FINAL EXAM Actual Test and a study guide
Questions and Answers with Rationales |
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Question 1
A nurse is providing teaching to a client who has active tuberculosis. Which of the
following instructions should the nurse include?
A. "You will need to wear a surgical mask at all times."
B. "You can return to work once the sputum culture is negative."
C. "Family members should take isoniazid for 6–12 months."
D. "You will need to take antibiotics for 3 months."
Correct Answer: C. "Family members should take isoniazid for 6–12 months."
Rationale: Isoniazid is used for prophylaxis in those exposed to TB. Active TB
treatment usually lasts 6–12 months, and the infected person is no longer
contagious after 3 negative sputum cultures.
Question 2
Which of the following is the primary focus of community health nursing?
A. Providing direct care in the home
B. Preventing disease and promoting health in populations
C. Advocating for individual patient needs
D. Teaching students in clinical settings
,Correct Answer: B. Preventing disease and promoting health in populations
Rationale: Community health nurses focus on populations as a whole and
emphasize health promotion and disease prevention.
Question 3
A nurse is assessing a community for environmental health risks. Which of the
following situations represents a chemical exposure?
A. A local river contaminated with bacteria
B. A child with asthma triggered by pollen
C. A home built near a pesticide plant
D. A neighborhood with poor lighting
Correct Answer: C. A home built near a pesticide plant
Rationale: Pesticides are chemical hazards. The presence of these near residences
indicates chemical exposure risk.
Question 4
A nurse is developing a disaster preparedness plan for a local community. Which
of the following actions should be included in the preparedness phase?
A. Providing crisis counseling
B. Conducting disaster drills
C. Rebuilding homes
D. Distributing supplies to victims
Correct Answer: B. Conducting disaster drills
Rationale: Disaster drills are part of preparedness. Crisis counseling and
rebuilding occur in recovery, and supply distribution occurs during response.
Question 5
Which of the following populations is at greatest risk for becoming uninsured?
,A. Young adults with chronic illness
B. Individuals living in rural areas
C. Children enrolled in public school
D. Elderly individuals eligible for Medicare
Correct Answer: B. Individuals living in rural areas
Rationale: Rural populations often face limited access to healthcare and
insurance coverage.
Question 6
Which level of prevention is a nurse providing when administering influenza
vaccinations at a senior center?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Restorative prevention
Correct Answer: A. Primary prevention
Rationale: Vaccination is a primary prevention strategy to prevent the onset of
illness.
Question 7
A community health nurse is planning a smoking cessation program. Which of the
following data should the nurse collect first?
A. Community members’ readiness to quit
B. Smoking-related morbidity rates
C. Types of smoking cessation programs available
D. Cost of nicotine replacement therapy
Correct Answer: A. Community members’ readiness to quit
Rationale: Assessing readiness to change behavior is key before implementing an
intervention.
, Question 8
A nurse is caring for a client who speaks a different language. What is the nurse's
priority action?
A. Use simple English words
B. Request a certified medical interpreter
C. Ask a family member to translate
D. Use a translation app on the phone
Correct Answer: B. Request a certified medical interpreter
Rationale: A certified interpreter ensures accurate communication and protects
patient confidentiality.
Question 9
Which federal program provides health insurance coverage for individuals with
low income?
A. Medicare
B. SCHIP
C. Medicaid
D. COBRA
Correct Answer: C. Medicaid
Rationale: Medicaid is a federal and state program offering insurance to
individuals and families with low income.
Question 10
A nurse is conducting a windshield survey. Which of the following data can be
collected?
A. Employment status
B. Birth and death rates
C. Availability of public transportation
D. Disease prevalence