects occur C. Using a medication
organizer and written schedule D. Telling the client to rely on
memory for medication timing
Answer: C. Using a medication organizer and written schedule
Rationale: Medication organizers and written schedules improve
adherence by reducing confusion and helping clients remember dosing
times. Clear instructions are especially important for older adults and
clients taking multiple medications.
9. A client receiving home care after hip replacement surgery
reports calf pain and swelling. What should the nurse suspect?
A. Osteoarthritis B. Deep vein thrombosis C. Peripheral neuropathy
D. Muscle strain
Answer: B. Deep vein thrombosis
Rationale: Calf pain, swelling, and tenderness after surgery are classic
signs of deep vein thrombosis. This condition can become life-
threatening if a clot dislodges and causes a pulmonary embolism.
10. Which statement best describes the primary goal of home
health nursing?
A. Reducing the need for physician visits B. Providing long-term
hospitalization at home C. Promoting client independence and
health maintenance D. Replacing family caregivers completely
Practice Exam With Correct Verified
And Well Analyzed Answers Graded
A+
1. A home health nurse is preparing for the first visit to a client
recently discharged after treatment for heart failure. Which
action should the nurse perform first?
A. Review the client’s discharge summary and medication list B.
Bring educational pamphlets about low-sodium diets C. Prepare
equipment for wound care D. Contact the pharmacy for medication
refills
Answer: A. Review the client’s discharge summary and medication
list
Rationale: Reviewing the discharge summary and medications allows
the nurse to understand the client’s diagnoses, treatment plan, safety
concerns, and follow-up needs before entering the home. Preparation
improves continuity of care and helps prevent medication errors or
omissions.
2. Which statement by a client indicates understanding of oxygen
safety in the home?
A. “I can smoke if I stay near an open window.” B. “I should keep
oxygen tanks near the stove for warmth.” C. “I will avoid using
candles while oxygen is in use.” D. “I should cover the oxygen tank
with a blanket.”
Answer: C. “I will avoid using candles while oxygen is in use.”
,Rationale: Oxygen supports combustion and greatly increases fire
risk. Open flames such as candles, matches, or cigarettes should never
be used around oxygen equipment. Proper oxygen safety education is
essential in home health care.
3. A home health nurse notices loose rugs and cluttered walkways
in an older adult’s home. What is the nurse’s priority action?
A. Recommend replacing the furniture B. Educate the client about
fall prevention C. Call the client’s family immediately D. Report the
home to social services
Answer: B. Educate the client about fall prevention
Rationale: Loose rugs and clutter increase fall risk, especially in older
adults. The nurse should provide education about creating a safer
environment by removing hazards and improving mobility pathways.
4. A client with diabetes asks why the nurse checks the feet
during each home visit. What is the best response?
A. “Foot care prevents unnecessary nail trimming.” B. “People with
diabetes can develop unnoticed foot injuries.” C. “Checking the feet
improves blood glucose levels.” D. “Foot exams are required by
home health policy.”
Answer: B. “People with diabetes can develop unnoticed foot
injuries.”
Rationale: Diabetes can cause neuropathy and poor circulation,
making clients less aware of injuries and slower to heal. Regular foot
assessment helps prevent ulcers, infections, and amputations.
5. Which client should the home health nurse visit first?
,A. A client requesting dietary teaching B. A client with a blood
pressure of 118/72 mm Hg C. A client reporting sudden shortness of
breath D. A client needing routine dressing changes
Answer: C. A client reporting sudden shortness of breath
Rationale: Sudden shortness of breath may indicate respiratory
distress, pulmonary embolism, or worsening heart failure and requires
immediate assessment. Priority should always be given to potentially
life-threatening conditions.
6. A nurse is teaching a client how to prevent infection of a
urinary catheter. Which statement by the client indicates a
need for further teaching?
A. “I will keep the drainage bag below bladder level.” B. “I will
wash my hands before touching the catheter.” C. “I will disconnect
the tubing daily for cleaning.” D. “I will avoid pulling on the
catheter tubing.”
Answer: C. “I will disconnect the tubing daily for cleaning.”
Rationale: Frequent disconnection of the catheter system increases the
risk of contamination and infection. The drainage system should
remain closed unless specifically ordered or necessary.
7. A home health nurse is caring for a client with chronic
obstructive pulmonary disease (COPD). Which finding
requires immediate intervention?
A. Mild exertional dyspnea B. Pulse oximetry reading of 82% C.
Productive cough with white sputum D. Use of pursed-lip breathing
Answer: B. Pulse oximetry reading of 82%
, Rationale: An oxygen saturation of 82% indicates severe hypoxemia
and inadequate oxygenation. Immediate intervention is needed to
prevent respiratory failure or tissue hypoxia.
8. Which action best promotes medication adherence in the home
setting?
A. Providing all medications in unlabeled containers B. Encouraging
the client to skip doses if side effects occur C. Using a medication
organizer and written schedule D. Telling the client to rely on
memory for medication timing
Answer: C. Using a medication organizer and written schedule
Rationale: Medication organizers and written schedules improve
adherence by reducing confusion and helping clients remember dosing
times. Clear instructions are especially important for older adults and
clients taking multiple medications.
9. A client receiving home care after hip replacement surgery
reports calf pain and swelling. What should the nurse suspect?
A. Osteoarthritis B. Deep vein thrombosis C. Peripheral neuropathy
D. Muscle strain
Answer: B. Deep vein thrombosis
Rationale: Calf pain, swelling, and tenderness after surgery are classic
signs of deep vein thrombosis. This condition can become life-
threatening if a clot dislodges and causes a pulmonary embolism.
10. Which statement best describes the primary goal of home
health nursing?
A. Reducing the need for physician visits B. Providing long-term
hospitalization at home C. Promoting client independence and
health maintenance D. Replacing family caregivers completely
