403 REVIEW FINAL EXAM
NURS 403/2023 PRIMERA PARTE/updated 2023-2024
NURS 403/2023
1. A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client.
Which of the following immunizations should the nurse expect to administer?
A. Meningococcal conjugate
B. Herpes Zoster
C. Rotavirus
D. Pneumococcal polysaccharide
2. Nurse is preparing a community health program for adults at risk for cardiovascular disease.
Which of the following should the nurse include as a modifiable risk factor?
A. Diagnosis of diabetes Miletus
B. Family history of cardiac disease
C. Increase age
D. Cigarette smoking
3. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic
workers. Which of the following actions should the nurse include as a secondary prevention
strategy?
A. Teach plant workers about proper lifting techniques
B. Set up an influenza immunization campaign
C. Help plant workers identify signs of carpal tunnel syndrome
D. Collaborate with physical therapists to develop program for injured employees to return to work
4. A school nurse receives a call that some children and teachers report being exposed to an
undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which
of the following actions should the nurse take?
A. Have students evacuated from the school and establish a triage area in the school parking lot.
B. Move individual who are reporting symptoms to one of the affected classrooms and create
a triage area inside
C. Arrange for children transportation to the nearest emergency department and the group
triage will occur there.
D. Transport all children and school personnel to the nearest medical facility school busses
5. The nurse is participating in a biological disaster simulation where citizens are exposed to
pneumonic plague. Which of the following interventions should the nurse plan to use while caring
for these clients?
A. Initiate airborne precaution
B. Administer an antitoxin
C. Initiate droplet precautions
D. Destroy the lines after use
pg. 1
,6. A nurse is among the first responders to a mass-casualty incident and does not know what type of
personal protection equipment (PPE) is needed. Which of the following actions should the nurse
take?
A. Wait until the type of equipment needed is known
B. Decontaminate victims before intervening
C. Choose the highest level of protection equipment available.
D. Use a dosimeter to measure the level of radiation in the area before intervening
7. A charge nurse is making a room assignment for a client who has scabies. In which of the
following rooms should the nurse place the client?
A. A negative pressure isolation room
B. A semiprivate room with a client who has pediculosis capitis
C. A positive pressure isolation
room D. A private room.
8. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which
of the following clients should the nurse plan to care for first?
A. A client experiencing a tension pneumothorax
B. A client who has a closed upper extremity fracture
C. A client who has full thickness burns over 80% of this body
D. A client who has agonal respirations
9. a nurse is helping to triage a group of clients at a mass casualty incident who were involved in an
explosion at a local factory. Which of the following clients should the nurse tag to be the priority
for care?
A. A client who has severe head injury respiratory rate 6/min and unresponsive
B. A client who has a simple fracture of the femur, multiple scratches on both legs, and
crying hysterically
C. A client who has a piece of wood punctured into the chest wall and has an audible hissing
sound coming from the wound site.
D. A female who is pregnant at 20 weeks of gestation has multiple cuts and abrasions and
is walking around
10. A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped
under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway,
the client remains apneic. Which of the following actions should the nurse take?
A. Start CPR
B. Place a red tag on the client’s upper body and attempt to help the next client in need
C. Place a black tag on the client’s upper body and attempt to help the next client in need.
D. Reposition the client upper airway a second time before assessing his respirations
11. A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which
of the following diseases should the nurse plan to report to the Centers for Disease Control and
Prevention (CDC)?
pg. 2
, A. Lyme disease
B. Cytomegalovirus
C. Streptococcus pharyngitis
D. Toxoplasmosis
12. A community health nurse is reviewing the levels of disease prevention. Which of the
following activities is an example of tertiary prevention?
A. Providing treatment for clients who have chronic obstructive pulmonary disease.
B. Performing screening for sexually transmitted infections
C. Administering influenza immunizations at local health fair
D. Testing new nurses for exposure to TB
13. A charge nurse is discussing staff nurses’ responsibilities in preplanning for response to a
disaster. Which of the following responsibilities should the nurse include in the discussion?
A. Identify community resources that are available.
B. Evaluate the impact of a disaster on the community
C. Asses survivors of a disaster for level of psychological stress
D. Link victims with support agencies to help with food clothing shelter and counseling needs
14. A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which
of the following agents should the nurse plan to administer a vaccine following exposure?
A. Anthrax
B. Botulism
C. Plague
D. Smallpox
15. A nurse is providing staff education about smallpox as a bioterrorism threat. Which of
the following statements indicates an understanding of this agent? (Select all that apply)
A. Smallpox is transmitted person to person
B. Infection is characterized by severe respiratory distress
C. Smallpox vaccination ensures lifelog immunity
D. Naturally occurring smallpox has been eradicated from the
world. E. Smallpox is often confused with varicella.
16. A nurse is preparing to care for a client who has suspected exposure to plague as a result of
bites from infected fleas. Which of the following actions should the nurse plan to take first?
A. Prepare for drainage of
lesions B. Initiate contact
precautions.
C. Notify the CDC control and preventions
D. Decontaminate the client
17. A nurse is reinforcing teaching with a group of adolescent females who are pregnant
about expected changes related to pregnancy. Which of the following client statements
indicates understanding of the teaching?
A. It is normal to have a white vaginal discharge.
B. I should recognize fetal movement by 12 weeks
pg. 3
, C. I will take fluid pills if my ankles begin to swell
pg. 4
NURS 403/2023 PRIMERA PARTE/updated 2023-2024
NURS 403/2023
1. A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client.
Which of the following immunizations should the nurse expect to administer?
A. Meningococcal conjugate
B. Herpes Zoster
C. Rotavirus
D. Pneumococcal polysaccharide
2. Nurse is preparing a community health program for adults at risk for cardiovascular disease.
Which of the following should the nurse include as a modifiable risk factor?
A. Diagnosis of diabetes Miletus
B. Family history of cardiac disease
C. Increase age
D. Cigarette smoking
3. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic
workers. Which of the following actions should the nurse include as a secondary prevention
strategy?
A. Teach plant workers about proper lifting techniques
B. Set up an influenza immunization campaign
C. Help plant workers identify signs of carpal tunnel syndrome
D. Collaborate with physical therapists to develop program for injured employees to return to work
4. A school nurse receives a call that some children and teachers report being exposed to an
undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which
of the following actions should the nurse take?
A. Have students evacuated from the school and establish a triage area in the school parking lot.
B. Move individual who are reporting symptoms to one of the affected classrooms and create
a triage area inside
C. Arrange for children transportation to the nearest emergency department and the group
triage will occur there.
D. Transport all children and school personnel to the nearest medical facility school busses
5. The nurse is participating in a biological disaster simulation where citizens are exposed to
pneumonic plague. Which of the following interventions should the nurse plan to use while caring
for these clients?
A. Initiate airborne precaution
B. Administer an antitoxin
C. Initiate droplet precautions
D. Destroy the lines after use
pg. 1
,6. A nurse is among the first responders to a mass-casualty incident and does not know what type of
personal protection equipment (PPE) is needed. Which of the following actions should the nurse
take?
A. Wait until the type of equipment needed is known
B. Decontaminate victims before intervening
C. Choose the highest level of protection equipment available.
D. Use a dosimeter to measure the level of radiation in the area before intervening
7. A charge nurse is making a room assignment for a client who has scabies. In which of the
following rooms should the nurse place the client?
A. A negative pressure isolation room
B. A semiprivate room with a client who has pediculosis capitis
C. A positive pressure isolation
room D. A private room.
8. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which
of the following clients should the nurse plan to care for first?
A. A client experiencing a tension pneumothorax
B. A client who has a closed upper extremity fracture
C. A client who has full thickness burns over 80% of this body
D. A client who has agonal respirations
9. a nurse is helping to triage a group of clients at a mass casualty incident who were involved in an
explosion at a local factory. Which of the following clients should the nurse tag to be the priority
for care?
A. A client who has severe head injury respiratory rate 6/min and unresponsive
B. A client who has a simple fracture of the femur, multiple scratches on both legs, and
crying hysterically
C. A client who has a piece of wood punctured into the chest wall and has an audible hissing
sound coming from the wound site.
D. A female who is pregnant at 20 weeks of gestation has multiple cuts and abrasions and
is walking around
10. A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped
under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway,
the client remains apneic. Which of the following actions should the nurse take?
A. Start CPR
B. Place a red tag on the client’s upper body and attempt to help the next client in need
C. Place a black tag on the client’s upper body and attempt to help the next client in need.
D. Reposition the client upper airway a second time before assessing his respirations
11. A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which
of the following diseases should the nurse plan to report to the Centers for Disease Control and
Prevention (CDC)?
pg. 2
, A. Lyme disease
B. Cytomegalovirus
C. Streptococcus pharyngitis
D. Toxoplasmosis
12. A community health nurse is reviewing the levels of disease prevention. Which of the
following activities is an example of tertiary prevention?
A. Providing treatment for clients who have chronic obstructive pulmonary disease.
B. Performing screening for sexually transmitted infections
C. Administering influenza immunizations at local health fair
D. Testing new nurses for exposure to TB
13. A charge nurse is discussing staff nurses’ responsibilities in preplanning for response to a
disaster. Which of the following responsibilities should the nurse include in the discussion?
A. Identify community resources that are available.
B. Evaluate the impact of a disaster on the community
C. Asses survivors of a disaster for level of psychological stress
D. Link victims with support agencies to help with food clothing shelter and counseling needs
14. A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which
of the following agents should the nurse plan to administer a vaccine following exposure?
A. Anthrax
B. Botulism
C. Plague
D. Smallpox
15. A nurse is providing staff education about smallpox as a bioterrorism threat. Which of
the following statements indicates an understanding of this agent? (Select all that apply)
A. Smallpox is transmitted person to person
B. Infection is characterized by severe respiratory distress
C. Smallpox vaccination ensures lifelog immunity
D. Naturally occurring smallpox has been eradicated from the
world. E. Smallpox is often confused with varicella.
16. A nurse is preparing to care for a client who has suspected exposure to plague as a result of
bites from infected fleas. Which of the following actions should the nurse plan to take first?
A. Prepare for drainage of
lesions B. Initiate contact
precautions.
C. Notify the CDC control and preventions
D. Decontaminate the client
17. A nurse is reinforcing teaching with a group of adolescent females who are pregnant
about expected changes related to pregnancy. Which of the following client statements
indicates understanding of the teaching?
A. It is normal to have a white vaginal discharge.
B. I should recognize fetal movement by 12 weeks
pg. 3
, C. I will take fluid pills if my ankles begin to swell
pg. 4
