NCLEX RN COMMUNITY
HEALTH EXAM TEST BANK 2024
WITH VERIFIED ANSWERS
GRADED A+
1.Jennifer is a nurse in a family medicine clinic. Today she is assessing Jose, a 4-year-old
who is being seen for an earache. The type of nursing Jennifer practices is:
a. community-oriented nursing.
b. community-based nursing.
c. public health nursing.
d. tertiary health nursing. - ANSWERS-b. community-based nursing.
2. The school nurse has arranged for volunteers to help check each child's hearing and
vision. Any child that the volunteers feel did not "pass" will be sent to the nurse for
follow-up. The nurse will then send a note to the parents that a physician should be seen.
Which of the following levels of prevention is being implemented?
a. Primary
b. Secondary
c. Tertiary
d. Both primary and secondary - ANSWERS-ANS: B
Because secondary prevention involves caring for children when they need health care,
this is the largest responsibility for the school nurse. This includes caring for ill or injured
students and school employees. It also involves screening and assessing children and
referral to appropriate health agencies or providers
4. A community health nurse manager has integrated exposure history elements into the
assessment practices of the health department that are relevant to the urban industrial
community served. This strategy indicates that the nurse manager is aware of the
relationship between:
1
,A) Community strengths and weaknesses.
B) Environment and human health/disease.
C) Toxicology studies conducted by the Environmental Protection Agency and the
environment.
D) Federal and state environmental regulations. - ANSWERS-B
5. A 32 year old client came for consultation at the health center with the chief complaint
of fever for a week. Accompanying symptoms were muscle pains and body malaise. A
week after the start of fever, the client noted yellowish discoloration of his sclera. History
showed that he waded in flood waters about 2 weeks before the onset of symptoms.
Based on this history/ which disease condition will you suspect?
A. Hepatitis A
B. Hepatitis B
C. Tetanus
D. Leptospirosis - ANSWERS-Answer: (D)
A bacterial disease spread through the urine of infected animals. Leptospirosis is
transmitted through contact with the skin or mucous membrane with water or moist soil
contaminated with urine of infected animals, like rats.
6. A nurse provides home care instructions to the parents of a child hospitalized with
pertussis. The child is in the convalescent stage and is being prepared for discharge.
Which statement by a parent indicates a need for instructions?
A. We need to encourage our child to drink fluids
B. Coughing spells may be triggered by dust or smoke
C. Vomiting may occur when our child has coughing episodes
2
,D. We need to maintain droplet precautions and a quiet environment for at least 2
weeks - ANSWERS-ANS: D
Pertussis is transmitted by direct contact or respiratory droplets from coughing. The
communicable period occurs primarily during the catarrhal stage. Respiratory precautions
are not required during the convalescent phase. Options 1,2,3 are accurate components of
home care instructions.
7. A community-oriented nurse has identified obesity as a problem in the middle school.
The next step in a population-focused practice is to make information available about the
health of the middle school students. This describes the public health core function of:
a. assessment.
b. assurance.
c. policy development.
d. research. - ANSWERS-a. assessment.
The three public health core functions are assessment, policy development, and assurance.
Assessment is systematic data collection on the population, monitoring the population's
health status, and making information available about the health of the community. Policy
development refers to efforts to develop policies that support the health of the population,
including using a scientific knowledge base to make policy decisions. Assurance is
making sure that essential community-oriented health services are available. These
services might include providing essential personal health services for those who would
otherwise not receive them. Assurance also includes making sure that a competent public
health and personal health care workforce is available.
8 .A school nurse is demonstrating the use of a peak flow meter to help children with
chronic asthma recognize when they need to use a rescue inhaler. Which of the following
levels of prevention is being used by the nurse?
a. Primary
b. Secondary
3
, c. Tertiary
d. Both primary and secondary - ANSWERS-ANS: C
Tertiary prevention includes caring for children with long-term health needs, including
asthma and disabling conditions. The nurse is teaching disease management (i.e., when to
use an inhaler).
A school nurse has developed a special class for pregnant teens to teach them everything
from anticipated body changes to methods for managing common pregnancy-associated
problems. The classes also allow the nurse to be in close frequent contact with the
students to monitor their health status. Which of the following levels of prevention is
being used by the nurse?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Both primary and secondary prevention - ANSWERS-ANS: C
Many teenage girls who are pregnant attend school; therefore, the school nurse may
provide ongoing care to the mother. Although this may appear to be secondary
prevention, it is tertiary prevention because adolescent pregnancies are considered to be
high risk.
9. A pregnant teen asks the school nurse to provide information on abortion and a list of
health care providers who offer such services. If the school nurse has very strong personal
beliefs against abortion, which of the following actions should be taken by the nurse?
a. Call in another nurse to care for this client.
b. Explain, from the nurse's perspective, all the reasons that abortion should be made
illegal.
c. Offer the student a combination of oral contraceptives to induce spontaneous abortion.
d. Provide information on alternatives to abortion and give the client information on
adoption agencies. - ANSWERS-ANS: A
This creates an ethical dilemma for the nurse. If the nurse feels so strongly that he or she
cannot work with the situation, another school nurse should be called for help or the
4
HEALTH EXAM TEST BANK 2024
WITH VERIFIED ANSWERS
GRADED A+
1.Jennifer is a nurse in a family medicine clinic. Today she is assessing Jose, a 4-year-old
who is being seen for an earache. The type of nursing Jennifer practices is:
a. community-oriented nursing.
b. community-based nursing.
c. public health nursing.
d. tertiary health nursing. - ANSWERS-b. community-based nursing.
2. The school nurse has arranged for volunteers to help check each child's hearing and
vision. Any child that the volunteers feel did not "pass" will be sent to the nurse for
follow-up. The nurse will then send a note to the parents that a physician should be seen.
Which of the following levels of prevention is being implemented?
a. Primary
b. Secondary
c. Tertiary
d. Both primary and secondary - ANSWERS-ANS: B
Because secondary prevention involves caring for children when they need health care,
this is the largest responsibility for the school nurse. This includes caring for ill or injured
students and school employees. It also involves screening and assessing children and
referral to appropriate health agencies or providers
4. A community health nurse manager has integrated exposure history elements into the
assessment practices of the health department that are relevant to the urban industrial
community served. This strategy indicates that the nurse manager is aware of the
relationship between:
1
,A) Community strengths and weaknesses.
B) Environment and human health/disease.
C) Toxicology studies conducted by the Environmental Protection Agency and the
environment.
D) Federal and state environmental regulations. - ANSWERS-B
5. A 32 year old client came for consultation at the health center with the chief complaint
of fever for a week. Accompanying symptoms were muscle pains and body malaise. A
week after the start of fever, the client noted yellowish discoloration of his sclera. History
showed that he waded in flood waters about 2 weeks before the onset of symptoms.
Based on this history/ which disease condition will you suspect?
A. Hepatitis A
B. Hepatitis B
C. Tetanus
D. Leptospirosis - ANSWERS-Answer: (D)
A bacterial disease spread through the urine of infected animals. Leptospirosis is
transmitted through contact with the skin or mucous membrane with water or moist soil
contaminated with urine of infected animals, like rats.
6. A nurse provides home care instructions to the parents of a child hospitalized with
pertussis. The child is in the convalescent stage and is being prepared for discharge.
Which statement by a parent indicates a need for instructions?
A. We need to encourage our child to drink fluids
B. Coughing spells may be triggered by dust or smoke
C. Vomiting may occur when our child has coughing episodes
2
,D. We need to maintain droplet precautions and a quiet environment for at least 2
weeks - ANSWERS-ANS: D
Pertussis is transmitted by direct contact or respiratory droplets from coughing. The
communicable period occurs primarily during the catarrhal stage. Respiratory precautions
are not required during the convalescent phase. Options 1,2,3 are accurate components of
home care instructions.
7. A community-oriented nurse has identified obesity as a problem in the middle school.
The next step in a population-focused practice is to make information available about the
health of the middle school students. This describes the public health core function of:
a. assessment.
b. assurance.
c. policy development.
d. research. - ANSWERS-a. assessment.
The three public health core functions are assessment, policy development, and assurance.
Assessment is systematic data collection on the population, monitoring the population's
health status, and making information available about the health of the community. Policy
development refers to efforts to develop policies that support the health of the population,
including using a scientific knowledge base to make policy decisions. Assurance is
making sure that essential community-oriented health services are available. These
services might include providing essential personal health services for those who would
otherwise not receive them. Assurance also includes making sure that a competent public
health and personal health care workforce is available.
8 .A school nurse is demonstrating the use of a peak flow meter to help children with
chronic asthma recognize when they need to use a rescue inhaler. Which of the following
levels of prevention is being used by the nurse?
a. Primary
b. Secondary
3
, c. Tertiary
d. Both primary and secondary - ANSWERS-ANS: C
Tertiary prevention includes caring for children with long-term health needs, including
asthma and disabling conditions. The nurse is teaching disease management (i.e., when to
use an inhaler).
A school nurse has developed a special class for pregnant teens to teach them everything
from anticipated body changes to methods for managing common pregnancy-associated
problems. The classes also allow the nurse to be in close frequent contact with the
students to monitor their health status. Which of the following levels of prevention is
being used by the nurse?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Both primary and secondary prevention - ANSWERS-ANS: C
Many teenage girls who are pregnant attend school; therefore, the school nurse may
provide ongoing care to the mother. Although this may appear to be secondary
prevention, it is tertiary prevention because adolescent pregnancies are considered to be
high risk.
9. A pregnant teen asks the school nurse to provide information on abortion and a list of
health care providers who offer such services. If the school nurse has very strong personal
beliefs against abortion, which of the following actions should be taken by the nurse?
a. Call in another nurse to care for this client.
b. Explain, from the nurse's perspective, all the reasons that abortion should be made
illegal.
c. Offer the student a combination of oral contraceptives to induce spontaneous abortion.
d. Provide information on alternatives to abortion and give the client information on
adoption agencies. - ANSWERS-ANS: A
This creates an ethical dilemma for the nurse. If the nurse feels so strongly that he or she
cannot work with the situation, another school nurse should be called for help or the
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