RN Community Health Online Practice
2025A
Client reports fever, fatigue, lack of appetite, and headache that started 2 days ago. The client
awoke today with a rash that looked like blisters all over their face, chest, and back. Client
states, "It is beginning to itch and spread." Lung sounds clear to auscultation. S1, S2, and S3
both heard nothing. Bowel sounds normoactive in all quadrants. Notified provider of findings.
The nurse should anticipate the client has varicella (chicken pox) when formulating solutions.
As a result, the nurse should place the client in a room with negative pressure and airflow,
require a prescription for an antipyretic, wear an N95 mask while caring for the client, and
designate a stethoscope to be used only on the client. Varicella is transmitted by the air;
therefore, airborne isolation precautions need to be taken while caring for this client.
At a nearby community center, a nurse is giving a talk about family violence. Which of the
following information should the nurse include?
Child maltreatment is more common in homes where partner violence is present.
Child maltreatment is very common in homes where partner violence is present.
A school nurse is conducting hearing screening procedures in an elementary school. Which of
the following instructions should the nurse provide when performing the Rinne test?
"After I place this tuning fork behind your ear, tell me when you no longer hear the sound."
This is the appropriate instruction for a Rinne test, a hearing evaluation that compares air
conduction and bone conduction of sound.
A nurse on the scene following a mass casualty explosion is triaging a client who has a large,
open occipital wound and the following findings: respiratory rate 6/min, agonal pattern; capillary
refill time 4.5 seconds; nonresponsive to painful stimuli. Which of the following actions should
the nurse take?
Turn the client to left semi-Fowler's position and begin assessing the next client.
Principles of triage indicate that clients who have extensive injuries and a low probability of
survival do not receive treatment. Therefore, the nurse should provide only comfort measures
before moving on to assess the next client.
A newly licensed nurse has been assigned to the task force in charge of the core function of
assessment by a public health agency. Which of the following is a task that the public health
agency could assign to the nurse that would be consistent with the focus of the task force?
Conducting research on local health risks Investigating health hazards of the local community is
a component of the public health core function of assessment.
A school nurse is discussing levels of prevention with a teacher. Which of the following
activities should the nurse identify as a primary prevention strategy?
Demonstrate proper handwashing techniques.
This is an example of primary prevention, which aims to improve health and stop the spread of
diseases. A community health nurse is working to meet the health care 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?
Services for outreach aren't available. Lack of availability of outreach services is a barrier to
health care for residents in rural areas.
An educational program on influenza is being prepared by a nurse for a group of community
health nurses. The nurse should include which of the following as an example of tertiary
prevention. Administer antiviral medications within 48 hr to clients who have manifestations of
influenza.
The administration of antiviral medications to clients who already have influenza is an example
of tertiary prevention, which entails ways to reduce illness complications. A nurse at a county
health department is caring for a client who is at 28 weeks of gestation. The nurse should
identify which of the following characteristics as a risk factor for future child maltreatment?
The client has changed providers three times during their pregnancy.
Frequently changing health care providers is a risk factor for future child maltreatment because
it can indicate that the client is experiencing partner violence and is attempting to hide it from
the provider. Clients who experience violence are at a higher risk for perpetuating violence
against their own children.
A home health nurse is conducting a follow-up visit for a client who was recently discharged
from an acute rehabilitation program for alcohol use disorder. Which of the following actions
should the nurse take?
Tell the client to take naltrexone daily.
The nurse should instruct the client to take naltrexone daily to decrease cravings for alcohol.
Naltrexone is prescribed to assist the client with alcohol withdrawal and prevent relapse.
A public health nurse is working in a community that has a population of 24,096. There are
2,096 existing cases of heart disease within the population. Which of the following can be
determined by the nurse using this information? prevalence proportion
The prevalence proportion can be calculated by using the number of people who were affected
at a given time and the total population.
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?
Household members should take isoniazid for at least 6 months.
The household members of a client who has active pulmonary tuberculosis are at risk for
developing the disease. As a result, it is advised to take isoniazid as a preventative medication
for at least six months. A public health nurse is participating in a disaster preparedness planning
committee for a local community that is at risk for hurricanes. Which of the following information
should the nurse contribute to the plan?
a list of the parts of the community where people speak more than one language The public
health nurse, who is most familiar with the community, should contribute this information to the
disaster plan to assist in aiding and evacuating residents who are at high-risk.
A community health nurse is assigned to lead a county-level environmental task force. The
nurse should direct the task force to complete which of the following first? Review
community-specific epidemiological data.
2025A
Client reports fever, fatigue, lack of appetite, and headache that started 2 days ago. The client
awoke today with a rash that looked like blisters all over their face, chest, and back. Client
states, "It is beginning to itch and spread." Lung sounds clear to auscultation. S1, S2, and S3
both heard nothing. Bowel sounds normoactive in all quadrants. Notified provider of findings.
The nurse should anticipate the client has varicella (chicken pox) when formulating solutions.
As a result, the nurse should place the client in a room with negative pressure and airflow,
require a prescription for an antipyretic, wear an N95 mask while caring for the client, and
designate a stethoscope to be used only on the client. Varicella is transmitted by the air;
therefore, airborne isolation precautions need to be taken while caring for this client.
At a nearby community center, a nurse is giving a talk about family violence. Which of the
following information should the nurse include?
Child maltreatment is more common in homes where partner violence is present.
Child maltreatment is very common in homes where partner violence is present.
A school nurse is conducting hearing screening procedures in an elementary school. Which of
the following instructions should the nurse provide when performing the Rinne test?
"After I place this tuning fork behind your ear, tell me when you no longer hear the sound."
This is the appropriate instruction for a Rinne test, a hearing evaluation that compares air
conduction and bone conduction of sound.
A nurse on the scene following a mass casualty explosion is triaging a client who has a large,
open occipital wound and the following findings: respiratory rate 6/min, agonal pattern; capillary
refill time 4.5 seconds; nonresponsive to painful stimuli. Which of the following actions should
the nurse take?
Turn the client to left semi-Fowler's position and begin assessing the next client.
Principles of triage indicate that clients who have extensive injuries and a low probability of
survival do not receive treatment. Therefore, the nurse should provide only comfort measures
before moving on to assess the next client.
A newly licensed nurse has been assigned to the task force in charge of the core function of
assessment by a public health agency. Which of the following is a task that the public health
agency could assign to the nurse that would be consistent with the focus of the task force?
Conducting research on local health risks Investigating health hazards of the local community is
a component of the public health core function of assessment.
A school nurse is discussing levels of prevention with a teacher. Which of the following
activities should the nurse identify as a primary prevention strategy?
Demonstrate proper handwashing techniques.
This is an example of primary prevention, which aims to improve health and stop the spread of
diseases. A community health nurse is working to meet the health care 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?
Services for outreach aren't available. Lack of availability of outreach services is a barrier to
health care for residents in rural areas.
An educational program on influenza is being prepared by a nurse for a group of community
health nurses. The nurse should include which of the following as an example of tertiary
prevention. Administer antiviral medications within 48 hr to clients who have manifestations of
influenza.
The administration of antiviral medications to clients who already have influenza is an example
of tertiary prevention, which entails ways to reduce illness complications. A nurse at a county
health department is caring for a client who is at 28 weeks of gestation. The nurse should
identify which of the following characteristics as a risk factor for future child maltreatment?
The client has changed providers three times during their pregnancy.
Frequently changing health care providers is a risk factor for future child maltreatment because
it can indicate that the client is experiencing partner violence and is attempting to hide it from
the provider. Clients who experience violence are at a higher risk for perpetuating violence
against their own children.
A home health nurse is conducting a follow-up visit for a client who was recently discharged
from an acute rehabilitation program for alcohol use disorder. Which of the following actions
should the nurse take?
Tell the client to take naltrexone daily.
The nurse should instruct the client to take naltrexone daily to decrease cravings for alcohol.
Naltrexone is prescribed to assist the client with alcohol withdrawal and prevent relapse.
A public health nurse is working in a community that has a population of 24,096. There are
2,096 existing cases of heart disease within the population. Which of the following can be
determined by the nurse using this information? prevalence proportion
The prevalence proportion can be calculated by using the number of people who were affected
at a given time and the total population.
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?
Household members should take isoniazid for at least 6 months.
The household members of a client who has active pulmonary tuberculosis are at risk for
developing the disease. As a result, it is advised to take isoniazid as a preventative medication
for at least six months. A public health nurse is participating in a disaster preparedness planning
committee for a local community that is at risk for hurricanes. Which of the following information
should the nurse contribute to the plan?
a list of the parts of the community where people speak more than one language The public
health nurse, who is most familiar with the community, should contribute this information to the
disaster plan to assist in aiding and evacuating residents who are at high-risk.
A community health nurse is assigned to lead a county-level environmental task force. The
nurse should direct the task force to complete which of the following first? Review
community-specific epidemiological data.
