RN Community Health Online Practice
2025 A
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a
rehab facility. Which of the following actions should the nurse take first? - ANS-Determine the
client's ability to perform self-care. Reasoning: When using the nursing process, the nurse
should first evaluate the client's requirements. The first step in the case management process,
which enables the case manager to plan client-centered care, is identifying a client's needs. A
diabetes mellitus client's educational program is being planned by a case manager. Which of the
following activities should the nurse include when using the psychomotor domain of learning? -
ANS-Observe the client's technique for drawing up insulin
A community healht nurse is teaching a group of clients about environmental health hazards.
Which of the following examples should the nurse include as a possible source of carbon
monoxide exposure - ANS-gas ranges. Reasoning: Carbon monoxide is a gas that doesn't
taste, have no smell, or color. Gas ranges, motor vehicles, and fire places are potential sources
for carbon monoxide esposure
A client in adult day care has been diagnosed with influenza A and contacted a community
health nurse. Which action should the nurse take to assist in the prevention of an outbreak -
ANS-Administer antiviral medication to clients at the facility. Reasoning: antiviral medication are
administered to individuals who have been exposed to influenza type A to provide immediate
protection and to help prevent an outbreak.
A community health nurse ID an increase in the occurence of osteoporosis-related fractures in
female clients who are experiencing menopause. Which primary prevention strategy should the
nurse implement - ANS-encourage the clients to participate in weight-bearing activities
A group of clients are being evaluated by a community health nurse for factors that could lead
to violent behavior. Which finding ought to be identified by the nurse as a risk factor for
developing violent behavior as a child? Reasoning: clients who have prior exposure to violence
have a greater potential for continuing the violent and abusive behavior.
A community health nurse is conducting a vision screening at a health fair for an older adult
client who has age-related macular degeneration. Which of the following statements should the
nurse ID as an indication that the client is adapting to the changes - ANS-I have a prescription
bottle magnifier to help me read. Reasoning: The client can get a prescription bottle magnifier
or other low-vision optical devices to help read prescription labels, which helps the client stay
independent. Which of the following interventions should a community health nurse identify as
secondary prevention - ANS-recognize and report? The goal of the program that the nurse is
developing is to reduce violence in the community. Reasoning: Secondary prevention is an
intervention that focuses on early detection of a health problem to facilitate early diagnosis and
treatement. Identifying and reporting suspected abuse facilitates diagnosis and treatment,
thereby assisting in the prevention of additional abuse. A group session for clients with alcohol
, and substance use disorders includes a community health nurse. Which of the following
information regarding support programs for these individuals should the nurse provide? ANS-AA
helps a client with an alcohol addiction develop a daily recovery program. Reasoning: AA is a
support group that will assist a client who has an addiction to alcohol and other substances with
developing a daily recovery program using a 12 step approach. AA's primary purpose is to help
the client obtain and maintain sobriety.
A community health nurse is planning a health edu program for adults. The nurse should plan
to take which of the following actions during the program? - ANS-Provide take-home materials
written at 6th grade level. Reasoning: The AMA and the NIH say that take-home documents
should be written at a grade level of 6-8 or lower to help clients understand the information they
are given. A community health nurse is planning an educational program for farmers about
occupation health risk. Which risk should the nurse include - ANS-Respiratory disorders.
Reasoning: farmers are at an increased risk for respiratory disorders due to exposure to
agricultural chemicals, such as herbicides and pesticides. Other health risks for farmers include
accidents with vehicles and machinery, dermatitis, dental problems, and stress and anxiety
disorders.
A community health nurse is planning to develop a community health program. Which of the
following should the nurse begin with? ANS: Determine the need Reasoning: when using the
nursing process, the first step the nurse should take is to assess or determine the need for a
community program.
A community health nurse is planning to establish a community garden to introduce new
nutritious food options in the area. Which of the following actions should the nurse take first to
initiate the plan? - ANS-ID community members who demonstrate an interest in the project.
Reasoning: the first action the nurse should take when using the nursing process is to assess
the community. By identifying those community members who demonstrate an interest in the
project, the nurse can establish a local support group who will assist in engaging other
community residents with establishing the garden.
A community health nurse is teaching a client who was newly diagnosed with active pulmonary
tuberculosis about disease transmission. Which of the following info should the nurse include? -
ANS-Household members should take isoniazid for at least 6mo. Reasoning: house hold
memebers are at risk for developing the disease. Taking isoniazid prophylactically for atleast 6
months is recommended.
A community health nurse is working with a group of clients in a rural community who are
unable to afford health insurance. Which action is the best for the nurse to take tot advocate for
these clients - ANS-Work with local health care practitioners. Justification: According to EBP,
the nurse ought to collaborate with practitioners of local medicine to establish a free clinic in the
rural community. Advocate for comprehensive care for this client population to address the need
for an affordable health care option, which will allow clients who do not have health insurance to
access a variety of primary, secondary, and tertiary services in one location.
A home health nurse is caring for a client who has breast cancer. Which of the following
assessment findings should the nurse ID as an indication that the client is coping effectively -
ANS-makes eye contact
A home health nurse is caring for a client who is immunocompromised due to chemotherapy.
Which of the following statements should the nurse make regarding food safety - ANS-Frozen
2025 A
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a
rehab facility. Which of the following actions should the nurse take first? - ANS-Determine the
client's ability to perform self-care. Reasoning: When using the nursing process, the nurse
should first evaluate the client's requirements. The first step in the case management process,
which enables the case manager to plan client-centered care, is identifying a client's needs. A
diabetes mellitus client's educational program is being planned by a case manager. Which of the
following activities should the nurse include when using the psychomotor domain of learning? -
ANS-Observe the client's technique for drawing up insulin
A community healht nurse is teaching a group of clients about environmental health hazards.
Which of the following examples should the nurse include as a possible source of carbon
monoxide exposure - ANS-gas ranges. Reasoning: Carbon monoxide is a gas that doesn't
taste, have no smell, or color. Gas ranges, motor vehicles, and fire places are potential sources
for carbon monoxide esposure
A client in adult day care has been diagnosed with influenza A and contacted a community
health nurse. Which action should the nurse take to assist in the prevention of an outbreak -
ANS-Administer antiviral medication to clients at the facility. Reasoning: antiviral medication are
administered to individuals who have been exposed to influenza type A to provide immediate
protection and to help prevent an outbreak.
A community health nurse ID an increase in the occurence of osteoporosis-related fractures in
female clients who are experiencing menopause. Which primary prevention strategy should the
nurse implement - ANS-encourage the clients to participate in weight-bearing activities
A group of clients are being evaluated by a community health nurse for factors that could lead
to violent behavior. Which finding ought to be identified by the nurse as a risk factor for
developing violent behavior as a child? Reasoning: clients who have prior exposure to violence
have a greater potential for continuing the violent and abusive behavior.
A community health nurse is conducting a vision screening at a health fair for an older adult
client who has age-related macular degeneration. Which of the following statements should the
nurse ID as an indication that the client is adapting to the changes - ANS-I have a prescription
bottle magnifier to help me read. Reasoning: The client can get a prescription bottle magnifier
or other low-vision optical devices to help read prescription labels, which helps the client stay
independent. Which of the following interventions should a community health nurse identify as
secondary prevention - ANS-recognize and report? The goal of the program that the nurse is
developing is to reduce violence in the community. Reasoning: Secondary prevention is an
intervention that focuses on early detection of a health problem to facilitate early diagnosis and
treatement. Identifying and reporting suspected abuse facilitates diagnosis and treatment,
thereby assisting in the prevention of additional abuse. A group session for clients with alcohol
, and substance use disorders includes a community health nurse. Which of the following
information regarding support programs for these individuals should the nurse provide? ANS-AA
helps a client with an alcohol addiction develop a daily recovery program. Reasoning: AA is a
support group that will assist a client who has an addiction to alcohol and other substances with
developing a daily recovery program using a 12 step approach. AA's primary purpose is to help
the client obtain and maintain sobriety.
A community health nurse is planning a health edu program for adults. The nurse should plan
to take which of the following actions during the program? - ANS-Provide take-home materials
written at 6th grade level. Reasoning: The AMA and the NIH say that take-home documents
should be written at a grade level of 6-8 or lower to help clients understand the information they
are given. A community health nurse is planning an educational program for farmers about
occupation health risk. Which risk should the nurse include - ANS-Respiratory disorders.
Reasoning: farmers are at an increased risk for respiratory disorders due to exposure to
agricultural chemicals, such as herbicides and pesticides. Other health risks for farmers include
accidents with vehicles and machinery, dermatitis, dental problems, and stress and anxiety
disorders.
A community health nurse is planning to develop a community health program. Which of the
following should the nurse begin with? ANS: Determine the need Reasoning: when using the
nursing process, the first step the nurse should take is to assess or determine the need for a
community program.
A community health nurse is planning to establish a community garden to introduce new
nutritious food options in the area. Which of the following actions should the nurse take first to
initiate the plan? - ANS-ID community members who demonstrate an interest in the project.
Reasoning: the first action the nurse should take when using the nursing process is to assess
the community. By identifying those community members who demonstrate an interest in the
project, the nurse can establish a local support group who will assist in engaging other
community residents with establishing the garden.
A community health nurse is teaching a client who was newly diagnosed with active pulmonary
tuberculosis about disease transmission. Which of the following info should the nurse include? -
ANS-Household members should take isoniazid for at least 6mo. Reasoning: house hold
memebers are at risk for developing the disease. Taking isoniazid prophylactically for atleast 6
months is recommended.
A community health nurse is working with a group of clients in a rural community who are
unable to afford health insurance. Which action is the best for the nurse to take tot advocate for
these clients - ANS-Work with local health care practitioners. Justification: According to EBP,
the nurse ought to collaborate with practitioners of local medicine to establish a free clinic in the
rural community. Advocate for comprehensive care for this client population to address the need
for an affordable health care option, which will allow clients who do not have health insurance to
access a variety of primary, secondary, and tertiary services in one location.
A home health nurse is caring for a client who has breast cancer. Which of the following
assessment findings should the nurse ID as an indication that the client is coping effectively -
ANS-makes eye contact
A home health nurse is caring for a client who is immunocompromised due to chemotherapy.
Which of the following statements should the nurse make regarding food safety - ANS-Frozen
