COMMUNITY HEALTH PROCTORED EXAM 2023 VERSION
WITH UPDATED CORRECT ANSWERS/A+ GRADE ASSURED
A community health nurse is planning a mobile meal program for older adults who
no longer drive. Which of the following actions should the nurse take first?
a. Inquire about the availability of volunteers
b. Perform a needs assessment
c. Determine potential funding sources for the program
d. Identify alternative solutions to address concerns
{{Correct Ans- b}}
Rationale: The first step in planning any community health program is to perform a
needs assessment to identify the specific needs, strengths, and resources of the
target population. This data drives the rest of the planning process.
A home health nurse is assessing a client who has AIDS. Which of the following
responses by the client indicates a risk for suicide?
a. "I know that everything will be better soon."
b. "I don't want to lose control of my ability to make decisions."
c. "I'm afraid of experiencing pain near the end."
d. "I'm relying on my partner more and more for support."
{{Correct Ans- a}}
Rationale: A sudden sense of calm or a statement suggesting everything will be
"better soon" can indicate that a client has made a decision to commit suicide and
feels relief. This is a high-risk warning sign and requires immediate intervention.
,A nurse is teaching a group of clients about ways to prevent skin cancer. Which of
the following statements by the nurse demonstrates a primary prevention strategy?
a. "Avoid direct sunlight between 10 a.m. and 4 p.m."
b. "Apply cool tap water soaks for 20 minutes to relieve sunburn."
c. "Use acetaminophen as needed for sunburn pain."
d. "Ensure you have a yearly skin examination with your provider."
{{Correct Ans- a}}
Rationale: Primary prevention aims to prevent the disease before it occurs. Avoiding
sun exposure during peak hours is a primary prevention strategy. Yearly skin
examinations are secondary prevention (early detection), and treating sunburn is
tertiary prevention.
A nurse is conducting home visits to postpartum adolescents who participated in
prenatal parenting classes. Which of the following statements indicates an
understanding of the teaching?
a. "I warm my baby bottle in the microwave 30 seconds at a time."
b. "I limit the time her grandparents cuddle my baby to prevent spoiling."
c. "I carry my baby with me as I move around the house."
d. "I use baby talk when talking to my baby."
{{Correct Ans- d}}
Rationale: Using "baby talk" (infant-directed speech) is an appropriate way to engage
an infant and promote language development. Microwaving bottles can cause hot
spots, and limiting cuddling does not spoil a baby.
A home health nurse is planning the initial home visit for a client who has dementia
and lives with his adult son's family. Which of the following actions should the nurse
take first during the visit?
,a. Encourage the family to join a support group
b. Provide the family with information about respite care
c. Engage the family in informal conversation
d. Educate the family regarding the progression of dementia
{{Correct Ans- d}}
Rationale: During the initial visit, the priority is to assess the family's understanding
of the disease process and provide necessary education about what to expect as the
dementia progresses. This establishes a foundation for care planning.
A community health nurse is conducting an epidemiological investigation of a
foodborne illness outbreak. Which of the following actions should the nurse take
first?
a. Interview the affected individuals
b. Identify the source of the outbreak
c. Notify the local health department
d. Provide treatment to the affected individuals
{{Correct Ans- b}}
Rationale: The first step in an outbreak investigation is to identify the source. This is
done by interviewing cases, analyzing data, and identifying common exposures to
stop the outbreak from spreading further.
A nurse is teaching a client who has a new prescription for alendronate. Which of the
following instructions should the nurse include?
a. Take this medication with a full glass of orange juice
b. Remain upright for at least 30 minutes after taking this medication
c. Lie down for 30 minutes after taking this medication
, d. Take this medication with a calcium supplement
{{Correct Ans- b}}
Rationale: Alendronate can cause severe esophageal irritation. Clients must remain
upright (sitting or standing) for at least 30 minutes after taking it to prevent reflux
into the esophagus.
A community health nurse is assessing a client who has been exposed to rabies.
Which of the following actions should the nurse take first?
a. Administer the rabies vaccine
b. Wash the wound thoroughly with soap and water
c. Administer rabies immune globulin
d. Notify the public health department
{{Correct Ans- b}}
Rationale: Immediate wound cleansing with soap and water is the first step to reduce
the viral load and prevent infection. Vaccines and immune globulin are administered
after wound cleansing.
A nurse is working with a population of migrant farmworkers. Which of the following
health concerns should the nurse prioritize?
a. Sun exposure and heat-related illness
b. Cardiovascular disease screening
c. Osteoporosis prevention
d. Annual influenza vaccination
{{Correct Ans- a}}
Rationale: Migrant farmworkers are at high risk for sun exposure and heat-related
illnesses due to outdoor labor. This is an immediate occupational health concern.