West Coast University NURS 340: Public Health Quizzes 1-3 | Complete 100% Questions and And Answers_ Updated Fall 2025/26.

West Coast University NURS 340: Public Health Quizzes 1-3 | Complete 100% Questions and And Answers_ Updated Fall 2025/26. 1. What core function of Public Health is a Windshield Survey? -primary care -assessment -policy development -assurance 2. Two nurses in community health scheduled a day to ride through a low income community to better understand the community and its boundaries, trends, rhythm, stability, and changes that can affect the health of the community. This direct data collection method is often referred to as: -composite database -windshield survey -census -participant observation 3. The determinants of public health include (select all that apply) -environmental -biophysical -biological -social 4. A public health nurse is promoting routine Papanicolaou (pap) tests to young adult women at a community based preventive care health fair. A pap test is within which level of prevention care? -secondary -tertiary -self-care ability level -primary level 5. Nightingale’s theory of environment includes which of the following? -emphasize change at the individual level -highlights the relationship between an individual’s environment and health -nursing at night -validates the use of the social worker 6. Public health nursing interventions includes all of the following except: -screening -primary patient care -advocacy -surveillance 7. What country spends the most money on health care, yet their population has unhealthy lives is: -united stated-France -united kingdom -Canada 8. In the United States, the system of healthcare has historically given and continues to give stronger support to which types of care? -individual care with a focus on cure -individual care with a focus on prevention -community care with a focus on cure -community care with a focus on prevention 9. The public health nurse is performing STD screening at a local health fair. This is an example of: -primary prevention -tertiary prevention -quaternary prevention -secondary prevention 10. A nurse is caring for a client who is prescribed tetracycline 2 grams daily PO in four divided doses every 6 hr. Available is tetracycline 250 mg capsules. How many capsules should the nurse administer per dose? -2 capsules 11. A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following should the nurse include as a primary level of prevention for Poverty and Homelessness? -begin treatment for any disease that are detected -screen clients for early detection of drug use and the possibility of multiple users on needles -provide health education in the local area for prevention of disease related to multiuse of needles. -implement more systematic programs for needle exchange 12. The historical nursing figure who contributed to establishing the foundation for current community health and nursing in community health by working in military field hospitals using a population based approach that improved nursing care and environmental condition was: -Lilian Wald -Florence nightingale -john snow -Mary Breckenridge 13. Healthy People 2020 aims to reach four overarching goals (SATA): -achieve health equity, eliminate disparities, and improve the health of all groups-create social and physical environments that promote good health for all who can afford it -create social and physical environments that promote good health for all -attain high quality longer lives free of preventable disease, disability injury and premature death -promote quality of life, healthy development and healthy behaviors across all life stages 14. A public health 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 PHN is advocating for the leaders to uphold which of the following ethical principles: -distributive justice -autonomy -veracity -fidelity 15. A Public health nurse (PHN) is teaching a class on health promotion and illness prevention. The nurse should include which of the following as an example of secondary prevention ? -Performing monthly breast self examinations -referring a client who has had a mastectomy to a support group -providing a community program on stress reduction -teaching foot care to a client who has diabetes 16. A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. The amount available is potassium chloride suspension 10 mEq/mL. How many mL should the nurses administer? -2 ml 17. A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? -0.5 tablet 18. The healthcare provider is assessing the glucose level of a patient with a diagnosis of diabetes. Which of these is most helpful in evaluation this patient’s long term glucose management? -urine specific gravity -hemoglobin A1c -the patient’s food diary -fasting blood glucose level19. In the video, Lisa Ling tackles a pervasive issue in America. Twelve year old Brianna, suffers from this disabling problem which is -mental illness -homelessness -obesity -cancer 20. The history of school nursing can be traced back of 1902, when Lillian Wald was working in a New York city public school. She viewed school nursing services as a way to decrease which problem ? -seasonal allergies -excessive absenteeism -nutrition deficiencies -dental cavities 21. A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the difference between community based and community oriented nursing, the nurse should include which of the following situations as an example of community oriented nursing ? SATA -a parish nurse teaching a class on low sodium cooking techniques -a school nurse teaching a student who has asthma about medication -a mental health nurse discussing stress management technique with a support group -a home health nurse performing would care for a client who is immobile -an occupational health nurse providing classes on body mechanics at a local industrial plant 22. The community health nurse assesses the neighborhood in which the client live. When observing the physical environment, the nurse notes that most of the homes in the neighborhood are well kept and the children playing in the yards are wearing clean clothing. The children appear well nourished. The nurse determines that the neighborhood has little need for a well child clinic. This assessment is based on: -subjective data -cognitive analysis -objective data -valid data 23. Which risk factors is associated with overall health? -down syndrome -traumatic injury -allergy -air pollution 24. Which most accurately defines quality of care?-presence of a variety of ethnic, racial and cultural backgrounds of the workers in a specific area such as the health sector -degree to which health services increase the likelihood of desired outcomes and are consistent with current knowledge -economic approach or analysis tool used to evaluate the effective of a treatment or intervention -improvement of what is wrong or unsatisfactory 25. A nurse is caring for client for a client who is dying of metastatic breast cancer. She has a prescription of an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client’s death. Which of the following ethnical principles should the nurse use to support the decision not to administer the medication? -utilitarianism -nonmalefiecne -fidelity -veracity 26. A comprehensive approach that emphasizes the community as a client, with the goal of providing benefit to the people of the area, rather that individual describes -the cognitive theory -a community assessment -a windshield survey -a public health nurse care plan 27. A nurse is caring for a client who has diabetes and a new prescription for 14 unites of regular insulin and 28 unites of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe? -28 units -42 units -32 units -14 units 28. A school nurse institutes a healthy food choice program at an elementary school in a low socioeconomic neighborhood with high rates of diabetes. This is an example of: -policy development -assessment -assurance -upstreaming 29. 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 learning? -supplying outlines for notetaking-facilitating small group discussions -providing equipment to practice hands on skills -showing photographs of the sites for injections 30. A nurse is preparing an educational program about influenzas for a group of community health nurses. Which of the following activities should the nurse include as an example of tertiary preventions? -provide immunization at a long-term facility -offer classes to elementary school teacher about handwashing -administering antiviral medication within 48 hours to clients with manifestation of influenza -provide information to occupational nurses about the reasons for employees to not come to work 31. The leading cause of death in 2010 was -heart disease -cerebrovascular disease -chronic lower respiratory disease -diabetes mellitus 32. A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder -annual influenza immunization -Maintenance of ideal weight -smoking cessation -regular moderate exercise 33. How would a community health nurse define vulnerable population? -those persons with higher mortality rates -individuals with chronic illness -those with increases risk for adverse health outcomes -individuals with lower life expectancy 34. The local clinic is dedicated to the well adult and child. It has evening hours and offers varied program for the community. The programs include immunization and classes on fire safety, health education and care safety, to name a few. How would the nurse explain the level of prevention use in this setting to your colleagues? -secondary -primary -quaternary -tertiary35. In applying the health belief model to the decision to have back surgery, a patient must first: -acknowledge that a health threat exists -find out what other people have done in the same situation -consult with his or her family to see what they think -try every possible medical treatment 36. An occupational health nurse in the clinical of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy ? -help plant worker identify signs of carpal tunnel syndrome -collaborate with physical therapists to develop programs for injured employees to return to work -set up an influenza immunization campaign -teach plant workers about proper lifting techniques 37. A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? -testing new nurses for exposure to tuberculosis -performing screening for sexually transmitted infections -providing treatment for client who have chronic obstructive pulmonary disease -administering influenza immunization at a local fair 38. A nurse is talking with a young adult client who has family history of osteoporosis. Which health promotion activity should the nurse recommended as possible preventive measure ? -have a bone-density scan each year -increase sodium intake -engage in weight bearing exercise regularly -drink a cup of coffee each morning 39. A community health nurse is implementing health programs with several population in the local area. In which of the following situations is the nurse using primary prevention? -implementing a program to notify individuals exposed to salmonella -performing a home safety check at a client’s home -teaching health nutrition to clients who have diabetes -providing influenza immunization to senior day care center 40. The organization that determines health goals for global intervention is: -doctors without borders -world health organization -international red cross -us department of health and human services41. A national strategy to improve significantly the health of Americans by preventing or delaying the onset of major chronic illness, injuries, and infectious diseases. It has influenced goals and priority setting in public health and in public nursing -institute of medicine -American nurses association -healthy people -world health organization 42. A 50-year-old female is receiving care at home for a diabetic ulcer. During the visit the nurse teaches the patient about proper would care and the ideal diet for a diabetic patient. The nurse educates her on home safety and fall precautions. What level of care is the nurse providing? -community oriented care -public health nursing -community based care -primary prevention 43. A community health nurse working with a group of families who come to local community health care center tells them that she is going to be setting up child care so that the families can participate in the various classes being offered by the center. Three months have passed, and the nurse still has not instituted the child care program. The nurse has violated which ethical principle? -fidelity -respect -justice -veracity 44. The benefits of public health include (SATA) -dramatic increase in life expectancy -population focused PH approaches could help precent up to 70% of early deaths in America, compared to only 10% for medical treatment -decreased number of deaths from stroke, coronary heart disease and cancer -declines in death rates of adults and children 45. Who established the frontier nursing service to address the rural health needs of people in Kentucky? -william rathborne -mary Breckenridge -lilian wald -mary Brewster 46. A client arrives at an urgent care center with a laceration of his forearm. The nruse cleanses the would, and the provider sutures it. The nurse applies a sterile dressing, administer a tetanus immunization and gices the client instruction for caring for thewould and returning for suture removal. Which of the following interventions is an example of primary preventions? -instruction for follow up care -wound sutures -sterile dressing application -tetanus immunization 47. A community health nurse is implementing health programs with several population in the local area. In which of the following situations is the nurse using primary prevention? -implementing a program to notify individuals exposed to salmonella -providing influenza immunizations to a senior day care center -teaching health nutrition to clients who have diabetes -performing a home safety check at a clients home 48. A nurse is planning a community health programs. Which of the following actions should the nurse include as part of the evaluation program ? -determine availability of resources to initiate the plan -establish a timeline for implementation of interventions -compare program impact to similar programs -gain approval for the program from local leaders 49. 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 orientated nursing, the nurses should include which of the following situation as an example of community based nursing? -an occupational health nurse providing classes at a local industial plant -an outreach nurse speaking at a senior center on the importance of flu shots -a parish nurse teaching a class on low sodium cooking techniques -a school nurse assisting a diabetic student with an insulin injection for their lunch time coverage 50. Public health nurses assist in distribution of the flu vaccine during a community health fair. This is an example of: -social justice -utilitarianism -fidelity -autonomy1. Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which is secondary prevention strategy ? -putting up posters around the health provider’s office that give tips on what to do if one is in ab abusive relationship -screening a women for evidence of abuse who has several risk factors for IPV -creating and broadcasting a public service announcement that raises awareness about IPV -providing a women who is being abused by her husband the number to an abuse hotline so that she can get help leaving him 2. In researching the problem of homelessness in the city, the nurse discovers that the number of mentally ill homeless has steadily grown over the past couple of decades. The biggest reason for this trend is: -shortages of affordable housing -deinstitutionalization -an increase in the prevalence of major mental illness -economic downturns 3. A community health nurse is developing an educational program of substance abuse. Which of the following information should a nurse include when discussing nicotine and smoking? -withdrawal effects from smoking are minimal -smoking is the fifth most preventable cause of death in the united states -tolerance to nicotine develops quickly -nicotine is a central nervous depressant 4. The public health nurse educates high school students regarding safe sexual practices and the importance of monogamous relationships. This is an example of: -quaternary prevention -tertiary prevention -secondary prevention -primary prevention 5. An example of primary prevention strategy to reduce incidence of violence within the community would include which of the following? -provide grief counseling to families following the death of a family member to suicide or homicide -make resources in the community available to survivors of violence -assessing for and counsel anyone contemplating suicide or homicide and refer to services -organizing parenting classes to provide appropriate6. A nurse is community health located in Virginia is conducting an assessment on a Hispanic worker currently working currently working in a local apple orchard for the season. The nurse determines that the workers originate from Florida and is liviing in temporary housing with other orchard workers. Based on this information, the nurse should intergrade the special needs of what vulnerable population -undocumented aliens -underinsured -seasonal frame workers -migrant farmworkers 7. Which statement about the national alliance on mental illness (NAMI) is most accurate? -NAMI focuses on the needs of the people who actually have mental illness -the NAMI web site contains some information that is intended to be used exclusicely by care providers -NAMI is committed to enhance the care of those with mental illness and impve the quality of life for those who are affected -all services of NAMI are provided at the main headquarters 8. When discussing elder abuse with senior citizen group, which would the community health include? -types of elder abuse include physical abuse, emotional abuse, neglect, and exploitation -elders with dementia are less likely to be abused since they have less social interaction -the majority of cases of elder abuse are perpetrated by persons unknown to the victim -older men experiences abuse at a higher rate than elderly women 9. A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurses action. Which is the following reponses by the nurse is appropriate? -I am unable to discuss this but you can contact my supervisor to speak with you -as a nurse, I am required by law to report suspected child abuse -I reported the incident to my supervisor who decided to contact authorities -the provider will be coming to explain the situation 10. A nurse is planning interventions for migrant farm workers in a rural area. Which of the following should the nurse include as part of primary prevention? -provide employers handouts on recognizing pesticide toxicity -establish food banks at location throughout the community -partner with clinics to provide onsite care for acute injuries -create handouts on identifying skin cancer in multiple languages11. Which instance would be considered child abuse and neglect according to the federal child abuse and prevention the treatment act? -a mother not feeding a 5 year old child all day -a neighbor touching the private parts of a 12 year old boy -a mother allowing her boyfriend to punch her daughter -A father leaving a child in the back seat of a car on a got august day -a caregiver smacking away a toddler hand when she reaches for a hot stove 12. Isolation of a child with measles belongs to what level of preventions? -primary -tertiary -intermediate -secondary 13. Adverse childhood experiences (ACEs) affect the individual hypothalamic pituitary adrenal stress response system. The long effects on this systemic can alter (SATA) -hormonal system -DNA transcription -immune system -respiratory system 14. A nurse at an urband community health agency is developing an eduation program for city leader about homelessness. Which of the following should the nurse include as the fastest growing segment of the homeless population? -families with children -adolescent runaways -older adults and veterans -intimate partner abuse victims 15. The children of the turpin family were victims of what type of abuse? -child abuse -homicide -elder abuse -bullying 16. An eighth grader is brought to the emergency department by a parent for unusual skin blistering and discoloration around the nose and lips. The parent sattes that the child has no. medical history and he ruses to say what caused the injury. The nurse should consider the possible use of: -MDMA (Ecstasy) -Crystalized meth -inhalants -PCP17. What country spends the most money on health care, yet their population has unhealthy lives is: -united states -united kingdom -France -Canada 18. An antecedent to domestic violence that occurs in many forms and across ethnicities and all ages is -gangs -education -bullying -organized religion 19. For a nurse to develop a therapeutic attitude toward the treatment of alcohol, tobacco. And other drug (atod) problems in the community, the nurse must realize drug addiction can be successfully treated anyone may develop drug dependence and : -over the counter (OTC) Drugs are good drugs -any drug can be abused -prescription drugs rarely cause dependence -illegal drugs are the category of abused drugs 20. California has a large agriculture industry. A public health nurse knows the following about the agricultural industry (SATA) -eat farm fresh food and have a decreased rate of diabetes -among the most dangerous US industries -highest fatality rate. For foreign born workers -low injury rate due to OSHA regulations 21. The department of Veterans Affair (VA) estimates there are 21.6 million veterans in the U.S Veterans health issues include SATA -military sexual trauma -infectious diseases -substance abuse disorder -suicide 22. A 24 year old male is admitted to an alcohol and drug rehab unit with alcoholism. A public health nurse recognizes an appropriate model of care for addiction should be. Applied to his treatment this model is: -health belief model -social learning model -health promotion model -transtheoretical model23. Which is the social risk factor for intimate partner violence ? -unwillingness of neighbor to intervene when violence is witnessed -experiencing poor parenting Traditional gender roles -martial instability 24. A client arrives at the clinic shaky and requesting a refill on a prespetion for Alprazolam (Xanax). The nurse suspects that the client might be experiencing substance withdrawal. Which comment by the client would most tend to confirm your suspicion? -lately ive had to double up on my dose just for it to be effective -the medicine has been wonderful. I think one more refill should do it for me -I ran out of pills a week ago and have felt sweaty and agitated ever since -I feel like I just cant function without the medicine 25. Which would a community health nurse expect to assess in a perpetrator of intimate partner violence ? -occasional marijuana use -belief in male dominance -high academic achievement -desire for complacency 26. A nurse is teaching about risk factors of developing a stroke with a group of olde adult clients. Which of the following nonmodifiable risk factors should the nurse include in the teaching? -history of smoking -history of hypertension -obesity -race 27. Public health nurses (pnh) and volunteers in north hollywood are assigned to locate and count the number of homeless persons on the second Saturday of December 2020. This method of counting is termed: -point in time count -policy development -incident count -period prevalence count 28. An older client is seeking a fourth refill on a prescription for benzodiazepines. The nurse is concerned that the client may be developing a tolerance for the drug. Which comment by the client would most. Confirm this concern? -I ran out of pills a week ago and have felt sweaty and agitated ever since -the medicine has been wonderful. I think one more refill should do it for me -lately I’ve had to double up on my dose just for it to be effective-I feel like I just cant function without the medicine 29. Where you were born, grow up, live, work and age are factors that influence your health . the term for these influence is -ace score -core functions of public health -levels of prevention -social determinates of health 30. After teaching a group of students about abuse and families, the instructor determines that the structure have an understanding of this issue when they state: -violence against women is a leading cause of morbidity and morality inn women worldwide -less than 10% of women worldwide report being physically abused by an initiate partner at some point in their lives -a woman’s risk of intimate partner violence decreases during pregnancy, but increases once the baby is born -intimate partner violence is a private matter and not a public health issue 31. Current information on the COVID-19 indicates this disease is transmitted through the respiratory system. Primary prevention of COVID-10 includes (SATA) -demonstrate environmental cleaning and disinfecting high teach surfaces -screening symptomatic individuals -educate the public about the importance of physical distancing -teaching frequent hand hygiene and techniques 32. the nurse works with a 16 year old client who has alchol use disorder. Which mental disorder, highly correlated to substance use disorder, should the nurse also assess for in this client ? -agoraphobia -bipolar disorder -major depression -obsessive compulsive disorder 33. A patient’s blood pressure cannot. Be controlled by diet, the nurse refers the client to a physician for medication. Which level of prevention is the nurse practicing? -primary -quaternary -tertiary -primary/secondary 34. in how to practice emotional first aid, guy winch (not the doctor) recommends a technique rumination. This technique was-drinking a glass of wine -mediation -calling a friend -a 2 minute distraction 35. Violence is an intentional act against an indicial or oneself. What is the most under report form of human abuse? -assault -homicide -rape -suicide 36. what is the primary cause of vulnerability to health problems? -social isolation -prejudice -low socioeconomic status -breakdown of family structures 37. a community health nurse is developing stragies 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 -discussing stress reduction techniques with employees at an industrial site -providing support programs for new parents -screening a client who spouse recently died for suicide risk 38. a 78 year old man with COPD visits the clinic today to get his lipid panel drawn. This demonstrates what type of prevention? -secondary and tertiary -secondary -primary Tertiary. 39. the nurse teaches a client about pharmacologic treatments for alchol dependent disorders. The client correctly understands the teaching when she tells the nurse that a medication that induces aversive effects if alcohol is consumed is: -buprenorphine -disulfiram -acamprosate -naltrexone 40. a community health nurse discusses with a tobacco smoker willingness to stop. This approach the community. Health nurse is applying -community oriented nursing -motivational interviewing-environmental theory. -social learning 41. A nurse at a community clinic is conduction a well child visit with a preschool age child. The. Nurse should identify which for the following manifestation as a possible indication of sexual abuse? -burns on the palms of the hands -healing spiral fracture of the arm -genital irritation or bruising -underweight 42. Which of the following is NOT a barrier to health care for rural residents? -lack of money -lack of transportation -lack of insurance -increase number of facilities 43. The nurse assesses a new client and perfoms a standard screening for intimate partner violence. Which of the following is the most appropriate question to ask first? -have you ever thought about or been granted a restraining order? -do you ever think about hurting yourself, cutting, stopping eeating or pruging food? -are you in danger now? -its normal for couples to disagree about things. What happens when you and you’re partner disagree? 44. When determining a target population for education about alcohol use, which age group would the community health nurse most likely plan to address? -65 years of age and older -45-55 years -11-17 -30-45 45. As a public health nurse working with migrant workers, the public health nurse should be aware that those clients are at an increased risk for certain diseases, such as the following: -cirrhosis of the liver -tuberculosis -breast cancer -glaucoma 46.a forensic nurse working in the emergency department assess a victim for intimate partner violence. During the exam, the forensic nurse notes a concerning finding that can indicate an increase personal risk of death. The forensic nurse documents and reports-facial laceration -petechiae on neck -bruising around the orbital area -previous green stick fracture oof the wrist 47 a belief that all processes occurring within individual people and their environment should be viewed as interdependent and determinates of health interact within a board spectrum of factors from indicial environment to policy environment. This best describes: -natural history of disease model -health promotion model Transtheoretical model -ecological model 48. which behavior most accurately reflect the predictable pattern of intimate partner violence? -as abuse spirals, the abuser has mounting self blame which only contributes to greater loss of control. -abusers undergo a moral dilemma of whether to leave or to stay -the most dangerous point in the relationship is the moment of leaving the relationship -low self-esteem it always a sign of abuse 49. a nurse is preparing to administer pencil G benzathine 1.2 million units IM now. The amount available is 600,00 untis/ml. how many ml should the nurse administer -2 ml 50 what is a relationship risk factor for intimate partner violence ? -desire for power and control -belief in strict gender roles -emotional dependence and insecurity -unhealthy family interactions1. Which correctly defines an adjusted rate? a. Detailed rates that are calculated using the number of people in the smaller subgroups of the population in the denominator b. Measure of the probability that people without a certain condition will develop that condition over a period of time c. Measure of the number of people in a given population who have an existing condition at a given point in time d. Statistical procedure that removes the effects of differences in the composition of a population, such as age or gender, or geographical region 2. The nurse works with a female client who recently developed an infection of Covid-19 while protesting for Black Lives Matter. In this case, Covid-19 is which component in the chain of infection? a. Environmental reservoir b. Agent c. Host d. Portal 3. A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which of the following actions should the nurse take? a. Transport all children and school personnel to the nearest medical facility using school buses b. Move individuals who are reporting symptoms to one of the affected classrooms and create a triage area inside the room c. Arrange for client transportation to the nearest emergency department and tell the group triage will occur there d. Have students evacuated from the school and establish a triage area in the school parking lot 4. The primary stage of syphilis symptoms is firm, round, and painless sore that appears at the location where syphilis entered the body. The ulcers occur in locations of the infection. The sore lasts 3 to 6 weeks and heals regardless of whether a person is treated or not. The sore is known as? a. Chancre b. Canker c. Boil d. Pimple 5. The WHO (World Health Organization) estimates that more than a third of infectious disease deaths are caused by the deadly triad of? a. Malaria, measles, and mumps b. AIDS, TB, and malaria c. smallpox , anthrax, and AIDSd. Drug overdose, tobacco, and asthma 6. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? a. Collaborate with physical therapists to develop programs for injured employees to return to work b. Set up an influenza immunization campaign c. Teach plant workers about proper lifting techniques d. Screen plant workers for signs of carpal tunnel syndrome 7. A nurse is making a home visit to a client who has Alzheimer’s disease and the client’s partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain? a. The partner has placed locks at the top of the doors leading to the outside b. The partner redirects the client when the client is frustrated c. The partner has hired a house cleaner d. The partner has lost 20 lb in the past 2 months 8. A 20 week pregnant female arrives at the STD clinic because she has syphilis. Vertical transmission of syphilis to the unborn baby is possible. The client refuses medication. The transmission of syphilis to the newborn can result in? (SATA) a. Facial abnormalities b. Stillborn c. Deafness d. Blindness 9. The nurse is caring for a client with syphilis. The following statement, if made by the client, indicates a thorough understanding of syphilis? a. I am likely to die from this disease, as it is incurable b. I do not need to notify past sexual partners that i have contracted this disease c. A dose of penicillin will stop the progression of the disease in my body d. Ay partner and I are monogamous, so there is no chance I received it from him 10. Which represent ways nurses can actively engage in policy making? (SATA) a. Serve a governmental liaison for your professional nursing organization b. Write your congressional representative to encourage laws to control gun violence at schools c. Document client symptoms following a physical examination d. Testify at congressional hearings for mandatory immunizations for children 11. You have heard rumors in the hospital where you work of an ebola outbreak in your community and you would like to investigate it further. Which of the following should be your first step in the investigation? a. Establish the existence of the outbreak b. Identify the names of the people infected by the virusc. Formulate and test hypotheses as to the most probable causative factors d. Implement a plan for control of the outbreak 12. Which rate measures the number of people in a given population who have influenza at a given point in time? a. Specific b. Adjusted c. Prevalence d. Incidence 13. When providing home health care, which individual is responsible for coordinating the care? a. Physician b. Registered nurse c. Social worker d. Dietician 14. A nurse is about to explain a therapeutic procedure to a client who doesn’t speak the same language as the nurse. Which of the following actions should the nurse take? a. Ask a family member to translate b. Have a medical interpreter present during the teaching c. Use nonverbal gestures to assure the client that the procedure is safe and will help him d. Tell the client that he will receive written information in his language after the procedure 15. A disaster is an event that causes human suffering and demands more resources that are available in the community. The Covid-19 pandemic is an example of a disaster. In the recovery phase, the role of the public health nurse is? a. Assist community members with personal preparedness b. Provide stress and mental health counseling for PTSD for victims and caregivers c. Activate the emergency plan d. Perform triage and direct care 16. A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include? a. It is primarily transmitted through casual contact b. It is primarily transmitted through mosquitoes c. It is primarily transmitted through direct contact with infected body fluids d. It is primarily transmitted through accidental puncture wounds 17. 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? a. Consultant b. Counselor c. Direct caregiver d. Case manager18. The community health nurse in a low-income country is working to decrease the incidence of diarrheal illnesses. Which intervention would most likely best address this problem? a. Distribution of and education on the daily use of insecticide-treated bed nets b. Providing fuel alternatives to burning wood and dung c. Education regarding contraception use d. Providing sanitized drinking water 19. The public health nurse is a first responder in a community disaster, secondary to a flood. One section of the town has experienced a loss of water and electricity for 4 days. The nurse’s first action to meet the needs of the community at this time should be to? a. Provide access to safe food and water b. Refer the members of the community to a spiritual outreach program c. Inform the fire department of potential risks within the community setting d. Provide an immunization program 20. 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? a. Cholera b. Malaria c. Influenza d. Salmonellosis 21. Four employees at a local restaurant have positive purified protein derivative (PPD) tuberculin skin tests and have been diagnosed with latent tuberculosis (TB) infection. Which employee would be at the greatest risk for contracting active TB disease? a. Vaccinations in south america b. Takes immunosuppressants c. Works two jobs d. Cooks the food 22. Healthy people 2020 objectives for environmental health include (SATA)? a. Minimize risks posed by hazardous sites b. Eliminate elevated lead blood levels in adults c. Reduce the amount of toxic pollutants d. Reduce indoor allergen levels 23. A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles? a. Autonomy b. Veracity c. Nonmaleficence d. Fidelity24. A nurse is conducting health screenings at a statewide health care and identifies several clients who require referrals to a provider. Which of the following statements by a client indicates a barrier to accessing health care? a. I would like to schedule an appointment with the local doctor in my town who speaks spanish and english b. I can’t take off during the day and the local after-hours clinic is no longer in operation c. I don’t drive, and my son is only available to take me places in the morning d. Only one doctor in my town is a designated provider by my health maintenance organization 25. A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take? a. Decontaminate victims before intervening b. Use a dosimeter to measure the level of radiation in the area before intervening c. Wait until the type of equipment needed is known d. Choose the highest level of protection equipment available 26. Culturally competent care has benefits that? a. Increase the cost of healthcare and increase the opportunity for positive client outcomes b. Increase the cost of healthcare and decrease the opportunity for positive client outcomes c. Decrease the cost of healthcare and increase the opportunity for positive client outcomes d. Decrease the cost of healthcare and decrease the opportunity for positive client outcomes 27. While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take first? a. Wash the site of injury with soap and water b. Request the risk manager obtain consent for HIV testing from the client c. Complete an incident report d. Consent to postexposure treatment with antiretroviral medications 28. A vector-borne disease refers to illnesses for which the infectious agent is transmitted by a carrier (vector). Which disease is vector-borne? a. Syphilis b. Rabies c. Measles d. Hand, foot, and mouth disease 29. The nurse conducts a well-child clinic in your community. The client population is culturally diverse, and, although the clinic is busy, it runs smoothly because it has an interpreter. Inaddition to the interpreter, it is important that the nurses treat each client that reflects his or her individual cultural needs. This is cultural? a. Competence b. Artwork c. Bias d. Beliefs 30. To demonstrate true cultural sensitivity and awareness, the nurse must? a. Travel to other countries on occasion b. Become bilingual c. Be competent in his or her own cultural heritage d. Know the practices of all major cultures in one’s own region of the country 31. The nurse is present when a mother begins cupping her child. She states that it will help to heal the child’s respiratory tract infection. The nurse reminds the mother is that she is in the United states, the country with the best doctors and best medications to heal. This is an example of? a. Shared instinct b. Private idiosyncrasy c. Genetically programmed idea d. Ethnocentrism 32. Incidence rates are used to measure the existence of a specific disease. Incidence rates measure? a. Existing cases b. New cases c. Crude mortality rates d. Mortality cases 33. A HIV negative client plans on attending a rave party and engaging in risky sexual behavior. One method to reduce the risk of HIV is? a. Rifampin b. Zidovudine (retrovir) c. prEP (truvada) d. Lamivudine (epivir) 34. A woman’s ability to survive pregnancy and childbirth is indicative of the value placed on women by her society. Yearly, more than half a million women die in pregnancy and childbirth around the world. Maternal mortality risk factors include? (SATA) a. Age b. High parity c. Poor nutrition d. Disease 35. John snow, the father of epidemiology, used a natural experiment in what disease investigation?a. Bubonic plague b. Tuberculosis c. Cholera d. Dysentary 36. The occupational health nurse with a construction company is responsible for filling out a record of accidents and illnesses that occur on the company;s work sites. Which source should the nurse consult to acquire the proper record-keeping form and guidelines? a. FMLA b. NORA c. HIPAA d. OSHA 37. 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) a. Altered immunity b. Ethnicity c. Bacteria d. Resource availability e. Toxins 38. The organization that determines health goals for global intervention is? a. World health organization b. U.S. department of health and human services c. Doctors’ without borders d. International red cross 39. The nurse visits the home of client in a low-income community and notices that paint is flaking off the walls and forming a dust in the corners of some rooms. The nurse asks the client when the house was built, and she responds that it was built in 1959. Which contaminant should the nurse expect to find in this home? a. Asbestos b. Pesticide c. Radon d. Lead 40. The community health nurse works in a low-income country. The nurse’s primary concern is to decrease the incidence of malaria. Which intervention should the nurse pursue? a. Education regarding contraception use b. Distribution of and education on the daily use of insecticide-treated bed nets c. Sanitized drinking water d. Fuel alternatives to burning wood and dung41. A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work, but are not exhibiting manifestation of illness. Which of the following is the appropriate action for the nurse to take? a. Administer antibiotic therapy b. Treat clients with an antitoxin c. Initiate client decontamination d. Place the clients in isolation 42. Tertiary prevention methods include all of the following except? a. Teaching a client with high cholesterol fail precautions and safety b. Teaching a client with diabetes proper foot care c. Pulmonary function testing in patients with asthma d. Teaching a client with hypertension a low fat, low salt diet 43. The nurse cares for a client in a community health clinic. The nurse is uncomfortable because the client remains very close when communicating. This discomfort makes it difficult to concentrate on the interview. When the nurse backs away, the client stops speaking and leaves. This is an example of? a. Aggressive behavior b. Cultural bias c. Treatment limitation d. Differing views of personal space 44. A nurse is preparing a presentation on terrorism. Which of the following findings should a nurse include as an indication of potential bioterrorism? a. Nationwide incidence of pneumonia is higher than the prior year b. A health department reports cases of influenza in october c. A large number of otherwise healthy adults are dying from sepsis d. Most of the clients’ diagnosis with pneumonia have elevated white blood cell count 45. A newly hired public health nurse is reviewing the disaster management cycle. Which of the following actions is a component of disaster prevention? a. Providing stress counseling b. Prioritizing care of individuals c. Outlining specific roles of community agencies d. Identify community vulnerabilities 46. A nurse is preparing to administer dextromethorphan 30 mg PO. the amount available is dextromethorphan oral liquid 7.5 mg/5 mL. How many mL should the nurse administer? 20 ml 47. A disease that can be transmitted vertically (pregnant mother to fetus) and horizontally is? a. HPV b. Influenza c. Syphilis d. Toxic shock syndrome48. The nurse is a member of a sister team responding to a chemical disaster. The nurse assesses clients in a systematic fashion, concentrating on their ability to breathe. When entering the evacuation site, before the physical assessments, the nurse should? a. Don PPE b. Interview the client c. Report to the hot zone d. Request a HAZMAT expert to witness the client assessment 49. A nurse is planning measures to reduce the incidence of obesity. Which of the following interventions affects the environment, according to the epidemiological triangle? a. Provide low fat meal options at public schools b. Determine whether clients have a family history of obesity c. Ask affected adults to keep a food diary d. Measure clients’ BMI 50. A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions? a. Completing a dressing change b. Administering an intermittent IV bolus medication c. Talking to the client at the bedside d. Administering an IM injection