Community Health Nursing NCLEX
Questions
A nurse who is getting ready to administer the inactivated polio vaccine (IPV) reviews the child's
medical history prior to the scheduled vaccination. The nurse questions the administration of
IPV if which of the following is documented in the child's record?
A. Recent recovery from a cold
B. A history of frequent respiratory infections
C. A history of an anaphylactic reaction to neomycin
D. A local reaction at an earlier IPV site - ANS-ANS: C IPV contains neomycin. A history of
anaphylactic reaction to neomycin is considered a contraindication to IPV. It is not the presence
of a minor illness like the common cold. IN addition, a history of frequent respiratory infections is
not a contraindication to receiving a vaccine. A local reaction to an immunization is not a
contraindication to receiving a vaccine.
A child who is scheduled to receive an immunization against a live virus is being evaluated by a
clinic nurse. Which of the following conditions generally preclude receiving a live virus vaccine?
(Select all that apply)
A. The child has cold symptoms. B.The child had a previous anaphylactic reaction to the
vaccine.
C. Mother reports that the child is having intermittent episodes of diarrhea.
D. The child has not eaten and has been fussy, according to the mother. E. The child has a
condition that has severely compromised his or her immune system. F. Mother reports that the
child has recently been exposed to an infectious disease. - ANS-ANS: B, E
The general contraindications for receiving live virus vaccines include a previous anaphylactic
reaction to a vaccine or a component of the vaccine. Additionally, live virus vaccines generally
are not administered to individuals with a severely deficient immune system, individuals with a
severe sensitivity to gelatin, or pregnant woman A vaccine is administered with caution to an
individual with a moderate or severe acute illness, with or without fever. Options 1,3,4 and 6 are
not contraindications to receiving a live vaccine.
The mother of a child infected with the human immunodeficiency virus (HIV) is receiving
vaccination instructions from a clinic nurse. The nurse tells the mother that:
A. The hepatitis B vaccine will not be given to the child.
B. Every year, the inactivated influenza vaccine will be administered. C. Before the age of six
months, the varicella vaccine will be given. D. A western blot test needs to be performed and
the results evaluated before immunizations. - ANS-ANS: B
Immunizations against common childhood illnesses are recommended for all children exposed
to or infected with HIV. The inactivated influenza vaccine that is given IM will be administered.
The hepatitis B vaccine is administered according to the recommended immunization schedule.
, Varicella-zoster immunoglobulin may be prescribed after chickenpox exposure. Option 4 is
unnecessary and inaccurate
A nurse provides home care instructions to the parents of a child hospitalized with pertussis.
The child is in the convalescent stage and is being prepared for discharge. Which statement by
a parent indicates a need for instructions?
A. Our child must be encouraged to consume fluids. B. Dust or smoke can initiate coughing
spells. C. Vomiting may occur when our child has coughing episodes
D. We need to maintain droplet precautions and a quiet environment for at least 2 weeks -
ANS-ANS: D
Pertussis is transmitted by direct contact or respiratory droplets from coughing. The
communicable period occurs primarily during the catarrhal stage. Respiratory precautions are
not required during the convalescent phase. Options 1,2,3 are accurate components of home
care instructions.
A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided
paralysis and is unable to speak. The patient will be receiving physical therapy and speech
therapy. What are these examples of?
a. Primary prevention
b. Secondary safeguarding c. Lastly, prevention d. Health promotion - ANS-ANS: C
When a defect or disability is irreversible and permanent, tertiary prevention is used. It involves
minimizing the effects of long-term disease or disability through interventions directed at
preventing complications and deterioration. People who are already ill or have health issues
and are at risk for complications or worsening conditions are the focus of secondary prevention.
Activities are directed at diagnosis and prompt intervention. Primary prevention precedes
disease or dysfunction and is applied to people considered physically and emotionally healthy.
Health promotion includes health education programs, immunizations, and physical and
nutritional fitness activities.
A tornado strikes a mobile home community in a small rural town. Approximately 10 families
are left without food and shelter. Which reaction demonstrates the community's viability?
A. Community leaders activate the community disaster plan.
B. Community leaders contact the federal government about disaster relief.
C. Relief workers run out of bottled water and bedding supplies.
D. Tornado victims are sent to a boarding home in the nearest urban area. - ANS-ANS: A
A group of cases of learning disabilities, hearing impairment, and developmental delays among
school-age children living in a 1971-built apartment complex are examined by an advanced
public health nurse. The nurse suspects exposure to:
A: carbon dioxide B. lead.
C. nitrogen dioxide.
D. radon. - ANS-ANS: B
Lead used to be very common in gasoline and house paint in the U.S. Children living in cities
with older houses are more likely to have high levels of lead. Houses painted before 1978. It
can be a problem even if the paint is not peeling. When lead paint is stripped or sanded, it can
be very dangerous. These actions release fine lead dust into the air. Infants and children living
in pre-1960's housing (when paint often contained lead) have the highest risk of lead poisoning.
Questions
A nurse who is getting ready to administer the inactivated polio vaccine (IPV) reviews the child's
medical history prior to the scheduled vaccination. The nurse questions the administration of
IPV if which of the following is documented in the child's record?
A. Recent recovery from a cold
B. A history of frequent respiratory infections
C. A history of an anaphylactic reaction to neomycin
D. A local reaction at an earlier IPV site - ANS-ANS: C IPV contains neomycin. A history of
anaphylactic reaction to neomycin is considered a contraindication to IPV. It is not the presence
of a minor illness like the common cold. IN addition, a history of frequent respiratory infections is
not a contraindication to receiving a vaccine. A local reaction to an immunization is not a
contraindication to receiving a vaccine.
A child who is scheduled to receive an immunization against a live virus is being evaluated by a
clinic nurse. Which of the following conditions generally preclude receiving a live virus vaccine?
(Select all that apply)
A. The child has cold symptoms. B.The child had a previous anaphylactic reaction to the
vaccine.
C. Mother reports that the child is having intermittent episodes of diarrhea.
D. The child has not eaten and has been fussy, according to the mother. E. The child has a
condition that has severely compromised his or her immune system. F. Mother reports that the
child has recently been exposed to an infectious disease. - ANS-ANS: B, E
The general contraindications for receiving live virus vaccines include a previous anaphylactic
reaction to a vaccine or a component of the vaccine. Additionally, live virus vaccines generally
are not administered to individuals with a severely deficient immune system, individuals with a
severe sensitivity to gelatin, or pregnant woman A vaccine is administered with caution to an
individual with a moderate or severe acute illness, with or without fever. Options 1,3,4 and 6 are
not contraindications to receiving a live vaccine.
The mother of a child infected with the human immunodeficiency virus (HIV) is receiving
vaccination instructions from a clinic nurse. The nurse tells the mother that:
A. The hepatitis B vaccine will not be given to the child.
B. Every year, the inactivated influenza vaccine will be administered. C. Before the age of six
months, the varicella vaccine will be given. D. A western blot test needs to be performed and
the results evaluated before immunizations. - ANS-ANS: B
Immunizations against common childhood illnesses are recommended for all children exposed
to or infected with HIV. The inactivated influenza vaccine that is given IM will be administered.
The hepatitis B vaccine is administered according to the recommended immunization schedule.
, Varicella-zoster immunoglobulin may be prescribed after chickenpox exposure. Option 4 is
unnecessary and inaccurate
A nurse provides home care instructions to the parents of a child hospitalized with pertussis.
The child is in the convalescent stage and is being prepared for discharge. Which statement by
a parent indicates a need for instructions?
A. Our child must be encouraged to consume fluids. B. Dust or smoke can initiate coughing
spells. C. Vomiting may occur when our child has coughing episodes
D. We need to maintain droplet precautions and a quiet environment for at least 2 weeks -
ANS-ANS: D
Pertussis is transmitted by direct contact or respiratory droplets from coughing. The
communicable period occurs primarily during the catarrhal stage. Respiratory precautions are
not required during the convalescent phase. Options 1,2,3 are accurate components of home
care instructions.
A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided
paralysis and is unable to speak. The patient will be receiving physical therapy and speech
therapy. What are these examples of?
a. Primary prevention
b. Secondary safeguarding c. Lastly, prevention d. Health promotion - ANS-ANS: C
When a defect or disability is irreversible and permanent, tertiary prevention is used. It involves
minimizing the effects of long-term disease or disability through interventions directed at
preventing complications and deterioration. People who are already ill or have health issues
and are at risk for complications or worsening conditions are the focus of secondary prevention.
Activities are directed at diagnosis and prompt intervention. Primary prevention precedes
disease or dysfunction and is applied to people considered physically and emotionally healthy.
Health promotion includes health education programs, immunizations, and physical and
nutritional fitness activities.
A tornado strikes a mobile home community in a small rural town. Approximately 10 families
are left without food and shelter. Which reaction demonstrates the community's viability?
A. Community leaders activate the community disaster plan.
B. Community leaders contact the federal government about disaster relief.
C. Relief workers run out of bottled water and bedding supplies.
D. Tornado victims are sent to a boarding home in the nearest urban area. - ANS-ANS: A
A group of cases of learning disabilities, hearing impairment, and developmental delays among
school-age children living in a 1971-built apartment complex are examined by an advanced
public health nurse. The nurse suspects exposure to:
A: carbon dioxide B. lead.
C. nitrogen dioxide.
D. radon. - ANS-ANS: B
Lead used to be very common in gasoline and house paint in the U.S. Children living in cities
with older houses are more likely to have high levels of lead. Houses painted before 1978. It
can be a problem even if the paint is not peeling. When lead paint is stripped or sanded, it can
be very dangerous. These actions release fine lead dust into the air. Infants and children living
in pre-1960's housing (when paint often contained lead) have the highest risk of lead poisoning.
