EXAM 2025 WITH ACTUAL CORRECT
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A male migrant farm worker who lives in a mobile home with several other workers visits the
Migrant Health Care Center. He reports increasing episodes of dizziness, headaches, abdominal
cramps, and difficulty breathing. What nursing action has the highest priority?
A. Ask about the length of his workday and frequency of rest breaks
B. Gather information about the client's recent exposure to pesticides
C. Determine the number and age of persons living in the mobile home
D. Obtain a blood sample to assess for possible lead pain exposure
B. Gather information about the client's recent exposure to pesticides
A nurse has started a group for senior citizens in a church setting. The group decides that their
first project will be to begin a program for home-bound members. Which program outcome is
the best measure of the project's effectiveness?
A. Average annual income for the home bound members
B. Number of home-bound seniors who are visited
C. Calls received showing interest in the program
D. Number of church members who are over 65
B. Number of home-bound seniors who are visited
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,During a visit to the community health clinic, a 45-year-old native American female, who has a
body mass index (BMI) of 35, complains of changes in her vision. Which condition is most
important for the nurse to be aware of based on family history?
A. Alcoholism
B. Tuberculosis
C. Cataracts
D. Diabetes mellitus
D. Diabetes mellitus
One hundred families in a community refuse to have their children immunized because of
religious beliefs. When one documented case of whooping cough occurs within this aggregate,
which intervention should the nurse implement?
A. Quarantine the one hundred family aggregate
B. Immunize all members of the one hundred families
C. Quarantine all family members of the child with whooping cough
D. Immunize all children under age 5 in the one hundred family aggregate
C. Quarantine all family members of the child with whooping cough
A 93-year-old client with a number of co-morbidities is assessed by the home health nurse.
What problem is most important for the nurse to investigate further?
A. Social isolation
B. Medication interactions
C. Urinary incontinences
D. Caregiver stress
B. Medication interactions
Which interventions should the nurse implement to help prevent a client from getting a vector-
born infectious disease?
A. Encourage the client to get immunizations prior to international travel.
B. Discuss the importance of wearing insect repellent when camping
C. Instruct the client to drink only bottled water when traveling abroad
D. Demonstrate the correct way to remove ticks imbedded in the skin
B. Discuss the importance of wearing insect repellent when camping
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,A home health nurse is reviewing the laboratory results for several clients with a history of heart
failure (HF). Which client finding should the nurse report to the healthcare provider
immediately?
A. Total cholesterol 190 mg/dl.
B. B-type natriuretic peptide 550 pg/ml.
C. Glycosylated Hemoglobin of 7%
D. Potassium 3.7 mEq/L
B. B-type natriuretic peptide 550 pg/ml.
The community health nurse who works in a town that has a large chemical plant is concerned
about the occurrence of a natural disaster related to chemical exposure. Which action is most
important for the nurse to take?
A. Evaluate company safety procedures for prevention of chemical exposures
B. Elicit the company's participation in a disaster preparedness program.
C. Determine the antidotes for the chemicals produced by the company
D. Inform employees of their potential risk for a chemical exposure incident.
B. Elicit the company's participation in a disaster preparedness program.
A community group proposes building a new well-child clinic because this year's demographics
reflect that a large percentage of the population is less than 19 years of age. Which question
indicates that the nurse understands the potential gaps in these data?
A. What is the distribution of males to females within this population?
B. What percentage of the population was under 19 years of age in each of the 5 previous
years?
C. How will the large percentage of under 19-year-olds affect the community's dependency
ration?
D. How can the income level of the families within the community be determined?
B. What percentage of the population was under 19 years of age in each of the 5 previous
years?
During a community health screening fair for older adults, the nurse observes that a woman has
pale, bluish feet. With sores on both lower extremities that are healing poorly. Which
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, intervention should the nurse implement?
A. Create a list of foods that promote wound healing.
B. Send client to the emergency room for treatment.
C. Refer to healthcare provider for complete evaluation
D. Instruct client to apply antibiotic ointment to sores
C. Refer to healthcare provider for complete evaluation
The nurse caring for a 62-year-old African-American male client arranges a time for the client's
wife, 80-year-old mother, three children, and sister to meet with the healthcare provider to
discuss the client's medical condition. Which cultural variation is the nurse including when
providing care for this client?
A. Social spacing
B. Cultural repatterining
C. Social organization
D. Environmental control
C. Social organization
The RN care-manager at the public department is making a home visit to a client with four
children under the age of 6. The client is a single mother and the family is living below poverty
level. Which intervention should the nurse include as a primary level prevention measure?
A. Enroll the client in the Women, Infant, and Children program
B. Counsel the client on available birth control methods
C. Provide the client with a listing for local healthcare providers.
D. Provide the client with the local bus schedule.
A. Enroll the client in the Women, Infant, and Children program
The community health nurses is counseling a group of 14 year olds about safe sexual practices.
Which health teaching strategy would be most effective for the nurse to use with this age
group?
A.Encourage group members to describe personal experiences in practicing safe sex
B. Provide the group with statistical data about behaviors leading to venereal diseases
C. Tell the group that for aids prevention abstinence is the best safe sex practice
D. Role play situations in which the adolescent is rewarded for practicing safe sex
D. Role play situations in which the adolescent is rewarded for practicing safe sex
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