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1. The rural health nurse is assessing a migrant worker who works in the fields
picking oranges and various other fruits who presents to the clinic
complaining of low back pain radiating down the left posterior thigh. The
nurse should ask the client if the pain is worsened or aggravated by which
factor?
a. Bending or lifting.
b. Application of heat.
c. Bed rest.
d. Ibuprofen. - Correct Answer: a. Bending or lifting.
2. An occupational health nurse at a local factory is using primary prevention
strategies to reduce the environmental health risks among the employees.
Which of the following activities would the nurse most likely implement?
a. Hearing screening for employees.
b. Teaching new employees about signs and symptoms or heat related
illness.
c. Using spirometry to rule lung disease for workers wearing respirators.
d. Irrigating the eyes of an employee who has a chemical splash in the
face. - Correct Answer: b. Teaching new employees about signs
and symptoms or heat related illness.
,3. A woman is diagnosed with breast cancer, she comes asks for advice from
the community health nurse. Which of the following data should the nurse
know to answer the woman when asked "what are the chances I will survive
this cancer?"
a. Cause-specific morbidity rate.
b. Crude mortality rate.
c. Case fatality rate.
d. Attack rate. - Correct Answer: c. Case fatality rate.
4. A family is concerned about the medical bills of their father, aged 63, who is
unemployed and has almost no savings. Which of the following statements
by the nurse accurately explains how Medicaid and Medicare would work in
this family's situation? Select all that apply.
a. "Your father must be homebound to qualify for Medicare assistance
but less so for Medicaid."
b. "Choose any physician and just show them your Medicare or
Medicaid card."
c. "All your father's medical bills will be paid by whichever program is
appropriate."
d. "Medicare is a federally funded program, but Medicaid is
administered by your state." - Correct Answer: d. "Medicare is a
federally funded program, but Medicaid is administered by your
state."
5. Which of the following is the primary focus of hospice care?
, a. Teaching the client and family how to care for themselves.
b. Curing the client's chronic disease.
c. Providing palliative care to provide and maintain comfort until death.
d. Decreasing the cost of hospital resources. - Correct Answer: c.
Providing palliative care to provide and maintain comfort until death.
6. The nurse who works at a homeless clinic want to improve healing of
chronic wounds in clients living on the streets. Which of the following
would be the best action to take to improve client outcomes?
a. Hand out free bandaging supplies following each clinic visit.
b. Offer daily access to a room with soap, water, and bandages.
c. Provide antibiotics to all homeless persons with chronic non-healing
wounds.
d. Perform regular monitoring of the client's wound condition. -
Correct Answer: b. Offer daily access to a room with soap, water, and
bandages.
7. A school health nurse is conducting drug screening to detect drug use by
students before problems develop. Which of the following levels of
prevention does this action represent?
a. Tertiary prevention.
b. Primary prevention.
c. Secondary prevention.
d. Primary and secondary prevention. - Correct Answer: c.
Secondary prevention.
, 8. The HCP orders an IV bolus of 1 liter 0.9% sodium chloride over 4 hours. The
nurse will set the infusion rate at ___ mL/hour. - Correct Answer: 250
mL/hour
9. Which of the following statements by a client indicates a lack of
understanding regarding an appropriate reason to sue for potential
negligence?
a. "Because the health care workers didn't turn my mother every 2
hours, she developed bedsores."
b. "My daughter wasn't given a call light, and for a whole shift no one
checked on her condition."
c. "I received permanent nerve damage because they would not
remove a cast that was too tight."
d. "They amputated the wrong leg during surgery." - Correct
Answer: b. "My daughter wasn't given a call light, and for a whole
shift no one checked on her condition."
10.The public health nurse is planning to implement secondary level
prevention for a population of adolescents. Which action should the nurse
take?
a. Collaborate with school administration to revise the health classes to
include safe sex practices.
b. Educate school nurses about sexually transmitted diseases.
c. Partner with the local public health department to provide free
screenings for sexually transmitted diseases.
d. Review the data of cases to identify trends of sexually transmitted
diseases in the country. - Correct Answer: c. Partner with the local