COMMUNITY HEALTH EXAMINERS SET ANSWERS
AND QUESTIONS SET A+
✔✔A case of severe acute respiratory syndrome (SARS) was diagnosed based on
signs of illness at a tourist site. Which priority action should be taken to prevent the
spread of this illness?
a. Close the airports and refuse to let tourists in the area leave.
b. Begin to immunize everyone in the immediate area with protective vaccine as soon
as possible.
c. Screen everyone in the area by requiring a blood and urine sample.
d. Quarantine the ill person and use isolation techniques when providing care. - ✔✔d.
Quarantine the ill person and use isolation techniques when providing care.
✔✔A local health department nurse noticed an increase in the number of clients being
treated for a sexually transmitted infection (STI). Which is the first step in preventing the
further spread of an STI?
a. Requiring public facilities to sanitize all restrooms with a stronger, more effective
agent
b. Providing public education about safe sex, from abstinence to monogamous
relationships
c. Having a citywide free screening program in all high schools and colleges
d. Treating each infected person with the appropriate pharmaceutical agent - ✔✔d.
Treating each infected person with the appropriate pharmaceutical agent
✔✔A nurse's Mantoux test is positive for exposure to tuberculosis (TB). Which
conclusion should be drawn by the employer regarding the nurse's test result?
a. The test is inaccurate and needs to be repeated.
b. The nurse has tuberculosis.
c. The nurse has been exposed to tuberculosis.
d. The positive test result is probably due to a problem in the testing process. - ✔✔c.
The nurse has been exposed to tuberculosis.
,✔✔An older adult client with a hx of HTN and type II diabetes is being triaged in the ED.
He reports he has had a H.A, runny nose, lethargy, muscle aches, sweating, and fever
for the past 2 days. Today, the client developed a persistent cough that has continued
to worsen. The client states, "I have difficulty catching my breath," when attempting to
get up from the couch to go to the bathroom. The client is visibly nervous and asks the
nurse, "Do I have that COVID they keep talking about on the television?" The client lives
with his spouse of 40 years in a retirement community in a large urban city where the
number of COVID-19 cases continues to rise and is uncontrolled.
Select the findings that require immediate follow-up. SATA
a. Client's current social history
b. Client's difficulty performing ADLs
c. Client's medical history
d. Client's reports of physical symptoms
e. Client's mental status - ✔✔b. Client's difficulty performing ADLs
c. Client's medical history
d. Client's reports of physical symptoms
✔✔The daily patrons of a local restaurant became ill with nausea, vomiting, and
diarrhea. Without knowing the cause, which actions should be taken immediately to help
avoid future problems?
a. Establish a series of cooking classes for all citizens
b. Strongly emphasize the importance of proper hand washing to staff
c. Have a citywide campaign to cover your mouth when sneezing
d. Use bleach to clean the entire restaurant - ✔✔b. Strongly emphasize the importance
of proper hand washing to staff
✔✔Which is the process whereby a person is made immune or resistant to an infectious
disease?
a. Inoculation
b. Immunization
c. Vaccination
d. Injection - ✔✔b. Immunization
✔✔An infant receives a diphtheria, tetanus, and acellular pertussis (DTaP)
immunization at a well-baby clinic. The caregiver returns home and calls the clinic to
report that the infant has developed swelling and redness at the site of injection. Which
intervention should the nurse suggest to the caregiver?
a. Bring the infant back to the clinic
b. Monitor the infant for a fever
c. Apply a cold pack to the injection site
d. Apply a hot pack to the injection site - ✔✔c. Apply a cold pack to the injection site
✔✔Which vaccines are contraindicated during pregnancy? Select all that apply.
a. Varicella
b. Zoster
, c. Influenza vaccine
d. Measles, Mumps, Rubella (MMR)
e. Tetanus, Diphtheria, and Pertussis (Tdap) - ✔✔a. Varicella
b. Zoster
d. Measles, Mumps, Rubella (MMR)
✔✔A nurse is educating a client on vaccines. The nurse knows that the client
understands the education when the client makes which statement?
a. "If I am pregnant, I should not get the flu vaccine."
b. "The flu can be treated with antibiotics."
c. "The influenza vaccination gives me acquired immunity to the flu."
d. "I will not get the flu if I get the flu shot." - ✔✔c. "The influenza vaccination gives me
acquired immunity to the flu."
✔✔Which scenario represents a major ethical and legal issue for all community/public
healthcare professionals?
a. Allowing human immunodeficiency virus (HIV) carriers, even if licensed professionals,
to be employed within healthcare agencies.
b. Providing home care versus insisting that the client come to the clinic.
c. Balancing individual autonomy against community protection.
d. Ensuring total compliance by clients to their treatment regimens. - ✔✔c. Balancing
individual autonomy against community protection.
✔✔A nurse is preparing to administer a live vaccine to a client. The nurse knows that
live vaccines are contraindicated if a client has which conditions? Select all that apply.
a. Use of aerosolized steroids
b. Allergy to a vaccine component
c. Moderate or severe acute illness
d. Pregnancy
e. Immunosuppression - ✔✔b. Allergy to a vaccine component
c. Moderate or severe acute illness
d. Pregnancy
e. Immunosuppression
✔✔A caregiver wanted to get her child vaccinated against measles. When the caregiver
read the Vaccine Information Sheet (VIS) noting the risks and benefits, the caregiver
decided against vaccination. The child is the only one in the class who did not get
immunized. What is the likelihood of the child getting measles in school?
a. Fairly low, as measles usually hits in late adolescence now.
b. Low, as most of the child's playmates have been immunized.
c. Fairly high, as there is no way to prevent being exposed to measles during childhood.
d. Very high without the protection of immunization. - ✔✔b. Low, as most of the child's
playmates have been immunized.
AND QUESTIONS SET A+
✔✔A case of severe acute respiratory syndrome (SARS) was diagnosed based on
signs of illness at a tourist site. Which priority action should be taken to prevent the
spread of this illness?
a. Close the airports and refuse to let tourists in the area leave.
b. Begin to immunize everyone in the immediate area with protective vaccine as soon
as possible.
c. Screen everyone in the area by requiring a blood and urine sample.
d. Quarantine the ill person and use isolation techniques when providing care. - ✔✔d.
Quarantine the ill person and use isolation techniques when providing care.
✔✔A local health department nurse noticed an increase in the number of clients being
treated for a sexually transmitted infection (STI). Which is the first step in preventing the
further spread of an STI?
a. Requiring public facilities to sanitize all restrooms with a stronger, more effective
agent
b. Providing public education about safe sex, from abstinence to monogamous
relationships
c. Having a citywide free screening program in all high schools and colleges
d. Treating each infected person with the appropriate pharmaceutical agent - ✔✔d.
Treating each infected person with the appropriate pharmaceutical agent
✔✔A nurse's Mantoux test is positive for exposure to tuberculosis (TB). Which
conclusion should be drawn by the employer regarding the nurse's test result?
a. The test is inaccurate and needs to be repeated.
b. The nurse has tuberculosis.
c. The nurse has been exposed to tuberculosis.
d. The positive test result is probably due to a problem in the testing process. - ✔✔c.
The nurse has been exposed to tuberculosis.
,✔✔An older adult client with a hx of HTN and type II diabetes is being triaged in the ED.
He reports he has had a H.A, runny nose, lethargy, muscle aches, sweating, and fever
for the past 2 days. Today, the client developed a persistent cough that has continued
to worsen. The client states, "I have difficulty catching my breath," when attempting to
get up from the couch to go to the bathroom. The client is visibly nervous and asks the
nurse, "Do I have that COVID they keep talking about on the television?" The client lives
with his spouse of 40 years in a retirement community in a large urban city where the
number of COVID-19 cases continues to rise and is uncontrolled.
Select the findings that require immediate follow-up. SATA
a. Client's current social history
b. Client's difficulty performing ADLs
c. Client's medical history
d. Client's reports of physical symptoms
e. Client's mental status - ✔✔b. Client's difficulty performing ADLs
c. Client's medical history
d. Client's reports of physical symptoms
✔✔The daily patrons of a local restaurant became ill with nausea, vomiting, and
diarrhea. Without knowing the cause, which actions should be taken immediately to help
avoid future problems?
a. Establish a series of cooking classes for all citizens
b. Strongly emphasize the importance of proper hand washing to staff
c. Have a citywide campaign to cover your mouth when sneezing
d. Use bleach to clean the entire restaurant - ✔✔b. Strongly emphasize the importance
of proper hand washing to staff
✔✔Which is the process whereby a person is made immune or resistant to an infectious
disease?
a. Inoculation
b. Immunization
c. Vaccination
d. Injection - ✔✔b. Immunization
✔✔An infant receives a diphtheria, tetanus, and acellular pertussis (DTaP)
immunization at a well-baby clinic. The caregiver returns home and calls the clinic to
report that the infant has developed swelling and redness at the site of injection. Which
intervention should the nurse suggest to the caregiver?
a. Bring the infant back to the clinic
b. Monitor the infant for a fever
c. Apply a cold pack to the injection site
d. Apply a hot pack to the injection site - ✔✔c. Apply a cold pack to the injection site
✔✔Which vaccines are contraindicated during pregnancy? Select all that apply.
a. Varicella
b. Zoster
, c. Influenza vaccine
d. Measles, Mumps, Rubella (MMR)
e. Tetanus, Diphtheria, and Pertussis (Tdap) - ✔✔a. Varicella
b. Zoster
d. Measles, Mumps, Rubella (MMR)
✔✔A nurse is educating a client on vaccines. The nurse knows that the client
understands the education when the client makes which statement?
a. "If I am pregnant, I should not get the flu vaccine."
b. "The flu can be treated with antibiotics."
c. "The influenza vaccination gives me acquired immunity to the flu."
d. "I will not get the flu if I get the flu shot." - ✔✔c. "The influenza vaccination gives me
acquired immunity to the flu."
✔✔Which scenario represents a major ethical and legal issue for all community/public
healthcare professionals?
a. Allowing human immunodeficiency virus (HIV) carriers, even if licensed professionals,
to be employed within healthcare agencies.
b. Providing home care versus insisting that the client come to the clinic.
c. Balancing individual autonomy against community protection.
d. Ensuring total compliance by clients to their treatment regimens. - ✔✔c. Balancing
individual autonomy against community protection.
✔✔A nurse is preparing to administer a live vaccine to a client. The nurse knows that
live vaccines are contraindicated if a client has which conditions? Select all that apply.
a. Use of aerosolized steroids
b. Allergy to a vaccine component
c. Moderate or severe acute illness
d. Pregnancy
e. Immunosuppression - ✔✔b. Allergy to a vaccine component
c. Moderate or severe acute illness
d. Pregnancy
e. Immunosuppression
✔✔A caregiver wanted to get her child vaccinated against measles. When the caregiver
read the Vaccine Information Sheet (VIS) noting the risks and benefits, the caregiver
decided against vaccination. The child is the only one in the class who did not get
immunized. What is the likelihood of the child getting measles in school?
a. Fairly low, as measles usually hits in late adolescence now.
b. Low, as most of the child's playmates have been immunized.
c. Fairly high, as there is no way to prevent being exposed to measles during childhood.
d. Very high without the protection of immunization. - ✔✔b. Low, as most of the child's
playmates have been immunized.
