Update 2026 | 100% Correct Answers | Actual Exam
Questions
1. A patient on warfarin is considering taking ginkgo biloba for memory
enhancement. What should the nurse advise regarding this combination?
The nurse should recommend taking ginkgo biloba only in the
morning.
The nurse should suggest a lower dose of warfarin if ginkgo biloba is
taken.
The nurse should encourage the patient to take ginkgo biloba as it has
no interactions.
The nurse should advise against taking ginkgo biloba due to the
increased risk of bleeding.
2. The spouse of a patient who has had a total hip replacement stops you in the
hall. 'I have a question. I don't know who else to ask. How will this affect my
sex life?' What is an appropriate response?
'You can't have any sexual relations for at least 12 weeks'
'There are some positioning restrictions to follow'
'You can do anything you want after discharge with no restrictions'
'You shouldn't worry about that right now'
3. If a patient with heart failure refuses to take their medication, what steps
should the nurse take to address the situation effectively?
Encourage the patient to seek alternative treatments without
discussing their concerns.
Immediately inform the physician of the patient's refusal.
, Engage the patient in a conversation to explore their reasons and
provide education on the importance of medication adherence.
Dismiss the patient's concerns and insist on medication compliance.
4. You are seeing a 5 year old child for a well-child check who has not been
seen in clinic since their 12-month visit. The caregiver tells you the child has
been healthy but they need to be seen in clinic before they can start
kindergarten. What is the first thing the nurse should do before administering
any immunizations?
Ensure vaccines have been stored adequately
Develop an immunization schedule
Obtain an immunization history
Ask the caregiver if they have any concerns about vaccinations
5. What is one key action an occupational health nurse should take when
planning to use an interpreter?
Provide written materials only in English
Use a family member as the interpreter
Choose an interpreter who speaks the workers' language and
dialect
Conduct the session without an interpreter
6. If a school nurse discovers that a student with MRSA has not been following
hygiene protocols, what intervention should the nurse implement?
Isolate the student from all other students immediately.
Notify the parents to remove the student from school.
, Provide education on proper hygiene practices to prevent
transmission.
Ignore the situation if the student is asymptomatic.
7. Why is participation in weight-bearing activities considered a primary
prevention strategy for osteoporosis in menopausal women?
Weight-bearing activities are primarily for muscle building.
Weight-bearing activities have no impact on bone density.
Weight-bearing activities are only beneficial for cardiovascular health.
Weight-bearing activities help strengthen bones and reduce the risk
of fractures.
8. What is the primary mode of transmission for the pertussis bacteria?
Insect bites
Contaminated food
Direct contact with surfaces
Airborne droplets
9. When working with an alcoholic adult, it is important for community health
nurses to understand that the family also needs intervention. The most useful
intervention the community health nurse can make is to:
Share information about addiction, including support groups such
as Al-Anon.
Make sure the ill person stays away from the home.
Clarify that the situation is hopeless so that the family can meet their
own needs.
Help with family functioning without the ill person.
, 10. Why is it important for a case manager to assess a client's self-care abilities
when planning rehabilitation for a spinal cord injury?
It is not important; medical history is more critical.
It helps in determining the client's financial situation.
Self-care assessment is only relevant after discharge.
Assessing self-care abilities helps tailor the rehabilitation plan to
the client's needs and capabilities.
11. A nurse in a community health clinic is caring for four clients who each have a
communicable disease. Which of the following conditions is considered a
nationally notifiable infectious disease?
RSV
C-diff
MRSA
Chlamydia trachomatis
12. In a scenario where a client with a spinal cord injury shows limited self-care
abilities, what should the case manager prioritize in the care plan?
Encouraging the client to become independent immediately
Focusing solely on physical therapy exercises
Implementing adaptive strategies and support systems for self-
care
Reducing the frequency of follow-up appointments
13. What childhood experience is identified as a risk factor for developing
violent behavior?