EXAM] LATEST VERSION [378 QUESTIONS AND ANSWERS] WITH
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
. A terrorist attack has occurred and several people have inhaled Ricin. Which
intervention should the emergency department nurse implement when caring for these
clients? - CORRECT ANSWER Provide supportive nursing care until antitoxin is
available
A young woman tells the public health nurse that a friend was recently diagnosed with
Hepatitis B and she is concerned about getting the disease. During the assessment
interview, which question is most important for the nurse to ask this woman? -
CORRECT ANSWER "Have you shared any needles or had sex with your friend?"
5. Which example should the nurse identify as a significant outcome for the Leading
Health indicators of Healthy People 2020? - CORRECT ANSWER A community
has adopted a no smoking policy
6. Which intervention should the public health nurse implement when attempting to
address one of the leading health indicators of Healthy People 2020? - CORRECT
ANSWER Design and implement a no smoking campaign at the local high school
7. Lillian Wald was a significant person in the history of American Nursing. Which
contributions can be attributed to her? (Select all) - CORRECT ANSWER -
Development of Public health nursing practice
-First nursing service for occupational health
-Established committee that was the forerunner of the NLN
-Instituted a sliding scale fee for service
8. A male client is brought to the emergency department as the result of a motorcycle
accident. He was not wearing a helmet at the time of the accident, and states that he
has no intention of ever wearing one. Within the framework of the Transtheoretical
Model (TTM), which response should the nurse provide? - CORRECT ANSWER
"Wearing a helmet or not is certainly an individual decision."
9. After accepting the position of school nurse in a public elementary school, what
strategy is best for the nurse to use to obtain an overview of the student body? -
CORRECT ANSWER Conduct a windshield survey of the geographic areas
served by the school
10. A nurse organizes a community action group to help resolve health problems in a
low income neighborhood with a large population of recent immigrants from Africa.
,What problem should the nurse address first? - CORRECT ANSWER Low
immunization rate of children
11. The nurse is preparing to discharge an elderly, recently widowed female client
following a mild stroke. At this time she is able to walk with the aid of a walker. As part
of the discharge planning, what referral is most important for the nurse to make? -
CORRECT ANSWER Meals-on-Wheels
12. The nurse is designing a bioterrorism plan for a community. Which agents are
transmitted person to person via respiratory or inhalation exposure? (Select all) -
CORRECT ANSWER -Pneumonic plague
-Smallpox
13. An occupational health nurse is reviewing a 20-year-old trend in the United States
that has resulted in an increase in certain medical conditions due to the rapid expansion
of an urban industrial workforce. Which medical conditions are specifically identified with
this trend? - CORRECT ANSWER -Asthma
-Lung cancer
14. Which presentation of an infectious disease is acquired through an indirect
transmission? - CORRECT ANSWER Malaria following exposure in a mosquito-
infested area
15. What action is best for the community health nurse to take if the nurse suspects that
an infant is being physically abused? - CORRECT ANSWER Follow agency
protocols to report suspected abuse
16. The nursing education coordinator is creating employee orientation materials for
staff nurses who plan to work at a clinic that serves a lower socioeconomic
neighborhood. What information should the educator include regarding the clinic's client
population? (Select all) - CORRECT ANSWER -Most of the clients are
unemployed or disabled
-Access to mass transit may be an issue
-Basic physiologic needs of this population are often unmet
17. The nurse administers a booster dose of DTaP (diphtheria, tetanus, and pertussis)
vaccine to an infant. Which level of prevention is the nurse implementing? - CORRECT
ANSWER Primary prevention
18. During an initial clinic visit, the nurse is taking the history for a client who wants to
confirm her pregnancy. The client's last child has a history of low-birth-weight (LBW).
Which additional finding is most important for the nurse to consider? - CORRECT
ANSWER African-American ethnicity
,19. The home health nurse is planning a visit with a client who has been discharged
home after hospitalization. Which action should the nurse implement? - CORRECT
ANSWER Schedule home visits that take place during the daylight hours
20. Which topic should the nurse include in planning a primary prevention class for
adolescents? - CORRECT ANSWER Suicide risks and prevention
21. The nurse is working in a community clinic that serves a population comprised
mainly of migrant families. In planning the use of resources for secondary prevention,
which activity should be the priority? - CORRECT ANSWER Skin testing for
tuberculosis
22. The nurse is assessing a Vietnamese child during a home health visit and identifies
round swellings on the child's back. The child's mother says she rubbed the edge of a
coin on her child's oiled skin. The nurse should recognize that this behavior is prompted
by which cultural belief? - CORRECT ANSWER The purpose is to rid the body of
disease
23. Which topic should the nurse include in planning a secondary prevention project for
the local retirement community? - CORRECT ANSWER Vision and hearing
screening
24. The nurse is planning a community-based project to reduce obesity in a school-
aged population. Which outcome statement best supports the goal for this population? -
CORRECT ANSWER Within 2 years, students with a body mass index greater
than 95% will be reduced by 50%
25. While discussing the science of nursing, the nurse identifies the domain of nursing
theory. Which linkages should the nurse provide to describe nursing's paradigm? -
CORRECT ANSWER The person, the environment or situation, and health
26. The nurse is developing a plan to provide quality health care for a certain
community. Data obtained from which resources should be helpful to the nurse in
developing a community healthcare plan for this community? (Select all) - CORRECT
ANSWER -Census data
-Risk management data
-Budgeting process information
-Client-satisfaction surveys
-Changes in the community's demographic data
27. The nurse is teaching a community group about risks of cardiovascular disease.
Several clients ask the nurse to determine their risk. Which client should the nurse
identify as having the greatest risk for cardiovascular disease? - CORRECT
ANSWER A male with a low-density lipoprotein (LDL) level of 200mg/dl
, 28. The multidisciplinary home healthcare team is discussing a female client diagnosed
with Parkinson's disease. The home healthcare nurse reports the cient is getting worse
and her husband is no longer able to care for her in the home. Which action should the
home health nurse implement first? - CORRECT ANSWER Assign a home health
care aide to provide care daily
29. A nurse working in a community health setting is performing primary health
screenings. Which individual is at highest risk for contracting an HIV infection? -
CORRECT ANSWER A 17-year-old who is sexually active with numerous partners
30. Attendance at a community health clinic is rising and clients have long waits for
service. The charge nurse believes that a computer system would be helpful in
decreasing the time needed to conduct intake and exit processing. What is the best way
for the nurse to introduce the idea of obtaining a computer system for the clinic? -
CORRECT ANSWER Submit a written proposal to the Board of Directors about
hardware and software improvement needs
31. The home health nurse is admitting a client with Parkinson's disease to the home
healthcare service. In planning care for this client which nursing diagnosis has priority? -
CORRECT ANSWER Impaired physical mobility related to muscle rigidity and
weakness
32. During a home health visit, a male client reports to the nurse that he felt a solid
testicular mass during self-exam, but that is wasn't painful. What instruction should the
nurse provide the client? - CORRECT ANSWER Schedule an appointment with
the healthcare provider for prompt evaluation
33. A home health nurse knows that a 70-year-old male client who is convalescing at
home following a hip replacement, is at risk for developing decubitus ulcers. Which
physical characteristic of aging contributes to such a risk? - CORRECT ANSWER
Thinning of the skin with loss of elasticity
34. A college student asks the nurse in the Campus Student Health Center about
obtaining medication for motion sickness before a scuba diving trip. What instruction
should the nurse give the student regarding the use of prescription-strength
scopolamine (Transderm-V)? - CORRECT ANSWER "Apply the skin patch behind
the ear 12 hours before your trip."
5 A's of Health Care Access - CORRECT ANSWER availability, accessibility,
affordability, acceptability, and accommodation