lOMoARcPSD|34983377
RN COMMUNITY HEALTH PROCTOR EXAM
Question 1
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
Correct Answer: A. Airborne precautions.
Rationale: Explanation: Tuberculosis is primarily transmitted through the airborne route when an
infected person coughs, sneezes, or talks, releasing droplets containing the bacteria into the air.
Airborne precautions are designed to prevent the transmission of infectious agents that remain
suspended in the air for long periods. This includes the use of specialized respiratory protection
, lOMoARcPSD|34983377
(such as N95 respirators) and placing the client in a negative pressure room.
Question 2:
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 am afraid of experiencing pain near the end." decisions."
B. "I know that everything will be better soon."
C. "I am relying more and more on my partner for support."
D. "I don't want to lose control of my ability to make
Correct Answer is B: "I know that everything will be better soon."
Ratioanle:
"I know that everything will be better soon."Explanation:could be a cause for concern. While a
positive outlook is generally desirable, unrealistic optimism in the face of a terminal illness might
sometimes mask underlying suicidal thoughts or a denial mechanism that could impede the
individual from seeking appropriate help.
Question 3
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling,
and the nurse notes that the child is allergic to insect stings. Which of the following findings
should the nurse expect if the child develops anaphylaxis? (SATA)
A) Bradycardia
, lOMoARcPSD|34983377
B) Nausea
C) Hypertension
D) Urticaria
E) Stridor
Correct Answer: B) Nausea, D) Urticaria, E) Stridor
Rationale: Nausea, urticaria (hives), and stridor (indicative of airway obstruction) are signs of
anaphylaxis. Bradycardia and hypertension are not typically associated with anaphylaxis, which
more commonly presents with tachycardia and hypotension.
Question 4
A nurse is caring for a client who is unconscious. Which of the following actions should the
nurse take when providing oral care for the client?
A) Test for the presence of the client's gag reflex
B) Place the client in the supine position
C) Use a firm toothbrush for tooth and gum care
D) Use 2 gauze-wrapped fingers to hold the mouth open
Correct Answer: A) Test for the presence of the client’s gag reflex
Rationale: Testing the gag reflex ensures safety during oral care to prevent aspiration.
Question 5:
, lOMoARcPSD|34983377
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.
Question 6
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. Survey
workers about job-related emotional stress.
B. Measure noise levels at various locations in the facility
C. Identify industrial toxins that are present in the environment.
D. Track rates of illness caused by infection among employees
RN COMMUNITY HEALTH PROCTOR EXAM
Question 1
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
Correct Answer: A. Airborne precautions.
Rationale: Explanation: Tuberculosis is primarily transmitted through the airborne route when an
infected person coughs, sneezes, or talks, releasing droplets containing the bacteria into the air.
Airborne precautions are designed to prevent the transmission of infectious agents that remain
suspended in the air for long periods. This includes the use of specialized respiratory protection
, lOMoARcPSD|34983377
(such as N95 respirators) and placing the client in a negative pressure room.
Question 2:
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 am afraid of experiencing pain near the end." decisions."
B. "I know that everything will be better soon."
C. "I am relying more and more on my partner for support."
D. "I don't want to lose control of my ability to make
Correct Answer is B: "I know that everything will be better soon."
Ratioanle:
"I know that everything will be better soon."Explanation:could be a cause for concern. While a
positive outlook is generally desirable, unrealistic optimism in the face of a terminal illness might
sometimes mask underlying suicidal thoughts or a denial mechanism that could impede the
individual from seeking appropriate help.
Question 3
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling,
and the nurse notes that the child is allergic to insect stings. Which of the following findings
should the nurse expect if the child develops anaphylaxis? (SATA)
A) Bradycardia
, lOMoARcPSD|34983377
B) Nausea
C) Hypertension
D) Urticaria
E) Stridor
Correct Answer: B) Nausea, D) Urticaria, E) Stridor
Rationale: Nausea, urticaria (hives), and stridor (indicative of airway obstruction) are signs of
anaphylaxis. Bradycardia and hypertension are not typically associated with anaphylaxis, which
more commonly presents with tachycardia and hypotension.
Question 4
A nurse is caring for a client who is unconscious. Which of the following actions should the
nurse take when providing oral care for the client?
A) Test for the presence of the client's gag reflex
B) Place the client in the supine position
C) Use a firm toothbrush for tooth and gum care
D) Use 2 gauze-wrapped fingers to hold the mouth open
Correct Answer: A) Test for the presence of the client’s gag reflex
Rationale: Testing the gag reflex ensures safety during oral care to prevent aspiration.
Question 5:
, lOMoARcPSD|34983377
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.
Question 6
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. Survey
workers about job-related emotional stress.
B. Measure noise levels at various locations in the facility
C. Identify industrial toxins that are present in the environment.
D. Track rates of illness caused by infection among employees
