NURS 5434 PREVENTION CASE
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ Priorities of the school nurse? Role of school nurse?.
Answer: Maintain growth charts, triage of ill students; Triage students at
school
◍ Which of the following best describes the goal or priority of the nurse
advocate?.
Answer: Promote the client's rights and self determination
◍ What's central to faith-based nurse practice?.
Answer: The spiritual dimension is central to their practice
◍ What are the requirements for Medicare coverage for home health?.
Answer: Skilled nursing need
◍ George returns to the office in 1 month with his wife. The ultrasound exam
showed the presence of a 3 cm Fusiform aneurysm on the abdominal
aorta.In teaching George about the aneurysm, what information should the
nurse include?.
Answer: Maintaining a normal blood pressure can effectively treat this size
of aneurysm.For aneurysms smaller than 5 cm in size, the treatment of
choice is to keep the client's blood pressure under control and to monitor the
size of the aneurysm every 6 months.
◍ Assessment phase of the nursing process.
Answer: Case finding and eligibility
◍ What other interventions should the nurse perform prior to sending George
to the operating room (OR)? Begin continuous cardiac monitoring. Check
, blood pressure every 2 hours. Insert a second large bore angiocath if one
does not exist. Accompany George to the bathroom, one last time, so that he
can empty his bladder before transfer to the O
R. Monitor neuro status every 4 hours..
Answer: Begin continuous cardiac monitoring.George will need to be
assessed for tachycardia and other irregular rhythms.Insert a second large
bore angiocath if one does not exist.Patent and reliable IV access for fluid or
blood administration is essential.
◍ Based on the data the nurse has obtained, which nursing diagnosis should be
included in the plan of care?.
Answer: Knowledge deficit.George remains hypertensive. His treatment
regimen needs to be reevaluated in order for George to become
normotensive.
◍ Which is the best response the student nurse can give to the George about
the urgent need to see his HCP?.
Answer: Tell the client while often there are no symptoms, high blood
pressure does cause damage to many organs.Often clients with hypertension
have no symptoms, and organ damage may occur before the client becomes
symptomatic.
◍ According to the assessment of this client, which recommendation is most
important for the student nurse to provide to George?.
Answer: See his HCP as soon as possible within the next week for a BP
recheck.George's blood pressure is significantly elevated. Since these BP
readings were obtained on the same day, George needs to see his HCP soon
for a second BP measurement so that a diagnosis can be determined and
treatment initiated.
◍ Which of the following best describes case management?.
Answer: Case management plans should be individualized for each client.
◍ What significant risk factors for hypertension does the student nurse identify
for George, according to this health history?Select all that applyWhat
significant risk factors for hypertension does the student nurse identify for
, George, according to this health history? Family history of diabetes. Alcohol
consumption. Smoking. Stress. Caffeine intake..
Answer: Alcohol consumption.Excessive alcohol intake is strongly
associated with hypertension. Smoking.Tobacco use is a risk factor for
hypertension. Stress.High levels of stress can lead to an increase in blood
pressure.
◍ Which result indicates that this task was successfully delegated?.
Answer: The UAP reports the current vital signs to the nurse.
◍ The nurse asks George if he is limiting his salt intake and he replies that his
wife fixes all the meals.Which statement by his wife shows she understands
a 2 gm sodium diet?.
Answer: Preparing a variety of fresh vegetables and avoiding processed
foods.Processed foods are a major source of sodium. Replacing processed
foods with fresh is a key to maintaining a low-sodium diet.
◍ What do you assess after teaching in home health?.
Answer: Skill and comfort level of the clients caregiver
◍ SATA- telehealth uses.
Answer: - Videoconference consults - Biometric monitoring - Telephone
triage - Patient portals
◍ This level of prevention is utilized by the occ health nurse when removing a
splinter from an employee's hand, cleaning the area, and applying antibiotic
ointment to prevent infection..
Answer: secondary
◍ Planning resources question.
Answer: offer multiple provider option to ensure client choice and avoid
biases
◍ The HCP suspects that George's aorta is dissecting. Aortic dissection is
thought to be caused by a sudden tear in the aortic intima, opening the way
for blood to enter the aortic wall. Degeneration of the aortic media may be
the primary cause for this condition, with hypertension being an important
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ Priorities of the school nurse? Role of school nurse?.
Answer: Maintain growth charts, triage of ill students; Triage students at
school
◍ Which of the following best describes the goal or priority of the nurse
advocate?.
Answer: Promote the client's rights and self determination
◍ What's central to faith-based nurse practice?.
Answer: The spiritual dimension is central to their practice
◍ What are the requirements for Medicare coverage for home health?.
Answer: Skilled nursing need
◍ George returns to the office in 1 month with his wife. The ultrasound exam
showed the presence of a 3 cm Fusiform aneurysm on the abdominal
aorta.In teaching George about the aneurysm, what information should the
nurse include?.
Answer: Maintaining a normal blood pressure can effectively treat this size
of aneurysm.For aneurysms smaller than 5 cm in size, the treatment of
choice is to keep the client's blood pressure under control and to monitor the
size of the aneurysm every 6 months.
◍ Assessment phase of the nursing process.
Answer: Case finding and eligibility
◍ What other interventions should the nurse perform prior to sending George
to the operating room (OR)? Begin continuous cardiac monitoring. Check
, blood pressure every 2 hours. Insert a second large bore angiocath if one
does not exist. Accompany George to the bathroom, one last time, so that he
can empty his bladder before transfer to the O
R. Monitor neuro status every 4 hours..
Answer: Begin continuous cardiac monitoring.George will need to be
assessed for tachycardia and other irregular rhythms.Insert a second large
bore angiocath if one does not exist.Patent and reliable IV access for fluid or
blood administration is essential.
◍ Based on the data the nurse has obtained, which nursing diagnosis should be
included in the plan of care?.
Answer: Knowledge deficit.George remains hypertensive. His treatment
regimen needs to be reevaluated in order for George to become
normotensive.
◍ Which is the best response the student nurse can give to the George about
the urgent need to see his HCP?.
Answer: Tell the client while often there are no symptoms, high blood
pressure does cause damage to many organs.Often clients with hypertension
have no symptoms, and organ damage may occur before the client becomes
symptomatic.
◍ According to the assessment of this client, which recommendation is most
important for the student nurse to provide to George?.
Answer: See his HCP as soon as possible within the next week for a BP
recheck.George's blood pressure is significantly elevated. Since these BP
readings were obtained on the same day, George needs to see his HCP soon
for a second BP measurement so that a diagnosis can be determined and
treatment initiated.
◍ Which of the following best describes case management?.
Answer: Case management plans should be individualized for each client.
◍ What significant risk factors for hypertension does the student nurse identify
for George, according to this health history?Select all that applyWhat
significant risk factors for hypertension does the student nurse identify for
, George, according to this health history? Family history of diabetes. Alcohol
consumption. Smoking. Stress. Caffeine intake..
Answer: Alcohol consumption.Excessive alcohol intake is strongly
associated with hypertension. Smoking.Tobacco use is a risk factor for
hypertension. Stress.High levels of stress can lead to an increase in blood
pressure.
◍ Which result indicates that this task was successfully delegated?.
Answer: The UAP reports the current vital signs to the nurse.
◍ The nurse asks George if he is limiting his salt intake and he replies that his
wife fixes all the meals.Which statement by his wife shows she understands
a 2 gm sodium diet?.
Answer: Preparing a variety of fresh vegetables and avoiding processed
foods.Processed foods are a major source of sodium. Replacing processed
foods with fresh is a key to maintaining a low-sodium diet.
◍ What do you assess after teaching in home health?.
Answer: Skill and comfort level of the clients caregiver
◍ SATA- telehealth uses.
Answer: - Videoconference consults - Biometric monitoring - Telephone
triage - Patient portals
◍ This level of prevention is utilized by the occ health nurse when removing a
splinter from an employee's hand, cleaning the area, and applying antibiotic
ointment to prevent infection..
Answer: secondary
◍ Planning resources question.
Answer: offer multiple provider option to ensure client choice and avoid
biases
◍ The HCP suspects that George's aorta is dissecting. Aortic dissection is
thought to be caused by a sudden tear in the aortic intima, opening the way
for blood to enter the aortic wall. Degeneration of the aortic media may be
the primary cause for this condition, with hypertension being an important
