NR442 Final Exam/NR 442
Community Health Nursing
NR442 Exam 2 /NR 442 Community
Health Nursing Exam 2 Newest
2025/2026 Actual Exam Complete
Verified All Questions And Correct
Detailed Answers (Rationales )
|Already Graded A+
The nurse in the psychiatric unit is administering medications when a client with a borderline
personality disorder approaches and asks to talk. The nurse suggests having a talk in 1 hour.
The client shouts, "I'll wait, but you will be sorry!" and then picks up a pitcher of water and
throws it onto the floor.
Which of the following actions should the nurse take?
1. Offer to listen to the client while continuing to administer the medications.
2. Suggest that the client take a p.r.n. prescribed medication for agitation.
3. Ask another nurse to finish administering the medications, and talk with the client.
4. Request assistance from several nearby staff members with controlling the client's
behavior.
- Answer ✓✓4. Request assistance from several nearby staff members with controlling the
client's behavior.
A+ 1
, NR442 Final Exam/NR 442
Community Health Nursing
The nurse is talking with a client who has a positive laboratory test result for human
immunodeficiency virus (HIV) infection. Which of the following statements by the client
would require follow-up?
1. "I try to eat a well-balanced diet."
2. "I avoid crowds when I go outside the house."
3. "I am taking a vitamin C tablet daily to help prevent infections."
4. "I take echinacea every day to help improve my immune system."
- Answer ✓✓4. "I take echinacea every day to help improve my immune system."
Echinacia consumption every day can damage the liver and immunosuppress you
The nurse is planning a staff education program about informed consent.
Which of the following information should the nurse include? Select all that apply.
1. "An individual designated by a power of attorney for health care can provide informed
consent despite the competency of the client."
2. "The nurse has a duty to insist that the client repeat what has been said about a procedure
for which consent is necessary."
3. "The primary health care provider must disclose the risks if the client declines a
recommended procedure."
4. "The client should sign the consent form prior to receiving prescribed opioids."
5. "Informed consent is not needed for emergency procedures that are in the client's best
interest."
- Answer ✓✓3, 4, 5
A+ 2
, NR442 Final Exam/NR 442
Community Health Nursing
2?
The nurse is caring for a client who has a prescription for an intravenous infusion of 0.45%
sodium chloride (half- strength saline). The nurse notes the client is receiving 5% dextrose in
water.
Which of the following actions should the nurse take first?
1. Change the intravenous fluid to the prescribed fluid.
2. Notify the primary health care provider.
3. Complete an incident report.
4. Assess the client.
- Answer ✓✓1. Change the intravenous fluid to the prescribed fluid.
The nurse is caring for a client in the first stage of labor and observes that a segment of the
umbilical cord is visible in the vaginal opening after rupture of the client's amniotic
membranes. Which of the following actions should the nurse take?
1. Instruct the client to lie on her left side.
2. Attempt to place the umbilical cord back into the uterus.
3. Assist the client into a knee-chest position.
4. Administer an intravenous tocolytic agent.
- Answer ✓✓3. Assist the client into a knee-chest position.
The nurse is preparing to administer an aminoglycoside. Which of the following laboratory
test results should the nurse review before administering the medication?
A+ 3
, NR442 Final Exam/NR 442
Community Health Nursing
1. serum electrolyte level and serum uric acid level
2. hemoglobin (Hgb) and white blood cell (WBC) count
3. serum ammonia level and serum glucose level
4. blood urea nitrogen (BUN) and serum creatinine
- Answer ✓✓4. blood urea nitrogen (BUN) and serum creatinine
Aminoglycosides are Ototoxic and Nephrotoxic
The nurse is talking with a client who is scheduled for endoscopic retrograde
cholangiopancreatography (ERCP) in 2 hours in the outpatient department.
Which of the following questions would be important for the nurse to ask? Select all that
apply.
1. "How will you be getting home after the procedure?"
2. "Do you have access to a thermometer after you leave here?"
3. "What allergies do you have?"
4. "Are you wearing dentures?"
5. "Do you have external hemorrhoids?"
- Answer ✓✓1,2,3
The nurse is assessing a client who had cardiac catheterization 2 hours ago. Which of the
following findings would require immediate follow-up?
1. blood pressure, 104/70 mm Hg
2. 1+ pedal pulse of the affected extremity
A+ 4
Community Health Nursing
NR442 Exam 2 /NR 442 Community
Health Nursing Exam 2 Newest
2025/2026 Actual Exam Complete
Verified All Questions And Correct
Detailed Answers (Rationales )
|Already Graded A+
The nurse in the psychiatric unit is administering medications when a client with a borderline
personality disorder approaches and asks to talk. The nurse suggests having a talk in 1 hour.
The client shouts, "I'll wait, but you will be sorry!" and then picks up a pitcher of water and
throws it onto the floor.
Which of the following actions should the nurse take?
1. Offer to listen to the client while continuing to administer the medications.
2. Suggest that the client take a p.r.n. prescribed medication for agitation.
3. Ask another nurse to finish administering the medications, and talk with the client.
4. Request assistance from several nearby staff members with controlling the client's
behavior.
- Answer ✓✓4. Request assistance from several nearby staff members with controlling the
client's behavior.
A+ 1
, NR442 Final Exam/NR 442
Community Health Nursing
The nurse is talking with a client who has a positive laboratory test result for human
immunodeficiency virus (HIV) infection. Which of the following statements by the client
would require follow-up?
1. "I try to eat a well-balanced diet."
2. "I avoid crowds when I go outside the house."
3. "I am taking a vitamin C tablet daily to help prevent infections."
4. "I take echinacea every day to help improve my immune system."
- Answer ✓✓4. "I take echinacea every day to help improve my immune system."
Echinacia consumption every day can damage the liver and immunosuppress you
The nurse is planning a staff education program about informed consent.
Which of the following information should the nurse include? Select all that apply.
1. "An individual designated by a power of attorney for health care can provide informed
consent despite the competency of the client."
2. "The nurse has a duty to insist that the client repeat what has been said about a procedure
for which consent is necessary."
3. "The primary health care provider must disclose the risks if the client declines a
recommended procedure."
4. "The client should sign the consent form prior to receiving prescribed opioids."
5. "Informed consent is not needed for emergency procedures that are in the client's best
interest."
- Answer ✓✓3, 4, 5
A+ 2
, NR442 Final Exam/NR 442
Community Health Nursing
2?
The nurse is caring for a client who has a prescription for an intravenous infusion of 0.45%
sodium chloride (half- strength saline). The nurse notes the client is receiving 5% dextrose in
water.
Which of the following actions should the nurse take first?
1. Change the intravenous fluid to the prescribed fluid.
2. Notify the primary health care provider.
3. Complete an incident report.
4. Assess the client.
- Answer ✓✓1. Change the intravenous fluid to the prescribed fluid.
The nurse is caring for a client in the first stage of labor and observes that a segment of the
umbilical cord is visible in the vaginal opening after rupture of the client's amniotic
membranes. Which of the following actions should the nurse take?
1. Instruct the client to lie on her left side.
2. Attempt to place the umbilical cord back into the uterus.
3. Assist the client into a knee-chest position.
4. Administer an intravenous tocolytic agent.
- Answer ✓✓3. Assist the client into a knee-chest position.
The nurse is preparing to administer an aminoglycoside. Which of the following laboratory
test results should the nurse review before administering the medication?
A+ 3
, NR442 Final Exam/NR 442
Community Health Nursing
1. serum electrolyte level and serum uric acid level
2. hemoglobin (Hgb) and white blood cell (WBC) count
3. serum ammonia level and serum glucose level
4. blood urea nitrogen (BUN) and serum creatinine
- Answer ✓✓4. blood urea nitrogen (BUN) and serum creatinine
Aminoglycosides are Ototoxic and Nephrotoxic
The nurse is talking with a client who is scheduled for endoscopic retrograde
cholangiopancreatography (ERCP) in 2 hours in the outpatient department.
Which of the following questions would be important for the nurse to ask? Select all that
apply.
1. "How will you be getting home after the procedure?"
2. "Do you have access to a thermometer after you leave here?"
3. "What allergies do you have?"
4. "Are you wearing dentures?"
5. "Do you have external hemorrhoids?"
- Answer ✓✓1,2,3
The nurse is assessing a client who had cardiac catheterization 2 hours ago. Which of the
following findings would require immediate follow-up?
1. blood pressure, 104/70 mm Hg
2. 1+ pedal pulse of the affected extremity
A+ 4
