ATI RN COMMUNITY EXAMBEST EXAM PACK FOR 2022 REVIEW

ATI RN COMMUNITY EXAMBEST EXAM PACK FOR 2022 REVIEW ATI RN COMMUNITY EXAM-BEST EXAM PACK FOR 2022 REVIEW 1.A Community health nurse is providing teaching about nutrition guidelines to a group adolescents. Which of the following Information should the nurse include in teaching ? A. Adolescents have a decrease need for calcium due to high milk intake B appetite naturally increases during the Adolescent years C 75% of adult bone mass is developed during the Adolescent years D empty calories provide 70% of the total calories consumed by adolescents 2.An occupational health nurse is caring for a client who does not speak the same language as the nurse. Which of the following actions should the nurse take first? 1. Validate the clients Understanding of communicated information 2. determine the client's primary language 3. Use common words and phrases when speaking to the client 4. Obtain a translator that is the same gender 3.A case manager is caring for a client who is being discharged following total hip arthroplasty. Which of the following actions is an example of the nurse functioning in The Negotiator role. 1. providing social service with the list of needed referrals 2. reporting safety concerns to the Home Health agency 3. discuss payment options with various pharmacies 4. schedule appointments for physical therapy services 4. A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might manifest a false positive reading. A client who has lived in a country where tuberculosis is endemic B a client who has undergone radiation therapy within last 3 years C a client who has acquired immune deficiency syndrome D. a client who has received the Bacille Calmette-Guerin vaccine within the last 10 years 5.A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include ? Select all that apply 1.Lobbying 4 funding for health promotion efforts 2. recommending a seating arrangement for a child in a body cast ing a class about the risks of cigarette smoking 4.Create a plan of care for children who have a diagnosis of diabetes mellitus 5. Organizing a program to promote skateboard safety 6 A recently hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect physical hazards? 1. Identify industrial toxins that are present in the environment 2. measure noise levels at various locations in the facility 3. track rates of illness caused by infection among employees 4. survey workers about job-related emotional stress 7.Hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse take? 1. Discuss safe use of herbal medications 2. provide direct eye contact when communicating with the client's family 3. face the clients bed towards the east 4. develop a list of appropriate hot and cold food choices 8.A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement? de coffee and snacks during the meetings 2. avoid discussing the traumatic event experienced by the veterans 3. teach the clients to practice deep breathing exercises 4. change the meeting sites frequently 9.A group of technicians from a local automotive repair shop presents to an urgent care clinic with reports of dizziness, headaches, and nausea. After Providing need to care for the clients which of the following government agencies should the nurse notified to follow up on these report ? 1.OSHA 2. Center for Disease Control 3. Environmental Protection Agency 4 Department of Health and Human Services 10A nurse is providing teaching to a 50 year old female client. Which of the following statement should the nurse include in teaching? 1. You should have your fasting blood glucose level checked every 6 years 2. You should have your hearing screen every 5 years 3. you should have complete eye examination every two years until the age of 64 4. you should have your stool tested for blood every other year until the age of 74 11.A nurse is caring for a client who asks, “can I decide not to continue with chemotherapy?” The nurse responses, this is your choice, and I'll support whatever decision you make. The nurses response is example of which of the following ethical principles? icence 2.Nonmaleficence 3.Veracity omy 12.A nurse manager that clinic is reviewing the preventive services offered to clients. Which of the following activities should the nurse identify as secondary prevention activity? 1. Advocate 4 laws that prohibit texting while driving 2. provide a smoking cessation class 3. refer a client who is recovering from substance abuse disorder to a social service program 4. and hers are pregnant client to participate in prenatal care 13.An occupational health nurse is discussing how promotion with a client who has a history of obesity. Which of the following comment indicates the client is using rationalization as a coping mechanism? 1. I am obese because it is in my genes 2. I know you don't like me because I'm obese 3. I have lots of health problems from being obese 4. I have difficulty resisting the items in vending machine 14.A home health nurse is evaluating an older client. Which of the following assessment findings should the nurse report as a possible indicator of elder abuse? 1. The client attends Alcoholics Anonymous meetings 2. the client exhibits extreme thirst 3. the client receives in home meal delivery 4. The client reports that his son no longer visits 15. A nurse in a Health Department is participating in immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule? 1.An 18 month old toddler who has failure to thrive 2. a three year old toddler has leukemia 3. a four-month-old infant who has Down syndrome 4. a 12 month old infant who has sickle cell disease 16.The partner of an older adult client who has Alzheimer's disease reports that he is not eating. The home health aide tells the nurse that the client partner refuses to assist the client with feeding. The partner insist that the client feed himself without help. Which of the following is the priority action of the nurse should take? 1.Determine the client's ability to self feed 2. Refer the clients partner to an Alzheimer's support group 3. arrange for meals-on-wheels assistance 4. Direct the home health aide to assist with meals 17The first response team is working at the location of a bombing incident. A nurse triaging in the group of clients should give treatment priority through which of the following clients? 1. A client who has ambulatory and Exhibits manic behavior 2. a client who has rigid abdomen and manifestations of shock 3. A client who has a femur fracture and a 2 + pedal pulse 4. A client who has a superficial partial thickness burn injuries over 5% of his body 18.a client arrives at a mental health clinic and tell the nurse that there she has no purpose in life. Which of the following is the nurses priority response? 1.How long have you been feeling this way? 2. Do you really think your life has no purpose? 3. Tell me what is going on with you right now? 4. Have you been thinking about harming yourself? 19A community health nurse is teaching a group of adolescent clients about substance use disorders. Which of the following statements by a client indicates an understanding of the teaching? 1. Barbiturates cause an increase in heart rate 2. Opiods cause a decrease in respiratory rate 3. anabolic steroids stimulate the immune system 4. Amphetamines alleviate symptoms of depression 20 A nurse case manager is providing discharge planning for a client. The nurse is functioning and which of the following roles when arranging for the delivery of medical equipment to the client's home? 1. Systems allocator 2. Coordinator 3. Consultant 4. Advocate 21A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include that which of the following tasks is the responsibility of the case manager? 1. Teach Smoking cessation support group 2. Perform employee risk assessments 3. evaluate the cost effectiveness of clients treatments 4. Enforce OSHA standards in the workplace 22A home health nurse is making home safety evaluation visit for an older client who was recently discharged from the facility after receiving a diagnosis of diabetes mellitus. Which of the following findings indicate a need for corrective intervention? 1. A red light is kept on in the bedroom at night 2. an extension cord extends across the floor from the electrical outlet to a floor lamp 3. the water heater is set at 130 degrees Fahrenheit 4. A rubber backed bath mat is on the floor outside the shower 5. the floors of the house are made of wood. 23A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider and select an appropriate resources for the client? 1. The website is sponsored by Health Care political action committee 2. the website provides a peer review process for publishing information 3. the website is hosted by a dialysis equipment Marketing Group 4. the website is updated every 5 years 24Public Health nurses address in community leaders at a forum about Community Improvement. The nurse should identify that which of the following groups is being the fastest growing segment of the homeless population? 1. Families who have children 2. men who are unemployed 3. people who have substance use disorders 4. adolescent Runaways 25.A home health nurse is teaching a client about the safe use of crutches. Which of the following information should the nurse include in the teaching? 1. Wipe the rubber crutch tips to remove moisture 2. wear leather soled shoes when walking with crutches 3. Lean Forward while walking with crutches 4. support body weight on the axillae 26A community health nurse is caring for a client who has a new diagnosis of Gonorrhea. Which of the following actions should the nurse take? 1. Obtain a blood culture 2. change the client about application of imiquimod cream 3. notify the State Health Department 4. administer metronidazole 500 mg PO 27.Community Health Clinic is planting annual goals. Which of the following outcomes addresses the ethical principle of distributive justice? 1. Clients verbalize their right to refuse treatment 2. Clients understand the right to confidentiality 3. clients receive Medicare benefits When eligible 4. clients demonstrate completion of advance directives 28.A community health nurse is planning a program for young adults about STI prevention. Which of the following actions should the nurse take preparing for this program? 1. identify topics with Health Department nurses 2. develop content appropriate to learner needs 3. arrange for computer-assisted learning 4. collect data to identify learner current knowledge base 29 A community health nurse notes that 6 new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, 5 cases are reported. The population of the community is 15000 people. Which of the following is the prevalence proportion for the community? 1.73.3/100,000 2.0.9/100,000 3.40.0/100,000 4 33.3/100,000 30A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestations should the nurse include in teaching? 1. Hypotension 2. Hyperglycemia 3. Seizures 4. Somnolence 31. Community Health nurses working with a migrant population. The nurse should recognize that which of the following interventions is necessary to provide care to the population? 1. Providing health services at work sites 2. treating clients on a fee-for-service basis 3. Requiring clients to show a work visa before they receive care 4. offering Health screenings at a community center 32.A nurse is working with parent suspected of child abuse recognizes that the social factor most predictive of abusive behavior is 1. inadequate living conditions 2. social isolation 3. relationship difficulties 4. prior exposure to violence 33. A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? 1. Teach the client about appropriate food choices 2. Refer the client to diabetes mellitus support group 3. Identify the clients dietary preferences 4. develop a nutritional program 34 A nurse is assessing an outbreak of mumps among school-age children. Use the epidemiological triangle, the nurse should recognize that which of the following is the host? 1. the virus 2. the children 3. the vaccine 4. the school 35. Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from Rip's in the heating duct insulation ? 1.National Institutes of Health 2. Environmental Protection Agency 3. Centers for Disease Control and prevention 4. Department of Health and Human Resources 36 A nurse educated is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? 1. We should share our computer passwords with our manager 2. A client's diagnosis can be posted on the communication board inside the clients room 3. HIPAA rules vary from state to state 4. HIPAA rules allow clients to receive a copy of their medical records 37. During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parent. Which of the following actions should the nurse take first? 1. Report the incident to local authorities 2. check the client for injuries 3. Refer the parent to Social Service Agency 4.Enroll the parent and anger management classes 38. A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? 1. Determine the client's understanding of her living situation 2. discuss the risks of being homeless with the client 3. assist a client to develop goals for obtaining shelter 4 develop client teaching using a variety of strategies 39. A nurse in a clinic is reviewing home safety precautions with a client who is to begin radioactive iodine therapy. Which of the following statements of the client indicates an understanding of the teaching? 1. I will wait one week after treatment to use a laxative 2. I will all my granddaughter to visit for 4 hours daily 3. I will use cloth handkerchiefs instead of tissues 4. I will use a toilet that is not used by others in my family 40 A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey? 1. Demographic data 2. informant interviews 3. housing quality 4. mortality rate 41.During a routine School visit to physical education class, A Nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse First Take? 1. establish a triage area 2. notify the parents of the students 3. contact the local Health Department 4. administer oxygen therapy 42. A school nurse is caring for a child who has Muscular Dystrophy and is having difficulty swallowing at lunch. Which of the following referral should the nurse initiate? 1. occupational therapist 2. respiratory therapist 3. Dietitian 4. speech language therapist 43. A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact First? 1. A client reports that her new colostomy stoma appears purple 2. A mother who reports that her son vomited after a dose of Methylphenidate 3. a client who has COPD and reports oxygen saturation of 90% 4. a client who reports feeling a vibration and his new internal arteriovenous graft for dialysis 44. A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as leading cause of death for this age group? 1. Gun safety 2. Sports Injury prevention 3. Motor Vehicle Safety 4. Substance Abuse Prevention 45.A nurse in a community health center is counseling a group of clients or currently experiencing intimate partner abuse. Which of the following strategies is a priority for the nurse to include in the counseling? 1. Providing referrals for legal counseling 2. identifying a primary support person 3. using stress management techniques 4. developing an escape plan 46.Public health nurse is assisting a client who is a recent immigrant. The client refuses assistance from Community Resources. Which of the following actions should the nurse take to provide culturally appropriate care? 1. Explain that the client must use the available resources 2. learn more about the client Ethnic values 3. review the client's current health practices 4. use a family member As an interpreter when discussing services 5. he was relevant nonverbal communication techniques 47. A community health nurse is teaching a group of older clients about hypertension. The nurse should identify the which of the following clients has a barrier to learning? 1.Fear of public speaking 2. Low literacy 3. limited experience 4. lack of credibility 48. A nurse is reviewing data for communicable diseases in rural health region. Which of the following data should the nurse identify as an age Factor affecting the spread of communicable diseases 1.An increase in migrant Farm Workers living in the community 2. an antigenic shift in the composition of strain of influenza 3. a decrease in the number of ambulatory clinics in the area 4. a change in the prevalence of older adults obtaining the pneumococcal vaccine 49.A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. Which of the following agencies are responsible for voluntarily reporting cases of this disease to the Centers for Disease Control and prevention? 1. Office of the Surgeon General 2. local Red Cross chapter 3. hospital infection control Department 4. State Health Department 50. A nurse is working with a case manager for a client who participates in health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures? 1. The provider is paid a fixed sum for the client on a monthly or yearly basis 2. the client pays the insurer percentage of the total cost for each service rendered by the provider 3. the client is participating in a fee-for-service health care insurance program 4. the provider bills the client directly for the predetermined percentage of the cost of services 51.A nurse is discussing short and long-term goals with a client who has alcohol use disorder has been admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion? 1. Remaining Physically Active will help to minimize drowsiness and chills associated with initial alcohol withdrawal 2. he will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment 3. he will begin learning functional skills to replace their defense mechanisms and behaviors ball in treatment 4. attending Al-Anon meetings will help you identify a role model to assist you with making needed changes 52.A nurse manager is reviewing the disaster plan at a long-term care facility. Which of the following is the most comprehensive method for the nurse determine the effectiveness of the plan? 1. Use in-services to have the staff discussed various disaster scenarios 2. Test staff to determine their knowledge of the principles of the plan 3. analyze findings from a facility tabletop disaster simulation 4. review how the staff implements the plan during a Hands-On practice drill 53. A parish nurse is planning activities for a faith-based community. Which of the following activities to the nurse include? 1. Offer Primary Care to uninsured members 2. change a negative pressure wound therapy dressing 3. Teach Stress Management strategies 4. provide case management 54. A community health nurse is educating a parent about the importance of hepatitis B immunization. Which of the following exclamation should the nurse give to the parent about the disease? 1. One dose of the immunization give children life-long protection from hepatitis B 2. Hepatitis B spreads easily among children through casual contact 3. many people who acquire acute hepatitis B develop chronic hepatitis 4. people who have had a hepatitis B infection still need the immunization 55.A nurse working in assisted care facilities developing a disaster plan. Which of the following is the first action the nurse to take? 1. Verify dates on the annual community-wide mass casualty drill 2. determine potential environmental health hazards 3. develop response strategies specific to older adults 4. identify materials needed for staff and Resident education 56. A home health nurse is providing teaching to a client who has diabetes mellitus about proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching? 1. I will discard the syringes in a metal container 2. I will store use syringes in a biohazard bag before discarding 3. I will take containers of used syringes to the local recycling center 4. I will wear gloves when I discard the syringes 57 A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which of the following statements by the client indicates teaching has been effective? 1. I will have a repeat tuberculin skin test every 6 weeks 2. I will be contagious until I have completed the full medication regimen 3. I will be taking medication daily for least 6 months 4. I will need to have a special HEPA filter installed in my home 58. A community health nurse is an initial phase of planning a smoking cessation program. Which of the following is the first action the nurse should take? mine the prevalence of smoking in the community 2. Formulate objectives for the smoking cessation program 3. Gain community support for the program 4. Evaluate the methods of successful smoking cessation programs 59. A hospice nurse is concerned that the partner of a client is experiencing caregiver burden. Which of the following actions should the nurse take first? 1. Teach the partner about getting enough rest 2. suggest an assistive Personnel visits daily to provide client care 3. encourage the partner to invite family members to assist with client care 4. explore possible solutions with the partner 60 A nurse is volunteering at a local community center is addressing a variety of Health needs with a group of older adult clients. Which of the following interventions should the nurse identify as a tertiary prevention strategy? 1. Holding a cooking class that focuses on low sodium meals 2. calculating the BMI of all clients 3 providing a class on living with arthritis 4. Distributing literature regarding signs and manifestations of a stroke A nurse who isfacilitating a support group in a community center notices that one member of the group expresses anger repeatedly. Which of the following strategies should the nurse use to facilitate the group process with this member. Remind the group that everyone should have a chance to participate. Divide the group into pairs and give each pair a topic for discussion. Give the member extra time to compose her thought before expressing them. Focus more on the group members who have a positive outlook. Thisis a strategy that is often effective with group members who demonstrate angry, hostel, or negative behavior. The nurse should also speak to the group member in private to try to uncover the source of her ongoing anger. Which of the following activities done by a nurse is considered public health nursing? Reviewing morbidity and mortality data for the community. Caring for new mothers and infants. Reviewing the medications prescribed for an older adult couple. Reviewing morbidity and mortality data for the community is a key component of public health nursing, which focuses on the health care of populations and communities. A nurse working for a non-profit organization with limited resources is asked to develop an education program that will benefit a supporting agency's employees. The nurse was planning another program to benefit more people in the community. Which of the following is an ethical tenet the nurse should follow in deciding which program to implement. Allow members of the community to vice their shared ideas. Develop public policy in concert with the interest and needs of the community. Give precedence to community support provided by public servants over entrepreneurs. Place the needs of the community above those ofspecial interest groups. This statement upholds the ethical tenet for policy development: to serve citizens, not customers. While the nurse may feel pressure to comply with the agency's request due to its financial or material support, the nurse must use available resources to meet the needs of the greatest number of citizens first. A community health nurse is providing care to a client who has stopped taking his prescribed blood pressure medication. Which of the following actions should the nurse take first to promote adherence to treatment. Inform the provider of the client's decision. Determine the client'sreason for discontinuing the medication. Discussthe consequences of discontinuing the medication with the client. Using the nursing process, the firststep the nurse should take isto assess the client. By determining the client's reason for discontinuing the medication, the nurse can promote adherence to treatment. A clinic nurse is caring for a client who reports taking ginkgo biloba forseveral weeks since seeing a naturapathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications? Warfarin Metoprolol Digoxin Ginkgo biloba can hinder coagulation; therefore, the nurse should instruct the client that ginkgo biloba may alter the effects of warfarin. A community health nurse is preparing a community presentation about the epidemiological triangle. Which of the following elements is a host.? Salmonella on a wood cutting board. A raccoon with rabies A farm containing pesticides. a factory with high noise levels. The epidemiological triangle is a model of the agent-host environment interaction that causes disease. The host is a living species, either human or animal, that is capable of being infected ore affected by an agent. A community health nurse is providing anticipatory guidance to a group of adolescents. To reduce premature deathsin this age group, which of the following topics would be most important to discuss. Underage smoking Safe sex practices Safety belt use. Automobile crashes are currently the leading cause of death among adolescents; therefore, thistopic isimportant to discuss when providing anticipatory guidance to reduce premature deaths in the age group. A newly licensed nurse in a public health agency is assigned to assist with the task force that is responsible for the core function of assessment. Which of the following is a task that the nurse could be assigned that would be consistent with the focus of the task force? Investigating local health hazards. updating local policiesto support community health efforts. Collaborating with community agenciesto improve availability ofservices. Investigating health hazards of the local community is a component of the public health core function of assessment. A community health nurse is visiting a family that has newborn twins and two school-age children. The parents tell the nurse they are emotionally and financially overwhelmed. Which of the following referrals are appropriate? (Select all that apply). Postpartum support group Women, Infant, and Children (WIC) program Child Protective Service (CPS) Medicare Part B Free school lunch program. A public health nurse is working in a community that has a population of 24.096. There are 2.096 existing cases of heart disease within the population. The nurse can determine which of the following from this information. Mortality rate Attack rate Prevalence proportion Incidence proportion. The prevalence proportion can be calculated given how many people were affected at a given time and the total population. A newly licensed nurse is performing a community assessment. While collecting secondary data at the library, the nurse is approached by a community member who is concerned about air pollution. Which of the following statements by the nurse indicates a need for further education regarding confidentiality? "Recordsindicate thatseveral pesticides have been entering the localstreams causing significant water pollution." According to the latest research, there is an infant mortality ratio of 6.7 per 1,000 live births in this community. The circulation supervisor at the library is concerned about the amount of air pollution coming from the town'sindustrial corridor. Residents near Cherry Street Substation have a mortality rate of 29.6% from brain tumors compared to the citywide rate of 9.2%. The nurse has a responsibility to protect community members who share concerns or provide controversial information. A nurse is planning to teach a community group abut the menigococcal vaccine. For which of the following individualsisthis vaccination recommended. An individual traveling to northern Europe. An infant who has bronchitis. An infant who is 4 weeks old. An individual moving into a dormitory setting. Individualsliving in crowded areas such as dormitoriesshould receive the menigococcal vaccine. A community health nurse is caring for a client who has a new diagnosis of Lyme disease. The requirements for a reporting Lyme disease are mandated by which of the following? Local county health departments Individualstate law federal law Center for disease control and prevention. While Lyme disease is on the list of national diseases, the requirements and methods of reporting individual diseases are determined by state laws. A community health nurse is conducting an educational program for parents abut the effects of pollution on preschool-age children. Which of the following statements by a parent indicates an understanding of the teaching? Children drink fewer fluidsfor their body weight than adults,so they take in fewer toxins. The kidneys filter toxins at a greater rate in children than in adults. Children breathe more rapidly than adults, which increasestheir exposure to air pollutants. Outdoor air pollutants are more likely to trigger asthma attacksthan indoor pollutants. Children breathe faster than adults, which increases their exposure to toxins in the air A school nurse seesfourstudentsin 1 week who have a return-to-school release after being diagnosed with methicillin-resistant Staphylococcus aureus(MRSA). Which of the following actions should the nurse take Coordinate an immunization clinic at the school. Recommend prophylactic treatment for classmates. Report the cases of MRSA to child protective services. Provide education about MRSA throughout the schoolsystem. hand hygiene will prevent the spread of MRSA. A nurse in a rural community is planning education for a young-adult client who is a migrant farm worker. Which of the following should the nurse include in the plan of care (select all that apply). Provide environmental health information. Conduct tuberculosis screening Provide skin cancer information Conduct dental health screening. Provide formsto apply for medicare. An occupational health nurse is assessing a client who reports taking ibuprofen daily forseveral years. The nurse should counsel the client on the risk for which of the following conditions? Gastric ulceration Orthostatic hypotension Hyperglycemia Urinary retention. Long term use of NSAIDssuch asibuprofen increases the risk of gastric ulceration, perforation and hemorrhage. A school health nurse is caring for an adolescent newly diagnosed with type 1 diabetes mellitus. Which of the following actionsis appropriate to include in the client's plan of care? Consult with a dietitian to determine an appropriate school lunch for the client. Encourage the client to have a snack 3 hours prior to physical activities. Provide weekly updates on the clients condition to the insurance provider. Obtain specimen to test for ketonuria daily. This action assists the client in obtaining appropriate nutrition for the disease process. A school nurse is helping a student schedule speech therapy and physical therapy appointments that do not interfere with the student's academic schedule. This is an example of which of the following roles of the school nurse? Health educator Case manager Counselor Consultant The nurse is coordinating the members of the interdisciplinary team to provide the health care required by the student. A nurse in a community health center is talking with the parent of an adolescent who is concerned that her sons seems depressed and is giving away his favorite belongings. Which of the following actions should the nurse take? Tell the parent that it is common for adolescents to lose interest in their belongings. Explain that what might seem like depression is probably typical teenage boredom. Talk with the adolescent abut trying to be more cooperative and appreciative. Determine if the adolescent has considered harming himself. Cluesthat should alert the nurse to suicidal intent include giving away possessions. Depression is another risk factor for suicide. A nurse is collecting demographic data as a part of a community assessment. Which of the following should be included? Racial distribution Family genograms Number of open water sources Presence of condemned buildings. Racial distribution is part of demographic data. A nurse is a clinic is planning teaching for a client who is newly diagnosed with hepatitis C. Which of the following instructions should the nurse include in the teaching? Consume a low carbohydrate diet until symptoms resolve. Schedule an appointment for an immunoglobulin injection. Abstain from sexual intercourse until antibody tests are negative. Wear a mask in public places while receiving treatment. Hepatitis C istransmitted through sexual intercourse; therefore, the nurse should instruct the client to abstain from sexual intercourse until antibody tests are negative. A home health nurse is caring for an older adult client who has diabetes mellitus complicated by severe peripheral neuropathy. Which of the following instructions should the nurse provide the client to avoid injury to the feet and lower legs? (select all that apply) Test bath water with a thermometer before entering. Wear shoes that extend 0.64 cm past the longest toe. Use a dry heating pad to enhance circulation in feet. Inspect feet for areas of redness daily. Monitor temperature of feet and lower extremitiesfor changes. A community health nurse is planning an in-service about sexually transmitted infections to a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis? Malaise Maculopapular rash on palms Chancre Lyomphadenopathy. Chancre is a clinical manifestation of primary syphilis. A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and noisy breathing. Which of the following actions should the nurse take? Suction the client's oropharynx. Encourage the client to take sips of water frequently. Use a fan in the client's room. Offersmall portions of the clientsfavorite foods. A fan moves the air, which stimulatesthe client's trigeminal nerve and can minimize the sensation of dyspnea. A nurse at a rehabilitation facility is providing discharge teaching for a client who isrecovering from a stroke. Which of the following statements should the nurse include. Your family should provide the majority of your care to ensure that your needs are met. You should contact outpatient therapy to schedule an admission assessment within two weeks. You should use a hand-held mirror to improve your ability to see objects around you. You should focus on dressing and caring for the unaffected side of your body first. Clients who experience a stroke may experience altered visual perception and decreased visual fields; therefore, the nurse should recommend that clients use a hand-held mirror to improve the ability see objects in the surrounding environment. A nurse manger is providing orientation to a nurse who is new to hospice care. Which of the following statements indicates that the new nurse needs additional orientation. I will link clients with services that assist them to continue living at home. I will modify client'streatment plan as needed to maximize hisindependence level. I will provide care and education to clientsin order to promote recovery. I will work as team to alleviate symptoms and meet the client's special needs. The goal of hospice isto deliver palliative care and emotional support to clients who are no longer seeking curative treatment for an illness. A nurse in a community health center istalking with a client who isreceiving treatment for an opioid addiction. Which of the following statements by the nurse is appropriate for encouraging the client to attend his 12-step meeting? You'll find the Narcotics Anonymous will help you regain power over your addictions. Narcotics Anonymous will help you take responsibility for the symptoms of you disease. At Narcotics Anonymous you willingnessto change will be crucial for your sobriety. At Narcotic Anonymous you'll learn to maintain control by never admitting to defeat. Basic tenets of all 12-step programs, including Narcotics Anonymous, have a willingnessto change and to make amends, as well as the incorporation of the 12-step process into daily life. A community health nurse is asked to give a health education program to a group of African-American men age 40 to 75. Considering the health concerns of this group, which of the following topics is most important to include in the program? Prostate cancer screening. Diabetesscreening. Depression screening. Skin cancer screening. Cancer is the second leading cause of death for men and prostate cancer isthe second leading cause of cancer deaths in men. The incidence rate of prostate cancer is 51% higher among African-American men than white men. A clinical nurse manager is developing an education program on tuberculin skin testing. The nurse should include that which of the following can cause a false negative result? (Select all that apply). Advanced HIV or AIDS. Bacilli Calmette-Gue'rin (BCG) vaccination. Time between exposure and screening. Age of the client. Recent abuse of IV-substance. A nurse is planning health promotion activities for the local community. Which of the following is an example of primary prevention. Teaching foot care to adults who have diabetes mellitus. Testing school-age children for lead exposure. Providing tuberculosis screening for day care providers. Teaching meal planning classes to older adults. Thisis an example of primary prevention. A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following action should the nurse take first. Examine the client's oral mucous membranes. Encourage the client to consume 1.2 to 2.0 g/kg of protein daily. Recommend the client increase daily calorie intake by 25%. Teach the client about findingsthat should be reported to the provider. The first action the nurse should take using the nursing process isto assess the client. The nurse should examine the oral mucous membranes for painful lesions, such as candidiasis, that result from HIV or HIV therapy. A nurse is caring for a 50 year old client who has diabetes mellitus, recently lost hisjob,and has no health insurance. The nurse should advise the client to do which of the following? Contact Medicare to determine eligibility. Contact Medicaid to determine eligibility. Go to the emergency department when services are needed. Go to the public health department when services are needed. Medicaid is available to individuals with low income and no insurance. Eligibility and resources vary by state,so the client should contact the local office to determine his status. A home health nurse is assessing a client who has a prescription for captopril to treat heart failure. Which of the following findingsis an adverse effect of this medication. Weight gain Ataxia Photophobia Dry cough Captopril preventsthe conversion of angiotensin 1 to angiotensin 2 which causes bradykinin to accumulate. The client may experience cough as a result of bradykinin accumulation. A community health nurse is providing education to a group of children who have asthma. Which of the following statements indicates an understanding of the teaching. Ishouldn't play sports because it will make me too tired. I willstay indoors during cold weather. I will use my rescue medication every day. Ishouldn't get the flu shot because it might make me sick. Cold air can be trigger for asthma. This response indicatesthe student recognizes the risk. A client asks a home health infusion nurse the difference between a peripheral IV line and Peripherally inserted central catheter (PICC) for long-term venous access. Which of the following responses is appropriate? Blockages do not form in central catheters like they do in peripheral catheters. There won't be any infections in your arm from the central catheter. The central catheter does not require flushing like the peripheral catheter. The central catheter does notrequire replacement as often as a peripheral IV Nurses must replace peripheral IV catheters every 72 to 96 hours, while a PICC may remain in place for a year or more, as long as there are no complications with the insertion site or the catheter. The daughter of a client who is terminally ill and at the end of life approaches the hospice nurse and asks what she can do to help relieve her father's anxiety. Which of the following interventions should the nurse suggest? Give the client brief hand massages. Increase the illumination in the room. Place a warm cloth on the clients forehead. Administer citalopram when the client is agitated. Soft massage and brief hand massage can reduce stress in palliative care settings. A community health nurse isteaching a group of older adults about environmental health hazards. A need for additional teaching is indicated when a group member lists which of the following as a possible source of carbon monoxide exposure. Motor vehicles Gas ranges Vented gas heaters Electric space heaters. Electric space heaters are not a source of carbon monoxide poisoning. A community health nurse is planning a presentation to aging adults who have a family history of Alzheimer's disease. The nurse should include that which of the following behaviors is an early manifestation of the disease. Withdrawal form social activities Difficulty learning new things Loss of language skills Neglecting personal hygiene. Difficulty learning new thingsis generally an early indication of Alzheimer's disease. Other early indicatorsinclude shortterm memory loss and subtle changes in personality. A home health nurse is planning care for the day. Which of the following clients should the nurse visit first.? An older adult client who was treated in the emergency department last night with a stage 3 pressure ulcer. A school-age child who was treated in the emergency department last night with status asthmaticus. An older adult client on a newly prescribed antihypertensive who needs a blood pressure check. A school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing. A nurse is providing safety information to the parents of an infant. Which of the following statement by a parent indicatesthe need for further teaching. It important to keep our bathroom doors closed. The slats on our child's crib are 2 inches apart. I will make sure the water heater setting is no higher than 140 degrees F. I will clip a pacifier onto my child's clothing during naps. The water heater should be at a setting no higher than 120 degrees F to prevent accidental burns. A school nurse is notified that an elementary school child is newly diagnosed with pertussis. Which of the following actions should the school nurse take? (select all that apply). Instruct the parent to keep the child home until the coughing stage has passed. Encourage family members to obtain prophylactic treatment. Quarantine the children in the child's class. Recommend the child receive a pneumococcal vaccine in 28 days. Check the immunization status of child's classmates. Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following should the community health nurse assess first? The need for the program. The accessibility of residences. The availability of volunteers. The leadership of the community. Using the urgent vs. non-urgent approach to client care, the nurse should first assess the need for the mobile meals program. This action allowsthe nurse to collect data on the client, which is the community, and meets the first step of program planning. The needs of the community will determine all other steps of the planning process. A public health nurse is providing an educational program about inhalation anthrax to a group of first responders in the community. Which of the following statements by a member of the group indicates an understanding of the teaching? Inhalation anthrax is highly contagious. A person exposed to inhalation anthrax may develop a dry cough. The drug of choice to treat inhalation anthrax is ciprofloxacin. The fatality rate for untreated inhalation anthrax is about 65%. Early clinical manifestation of inhalation anthrax include fever, fatigue, mild chest pain, and a dry cough. A nurse is providing education regarding lead exposure to a group of clients who live in a subsidized housing development built in 1968. Which of the following silent statements indicates an understanding of the teaching? I will use a dry sanding technique when preparing to repaint my front door. I will vacuum our wood floors every week. I will increase the amount of red meat and milk in my child's diet. I will use hot tap water when preparing my baby's formula. Children should get adequate amounts of iron and calcium in their diets in order to prevent lead absorption from their environment. A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant? Herpeszoster Tetanus, diphtheria, pertussis. Varicella Measles, mumps, rebells The center for disease control and prevention recommendsthis vaccine during pregnancy. A nurse is developing a community education program about risk factors for family violence. The nurse should include which of the following circumstances as a risk factor for becoming a victim of intimate partner abuse. Attempting to end the relationship with their partner. Lacking supportive friends outside the relationship. Having health issues that limit independence. Taking anti-anxiety orsedative medication. Those in a relationship with a potential or actual abuser heighten their risk for abuse when they attempt to leave the relationship. A community health nurse has conducted a teaching session abut breast self-examination. Which of the following best indicates whether or not the teaching was effective? Completion of a written quiz. Verbalization of the stepsin the process. Demonstration on a breast model. Self-evaluation of the teaching session. isthe best indicator of teaching effectiveness when teaching a psychomotor skill. A home health nurse is talking with a client whose partner died 3 months ago. The client states " Istill can't believe my partner is gone sometimes." Which of the following is an appropriate nursing response. Many people experience these feelings while grieving for a lost loved one. Just give yourself some more time, and you'll feel better Tell me more about how you're feeling. I will schedule an appointment for you with the leader of your church. The nurse should encourage the client to share her feelings about her life without her partner. A home health nurse is orienting a newly licensed nurse who is drawing blood from a client for laboratory testing and gets stuck by used needle. Which of the following statements by the newly licensed nurse indicates a need for further teaching. The client will be tested for HIV. The client will be tested for hepatitis B virus. The client will be tested for hepatitis C virus. The client will be tested for hepatitis A virus. The client would not be tested for hepatitis A because it is primarily transmitted by the oral-fecal route.