2025 NUR 426 EXAM 4 LATEST VERSION QUESTIONS
AND CORRECT ANSWERS UPDATED A+ SCORE
SOLUTION GUIDE.
When providing care within the context of primary health care, the most important person is/are:
->ANSWER->The individual/ Family
A nurse is looking to reduce the number of adolescents in her community that are using
tobacco. The nurse implements a community-wide program to raise awareness about the
dangers of nicotine use and creates a support group specifically aimed at teens looking to quit
smoking. This is an example of:
->ANSWER->Health Promotion
The nurse at a community-based primary care organization is educating newly hired
nurses about the process used at the clinic for developing public health programs aimed at
benefiting community members whether they attend the clinic or not. The nurse explains that
even though the primary care offered at the clinic focuses on caring for an individual, the health
promotion activities that they are developing for the community are focused on:
->ANSWER->The population
A young woman presents to her primary care provider. Her mother has just been diagnosed
with Huntington's disease, and several other members of her family have been diagnosed with
the condition as well. She wants to know her options regarding testing to see if she is a genetic
carrier. From an ethical perspective, what issue would be most important to discuss with the
patient?
->ANSWER->The fact there is no known treatment that can alter the progression of the disease.
A nurse is working with a community center that primarily serves a nearby Native American
tribe. The nurse knows that many of the tribe members suffer from type 2 diabetes. which of the
following interventions is an example of tertiary prevention?
->ANSWER->Actively encouraging patients diagnosed with type 2 diabetes to have foot, eye,
and hemoglobin A1C screening tests every 3 months.
A nurse is speaking with her accountant about opening a free clinic as a 501(c)(3) organization.
The accountant advises the nurse:
->ANSWER->To charge a nominal fee if the patient can afford to pay but provide services
regardless.
The public health department (PHD) is concerned about an outbreak of measles that has
occurred in a country adjacent to theirs. Although there are currently no reported cases, as one
of their actions the PHD reaches out to all the primary care providers to encourage all of their
unvaccinated patients to get vaccinated and to encourage the parents of unvaccinated children
to get their vaccinations up to date. Such a public health initiative is an example of:
->ANSWER->Primary prevention approach focused on health protection.
A nurse working in an inner-city community health clinic is concerned that her patient education
efforts related to achieving a healthy lifestyle are not resulting in any substantial changes in her
,patients. When she discussed this with one mother whose children are struggling with obesity,
the mother explained that she is unable to find fresh fruits and vegetables in their neighborhood
and resorts to the use of fast food. This information makes the nurse wonder if this is true for
other families. What should she do next?
->ANSWER->Perform a problem or health issue-based assessment beginning with an
assessment of sources of healthy foods such as supermarkets and farmers markets available in
the community.
A new strain of flu has emerged, and the CDC has released a new vaccine that is for use in
high-risk populations. which population is most apt to be high-risk?
->ANSWER->Pregnant women, older adults, and children
A nurse has worked at a community health center for many years. Over the last several months,
the nurse has noticed a significant decline in community members using the resources available
at the clinic. What is the first thing the nurse should do?
->ANSWER->Reach out to former patients to determine why they are no longer returning to the
clinic.
A nurse is meeting with a patient with no history of IV drug use after he has spoken with the
doctor and received a diagnosis of hepatitis B and E/ The patient expresses concern that
someone will find out about his diagnosis. How does the nurse respond? "I can understand that
you are concerned about this."
->ANSWER->However, This is a reportable disease in this state.
This means the public health department will ask you for all your possible contacts that might
require counseling and/or post exposure prophylaxis
A primary Health nurse has observed an increase in the rate of patients being treated for
pertussis in her community. The nurse has seen multiple news reports on the issue and knows
that this isn't an isolated problem. The nurse decides to brainstorm strategies to reduce the
pertussis rate in her community. First, the nurse should:
->ANSWER->Perform a health and cultural evaluation of her community.
A primary care nurse works at the Native American Health Center, a nonprofit organization
serving the California Bay Area Native Population. The center has asked her to put together a
comprehensive prevention plan related to type 2 diabetes. Which of the following interventions
is an example of primary intervention?
->ANSWER->Encouraging a healthy diet and weight loss if appropriate.
In response to the increase in opioid overdoses within their community, a primary care clinic
could implement which of the following with patients who are experiencing chronic pain?
->ANSWER->Screen appropriately, prescribe appropriately, use a statewide automated
reporting system, and help patients recognize potential problems.
A primary care nurse is volunteering at lead screening clinic for children living in an inner-city
community. After performing the screening tests, what is the most important thing for the nurse
to do for the children with a positive screen?
->ANSWER->Refer them to a pediatric specialist for further screening and possible treatment.
, A nurse is working in a primary health care setting that has had a recent influx of persons
immigrating from a West African country. She wants to incorporate cultural components to the
care of patients from this country. What are possible aspects of the culture that she should learn
more about?
->ANSWER->Kinship, Gender roles, Value of Children
A primary care clinic has decided to hire a nurse to serve as the clinics case manager. The
essence of case management is the incorporation for the client, the family, and the community
into meeting the needs of the patient. Based on current evidence related to this approach, it is
primarily hoped that this will lead to:
->ANSWER->Cost Containment and Improved patient outcomes
A hospital nurse is admitting a new patient and asks him if he has a primary care provider. He
asks the nurse about the benefit of having a primary care provider, and the nurse replies with
which of the following?
->ANSWER-> Increase access to health care, Decreased health care costs, and Increased
patient education and advocacy.
A nurse is working with a primary care physician who has made the decision to move to a
patient-centered medical home (PCMH) model of care after reviewing research presented in the
latest issue of a prominent medical journal. The nurse is preparing some education materials to
present to the patients and mentions that the benefits of moving to this model of care include
which of the following?
->ANSWER->Care focusing on the whole individual, Integrated care, and increase access to
care.
A public health nurse (PHN) has been tasked with addressing the rise in teen pregnancies in
her communities. She wishes to create linkages among agencies that provide care to teens
and/or obstetrical care generally. Which would be her first step based on the six-step guide
created by The Center on Education and Training for Employment at The Ohio State University?
->ANSWER->Assess the need to work in partnership with other agencies.
A new school nurse is reviewing the procedures put in place by the prior nurse, a woman with
more than 30 years of experience. The nurse notices that a school-wide scoliosis screening
occurs every fall. How does the new nurse proceed?
->ANSWER->Check state screening guidelines to see what is required for school nurses in the
state. inspection of the health equipment used in the school health clinic.
The nurse's priority is to make sure which piece of equipment is present and working properly?
->ANSWER->Automated external defibrillator (AED)
A school nurse is updating the designated medical emergency response plan. Once the plan is
in place, it is recommended that she should do all of the following except: 1
->ANSWER-> Practice the plan once each year.
A parent has called the school nurse's office to discuss her daughter's new diagnosis of type 1
diabetes. The parent is inquiring about what role the nurse will play in managing her care while
the girl is in school. The key role of the nurse is to:
AND CORRECT ANSWERS UPDATED A+ SCORE
SOLUTION GUIDE.
When providing care within the context of primary health care, the most important person is/are:
->ANSWER->The individual/ Family
A nurse is looking to reduce the number of adolescents in her community that are using
tobacco. The nurse implements a community-wide program to raise awareness about the
dangers of nicotine use and creates a support group specifically aimed at teens looking to quit
smoking. This is an example of:
->ANSWER->Health Promotion
The nurse at a community-based primary care organization is educating newly hired
nurses about the process used at the clinic for developing public health programs aimed at
benefiting community members whether they attend the clinic or not. The nurse explains that
even though the primary care offered at the clinic focuses on caring for an individual, the health
promotion activities that they are developing for the community are focused on:
->ANSWER->The population
A young woman presents to her primary care provider. Her mother has just been diagnosed
with Huntington's disease, and several other members of her family have been diagnosed with
the condition as well. She wants to know her options regarding testing to see if she is a genetic
carrier. From an ethical perspective, what issue would be most important to discuss with the
patient?
->ANSWER->The fact there is no known treatment that can alter the progression of the disease.
A nurse is working with a community center that primarily serves a nearby Native American
tribe. The nurse knows that many of the tribe members suffer from type 2 diabetes. which of the
following interventions is an example of tertiary prevention?
->ANSWER->Actively encouraging patients diagnosed with type 2 diabetes to have foot, eye,
and hemoglobin A1C screening tests every 3 months.
A nurse is speaking with her accountant about opening a free clinic as a 501(c)(3) organization.
The accountant advises the nurse:
->ANSWER->To charge a nominal fee if the patient can afford to pay but provide services
regardless.
The public health department (PHD) is concerned about an outbreak of measles that has
occurred in a country adjacent to theirs. Although there are currently no reported cases, as one
of their actions the PHD reaches out to all the primary care providers to encourage all of their
unvaccinated patients to get vaccinated and to encourage the parents of unvaccinated children
to get their vaccinations up to date. Such a public health initiative is an example of:
->ANSWER->Primary prevention approach focused on health protection.
A nurse working in an inner-city community health clinic is concerned that her patient education
efforts related to achieving a healthy lifestyle are not resulting in any substantial changes in her
,patients. When she discussed this with one mother whose children are struggling with obesity,
the mother explained that she is unable to find fresh fruits and vegetables in their neighborhood
and resorts to the use of fast food. This information makes the nurse wonder if this is true for
other families. What should she do next?
->ANSWER->Perform a problem or health issue-based assessment beginning with an
assessment of sources of healthy foods such as supermarkets and farmers markets available in
the community.
A new strain of flu has emerged, and the CDC has released a new vaccine that is for use in
high-risk populations. which population is most apt to be high-risk?
->ANSWER->Pregnant women, older adults, and children
A nurse has worked at a community health center for many years. Over the last several months,
the nurse has noticed a significant decline in community members using the resources available
at the clinic. What is the first thing the nurse should do?
->ANSWER->Reach out to former patients to determine why they are no longer returning to the
clinic.
A nurse is meeting with a patient with no history of IV drug use after he has spoken with the
doctor and received a diagnosis of hepatitis B and E/ The patient expresses concern that
someone will find out about his diagnosis. How does the nurse respond? "I can understand that
you are concerned about this."
->ANSWER->However, This is a reportable disease in this state.
This means the public health department will ask you for all your possible contacts that might
require counseling and/or post exposure prophylaxis
A primary Health nurse has observed an increase in the rate of patients being treated for
pertussis in her community. The nurse has seen multiple news reports on the issue and knows
that this isn't an isolated problem. The nurse decides to brainstorm strategies to reduce the
pertussis rate in her community. First, the nurse should:
->ANSWER->Perform a health and cultural evaluation of her community.
A primary care nurse works at the Native American Health Center, a nonprofit organization
serving the California Bay Area Native Population. The center has asked her to put together a
comprehensive prevention plan related to type 2 diabetes. Which of the following interventions
is an example of primary intervention?
->ANSWER->Encouraging a healthy diet and weight loss if appropriate.
In response to the increase in opioid overdoses within their community, a primary care clinic
could implement which of the following with patients who are experiencing chronic pain?
->ANSWER->Screen appropriately, prescribe appropriately, use a statewide automated
reporting system, and help patients recognize potential problems.
A primary care nurse is volunteering at lead screening clinic for children living in an inner-city
community. After performing the screening tests, what is the most important thing for the nurse
to do for the children with a positive screen?
->ANSWER->Refer them to a pediatric specialist for further screening and possible treatment.
, A nurse is working in a primary health care setting that has had a recent influx of persons
immigrating from a West African country. She wants to incorporate cultural components to the
care of patients from this country. What are possible aspects of the culture that she should learn
more about?
->ANSWER->Kinship, Gender roles, Value of Children
A primary care clinic has decided to hire a nurse to serve as the clinics case manager. The
essence of case management is the incorporation for the client, the family, and the community
into meeting the needs of the patient. Based on current evidence related to this approach, it is
primarily hoped that this will lead to:
->ANSWER->Cost Containment and Improved patient outcomes
A hospital nurse is admitting a new patient and asks him if he has a primary care provider. He
asks the nurse about the benefit of having a primary care provider, and the nurse replies with
which of the following?
->ANSWER-> Increase access to health care, Decreased health care costs, and Increased
patient education and advocacy.
A nurse is working with a primary care physician who has made the decision to move to a
patient-centered medical home (PCMH) model of care after reviewing research presented in the
latest issue of a prominent medical journal. The nurse is preparing some education materials to
present to the patients and mentions that the benefits of moving to this model of care include
which of the following?
->ANSWER->Care focusing on the whole individual, Integrated care, and increase access to
care.
A public health nurse (PHN) has been tasked with addressing the rise in teen pregnancies in
her communities. She wishes to create linkages among agencies that provide care to teens
and/or obstetrical care generally. Which would be her first step based on the six-step guide
created by The Center on Education and Training for Employment at The Ohio State University?
->ANSWER->Assess the need to work in partnership with other agencies.
A new school nurse is reviewing the procedures put in place by the prior nurse, a woman with
more than 30 years of experience. The nurse notices that a school-wide scoliosis screening
occurs every fall. How does the new nurse proceed?
->ANSWER->Check state screening guidelines to see what is required for school nurses in the
state. inspection of the health equipment used in the school health clinic.
The nurse's priority is to make sure which piece of equipment is present and working properly?
->ANSWER->Automated external defibrillator (AED)
A school nurse is updating the designated medical emergency response plan. Once the plan is
in place, it is recommended that she should do all of the following except: 1
->ANSWER-> Practice the plan once each year.
A parent has called the school nurse's office to discuss her daughter's new diagnosis of type 1
diabetes. The parent is inquiring about what role the nurse will play in managing her care while
the girl is in school. The key role of the nurse is to:
