Nr 442 - Rn Community Health Practice Assessment B (50 Items)

NR 442 - RN COMMUNITY
HEALTH PRACTICE
ASSESSMENT B (50 ITEMS)

, NR 442 - RN COMMUNITY
HEALTH PRACTICE
ASSESSMENT B (50 ITEMS)
1. A nurse is assessing a new client. Which of the following information should the
nurse include in the cultural portion of the assessment?
a. Food preferences
b. Employment status
c. History of illnesses
d. Sexual orientation

Rationale: Food preferences are a part of cultural assessment.

2. A nurse is preparing an educational program about influenza for a group of
community health nurses. Which of the following activities should the nurse include
as an example for tertiary prevention?
a. Offer classes to elementary school teachers about handwashing.
b. Provide information to occupational nurses about the reasons for
employees to not come to work.
c. Administer antiviral meds within 48 hr to clients who have manifestations of
influenza.
d. Provide immunizations at long-term care facilities.

Rationale: Tertiary prevention involves ways to reduce the complications of
illness, which includes administering antiviral medications to clients who
already have influenza.

3. Anurse is collecting demographic data as a part of a community assessment.
Which of the following info should the nurse include?
a. Racial distribution
b. Family genograms
c. Number of open water sources
d. Presence of condemned buildings

Rationale: Racial distribution is part of demographic data.

4. A community health nurse suspects an outbreak of scabies in the local area.
which of the following actions should the nurse take first?
a. Determine the incidence rate
b. Institute prophylactic treatment
c. Educate the community about disease transmission

, d. Discuss treatment plans with clients' families

Rationale: The first action the nurse should take when using the nursing
process is to determine the number of new cases of scabies in the
community.

5. A public health nurse is planning care for four clients. Which of the following
interventions should the nurse recognize as tertiary prevention?
a. Providing chemoprophylaxis for malaria to a client who is traveling to
mosquito- infested countries
b. Administering antibiotics to a client who has AIDS and was diagnosed
with pneumocystis jiroveci
c. Performing a serological screening for HIV for a client who is pregnant
d. Participating in partner notification for a client who has an STI ‘=

Rationale: Administering antibiotics to a client who has AIDS and was
diagnosed with Pneumocystis jiroveci is an example of tertiary prevention.

6. A home health nurse is assessing an older adult client who is taking captopril
to treat heart failure. Which of the following findings should the nurse identify as
an adverse effect of this medication?
a. dry cough
b. weight gain
c. ataxia
d. photophobia

Rationale: Captopril prevents the conversion of angiotensin I to angiotensin
II, causing bradykinin to accumulate. The client may experience coughing
as a result of bradykinin accumulation.



7. A home health nurse is caring for a client who has breast cancer. Which of
the following assessment findings should the nurse identify as an indication
that the client is coping effectively?
a. Inability to concentrate
b. Makes eye contact
c. Excessive sleeping
d. Lack of interest in food

Rationale: The nurse should recognize that making eye contact is a characteristic of
effective coping.

8. A public health nurse is providing information to a client who has an alcohol use
disorder and is asking about treatment. Which of the following statements should
the nurse identify as an indication that the client understands the information?