RN COMMUNITY HEALTH ONLINE PRACTICE 2023B
ACTUAL EXAM CORRECT ANSWERS
A nurse in a community clinic is caring for a client.
Which of the following isolation precautions should the nurse plan on implementing? Select all that
apply.
-Ensure that the doors to the client's room remain closed.
-Place the client in a room with another client who also has tuberculosis.
-Place the client in a room with positive airflow.
-Ensure that the client's visitors wear gowns prior to entering the room.
-Place a box of N95 respirators by the entrance to the client's room. - Answer When generating
solutions, the nurse should identify that the client should be placed in airborne precautions. Airborne
precautions include placing the client in a private room with negative airflow, wearing an N95 mask
when caring for the client, and keeping the client's room doors closed to decrease the risk of
transmission.
A community health nurse suspects an outbreak of scabies in the local area. Which of the following
actions should the nurse take first?
a. Educate the community about disease transmission.
b. Determine the incidence rate.
c. Institute prophylactic treatment.
d. Discuss treatment plans with the clients' families. - Answer b. Determine the incidence rate.
The first action the nurse should take when using the nursing process is to perform an assessment. The
nurse should determine the number of new cases of scabies in the community for comparison to prior
incidence data in order to monitor for an increase.
,A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the
following statements should the nurse identify as an indication that the client is in the denial stage of
the grief process?
a. "I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
c. "If I could just make it through this, I'd never smoke again."
d. "Next week, I will start making plans for my memorial service." - Answer a. "I'm looking forward to
my daughter's wedding next year."
During the denial stage of the grief process, the client rejects the reality of the impending loss.
A public health nurse is monitoring medication compliance for a group of migrant workers who are
being treated for tuberculosis (TB). The nurse should use information from which of the following
resources to assist with this process?
a. Agency for Healthcare Quality and Research (AHRQ)
b. Migrant Clinicians Network (MCN)
c. Centers for Disease Control and Prevention (CDC)
d. U. S. Preventive Services Task Force (USPSTF) - Answer b. Migrant Clinicians Network (MCN)
Migrant workers frequently change locations and move from job to job. This can interfere with the client
adhering to the 6 to 12 month TB treatment plan. The MCN is a tracking program developed so that
health care providers can access prior provider information and maintain TB treatment continuity for
these clients.
A nurse is preparing a community education program about health care needs during pregnancy. The
nurse should include which of the following vaccines is safe to administer to a client who is pregnant?
, a. Herpes zoster
b. Tetanus, diphtheria, pertussis (Tdap)
c. Varicella
d. Measles, mumps, and rubella - Answer b. Tetanus, diphtheria, pertussis (Tdap)
The nurse should include that a client who is pregnant should receive the Tdap vaccine between 27 and
36 weeks of gestation.
A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to
screen for tuberculosis. Which of the following actions should the nurse take?
a. Prepare the outer aspect of the upper arm for the injection.
b. Insert the needle at a 45° angle.
c. Inject 0.1 mL of purified protein derivative.
d. Create a wheal that measures about 15 mm in diameter. - Answer c. Inject 0.1 mL of purified protein
derivative.
The nurse should inject 0.1 mL of purified protein derivative to form the wheal.
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.
ACTUAL EXAM CORRECT ANSWERS
A nurse in a community clinic is caring for a client.
Which of the following isolation precautions should the nurse plan on implementing? Select all that
apply.
-Ensure that the doors to the client's room remain closed.
-Place the client in a room with another client who also has tuberculosis.
-Place the client in a room with positive airflow.
-Ensure that the client's visitors wear gowns prior to entering the room.
-Place a box of N95 respirators by the entrance to the client's room. - Answer When generating
solutions, the nurse should identify that the client should be placed in airborne precautions. Airborne
precautions include placing the client in a private room with negative airflow, wearing an N95 mask
when caring for the client, and keeping the client's room doors closed to decrease the risk of
transmission.
A community health nurse suspects an outbreak of scabies in the local area. Which of the following
actions should the nurse take first?
a. Educate the community about disease transmission.
b. Determine the incidence rate.
c. Institute prophylactic treatment.
d. Discuss treatment plans with the clients' families. - Answer b. Determine the incidence rate.
The first action the nurse should take when using the nursing process is to perform an assessment. The
nurse should determine the number of new cases of scabies in the community for comparison to prior
incidence data in order to monitor for an increase.
,A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the
following statements should the nurse identify as an indication that the client is in the denial stage of
the grief process?
a. "I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
c. "If I could just make it through this, I'd never smoke again."
d. "Next week, I will start making plans for my memorial service." - Answer a. "I'm looking forward to
my daughter's wedding next year."
During the denial stage of the grief process, the client rejects the reality of the impending loss.
A public health nurse is monitoring medication compliance for a group of migrant workers who are
being treated for tuberculosis (TB). The nurse should use information from which of the following
resources to assist with this process?
a. Agency for Healthcare Quality and Research (AHRQ)
b. Migrant Clinicians Network (MCN)
c. Centers for Disease Control and Prevention (CDC)
d. U. S. Preventive Services Task Force (USPSTF) - Answer b. Migrant Clinicians Network (MCN)
Migrant workers frequently change locations and move from job to job. This can interfere with the client
adhering to the 6 to 12 month TB treatment plan. The MCN is a tracking program developed so that
health care providers can access prior provider information and maintain TB treatment continuity for
these clients.
A nurse is preparing a community education program about health care needs during pregnancy. The
nurse should include which of the following vaccines is safe to administer to a client who is pregnant?
, a. Herpes zoster
b. Tetanus, diphtheria, pertussis (Tdap)
c. Varicella
d. Measles, mumps, and rubella - Answer b. Tetanus, diphtheria, pertussis (Tdap)
The nurse should include that a client who is pregnant should receive the Tdap vaccine between 27 and
36 weeks of gestation.
A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to
screen for tuberculosis. Which of the following actions should the nurse take?
a. Prepare the outer aspect of the upper arm for the injection.
b. Insert the needle at a 45° angle.
c. Inject 0.1 mL of purified protein derivative.
d. Create a wheal that measures about 15 mm in diameter. - Answer c. Inject 0.1 mL of purified protein
derivative.
The nurse should inject 0.1 mL of purified protein derivative to form the wheal.
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.
