RN Community Health Online Practice 2019 B
RN Community Health Online Practice 2019 B
A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy?
Provide education about risk factors for hypertension.
Conduct a hypertension screening clinic for the community.
Teach clients who have a family history of hypertension how to monitor blood pressure.
Implement an exercise program for clients who have hypertension.
A school nurse is serving on a community disaster planning committee looking at school shooting scenarios. Which of the following actions should the nurse plan to take during the response phase?
Conduct ongoing assessments to identify potential hazards.
Provide disaster training to school personnel.
Perform triage and provide hands-on care as needed to victims.
Serve as a liaison between available community resources and those in need.
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?
Provide nutritional counseling for students who have diabetes.
Report suspected child neglect to the proper authorities.
Conduct vision and hearing screening for kindergarten enrollment.
Demonstrate proper handwashing techniques.
A nurse is planning to teach a community group about the meningococcal vaccine. The nurse should identity that which of the following clients should receive the vaccine?
A client who is traveling to northern Europe
An infant who has bronchiolitis
An infant who is 4 weeks old
A client who is moving into a college dormitory
A home health nurse is visiting an older adult client and notes that unwashed dishes are piled up and
newspapers cover the front steps. Which of the following questions should the nurse ask the client to determine if the client is socially isolated?
"Why haven't you brought in your newspapers?"
"Do you need help completing your housework?"
"How often do you have visitors come to see you?"
"Have you considered moving to an assisted living facility?"
A community health nurse is working with a community where the incidence of violence has increased. Which of the following actions should the nurse take as a tertiary prevention strategy?
Provide open education sessions to teach parenting skills.
Provide victims of violence with referral information to crisis lines.
Identify potential community risk factors for violence.
Assess for evidence of violence during routine encounters.
A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion?
The faith community nurse can provide pharmacological pain management for clients who have a terminal illness.
The faith community nurse can plan workplace safety training for employees in a local factory.
The faith community nurse can provide wound care for clients in their homes.
The faith community nurse can facilitate substance abuse support groups
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.
Place a rm pressure dressing to the occiput and open the airway.
Apply a cervical spine collar and perform a focused neurological exam.
Request that the client be assessed immediately by the next available provider
A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for their parent. Which of the following client statements indicates that they are experiencing role conflict?
"I feel overwhelmed with not having enough time for my mom as well as my children."
"I hope my siblings will be able to visit and help care for mom for a few days."
"I am glad that my job is flexible, so I can accommodate my mom's needs."
"I don't think my partner likes having to help more with the household chores."
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?
The case manager used a computer at the agency with an automatic sign-o mechanism.
The case manager left a clipboard with the client's prescription information face up on the office desk. •
The case manager sent a fax to the equipment company on a machine using programmed speed dial.
The case manager shared the client's name with the equipment company.
A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include?
Socially active parents and guardians are at greater risk for becoming violent.
Partner violence occurs more frequently in lower socioeconomic households.
Child maltreatment is more common in homes where partner violence is present.
Children who are abused are less likely to become abusers. A nurse in a county health department is caring for a client who states, "I've been drinking too much in the evenings since my friend died last year." Which of the following responses should the nurse make?
"It sounds like you are probably an alcoholic."
"Don't you think your family is being affected by your drinking?"
"Can I give you some information about Alcoholics Anonymous?"
"I don't think your friend would have approved of your drinking." Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following information should the community health nurse assess first?
The leadership support of the community
The accessibility of residences
The availability of volunteers
The need for the program
A nurse is preparing an educational program about influenza for a group of community health nurses. Which of the following activities should the nurse include as an example of tertiary prevention?
Offer classes to elementary school teachers about handwashing.
Provide information to occupational nurses about the reasons for employees to not come to work.
Administer antiviral medications within 48 hr to clients who have manifestations of influenza.
Provide immunizations at long-term care facilities. A community health nurse is conducting a program regarding crime reduction strategies for older adult clients at the senior center. Which of the following statements indicates an understanding of the information?
"When I am in my car, I will keep my personal items on the seat beside me."
"When I open my front door, I will ask for identification if the person is someone I do not know."
"I should store my purchases in the back seat when I am out shopping."
"I should remove the identification tag that is on my key ring."
A nurse is developing an educational program about bioterrorism and smallpox. The nurse should include in the teaching that the smallpox rash is expected to rst appear in which of the following locations?
A community health nurse is providing care to a client who has stopped taking their prescribed blood pressure medication. Which of the following actions should the nurse take first?
Advise the client that adherence to the medication regimen will promote healthy outcomes.
Determine the client's reason for discontinuing the medication.
Discuss the consequences of discontinuing the medication with the client.
Educate the client about the benefits of the medication. A nurse is assessing the risks and benefits of meal delivery services for an older adult client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating?
Respect for autonomy
A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first?
Recommend that the adolescent meet with the school guidance counselor to discuss educational options.
Help the client obtain a provider for prenatal care.
Educate the client about contraceptives to prevent future unplanned pregnancies.
Provide information on parenting classes so the client can learn about caring for a newborn
A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data?
A hospice nurse is teaching about expected grief reactions with the family of a client who has end-stage pancreatic cancer. Which of the following information should the nurse include?
"It is common to experience a persistent state of sadness while grieving."
"Disturbances in your self-esteem is an expected grief reaction."
"You will feel a sense of hopelessness throughout the grieving process."
"A component of healthy grieving is the ability to openly express your anger." A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients who have experienced violence. Which of the following statements by a nurse indicates an understanding of the teaching?
"I do not need to ask about violence at future visits once I determine that a client is not at risk."
"I should not document the name of the person the client accuses of the violence in the client's medical
"I should wait until I see signs of physical violence before I help the client develop a safety plan."
"I should determine whether a client who has been sexually assaulted requires a rape kit examination."
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 refers to the unborn fetus by name.
The client works part-time at a local restaurant.
The client has changed providers three times during their pregnancy.
The client has recurring nightmares about the unborn fetus. A school nurse is conducting visual acuity testing for a school-age child using a Snellen letter chart. Which of the following actions should the nurse take?
Allow the child to keep her glasses on during the testing.
Have the child stand 5 feet away from the Snellen letter chart.
Progress to the next line once the child reads two symbols correctly.
Begin the test by instructing the child to use both eyes to read the chart.
A home health care nurse is teaching a client's family about preventing the transmission of Clostridium diffcille. Which of the following transmission-based precautions should the nurse include in the teaching?
Contact precautions •
A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant?
Tetanus, diphtheria, pertussis (Tdap)
Measles, mumps, and rubella
An adult child of a client who is terminally ill and at the end of life approaches a hospice nurse and asks, "What can I do to help relieve my father's pain?" Which of the following interventions should the nurse suggest?
"Give your father brief hand massages."
"Increase the illumination in your father's room."
"Avoid using analgesics unless your father exhibits nonverbal signs of pain."
"Administer citalopram when your father is agitated."
A school nurse is notified that a school-age child has pertussis. Which of the following actions should the school nurse take? (Select all that apply.)
Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present.
Encourage family members to obtain prophylactic treatment.
Quarantine the children in the child's class.
Recommend that the child receive a pneumococcal vaccine in 28 days.
Check the immunization status of the child's classmates
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. The nurse can determine which of the following from this information?
• Prevalence proportion
A nurse is conducting a home visit for an older adult client. The nurse should identify which of the following findings as an indicator of possible neglect?
Taking outdated prescriptions
Has a BMI of 25
Presence of alcohol in the home
A community health nurse suspects an outbreak of scabies in the local area. Which of the following actions should the nurse take first?
Educate the community about disease transmission.
Determine the incidence rate.
Institute prophylactic treatment.
Discuss treatment plans with the clients' families.
A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is the most important for the nurse to include in an attempt to lower adolescent mortality rates?
Safer sex practices
Safety belt use
Heart-healthy diet A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment?
An occupational health nurse in a factory is performing a routine tuberculosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse plan to take?
Instruct the employee that they will need to obtain a chest x-ray.
Initiate an employee immunization program.
Instruct the employee to wear an N95 respiratory mask.
Administer prophylactic penicillin to other employees.
A nurse is caring for a client who has a positive gonorrhea culture. Which of the following actions should the nurse take?
Instruct the client that recent sexual partners will need to be treated.
Instruct the client to return for a blood test in 1 month.
Administer penicillin G 2.4 million units IM once.
Teach the client how to apply imiquimod 5% cream to the lesions.
A public health nurse is lobbying Congress to increase funding for health screenings provided to migrant farm workers. Which of the following concepts is the nurse demonstrating?
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?
Prepare the outer aspect of the upper arm for the injection.
Insert the needle at a 45° angle.
Inject 0.1 mL of purified protein derivative.
Create a wheal that measures about 15 mm in diameter
A home health nurse is evaluating a caregiver's technique for providing care to a client who has a chronic tracheostomy. Which of the following statements by the caregiver indicates an understanding of the procedure?
"I should remove the soiled ties before replacing them with clean ones."
"I will use tap water to clean the inner cannula."
"I should use a slip knot to secure the tracheostomy ties."
"I will cut a four inch by four-inch gauze to use as a dressing."
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 residents who have experienced a hurricane in the past and will not need evacuation
A list of areas within the community where residents speak multiple languages
How to activate the local medical facilities' emergency-management plans
The name of the individual who is necessary to implement the plan
A community health nurse is participating in a quality improvement plan for a local health department. Which of the following techniques should the nurse use for process evaluation of the facility? (Select all that apply.)
✓ Focus groups
✓ Written audits
✓ Satisfaction survey
A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and noisy breathing. Which of the following actions should the nurse take?
Suction the client's oropharynx.
Administer the client's pain medication intramuscularly.
Use a fan in the client's room.
Place the client in Trendelenburg position.
A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching?
"I will use a dry-sanding technique when preparing to repaint my front door."
"I will vacuum our wood floors every week."
"I will increase the amount of red meat and milk in my child's diet."
"I will use hot tap water to prepare my baby's formula
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?
Less autonomy in providing client care
Disinterest by members of the population in providing input for community health programs
Lack of cohesiveness among community members
Unavailability of outreach services
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?
"I will need to purchase exercise equipment before I can start."
"I should try to perform aerobic exercise for an hour a day, 5 days a week."
"I will see my doctor before beginning an exercise program."
"I should avoid participating in weight-lifting exercises."
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?
Agency for Healthcare Quality and Research (AHRQ)
Migrant Clinicians Network (MCN)
Centers for Disease Control and Prevention (CDC)
U. S. Preventive Services Task Force (USPSTF)
A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease?
Withdrawal from social activities
Forgetting the location of common objects
Neglecting personal hygiene
A community health nurse 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?
Review community-specific epidemiological data.
Recommend updates to local environmental policies.
Create program goals that align with Healthy People objectives.
Distribute environmental health education materials to community members.
A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take?
Wear protective eyewear.
Use disposable equipment.
Use an N95 respirator.
A community health nurse is made aware that several children, who are from the same family and did not receive immunizations, have contracted measles. Which of the following actions should the nurse take?
Report this information to the state health department.
Encourage the family to keep the children isolated during the incubation period.
Speak to the guardians about getting the children immunized after they are disease free.
Provide the infected children's names to the parents and guardians of children who might have been
A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first?
A client who has a superficial partial thickness burn to the hand
A client who has a temperature of 38.3° C (101° F)
A client who has COPD and an oxygen saturation of 90%
A client who has a new onset of confusion and slurred speech