HESI RN COMMUNITY

HESI RN COMMUNITY HEALTH EXAM PACK-MEREGED QUESTIONS BEST FOR 2022 EXAM REVIEW HESI RN COMMUNITY HEALTH EXAM PACK-MEREGED QUESTIONS BEST FOR 2022 EXAM REVIEW 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? Face Posterior shoulders Abdomen Lower extremities 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? Distributive justice Respect for autonomy Fidelity Beneficence 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? Health surveys Medical records Informant interviews Morbidity/mortality statistics 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 record." "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 • Droplet precautions Airborne precautions Protective environment 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? Herpes zoster Tetanus, diphtheria, pertussis (Tdap) Varicella 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? Mortality rate Attack rate • Prevalence proportion Incidence 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? Lives alone 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? Underage smoking 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? Immunization status Sexual activity Illness practices Food allergies 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? Advocacy Principlism Deontology Communitarianism 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 Interviews Values self-study 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 Experiencing incontinence 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 gloves. 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 exposed. 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 ▪ A case management nurse at an acute care facility is conducting an initial visit with a client to identify needs prior to discharge home. After developing a working relationship with the client, the nurse is engaging in the referral process. Which of the following actions should the nurse take first? Identify referrals that the client needs. ▪ A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. which of the following statements should the nurse make first? A school worker can help you with the cost of supplies. ▪ A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. which of the following statements should the nurse make first? A school worker can help you with the cost of supplies. ▪ A case manager is caring for a client who is being discharged following total hip arthroplasty. Which of the following actions is an example of the nurse functioning in The Negotiator role? Discuss payment options with various pharmacies ▪ A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. which of the following assessments should the nurse identify as the priority? Evaluate the client's home environment. ▪ A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. which of the following assessments should the nurse identify as the priority? Evaluate the client's home environment. ▪ A case manager is planning home health care for a client who has a major burn injury. which of the following interventions should the case manager plan to make? Assess the client's need for wound care supplies. ▪ A case manager is planning home health care for a client who has a major burn injury. which of the following interventions should the case manager plan to make? Assess the client's need for wound care supplies. ▪ A community health clinic is planning annual goals. which of the following outcomes addresses the ethical principle of distributive justice? Clients receive Medicare benefits when eligible. ▪ A community health clinic is planning annual goals. which of the following outcomes addresses the ethical principle of distributive justice? Clients receive Medicare benefits when eligible. ▪ A community health nurse encounters a cline who has a suspected bioterrorism related illness. which of the following actions should the nurse take? Don personal protective equipment. ▪ A community health nurse is assigned to implement a disaster plan for the area. which of the following actions should the nurse include as part of the response phase? Conduct community disaster drills. ▪ A community health nurse is determining available and needed supplies in the event of a bioterrorism attack. The nurse should be aware that community members exposed to anthrax will need access to which of the following medications? Ciprofloxacin. ▪ A community health nurse is developing an education program on substance use disorders for a group of adolescents. Which of the following information should the nurse include when discussing nicotine and smoking? Tolerance to nicotine does develop quickly. ▪ A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy? Teaching a client who has schizophrenia about medication interactions is a tertiary prevention strategy. ▪ A community health nurse is educating the public on the agents of bioterrorism. Which of the following agents should the nurse include as Category A biological agents? (SATA) Plague. Tularemia. Botulism. ▪ A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention? Providing influenza immunizations to employees at a local preschool. ▪ A community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program? Clients will schedule bone density screenings. ▪ A community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program? Clients will schedule bone density screenings. ▪ A community health nurse is planning strategies to address childhood obesity in the area. which of the following actions should the nurse take first? Provide nutrition education to children and their families. ▪ A community health nurse is planning strategies to address childhood obesity in the area. which of the following actions should the nurse take first? Provide nutrition education to children and their families. ▪ A Community health nurse is providing teaching about nutrition guidelines to a group adolescents. Which of the following Information should the nurse include in teaching? Appetite naturally increases during the Adolescent years. ▪ A community health nurse is teaching a group of clients about available resources to assist with recovery following a stroke. which of the following resources should the nurse recommend for clients who are experiencing dysphagia? Speech language pathologist. ▪ A community health nurse is teaching a group of clients about available resources to assist with recovery following a stroke. which of the following resources should the nurse recommend for clients who are experiencing dysphagia? Speech language pathologist ▪ A community health nurse is teaching a group of older adult clients about hypertension. The nurse should identify which the following as a client related barrier to learning? Low literacy. ▪ A faith community nurse is planning care for a client who has been diagnosed with end stage breast cancer. which of the following interventions should the nurse include in the plan? Provide quiet time during visits for prayer and meditation. ▪ A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. which of the following actions should the nurse plan to take? Determine how the adolescent’s health has affected family roles. ▪ A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. which of the following actions should the nurse plan to take? Determine how the adolescents health has affected family roles. ▪ A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. which of the following actions should the nurse plan to take first? Perform a needs assessment. ▪ A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. which of the following actions should the nurse plan to take first? Perform a needs assessment. ▪ A first response team is working at the location of a bombing incident. a nurse triaging a group of clients should give treatment priority to which of the following clients? A client who has a rigid abdomen with manifestations of shock. ▪ A first response team is working at the location of a bombing incident. a nurse triaging a group of clients should give treatment priority to which of the following clients? A client who has a rigid abdomen with manifestations of shock. ▪ A group of technicians from a local automotive repair shop presents to an urgent care clinic with reports of dizziness, headaches, and nausea. after providing needed care to the clients, which of the following government agencies should the nurse notify to follow up on these reports? Occupational safety and health administration. ▪ A group of technicians from a local automotive repair shop presents to an urgent care clinic with reports of dizziness, headaches, and nausea. after providing needed care to the clients, which of the following government agencies should the nurse notify to follow up on these reports? Occupational safety and health administration ▪ A home health nurse is assessing a client who has aids. which of the following responses by the client indicates a risk for suicide? I know that everything will be better soon. ▪ A home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief from pharmacological measures. which of the following interventions should the nurse initiate? (SATA) Assist the client in using guided imagery. Provide sips of room temperature ginger ale between meals. Maintain the head of the client's bed in an elevated position after eating. ▪ A home health nurse is caring for a client who has MRSA. which of the following actions should the nurse take? Double bag soiled dressings in polyethylene bags. ▪ A home health nurse is discussing electrical hazards with a client. which of the following statements should the nurse include? You should secure extension cords with clear packing tape. ▪ A home health nurse is discussing portals of entry with a group of newly hired assistive personnel. Which of the following locations should the nurse include as a portal of entry? (SATA) Skin. Genitourinary tract. Mucous membranes. ▪ A home health nurse is educating a client who has copd and is to start using home oxygen via nasal cannula. which of the following statements should the nurse identify as an indication that the client understands the teaching? I should check the flow rate of my oxygen each day. ▪ A home health nurse is performing a home safety evaluation for a newly admitted client. which of the following findings requires action by the nurse? (SATA) An extension cord extends across the floor of the living room. The water heater is set at 54.4. ▪ A home health nurse is preparing to teach the family of a client who has a new diagnosis of HIV about infection control. which of the following factors should the nurse identify as an educator related barrier to learning? Reliance on written notes during the teaching session. ▪ A home health nurse is visiting a client who has right sided weakness following a recent stroke. the client states I’m not sure how I will buy my groceries since I can’t go back to work. Which of the following action should the nurse take? Initiate a referral for the client to a local social worker. ▪ A hospice nurse is concerned that the partner of a client is experiencing caregiver burden. which of the following actions should the nurse take first? Suggest assistive personnel visit daily to provide client care. ▪ A hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse take? Discuss safe use of herbal medications. ▪ A hospice nurse is planning care for a client who follows traditional American Indian practices. which of the following actions housed the nurse plan to take? Discuss safe use of herbal medications. ▪ A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following information should the nurse determine when conducting a work site survey? Work practices of employees. ▪ A newly hired public health nurse is familiarizing himself with the levels of disaster management. Which of the following actions is a component of disaster prevention? Identifying community vulnerabilities. ▪ A nurse at a community clinic is conducting a well-child visit with a preschool-age child. The nurse should identify which of the following manifestations as a possible indication of child neglect? (SATA) Underweight. Poor hygiene. ▪ A nurse at a community mental health center is caring for a client who has antisocial personality disorder. which of the following actions should the nurse include in the plan of care? Assist the client to identify acceptable outlets of anger. ▪ A nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department? Chlamydia. ▪ A nurse at a shelter is assisting with client triage after a tornado destroyed a community. which of the following clients should receive priority care? An adult client who is short of breath. ▪ A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following groups should the nurse include as the fastest-growing segment of the homeless population? Families with children are the fasting-growing segment of the homeless population. ▪ A nurse case manager is providing discharge planning for a client. the nurse is functioning in which of the following roles when delivery of medical equipment to the client's home? Coordinator. ▪ A nurse developing a community health program is determining barriers to community resource referrals. Which of the following factors should the nurse include as an example of a resource barrier? Costs associated with services. ▪ A nurse in a community clinic Is assessing a client who reports injecting heroin 1 hr Ago. which of the following findings should the nurse expect? Euphoria. ▪ A nurse is advocating for local leaders to place a newly approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principles? Distributive justice. ▪ A nurse is assessing an outbreak of mumps among school age children. Using the epidemiological triangle, the nurse should recognize of the following is the host? The children. ▪ A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse identify as a manifestation of withdrawal? Diaphoresis. ▪ A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? Gather data about the client's cultural beliefs. ▪ A nurse is caring for a client who is homeless. which of the following actions should the nurse take first? Determine the client's understanding of her living situation. ▪ A nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (SATA) Birth statistics. Previous health survey results. Health records. ▪ A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first? Compile collected data into a database. ▪ A nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community? Key informant interviews. ▪ A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care? "I can't take off during the day, and the local after-hours clinic is no longer in operation." ▪ A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (SATA) Flexibility among partners when considering new ideas. Adherence of partners to ethical principles. Willingness of partners to negotiate roles. ▪ A nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. Which of the following learning strategies should the nurse include for clients who are auditory learners? Facilitating small group discussions ▪ A nurse is developing a health screening program for clients who are at risk for hypertension. which of the following actions should the nurse take first? Conduct a survey to identify the community need for hypertension screening. ▪ A nurse is developing health promotion strategies for older adult client at an assist living facility. which of the following strategies is the priority for the nurse to include? Immunizing the clients against influenza. ▪ A nurse is participating in an outreach program to combat the rise of encephalitis in the community due to an increased population of mosquitos. which of the following activities should the nurse perform to implement mosquito control strategies? Release a media announcement asking residents to remove areas of standing water. ▪ A nurse is planning a community health program. Which of the following actions should the nurse include as part of the evaluation plan? Compare program impact to similar programs. ▪ A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first? Determine student’s motivation to learn about healthy food choices. ▪ A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following illnesses as airborne? Influenza. ▪ A nurse is preparing an education program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following factors as agents? (SATA) Toxins. Bacteria. ▪ A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following factors are influenced by an individual's culture? (SATA) Nutritional practices. Family structure. Health care interactions. Views about illness. ▪ A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? (SATA) Ethnicity of community members. Natural community boundaries. Presence of public protection. ▪ A nurse is providing education to the family of a school age child who has pertussis. which of the following information should the nurse include in the teaching? Household contacts will receive prophylactic antibiotics. ▪ A nurse is providing teaching to a 50-year-old female client. which of the following statements should the nurse include in the teaching? You should have a complete eye examination every 2 Years until the age of 64. ▪ A nurse Is providing teaching to a client who has confirmed case of tuberculosis. which of the following statements by the client indicates the teaching has been effective? I will be contagious until I have completed the full medication regimen. ▪ A nurse is providing teaching to a newly licensed nurse about secondary prevention strategies related to violence and abuse. which of the following strategies should the nurse include in the teaching? Assess clients for withdrawal and passivity during home health visits. ▪ A nurse is reviewing information about the local health department to prepare for an interview. Which of the following services should the nurse expect the local health department to provide? (SATA) Providing education to achieve community health goals. Coordinating directives from state personnel. ▪ A nurse is reviewing the various roles of a community health nurse. Which of the following actions is an example of a nurse functioning as a consultant? Updating state officials about health needs of the local community. ▪ A nurse is speaking with several clients at a health fair. Which of the following statements should the nurse assess further? I have to turn my head completely to see things that are beside me. ▪ A nurse is talking to a client who asks for additional information about hospice. Which of the following statements should the nurse make? "A component of hospice care is to control the client's manifestations." ▪ A nurse is teaching a client who has a terminal illness about hospice care. which of the following statements by the client indicates an understanding of the teaching? (SATA) I can discontinue hospice care whenever I want. I will receive care from a variety of interprofessional team members. I can receive care in the hospital or at home. ▪ A nurse is teaching a client who is to undergo enzyme linked immunosorbent assay testing for HIV. which of the following information should the nurse include? The test measures serum levels of HIV antibodies. ▪ A nurse is using the I PREPARE mnemonic to assess a client's potential environmental exposures. Which of the following questions should the nurse ask when assessing for "A" in the mnemonic? "What do you like to do for fun?" ▪ A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal? Teaching parenting techniques to new parents. ▪ A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures? The provider pays a fixed sum for the client on a monthly or yearly basis. ▪ A nurse is working with a client who has systemic lupus erythematosus and recently lost her health insurance. Which of the following actions should the nurse take in the implementation phase of the case management process? Coordinating services to meet the client's needs. ▪ A nurse manager at a clinic is reviewing the preventative services offered to clients. which of the following activities should the nurse identify as a secondary prevention activity? Advocate for laws that prohibit texting while driving. ▪ A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community-based and community-oriented nursing, the nurse should include which of the following situations as an example of community-based nursing? (SATA) A home health nurse performing wound care for a client who is immobile. A school nurse teaching a student who has asthma about medications. ▪ A nurse manager in a community health clinic is reviewing secondary prevention activities with a group of nurses during orientation. which of the following activities should the nurse manager include as an example of secondary prevention? Test a client who has a family history for DM. ▪ A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might manifest a false positive reading? A client who has received the Bacille Calmette-Guerin vaccine within the last 10 years ▪ A nurse manager is reviewing the disaster plan at a long-term care facility. which of the following is the most comprehensive method for the nurse to use to determine the effectiveness of the plan? Review how the staff implements the plan during a hands-on practice drill. ▪ A nurse working in a community health center is providing teaching to a client who has alcohol use disorder. which of the following treatment methods should the nurse include in the teaching? Treatment with naloxone. ▪ A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. which of the following agencies is responsible for voluntarily reporting cases of this disease to the CDC? State health department. ▪ A recently hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect physical hazards? Measure noise levels at various locations in the facility ▪ A school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa. which of the following actions should the nurse take? Review the immunization records of the client's classmates. ▪ A school nurse is discussing stress management techniques with a group of adolescents. which of the following activities reported by an adolescent should the nurse identify as the priority? Scratching or piercing the skin. ▪ A school nurse is implementing health screenings. which of the following assessment findings should the nurse recognize as the highest priority? A child who has nits. ▪ A school nurse is planning health promotion and disease prevention activities for the upcoming school year. In which of the following situations is the nurse planning a secondary prevention strategy? Routinely checking students for pediculosis throughout the school year. ▪ A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (SATA) Lobbying for funding for health promotion efforts. Teaching a class about the risks of cigarette smoking. Organizing a program to promote skateboard safety. ▪ A school nurse is planning safety education for a group of adolescents. the nurse should give priority to which of the following topics as the leading cause of death for this age group? Motor vehicle safety. ▪ A school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following roles is the nurse functioning? Case manager. ▪ An occupational health nurse is caring for a client who does not speak the same language as the nurse. Which of the following actions should the nurse take first? Determine the client's primary language. ▪ An occupational health nurse is consulting with senior management of a local industrial facility. When discussing work-related illness and injury, the nurse should include which of the following factors as physical agents? (SATA) Noise. Lighting. ▪ An occupational health nurse is discussing health promotion with a client who has a history of obesity. which of the following comments indicates the client Is using rationalization as a coping mechanism? I have lots of health problems from being obese. ▪ An occupational health nurse Is preparing for an initial meeting with a committee that is planning a health fair for an industrial work site. the nurse should instruct the committee members to take which of the following actions first? Determine the health concerns of the employees. ▪ Several nurses are developing a parish nurse group to help address the primary and secondary health care needs for the congregation. which of the following services should the nurses plan to provide to the congregation? Organize an influenza immunization clinic with the American Red Cross. 1. An occupational health nurse is preparing to teach a health promotion class for workers at a warehouse. Which of the following statements should the nurse include? "Rub your hands together for at least 10 seconds when washing them." "Keep your abdominal muscles tightened when lifting objects." "Ensure that 20 percent or less of calories are from saturated fats." "Engage in aerobic exercise 2 to 4 days per week for 20 min." 2. A nurse is preparing an in-service about family violence for a group of newly licensed nurses. Which of the following statements should the nurse include in the teaching? "Perpetrators of family-directed violence recognize their behavior as abnormal." "Female clients who experience partner violence are at greater risk for acute diseases." "The victim's risk for homicide is greatest when they decide to leave the relationship." "The level of violence of the events decreases over time." 3. A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include? Avoid exposure to deer ticks. Eliminate areas of standing water. Use a respiratory mask when cleaning bird coops. Plan outdoor activities after dusk 4. A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention? Design interventions for a student's individual education plan (IEP). Teach students about healthy food choices. Perform first aid for minor injuries. Perform scoliosis screenings for students. 5. A nurse is conducting a home visit with an older adult client. Which of the following observations should the nurse address to promote a safe environment? Loud volume of the television set Wall-to-wall carpet in the living room Low chairs without armrests Use of indirect lighting 6. A case manager completes a history and physical assessment for a client who has COPD. Which of the following actions should the case manager take next? Identify the client's current health needs. Call the provider with a list of client concerns. Compile a list of community resources for the client. Refer the client to a COPD support group 7. A nurse manager is implementing a quality improvement project to reduce the number of methicillinresistant Staphylococcus aureus (MRSA) infections at the facility. Which of the following actions should the nurse manager take first? Develop a MRSA protocol for implementation. Provide educational in-service for staff. Evaluate outcomes resulting from interventions. Conduct a chart review to evaluate precipitating factors of clients who develop MRSA. 8. A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement? "We should start tracking how soon clients are discharged after laparoscopic versus open surgery." "We should be sure to log out of the computers immediately following documentation." "We should involve our clients' partners in care planning as much as possible." "We should provide change-of-shift report as a team, including the assistive personnel who assisted with care. 9. A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and her family. Which of the following statements should the nurse include in the teaching? "Hospice care focuses on disease treatment and rehabilitation." "The provider will coordinate your health care needs while in hospice." "You must choose a family caregiver before being admitted into a hospice facility." "Hospice care continues to help families with grief after a death occurs." 10. A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.) Log out of the computer terminal before leaving. Share passwords for computer access with colleagues. Change computer access passwords on a regular basis. Avoid accessing information about clients admitted to other units. Shred computer-generated client worksheets after use. 11. A nurse is completing an assessment of a recently widowed older adult client. He states he is unable to drive and is afraid to cook on the stove. Which of the following community resources should the nurse recommend? Hospice care Meals on Wheels Home health services American Association of Retired Persons 12. A charge nurse is discussing HIPAA with a newly licensed nurse. Which of the following actions should the charge nurse include in the teaching as an example of a HIPAA violation? Posting the name of the nurse providing care on a client's communication board Discussing the client's new medication with a hospital pharmacist Faxing requested medical information for a client who is transferring to another facility Emailing the client's positive hepatitis results from an unencrypted serve 13. A nurse manager is preparing to complete staff performance appraisals. Which of the following principles should the nurse manager consider when completing the appraisals? Performance appraisals should be written in measurable terms. Appraisal objectives should be applicable to staff at every level. Performance appraisals should be based on the nurse manager's preferences. Completed appraisals should be approved by a provider. 14. A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first? Notify the provider. Check the condition of the client. Document the occurrence in the electronic medical record. Complete an incident report. 15. A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identication bracelet, requests to take the newborn to his parent's room. Which of the following actions should the nurse take? Check the newborn's identication bracelet with the chart. Obtain permission from the newborn's mother. Respectfully deny the grandparent's request. Review the newborn's footprint record 16. A nurse enters a client's room and finds the client pulseless. The client's living will requests no resuscitation be performed, but the provider has not written the prescription. Which of the following actions should the nurse take? Administer emergency medications without performing CPR. Begin CPR. Call the provider for a do-not-resuscitate (DNR) order. Respect the client's wishes, and do not attempt CPR. 17. A staff nurse is challenging a shift assignment with the charge nurse. Which of the following statements made by the charge nurse is an example of smoothing as a strategy to resolve conflict? "If you accept this assignment today, I will let you choose your assignment tomorrow." "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor." “Let’s just focus on giving our client medications on time.” "You have a lot of experience, so I'm sure you're capable of these tasks." 18. A community nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include? Rubella Pertussis Influenza Varicella 19. A nurse is receiving change-of-shift report on a group of clients. Which of the following clients should the nurse assess first? A client who has urolithiasis and reports severe ankle pain extending toward the abdomen A client who has acute cholecystitis and reports abdominal pain radiating to the right shoulder A client who has had a total knee arthroplasty, is 1 day postoperative, and reports a pain level of 8 on a 0 to 10 pain scale A client who has a fractured femur and reports sudden sharp chest pain 20. An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to aect physical agents in the environment? (Select all that apply.) Teach workers to choose personal strategies to cope with work stress. Limit the amount of time workers spend in temperatures over 43.3° C (110° F). Provide ear plugs for use at workstations throughout the factory. Obtain dosimeters for employees to wear when using new machinery that emits radiation. Require more frequent disinfection of work surfaces during inuenza season. 21. A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health? Have adolescents lead peer discussions in schools about safe sexual practices. Distribute condoms through remote community clinics. Create commercial advertisements describing the long-term eects of HIV. Include information about perinatal HIV transmission at prenatal education classes. 22. A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information? The advice of an expert nephrology nurse Retrospective chart reviews Facility critical pathway A recent peer-reviewed nursing research article 23. A newly licensed nurse tells a charge nurse that he is unsure about accepting telephone medication prescriptions. Which of the following providers should the charge nurse identify as having the legal ability to give telephone medication prescriptions? (Select all that apply.) ??? Anesthesiologists Physician assistants Hospital pharmacists Mental health technicians Nurse practitioners 24. A newly licensed nurse is giving a change-of-shift report using I-SBAR to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report? "The client has a new prescription for incentive spirometry." "The client's partner plans to return later today." "The client has no living family members." "I initiated a consultation by a nutritionist." 25. A nurse is preparing to administer the initial dose of ceftriaxone to a client who has endometritis. Which of the following statements by the client should cause the nurse to hold the medication and consult the provider? "I have a severe allergy to amoxicillin." "I get sick when I take diuretics." "I have a history of hearing problems." "I take prednisone for my asthma." 26. A charge nurse on a medical-surgical unit is preparing to delegate tasks to a licensed practical nurse (LPN). Which of the following tasks should the charge nurse delegate to the LPN? Administering an oral antibiotic to a client Performing an admission assessment of a client Creating new teaching for a guardian of a toddler Administering IV conscious sedation to a client 27. A nurse on a rehabilitation unit is creating a plan of care for a newly admitted client who has difficulty swallowing following a stroke. Which of the following interprofessional team members should the nurse anticipate consulting regarding the client's condition? (Select all that apply.) ??? Speech-language pathologist Occupational therapist Dietitian Psychologist Pharmacy technician 28. A forensic nurse is using the epidemiological triangle to explain factors that contribute to violent behavior. Which of the following factors should the nurse identify as an environmental factor in the epidemiological triangle? Crowded living conditions Traumatic brain injury Alzheimer's disease Impaired coping abilities 29. After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take? Suggest that family members discuss the importance of the surgery with the client. Notify the surgeon that the client wishes to withdraw informed consent for the procedure. Document the risks of refusing the procedure in the client's medical record. Discuss the benets of the procedure with the client 30. A home health nurse is teaching about chest physiotherapy (CPT) treatments with a client who has COPD. Which of the following client statements should the nurse identify as an indication that the teaching has been understood? "My coughing will decrease during CPT treatments." "CPT treatments will decrease my respiratory infections." "I will perform postural drainage after eating meals." "CPT treatments will help cure my COPD." 31. A public health nurse is developing guidelines for management of a botulism outbreak. Which of the following information should the nurse include? High-risk individuals should receive immunoglobulin E (IgE). Implement airborne precautions for clients who have botulism. Administer an aminoglycoside medication. Rinse skin with soap and water following exposure to the botulism toxin. 32. A county public health nurse is developing a list of interventions to address the three core functions of public health. Which of the following interventions should the nurse include as part of the assurance function? Use surveillance to investigate outbreaks of foodborne illness. Monitor the incidence rates of varicella every 2 months. Organize an immunization clinic for at-risk members of the community. Educate the community about the health risks of alcohol use. 33. A nurse is discussing organ donation with a newly licensed nurse. Which of the following statements should the nurse include in the teaching? (Select all that apply.) "To harvest a client's organs, they must provide consent prior to death." "The donor client's provider will harvest the organs for donation." "During admission, all clients over the age of 18 should be asked about their organ donor status." "The National Organ Transplant Act prohibits the sale and purchase of organs." "Documentation about the client's organ donor preference is placed in the electronic medical 34. A case manager at an assisted living facility is reviewing the use of complementary health practices by several clients. Which of the following actions should the case manager plan to take? Plan to report a client's use of echinacea to the provider as a contraindication to aspirin therapy. Plan to schedule time for a new client to continue tai chi practice as a stress reduction technique. Tell a client that yoga has not been proven eective to reduce manifestations of menopause. Tell a client who drinks cranberry juice daily that it can help treat existing urinary tract infections. 35. A nurse manager is teaching a group of sta members about proper body mechanics. Which of the following statements by a sta member indicates an understanding of the teaching? "I should get assistance when lifting more than 35 pounds." "I will twist at my waist when moving an object." "I should hold objects 1 ft away from my body when I walk." "I will roll my shoulders forward to reduce strain on my back." 36. A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider? ??? Trimethoprim-sulfamethoxazole Hyoscyamine Oxybutynin Phenazopyridine 37. A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). The client states, "I am ready to go immediately." Which of the following actions should the nurse take first? Teach the client about the potential health risks of leaving early. Ask the client to sign a document stating they are leaving AMA. Document the client's statement in direct quotes in the medical record. Complete an incident report detailing the client scenario. 38. A nurse manager of a rural clinic is orienting a new employee. Which of the following information should the nurse include as a characteristic of rural health? Lower maternal morbidity rates Reduced incidence of death from motor-vehicle crashes Increased rates of chronic illness More frequent dental preventative care visits 39. A nurse at a local health department is caring for a client who is newly diagnosed with listeriosis. Which of the following actions should the nurse plan to take? Provide the Centers for Disease Control (CDC) and Prevention with the client's information. Inform the client that they are required to have health department sta directly observe their treatment. Determine whether the condition is reportable under state requirements. Find out whether the condition is endemic in the client's neighborhood 40. A nurse working in a mobile health clinic is assessing a migrant farm worker. Which of the following findings should the nurse identify as the priority? Report of back pain associated with twisting at the waist Absence of a dental health provider Lives in a home with 25 other migrant