Community Health Questions
100 families in a community refuse to have their children immunized b/c of religion. When 1
documented case of whooping cough occurs w/i the aggregate, which intervention should the
RN implement? - ANS - Quarantine all family members of the child w/ whooping cough.
\A 12-year-old female is seen by the school nurse after recently experiencing increasing
difficulty sitting and paying attention in class, and increasingly illegible handwriting. The nurse
observes that the child has protruding eyeballs and a staring expression. What action should the
nurse take next? - ANS - Gather additional data by taking a health history and measuring vital
signs
\A 16-year old female client returns to the clinic because she is pregnant for the third time by a
new boyfriend. Which vaccine should the nurse plan to administer? - ANS - hepatitis B
\A 17-year old unmarried, pregnant client with drug addiction is a high school dropout,
homeless, and has a history of past abuse arrives at the clinic for her first prenatal visit. Which
findings should the nurse document as health risk factors for the client? (Select all that apply) -
ANS - a. age
c. drug addiction
Submit a written proposal to the Board of Directors
about hardware and software improvement needs
d. history of abuse
e. pregnancy
f. homelessness
\A 93-year-old client with a number of co-morbidities is assessed by the home health nurse.
What problem is most important for the nurse to investigate further?
a. Social isolation
b. Medication interactions
c. Urinary incontinences
d. Caregiver stress - ANS - b. Medication interactions
\A charge nurse gets report about a lot of concerns, which one is most important? - ANS - water
spill on the floor.
\A charge nurse will intervene if she notices - - ANS - a clerk taking (telephone) orders from the
MD.
\A client is admitted to the emergency department with flu-like symptoms. Which intervention
should the nurse to obtain to rule out exposure to anthrax-spores?
a. Determine the client's occupation
b. Inquire about previous vaccination for smallpox.c. Obtain a twenty-four diet historyd. Identify
the client's personal contacts over the past week - ANS - a. Determine the client's occupation
\A client is suspected of being poisoned and presents with symmetric, descending flaccid
paralysis, blurred vision, double vision, and dry mouth. The nurse should consider these
findings consistent with which potential bioterrorism agent? - ANS - botulism toxin
\A client presents at a community-based clinic with complaints of shortness of breath,
headache, dizziness, and nausea. During the assessment, the nurse learns that the client is a
,migrant worker who often uses a gasoline-powered pressure washer to clean equipment and
farm buildings. Which type of poisoning is the most likely etiology of this client's symptoms? -
ANS - carbon monoxide
\A college student asks the nurse in the Campus Student Health Center about obtaining
medication for motion sickness before a scuba diving trip. What instruction should the nurse
give the student regarding the use of prescription-strength scopolamine (Transderm-V)? - ANS -
"Apply the skin patch behind the ear 12 hours before your trip."
\A community group proposes building a new well-child clinic because this year's
demographics reflect that a large percentage of the population is less than 19 years of age.
Which question indicates that the nurse understands the potential gaps in these data?
a. What is the distribution of males to females within this population?
b. What percentage of the population was under 19 years of age in each of the 5
previous years?
c. How will the large percentage of under 19-year-olds affect the community's dependency
ration?
d. How can the income level of the families within the community be determined? - ANS - b.
What percentage of the population was under 19 years of age in each of the 5
previous years?
\A community health nurse is conducting a neighborhood discussion group about disaster
planning. What information regarding transmission of anthrax should the nurse provide to the
group? - ANS - infection is acquired when anthrax spores enter a host
\A community health nurse is planning to implement an outreach program for a community
group. Which criteria should the nurse clarify about the program when examining sources for
funding? - ANS - offers healthcare services to community members in local factories, schools,
and churches.
\A female adult walks into a local community health clinic and tells the nurse that she is
homeless and cannot seem to find help. Which statement indicates to the nurse that a client is
feeling separated from society and helpless? - ANS - "I'm feeling really isolated from everyone
and scared."
\A female client makes routine visits to a neighborhood community health center. The nurse
notes that this client often presents with facial bruising, particularly around the eyes. The nurse
discusses prevention of domestic violence with the client even though the client does not admit
to being battered. What level of prevention has the nurse applied in this situation? - ANS -
secondary prevention
\A Hispanic mother insists on using special candles to treat her child's ear infection. The nurse
should demonstrate cultural accommodation by making which request?
a. Use the prescribed antibiotics and if there is no improvement, use the candles
b. Give the prescribed antibiotics in addition to using the candles.
c. Do not use the candles because of the risk of fire and subsequent burns to the child.
d. Provide the prescribed antibiotics instead of using the candles - ANS - b. Give the prescribed
antibiotics in addition to using the candles.
\A home health nurse is reviewing the laboratory results for several clients with a history
of heart failure (HF). Which client finding should the nurse report to the healthcare provider
immediately?
, a. Total cholesterol 190 mg/dl.
b. B-type natriuretic peptide 550 pg/ml.
c. Glycosylated Hemoglobin of 7%
d. Potassium 3.7 mEq/L - ANS - b. B-type natriuretic peptide 550 pg/ml.
\A home health nurse knows that a 70-year-old male client who is convalescing at home
following a hip replacement, is at risk for developing decubitus ulcers. Which physical
characteristic of aging contributes to such a risk? - ANS - Thinning of the skin with loss of
elasticity
\A homeless client with alcohol dependency will be dismissed from the emergency department
in 24 hours. The nurse notes that a tuberculin skin test was prescribed by the healthcare
provider. What intervention is most important for the nurse to implement prior to discharge?
a. Identify how the client will follow-up to have the results read.
b. Give the client written information about the tuberculosis test
c. Determine if the client understands the purpose of the tuberculin test
d. Explain to the client results should be read between 48 and 72 hours - ANS - a. Identify how
the client will follow-up to have the results read.
\A hospital is thinking about getting new equipment, what is cost efficient for the hospital to
consider? - ANS - can other units in the hospital use the equipment.
\A male client comes to the
public health clinic requesting
information about which
immunizations he should
receive prior to visiting a
developing nation. Which
immunization should the nurse
recommend as a priority for this
client?
a. Tetanus toxoid vaccine
b. Influenza vaccine
c. Hepatitis b vaccine
d. Hepatitis a vaccine - ANS - d. Hepatitis A vaccine
\A male client is brought to the emergency department as the result of a motorcycle accident.
He was not wearing a helmet at the time of the accident, and states that he has no intention of
ever wearing one. Within the framework of the Transtheoretical Model (TTM), which response
should the nurse provide? - ANS - Wearing a helmet or not is certainly an individual decision."
\A male high school student is
referred to the school nurse
because he lost consciousness
during gymnastics class. His
neurological vital signs are with
normal limits, and his blood
pressure is 100/62. He is 6 ft 3 in
tall wighs 135 pound and his
body mass index is 16.9. which
100 families in a community refuse to have their children immunized b/c of religion. When 1
documented case of whooping cough occurs w/i the aggregate, which intervention should the
RN implement? - ANS - Quarantine all family members of the child w/ whooping cough.
\A 12-year-old female is seen by the school nurse after recently experiencing increasing
difficulty sitting and paying attention in class, and increasingly illegible handwriting. The nurse
observes that the child has protruding eyeballs and a staring expression. What action should the
nurse take next? - ANS - Gather additional data by taking a health history and measuring vital
signs
\A 16-year old female client returns to the clinic because she is pregnant for the third time by a
new boyfriend. Which vaccine should the nurse plan to administer? - ANS - hepatitis B
\A 17-year old unmarried, pregnant client with drug addiction is a high school dropout,
homeless, and has a history of past abuse arrives at the clinic for her first prenatal visit. Which
findings should the nurse document as health risk factors for the client? (Select all that apply) -
ANS - a. age
c. drug addiction
Submit a written proposal to the Board of Directors
about hardware and software improvement needs
d. history of abuse
e. pregnancy
f. homelessness
\A 93-year-old client with a number of co-morbidities is assessed by the home health nurse.
What problem is most important for the nurse to investigate further?
a. Social isolation
b. Medication interactions
c. Urinary incontinences
d. Caregiver stress - ANS - b. Medication interactions
\A charge nurse gets report about a lot of concerns, which one is most important? - ANS - water
spill on the floor.
\A charge nurse will intervene if she notices - - ANS - a clerk taking (telephone) orders from the
MD.
\A client is admitted to the emergency department with flu-like symptoms. Which intervention
should the nurse to obtain to rule out exposure to anthrax-spores?
a. Determine the client's occupation
b. Inquire about previous vaccination for smallpox.c. Obtain a twenty-four diet historyd. Identify
the client's personal contacts over the past week - ANS - a. Determine the client's occupation
\A client is suspected of being poisoned and presents with symmetric, descending flaccid
paralysis, blurred vision, double vision, and dry mouth. The nurse should consider these
findings consistent with which potential bioterrorism agent? - ANS - botulism toxin
\A client presents at a community-based clinic with complaints of shortness of breath,
headache, dizziness, and nausea. During the assessment, the nurse learns that the client is a
,migrant worker who often uses a gasoline-powered pressure washer to clean equipment and
farm buildings. Which type of poisoning is the most likely etiology of this client's symptoms? -
ANS - carbon monoxide
\A college student asks the nurse in the Campus Student Health Center about obtaining
medication for motion sickness before a scuba diving trip. What instruction should the nurse
give the student regarding the use of prescription-strength scopolamine (Transderm-V)? - ANS -
"Apply the skin patch behind the ear 12 hours before your trip."
\A community group proposes building a new well-child clinic because this year's
demographics reflect that a large percentage of the population is less than 19 years of age.
Which question indicates that the nurse understands the potential gaps in these data?
a. What is the distribution of males to females within this population?
b. What percentage of the population was under 19 years of age in each of the 5
previous years?
c. How will the large percentage of under 19-year-olds affect the community's dependency
ration?
d. How can the income level of the families within the community be determined? - ANS - b.
What percentage of the population was under 19 years of age in each of the 5
previous years?
\A community health nurse is conducting a neighborhood discussion group about disaster
planning. What information regarding transmission of anthrax should the nurse provide to the
group? - ANS - infection is acquired when anthrax spores enter a host
\A community health nurse is planning to implement an outreach program for a community
group. Which criteria should the nurse clarify about the program when examining sources for
funding? - ANS - offers healthcare services to community members in local factories, schools,
and churches.
\A female adult walks into a local community health clinic and tells the nurse that she is
homeless and cannot seem to find help. Which statement indicates to the nurse that a client is
feeling separated from society and helpless? - ANS - "I'm feeling really isolated from everyone
and scared."
\A female client makes routine visits to a neighborhood community health center. The nurse
notes that this client often presents with facial bruising, particularly around the eyes. The nurse
discusses prevention of domestic violence with the client even though the client does not admit
to being battered. What level of prevention has the nurse applied in this situation? - ANS -
secondary prevention
\A Hispanic mother insists on using special candles to treat her child's ear infection. The nurse
should demonstrate cultural accommodation by making which request?
a. Use the prescribed antibiotics and if there is no improvement, use the candles
b. Give the prescribed antibiotics in addition to using the candles.
c. Do not use the candles because of the risk of fire and subsequent burns to the child.
d. Provide the prescribed antibiotics instead of using the candles - ANS - b. Give the prescribed
antibiotics in addition to using the candles.
\A home health nurse is reviewing the laboratory results for several clients with a history
of heart failure (HF). Which client finding should the nurse report to the healthcare provider
immediately?
, a. Total cholesterol 190 mg/dl.
b. B-type natriuretic peptide 550 pg/ml.
c. Glycosylated Hemoglobin of 7%
d. Potassium 3.7 mEq/L - ANS - b. B-type natriuretic peptide 550 pg/ml.
\A home health nurse knows that a 70-year-old male client who is convalescing at home
following a hip replacement, is at risk for developing decubitus ulcers. Which physical
characteristic of aging contributes to such a risk? - ANS - Thinning of the skin with loss of
elasticity
\A homeless client with alcohol dependency will be dismissed from the emergency department
in 24 hours. The nurse notes that a tuberculin skin test was prescribed by the healthcare
provider. What intervention is most important for the nurse to implement prior to discharge?
a. Identify how the client will follow-up to have the results read.
b. Give the client written information about the tuberculosis test
c. Determine if the client understands the purpose of the tuberculin test
d. Explain to the client results should be read between 48 and 72 hours - ANS - a. Identify how
the client will follow-up to have the results read.
\A hospital is thinking about getting new equipment, what is cost efficient for the hospital to
consider? - ANS - can other units in the hospital use the equipment.
\A male client comes to the
public health clinic requesting
information about which
immunizations he should
receive prior to visiting a
developing nation. Which
immunization should the nurse
recommend as a priority for this
client?
a. Tetanus toxoid vaccine
b. Influenza vaccine
c. Hepatitis b vaccine
d. Hepatitis a vaccine - ANS - d. Hepatitis A vaccine
\A male client is brought to the emergency department as the result of a motorcycle accident.
He was not wearing a helmet at the time of the accident, and states that he has no intention of
ever wearing one. Within the framework of the Transtheoretical Model (TTM), which response
should the nurse provide? - ANS - Wearing a helmet or not is certainly an individual decision."
\A male high school student is
referred to the school nurse
because he lost consciousness
during gymnastics class. His
neurological vital signs are with
normal limits, and his blood
pressure is 100/62. He is 6 ft 3 in
tall wighs 135 pound and his
body mass index is 16.9. which
