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1. The community health nurses is counseling a Role play situations in group of 14
year olds about safe sexual prac- which the adolescent is tices. Which health
teaching strategy would be rewarded for practicing most effective for the nurse to
use with this age safe sex group.
A. Encourage group members to describe per- sonalB.
Provide experiences the group in withpracticing
statistical safe data sex about behaviors leading to
venereal diseases
C. Tell the group that for aids prevention absti- nence
is the best safe sex practice
D. Role play situations in which the adolescent is
rewarded for practicing safe sex
2. A young adult man goes to an emergency treat- Give the runner another ment area
after finishing a marathon run. He is pint of fluids to drink weak dizzy and remains
thirsty after drinking a pint of a flavored sports drink. What action shouldA.
Instruct the runner t the nurse implementhat a urine sample is first needed
B. Send for the automatic external defibrillator
C. Determine if there are friends or family nearby
D. Give the runner another pint of fluids to drink
3. An older adult male who fractured his right hip Ensure that an elevated is
discharged to home one week following an toilet seat is installed arthroplasty.
, Which adjustment to the clients home environment is most important for the
homeA. Lower health nurse to the temperature implement on the clients water
heater
B. Encourage the client to wear rubber soled shoes
C. Ensure that an elevated toilet seat is installed
D. Leave motion activated light in the living room
4. The nurse is caring for four clients in a women's A 20 year old with gonor- health
clinic. Which client should the nurse as- rhea
sess for risk for pelvic inflammatory disease
A 30 year old with endometriosis
A 40 year old with leiomyoma
A 50 year old perimenopause
A 20 year old with gonorrhea
5. The nurse is teaching a group of adults at a health Completely stop the use of
fair about healthy life style choices. Which cigarette and tobacco
information is most important for the products
nurse to emphasize
Completely stop the use of cigarette and tobac- co
products
Eat a diet high in fruits vegetables and whole
grains Avoid the midday sun and use sunscreen
Perform monthly self examination of breasts and
testes
6. The school nurse who is reviewing immuniza- Contact kindergarten tion records of
students who will start kinder- parents to remind them garten within the next
month notes that most that the second dose of of the students have only received on
does of mmr is due at eh start of the measles mumps rubella vaccine. Which in- the
school year tervention should the nurse implement? Note in the student records
, that the second dosetered ofprior to entering first grade the mmr vaccine should
be adminis-
Send notices home with the children on the first day of
class advising that mmr vaccine series must be
completed Contact kindergarten parents to remind them
that the second dose of mmr is due at eh start of the
school year
Speak at the next parent teacher association meeting to
teach parents the benefits of immu- nizing their children
7. A middle aged male client presents for his an- Blood pressure and lipid nual health
visit at a community clinic. He is screening
5 ft 10 in tall weighs 250 pounds, and works as an
accountant. He smokes at least one pack of cigarettes
every day for the last 15 years. Which secondary
prevention measure should the nurse recommend the
client to follow?
Compliance with antihypertensive and lipid low- ering
agents. Increase physical activity and diet low in
satu- rated fat
Smoking cessationBlood pressure and lipid screening
8. A male high school student is referred to the Twenty-four hour diet re- school nurse
because he lost consciousness call during gymnastics class. His neurological vital
signs are with normal limits, and his blood pres- sure is 100/62. He is 6 ft 3 in tall
wighs 135pound and his body mass index is 16.9. which assessment data should
the nurse obtain first?
Serial bp reading every 30 minutes
Twenty-four hour diet recall
Use of performance enhancing drugs
Recent exposure to allergens
, 9. The nurse is planning to implement a health Provide handouts and education program
on breast screening for His- brochures in the English panic women at a community
center. Which and Spanish component of the teaching plan best provides culturally
competent care?
Provide handouts and brochures in the English and
Spanish languages
Ask a Hispanic breast cancer survivor to pre- sent the
educational class
Include treatment modalities with survival sta- tistics for
Hispanic women
Design flyers that target Hispanic women en- couraging
their attendance
10. The nurse is planning a health education pro- The school classroom gram for 10-year
old. Which setting is most likely to increase the preadolescent's participation in
theThe program? school classroom
Community center
Home of one of the children
A local place of worship
11. The public health nurse receives grant funding Distribute brochures on to implement
primary prevention strategies for measures to avoid pesti- migrant farm workers and
their families. Which cide exposure action should the nurse plan to include? Teach
a class in providing first aid for heat ex- haustionOrganize free community wide
tuberculosis screenings Distribute brochures on measures to avoid pes- ticide
exposure Ask a physical therapist to speak about manag- ing low back pain
12. The parish nurse notes that an elderly male The senior citizen center client has had
a 5 lbs weight loss since his check up one month ago. The client has good hygiene,
still drives a car and which agency should the nurselives alone. To refer this client?
The adult day care center
The social security administration office
The women infant and children office