NR442/ NR 442 Community Health Nursing Exam 2
Objectives (chap 13, 15, 19, 21, 23, 24, 25, 28, 29, 30, 31, 32,
33, 34)
A case manager is delivering a discharge plan for a client who has a spinal cord injury and
is in a rehabilitation facility. Which of the following actions should the nurse take first
a. Hold a care conference with the client and his family to discuss treatment options.
b. Contact service providers to determine the availability of services offered.
c. Determine the client's ability to perform self-care.
d. Evaluate the client's satisfaction with the case manager's services. - ANSc. determine the
client's ability to perform self-care
A case manager is planning an educational program for a client who has diabetes mellitus.
Which of the following activities should the nurse include when using the psychomotor
domain of learning?
A) review a color diagram of the food pyramid with the client
B) show the client a video about how to monitor blood glucose levels
C) observe the client's technique for drawing up insulin
D) give the client a pamphlet about foot care - ANSc. observe the client's technique for
drawing up insulin
A CHN 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 2020 objectives.
d. Distribute environmental health education materials to community members. -
ANSa. review community-specific epiemiologcal data
A community health nurse has been contacted regarding a client diagnosis of influenza type
A in an adult daycare. Which of the following actions should the nurse take to assist in the
prevention of an outbreak?
a. Administer antiviral medication to clients at the facility.
b. Schedule immunizations for clients at the facility.
c. Recommend that the day care center close for 2 weeks.
d. Give IgG to clients at the facility who have early manifestations of influenza. -
ANSa. adminsiter antiviral medication to clients at the facility
A community health nurse is assessing a group of clients for risk factors of abusive
behaviors. Which of the following findings should the nurse identify as a risk factor for
developing abusive behavior?
A) a client states he witnessed his mother physically mistreating his father
B) a client states that her mother-in-law provides childcare while she is working
C) a client participates in volunteer activities in the community
D) a client lives in the same neighborhood where he spent his childhood years - ANSa. a
client states he witnessed his mother physically mistreating his father
A community health nurse is developing a plan of care for a client who is hispanic. which of
the following actions should the nurse include in the plan?
a. maintain direct eye contact when speaking with the client
b. avoid using hand gestures when working with the client
c. discourage the client from using a faith healer
d. Use therapeutic touch during conversation - ANSd. use therapeutic touch during
conversation
A community health nurse is planning for farmers about occupational health risks. Which of
the following risks should the nurse include?
a. Respiratory disorders
b. Diabetes mellitus
c. Sickle cell anemia
d. Hypertension - ANSa. respiratory disorder
, NR442/ NR 442 Community Health Nursing Exam 2
Objectives (chap 13, 15, 19, 21, 23, 24, 25, 28, 29, 30, 31, 32,
33, 34)
A community health nurse is teaching a client who is overweight about steps to take to begin
an exercise program. The nurse should identify that which of the following statements is an
indication that the client understands the teaching?
A) I will need to purchase exercise equipment before I can start
B) I should try to perform aerobic exercise for an hour a day, 5 days a week
C) I will see my doctor before beginning an exercise program
D) I should avoid participating in weight-lifting exercises - ANSc. I will see my doctor before
beginning an exercise program
A community health nurse is teaching a client who was newly diagnosed with active
pulmonary tuberculosis about disease transmission. Which of the following information
should the nurse include?
a. Household members should be placed in respiratory isolation
b. The client should have a repeat purified protein derivative test in 3 months
c. The client should use disposable utensils during meals
d. Household members should take isoniazid for 6-12 months - ANSd. household members
should take isoniazid for 6-12 months
A community health nurse is working to meet the healthcare needs of residents in a rural
community. Which of the following characteristics should the nurse identify as a barrier to
health care resources for this population?
A) less autonomy in providing client care
B) disinterest by means of the population in providing input for community health programs
C) lack of cohesiveness among community members
D) unavailability of outreach services - ANSd. unavailability of outreach services
a community health nurse suspects an outbreak of scabies in the local area. which of the
following actions should the nurse take first?
a. determine the incidence rate
b. institute prophylactic treatment
c. educate the community about disease transmission
d. discuss treatment plans with clients' families - ANSa. determine the incidence rate
A home health nurse is assessing an older adult client who is taking captopril to treat heart
failure. Which of the following findings should the nurse identify as an adverse effect of this
medication?
a. dry cough
b. weight gain
c. ataxia
d. photophobia - ANSa. dry cough
A home health nurse is caring for a client who has breast cancer. Which of the following
assessment findings should the nurse identify as an indication that the client is coping
effectively?
a. Inability to concentrate
b. Makes eye contact
c. Excessive sleeping
d. Lack of interest in food - ANSb. makes eye contact
A home health nurse is scheduling client visits for the day. which of the following clients
should the nurse plan to visit first?
a. A client who is 10 days postoperative following a mastectomy and needs to have
surgical staples removed
b. A client who has diabetes mellitus and reports new erythema to the left foot
Objectives (chap 13, 15, 19, 21, 23, 24, 25, 28, 29, 30, 31, 32,
33, 34)
A case manager is delivering a discharge plan for a client who has a spinal cord injury and
is in a rehabilitation facility. Which of the following actions should the nurse take first
a. Hold a care conference with the client and his family to discuss treatment options.
b. Contact service providers to determine the availability of services offered.
c. Determine the client's ability to perform self-care.
d. Evaluate the client's satisfaction with the case manager's services. - ANSc. determine the
client's ability to perform self-care
A case manager is planning an educational program for a client who has diabetes mellitus.
Which of the following activities should the nurse include when using the psychomotor
domain of learning?
A) review a color diagram of the food pyramid with the client
B) show the client a video about how to monitor blood glucose levels
C) observe the client's technique for drawing up insulin
D) give the client a pamphlet about foot care - ANSc. observe the client's technique for
drawing up insulin
A CHN 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 2020 objectives.
d. Distribute environmental health education materials to community members. -
ANSa. review community-specific epiemiologcal data
A community health nurse has been contacted regarding a client diagnosis of influenza type
A in an adult daycare. Which of the following actions should the nurse take to assist in the
prevention of an outbreak?
a. Administer antiviral medication to clients at the facility.
b. Schedule immunizations for clients at the facility.
c. Recommend that the day care center close for 2 weeks.
d. Give IgG to clients at the facility who have early manifestations of influenza. -
ANSa. adminsiter antiviral medication to clients at the facility
A community health nurse is assessing a group of clients for risk factors of abusive
behaviors. Which of the following findings should the nurse identify as a risk factor for
developing abusive behavior?
A) a client states he witnessed his mother physically mistreating his father
B) a client states that her mother-in-law provides childcare while she is working
C) a client participates in volunteer activities in the community
D) a client lives in the same neighborhood where he spent his childhood years - ANSa. a
client states he witnessed his mother physically mistreating his father
A community health nurse is developing a plan of care for a client who is hispanic. which of
the following actions should the nurse include in the plan?
a. maintain direct eye contact when speaking with the client
b. avoid using hand gestures when working with the client
c. discourage the client from using a faith healer
d. Use therapeutic touch during conversation - ANSd. use therapeutic touch during
conversation
A community health nurse is planning for farmers about occupational health risks. Which of
the following risks should the nurse include?
a. Respiratory disorders
b. Diabetes mellitus
c. Sickle cell anemia
d. Hypertension - ANSa. respiratory disorder
, NR442/ NR 442 Community Health Nursing Exam 2
Objectives (chap 13, 15, 19, 21, 23, 24, 25, 28, 29, 30, 31, 32,
33, 34)
A community health nurse is teaching a client who is overweight about steps to take to begin
an exercise program. The nurse should identify that which of the following statements is an
indication that the client understands the teaching?
A) I will need to purchase exercise equipment before I can start
B) I should try to perform aerobic exercise for an hour a day, 5 days a week
C) I will see my doctor before beginning an exercise program
D) I should avoid participating in weight-lifting exercises - ANSc. I will see my doctor before
beginning an exercise program
A community health nurse is teaching a client who was newly diagnosed with active
pulmonary tuberculosis about disease transmission. Which of the following information
should the nurse include?
a. Household members should be placed in respiratory isolation
b. The client should have a repeat purified protein derivative test in 3 months
c. The client should use disposable utensils during meals
d. Household members should take isoniazid for 6-12 months - ANSd. household members
should take isoniazid for 6-12 months
A community health nurse is working to meet the healthcare needs of residents in a rural
community. Which of the following characteristics should the nurse identify as a barrier to
health care resources for this population?
A) less autonomy in providing client care
B) disinterest by means of the population in providing input for community health programs
C) lack of cohesiveness among community members
D) unavailability of outreach services - ANSd. unavailability of outreach services
a community health nurse suspects an outbreak of scabies in the local area. which of the
following actions should the nurse take first?
a. determine the incidence rate
b. institute prophylactic treatment
c. educate the community about disease transmission
d. discuss treatment plans with clients' families - ANSa. determine the incidence rate
A home health nurse is assessing an older adult client who is taking captopril to treat heart
failure. Which of the following findings should the nurse identify as an adverse effect of this
medication?
a. dry cough
b. weight gain
c. ataxia
d. photophobia - ANSa. dry cough
A home health nurse is caring for a client who has breast cancer. Which of the following
assessment findings should the nurse identify as an indication that the client is coping
effectively?
a. Inability to concentrate
b. Makes eye contact
c. Excessive sleeping
d. Lack of interest in food - ANSb. makes eye contact
A home health nurse is scheduling client visits for the day. which of the following clients
should the nurse plan to visit first?
a. A client who is 10 days postoperative following a mastectomy and needs to have
surgical staples removed
b. A client who has diabetes mellitus and reports new erythema to the left foot
