RN Community Health 2023
60 Questions · With Rationales
Question: 8 of 60 RN Community Health 2023
A home health nurse is teaching a client about the use of oxygen in the home. Which of the
following client statements indicates an understanding of the teaching?
✓ A. "I will notify the power company that I am using oxygen."
B. "I can increase the oxygen flow rate when I feel short of breath."
C. "I will keep my oxygen tank 4 feet from a heat source."
D. "I can lay the oxygen cylinders flat on the floor."
✓ Correct Answer: A
Clients using home oxygen must notify the power company and local fire department so they can be prioritized
during power outages. The flow rate must NEVER be self-adjusted — always as prescribed. Oxygen tanks must
be kept at least 10 feet from heat sources and open flames (not 4 feet), stored upright and secured (never laid
flat), and "No Smoking" signs posted. Oxygen supports combustion and is a significant fire hazard.
,Question: 18 of 60 RN Community Health 2023
A community health nurse is planning several health initiatives within the local area. Which of
the following interventions should the nurse implement as a tertiary prevention initiative?
✓ A. Providing dietary guidance for clients who have diabetes
B. Discussing health risks of nicotine with middle school students
C. Teaching bicycle safety to school-age children
D. Performing cancer screening at a local health fair
✓ Correct Answer: A
Tertiary prevention focuses on reducing disability and restoring function in individuals who already HAVE a
disease or condition. Providing dietary guidance to clients with diabetes helps manage the existing disease and
prevent complications — this is tertiary prevention. Secondary prevention involves early detection (cancer
screening). Primary prevention involves health promotion in disease-free individuals (bicycle safety, nicotine
education).
,Question: 23 of 60 RN Community Health 2023
A nurse at a community mental health center is teaching a course for the family and friends of
clients who have a gambling disorder. Which of the following statements by a participant
indicates an understanding of the information?
A. "Family members should provide financial assistance during times of increased gambling."
B. "A person must gamble at least four to six times per month to have a gambling disorder."
C. "There is no genetic link to an increased risk for a gambling disorder."
✓ D. "Gambling behaviors can increase during times of stress."
✓ Correct Answer: D
Gambling disorder is a behavioral addiction that is often triggered or worsened by stress, depression, and
anxiety. Stress is a well-recognized precipitating factor. Family members should NOT provide financial support
as this enables the behavior. There is NO minimum frequency required for diagnosis — the pattern of behavior
and its consequences determine the diagnosis. Gambling disorder DOES have a genetic component, with a
heritability rate of approximately 50%.
, Question: 29 of 60 RN Community Health 2023
A home health nurse is caring for a client who is postoperative following a total hip arthroplasty.
Which of the following interventions should the nurse recommend to promote recovery?
✓ A. Use an elevated toilet seat.
B. Cross legs at the ankles.
C. Use a walker on the stairs.
D. Take baths instead of showers.
✓ Correct Answer: A
After total hip arthroplasty (hip replacement), hip precautions must be maintained to prevent dislocation. An
elevated toilet seat reduces hip flexion beyond 90 degrees. The client should NEVER cross the legs or ankles
(adduction risk), should avoid bending the hip past 90 degrees, use a walker on flat surfaces (stairs require
physical therapy guidance), and use a shower chair instead of a tub (tub requires excessive hip flexion). Keep
the operative leg abducted.
60 Questions · With Rationales
Question: 8 of 60 RN Community Health 2023
A home health nurse is teaching a client about the use of oxygen in the home. Which of the
following client statements indicates an understanding of the teaching?
✓ A. "I will notify the power company that I am using oxygen."
B. "I can increase the oxygen flow rate when I feel short of breath."
C. "I will keep my oxygen tank 4 feet from a heat source."
D. "I can lay the oxygen cylinders flat on the floor."
✓ Correct Answer: A
Clients using home oxygen must notify the power company and local fire department so they can be prioritized
during power outages. The flow rate must NEVER be self-adjusted — always as prescribed. Oxygen tanks must
be kept at least 10 feet from heat sources and open flames (not 4 feet), stored upright and secured (never laid
flat), and "No Smoking" signs posted. Oxygen supports combustion and is a significant fire hazard.
,Question: 18 of 60 RN Community Health 2023
A community health nurse is planning several health initiatives within the local area. Which of
the following interventions should the nurse implement as a tertiary prevention initiative?
✓ A. Providing dietary guidance for clients who have diabetes
B. Discussing health risks of nicotine with middle school students
C. Teaching bicycle safety to school-age children
D. Performing cancer screening at a local health fair
✓ Correct Answer: A
Tertiary prevention focuses on reducing disability and restoring function in individuals who already HAVE a
disease or condition. Providing dietary guidance to clients with diabetes helps manage the existing disease and
prevent complications — this is tertiary prevention. Secondary prevention involves early detection (cancer
screening). Primary prevention involves health promotion in disease-free individuals (bicycle safety, nicotine
education).
,Question: 23 of 60 RN Community Health 2023
A nurse at a community mental health center is teaching a course for the family and friends of
clients who have a gambling disorder. Which of the following statements by a participant
indicates an understanding of the information?
A. "Family members should provide financial assistance during times of increased gambling."
B. "A person must gamble at least four to six times per month to have a gambling disorder."
C. "There is no genetic link to an increased risk for a gambling disorder."
✓ D. "Gambling behaviors can increase during times of stress."
✓ Correct Answer: D
Gambling disorder is a behavioral addiction that is often triggered or worsened by stress, depression, and
anxiety. Stress is a well-recognized precipitating factor. Family members should NOT provide financial support
as this enables the behavior. There is NO minimum frequency required for diagnosis — the pattern of behavior
and its consequences determine the diagnosis. Gambling disorder DOES have a genetic component, with a
heritability rate of approximately 50%.
, Question: 29 of 60 RN Community Health 2023
A home health nurse is caring for a client who is postoperative following a total hip arthroplasty.
Which of the following interventions should the nurse recommend to promote recovery?
✓ A. Use an elevated toilet seat.
B. Cross legs at the ankles.
C. Use a walker on the stairs.
D. Take baths instead of showers.
✓ Correct Answer: A
After total hip arthroplasty (hip replacement), hip precautions must be maintained to prevent dislocation. An
elevated toilet seat reduces hip flexion beyond 90 degrees. The client should NEVER cross the legs or ankles
(adduction risk), should avoid bending the hip past 90 degrees, use a walker on flat surfaces (stairs require
physical therapy guidance), and use a shower chair instead of a tub (tub requires excessive hip flexion). Keep
the operative leg abducted.
