RN Community Health Online Practice 2025 A
questions and answers
A home health nurse is visiting with an older adult client. Which of the following observations indicat
the need for home modification? - ✔✔ANS There are two rocking chairs in the living room. Reasoning
rocking chairs and swivel chairs will require a modification. The nurse should block the motion of th
chairs to keep them stable so that the client can easily get in and out.
A case manager is planning an educational program for a client who has diabetes mellitus. Which of th
following activities should the nurse include when using the psychomotor domain of learning? - ✔✔AN
Observe the client's technique for drawing up insulin
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a reha
facility. Which of the following actions should the nurse take first? - ✔✔ANS Determine the client's abilit
to perform self-care. Reasoning: The first action the nurse should take when using the nursing proces
is to assess the client's needs. Determining a client's needs is the first step of the case managemen
process which allows the case manager to plan client-centered care.
A school nurse is teaching health promotion to a group of staff members who sit at a desk and use
computer for 8hr at a time. Which of the following information is the priority for the nurse to include
✔✔ANS Point and flex your toes periodically. Reasoning: the greatest risk to staff members who ar
immobile for long periods of time is a venous thromboemobolism. Therefore, the nurse should encourag
the staff members to frequently change the position of their feet and legs.
A nurse is assessing a new client. Which of the following information should the nurse include in th
cultural portion of the assessment? - ✔✔ANS food preferences. Reasoning: food preferences are a pa
of cultural assessment.
A nurse is collecting demographic data as part of a community assessment. Which of the followin
information should the nurse include? - ✔✔ANS racial distribution. Reasoning: racial distribution is pa
of demographic data. Other types of demographic data include marital information, population density
and death and birth rates.
, A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of th
following statements should the nurse ID as an indication that the client is in the denial stage of the grie
process? - ✔✔ANS "I'm looking forward to my daughter's wedding next year". Reasoning: during th
denial stage of the grief process, the client rejects the reality of the impending loss.
An occupational health nurse is planning to use an interpreter during an educational session with a grou
of workers who speak a different language than the nurse. Which of the following actions should th
nurse take? - ✔✔ANS 1) Instruct the interpreter to guide the nurse in providing info in a culturally-sensitiv
manner
2) Choose an interpreter who speaks the workers' language and dialect
3)Evaluate the interpreter's approach to clients prior to the edu session
A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hepatitis C. Which o
the following instructions should the nurse include in the teaching? - ✔✔ANS Abstain from sexua
intercourse until antibody tests are negative. Reasoning: Hep C is transmitted through sexual intercourse
Therefore, the nurse should instruct the client to abstain from sexual intercourse until antibody tests ar
negative.
A home health nurse is reviewing several client requests regarding complementary strategies. The nurs
should ID that which of the following alternative therapies is contraindicated for the client? - ✔✔ANS Kav
for a client who has cirrhosis. Reasoning: although kava has been used to promote sleep, it can caus
severe liver damage, which can lead to the need for a liver transplant. using kava could worsen th
condition of a client who has cirrhosis. Therefore, the nurse should plan to discuss safer alternatives wit
the client.
A community health nurse is teaching a client who was newly diagnosed with active pulmonar
tuberculosis about disease transmission. Which of the following info should the nurse include? - ✔✔AN
Household members should take isoniazid for at least 6mo. Reasoning: house hold memebers are at ris
for developing the disease. Taking isoniazid prophylactically for atleast 6 months is recommended.
A nurse in a rural community is planning edu for a young adult client who is a migrant farm worker. Whic
of the following actions should the nurse include? - ✔✔ANS - Provide envi health information
.- Refer the client for a TB screening
- Provide skin cancer info
- Recommend a dental health screening
A nurse is teaching a client who has a new diagnosis of hepatitis A about how to prevent the spread o
the virus. Which of the following instruction should the nurse include? - ✔✔ANS Clean your bathroom
fixtures with a chlorine bleach solution. Reasoning: the client should clean bathroom fixtures with a 10:
chlorine bleach solution. The hepatitis A virus spreads via feces and survives on human hangs since it i
resistant to soap and detergents.
questions and answers
A home health nurse is visiting with an older adult client. Which of the following observations indicat
the need for home modification? - ✔✔ANS There are two rocking chairs in the living room. Reasoning
rocking chairs and swivel chairs will require a modification. The nurse should block the motion of th
chairs to keep them stable so that the client can easily get in and out.
A case manager is planning an educational program for a client who has diabetes mellitus. Which of th
following activities should the nurse include when using the psychomotor domain of learning? - ✔✔AN
Observe the client's technique for drawing up insulin
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a reha
facility. Which of the following actions should the nurse take first? - ✔✔ANS Determine the client's abilit
to perform self-care. Reasoning: The first action the nurse should take when using the nursing proces
is to assess the client's needs. Determining a client's needs is the first step of the case managemen
process which allows the case manager to plan client-centered care.
A school nurse is teaching health promotion to a group of staff members who sit at a desk and use
computer for 8hr at a time. Which of the following information is the priority for the nurse to include
✔✔ANS Point and flex your toes periodically. Reasoning: the greatest risk to staff members who ar
immobile for long periods of time is a venous thromboemobolism. Therefore, the nurse should encourag
the staff members to frequently change the position of their feet and legs.
A nurse is assessing a new client. Which of the following information should the nurse include in th
cultural portion of the assessment? - ✔✔ANS food preferences. Reasoning: food preferences are a pa
of cultural assessment.
A nurse is collecting demographic data as part of a community assessment. Which of the followin
information should the nurse include? - ✔✔ANS racial distribution. Reasoning: racial distribution is pa
of demographic data. Other types of demographic data include marital information, population density
and death and birth rates.
, A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of th
following statements should the nurse ID as an indication that the client is in the denial stage of the grie
process? - ✔✔ANS "I'm looking forward to my daughter's wedding next year". Reasoning: during th
denial stage of the grief process, the client rejects the reality of the impending loss.
An occupational health nurse is planning to use an interpreter during an educational session with a grou
of workers who speak a different language than the nurse. Which of the following actions should th
nurse take? - ✔✔ANS 1) Instruct the interpreter to guide the nurse in providing info in a culturally-sensitiv
manner
2) Choose an interpreter who speaks the workers' language and dialect
3)Evaluate the interpreter's approach to clients prior to the edu session
A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hepatitis C. Which o
the following instructions should the nurse include in the teaching? - ✔✔ANS Abstain from sexua
intercourse until antibody tests are negative. Reasoning: Hep C is transmitted through sexual intercourse
Therefore, the nurse should instruct the client to abstain from sexual intercourse until antibody tests ar
negative.
A home health nurse is reviewing several client requests regarding complementary strategies. The nurs
should ID that which of the following alternative therapies is contraindicated for the client? - ✔✔ANS Kav
for a client who has cirrhosis. Reasoning: although kava has been used to promote sleep, it can caus
severe liver damage, which can lead to the need for a liver transplant. using kava could worsen th
condition of a client who has cirrhosis. Therefore, the nurse should plan to discuss safer alternatives wit
the client.
A community health nurse is teaching a client who was newly diagnosed with active pulmonar
tuberculosis about disease transmission. Which of the following info should the nurse include? - ✔✔AN
Household members should take isoniazid for at least 6mo. Reasoning: house hold memebers are at ris
for developing the disease. Taking isoniazid prophylactically for atleast 6 months is recommended.
A nurse in a rural community is planning edu for a young adult client who is a migrant farm worker. Whic
of the following actions should the nurse include? - ✔✔ANS - Provide envi health information
.- Refer the client for a TB screening
- Provide skin cancer info
- Recommend a dental health screening
A nurse is teaching a client who has a new diagnosis of hepatitis A about how to prevent the spread o
the virus. Which of the following instruction should the nurse include? - ✔✔ANS Clean your bathroom
fixtures with a chlorine bleach solution. Reasoning: the client should clean bathroom fixtures with a 10:
chlorine bleach solution. The hepatitis A virus spreads via feces and survives on human hangs since it i
resistant to soap and detergents.
