1|Page
NR 442/ NR442 Exam 2: Community Health
Nursing (2026/ 2027 Update) | Q/A | Grade
A| (Verified Answers) -Chamberlain
Subject: Community Health Nursing Final Exam
Source: NR442 Exam Preparation Material
Format: Practice Questions with Correct Answers & Detailed Rationales
1. The nurse in the psychiatric unit is administering medications
when a client with a borderline personality disorder approaches and
asks to talk. The nurse suggests having a talk in 1 hour. The client
shouts, "I'll wait, but you will be sorry!" and then picks up a pitcher of
water and throws it onto the floor. Which of the following actions
should the nurse take?
A. Offer to listen to the client while continuing to administer the
medications.
B. Suggest that the client take a p.r.n. prescribed medication for agitation.
C. Ask another nurse to finish administering the medications, and talk with
the client.
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D. Request assistance from several nearby staff members with controlling
the client's behavior.
Answer: D
Rationale: The client’s threatening statement and aggressive action
(throwing a pitcher) indicate escalating behavior that could become
violent. Safety is the priority; the nurse should call for assistance to safely
manage the situation and prevent harm.
2. The nurse is talking with a client who has a positive laboratory
test result for human immunodeficiency virus (HIV) infection. Which
of the following statements by the client would require follow-up?
A. "I try to eat a well-balanced diet."
B. "I avoid crowds when I go outside the house."
C. "I am taking a vitamin C tablet daily to help prevent infections."
D. "I take echinacea every day to help improve my immune system."
Answer: D
Rationale: Echinacea can cause hepatotoxicity and immunosuppression,
which is harmful for a client with HIV. The nurse should educate the client
about avoiding supplements that may worsen immune function.
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3. The nurse is planning a staff education program about
informed consent. Which of the following information should the
nurse include? Select all that apply.
A. "An individual designated by a power of attorney for health care can
provide informed consent despite the competency of the client."
B. "The nurse has a duty to insist that the client repeat what has been said
about a procedure for which consent is necessary."
C. "The primary health care provider must disclose the risks if the client
declines a recommended procedure."
D. "The client should sign the consent form prior to receiving prescribed
opioids."
E. "Informed consent is not needed for emergency procedures that are in
the client's best interest."
Answer: C, D, E
Rationale:
C: Providers must disclose risks even if the client declines treatment.
D: Consent is required before administering medications that may
alter consciousness or involve significant risk.
E: In emergencies, implied consent applies if treatment is
immediately necessary to preserve life or health.
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4. The nurse is caring for a client who has a prescription for an
intravenous infusion of 0.45% sodium chloride (half-strength saline).
The nurse notes the client is receiving 5% dextrose in water. Which of
the following actions should the nurse take first?
A. Change the intravenous fluid to the prescribed fluid.
B. Notify the primary health care provider.
C. Complete an incident report.
D. Assess the client.
Answer: A
Rationale: The priority is to correct the error to prevent potential harm
(e.g., fluid/electrolyte imbalance). The nurse should switch to the correct
fluid, then assess the client and follow up with documentation/notification.
5. The nurse is caring for a client in the first stage of labor and
observes that a segment of the umbilical cord is visible in the vaginal
opening after rupture of the client's amniotic membranes. Which of
the following actions should the nurse take?
A. Instruct the client to lie on her left side.
B. Attempt to place the umbilical cord back into the uterus.
C. Assist the client into a knee-chest position.
D. Administer an intravenous tocolytic agent.
NR 442/ NR442 Exam 2: Community Health
Nursing (2026/ 2027 Update) | Q/A | Grade
A| (Verified Answers) -Chamberlain
Subject: Community Health Nursing Final Exam
Source: NR442 Exam Preparation Material
Format: Practice Questions with Correct Answers & Detailed Rationales
1. The nurse in the psychiatric unit is administering medications
when a client with a borderline personality disorder approaches and
asks to talk. The nurse suggests having a talk in 1 hour. The client
shouts, "I'll wait, but you will be sorry!" and then picks up a pitcher of
water and throws it onto the floor. Which of the following actions
should the nurse take?
A. Offer to listen to the client while continuing to administer the
medications.
B. Suggest that the client take a p.r.n. prescribed medication for agitation.
C. Ask another nurse to finish administering the medications, and talk with
the client.
, 2|Page
D. Request assistance from several nearby staff members with controlling
the client's behavior.
Answer: D
Rationale: The client’s threatening statement and aggressive action
(throwing a pitcher) indicate escalating behavior that could become
violent. Safety is the priority; the nurse should call for assistance to safely
manage the situation and prevent harm.
2. The nurse is talking with a client who has a positive laboratory
test result for human immunodeficiency virus (HIV) infection. Which
of the following statements by the client would require follow-up?
A. "I try to eat a well-balanced diet."
B. "I avoid crowds when I go outside the house."
C. "I am taking a vitamin C tablet daily to help prevent infections."
D. "I take echinacea every day to help improve my immune system."
Answer: D
Rationale: Echinacea can cause hepatotoxicity and immunosuppression,
which is harmful for a client with HIV. The nurse should educate the client
about avoiding supplements that may worsen immune function.
, 3|Page
3. The nurse is planning a staff education program about
informed consent. Which of the following information should the
nurse include? Select all that apply.
A. "An individual designated by a power of attorney for health care can
provide informed consent despite the competency of the client."
B. "The nurse has a duty to insist that the client repeat what has been said
about a procedure for which consent is necessary."
C. "The primary health care provider must disclose the risks if the client
declines a recommended procedure."
D. "The client should sign the consent form prior to receiving prescribed
opioids."
E. "Informed consent is not needed for emergency procedures that are in
the client's best interest."
Answer: C, D, E
Rationale:
C: Providers must disclose risks even if the client declines treatment.
D: Consent is required before administering medications that may
alter consciousness or involve significant risk.
E: In emergencies, implied consent applies if treatment is
immediately necessary to preserve life or health.
, 4|Page
4. The nurse is caring for a client who has a prescription for an
intravenous infusion of 0.45% sodium chloride (half-strength saline).
The nurse notes the client is receiving 5% dextrose in water. Which of
the following actions should the nurse take first?
A. Change the intravenous fluid to the prescribed fluid.
B. Notify the primary health care provider.
C. Complete an incident report.
D. Assess the client.
Answer: A
Rationale: The priority is to correct the error to prevent potential harm
(e.g., fluid/electrolyte imbalance). The nurse should switch to the correct
fluid, then assess the client and follow up with documentation/notification.
5. The nurse is caring for a client in the first stage of labor and
observes that a segment of the umbilical cord is visible in the vaginal
opening after rupture of the client's amniotic membranes. Which of
the following actions should the nurse take?
A. Instruct the client to lie on her left side.
B. Attempt to place the umbilical cord back into the uterus.
C. Assist the client into a knee-chest position.
D. Administer an intravenous tocolytic agent.
