Retake Practice Exam – Updated Questions &
Detailed Answers
1.Managing Group Dynamics
A nurse leading a community support group notices that one participant frequently
displays anger. Which action should the nurse take to maintain a positive group
process?
A. Remind members that everyone should have a chance to participate
B. Divide the group into pairs for discussion
C. Allow the member additional time to organize her thoughts before speaking
D. Focus attention on members who maintain a positive outlook
✅ Correct Answer: D — Focus on group members with a positive outlook
2. Asthma Education for Children
A community health nurse is educating children with asthma. Which statement
indicates that the child has understood the teaching?
A. “I shouldn’t play sports because I’ll get tired.”
B. “I’ll stay indoors when it’s cold outside.”
C. “I need to use my rescue inhaler every day.”
D. “I shouldn’t get a flu shot because it can make me sick.”
✅ Correct Answer: B — “I’ll stay indoors when it’s cold outside.”
3. Primary Syphilis Manifestation
When teaching adolescents about sexually transmitted infections, which clinical
sign should the nurse identify as typical of primary syphilis?
A. Malaise
B. Maculopapular rash on the palms
C. Chancre
D. Lymphadenopathy
✅ Correct Answer: C — Chancre
,4. Determining Prevalence Proportion
A public health nurse serves a community of 24,096 people, with 2,096 existing
cases of heart disease. What does this data represent?
A. Mortality rate
B. Attack rate
C. Prevalence proportion
D. Incidence proportion
✅ Correct Answer: C — Prevalence proportion
5. Vaccination During Pregnancy
In preparing an education session about vaccines during pregnancy, which vaccine
should the nurse identify as safe to administer?
A. Herpes zoster
B. Tetanus, diphtheria, and pertussis (Tdap)
C. Varicella
D. Measles, mumps, rubella (MMR)
✅ Correct Answer: B — Tetanus, diphtheria, and pertussis (Tdap)
6. Managing a Pertussis Case in School
An elementary school nurse learns that a student has been diagnosed with
pertussis. Which actions should the nurse take? (Select all that apply)
A. Instruct the parent to keep the child home until the coughing stage has resolved
B. Encourage all family members to receive prophylactic treatment
C. Quarantine all classmates
D. Recommend a pneumococcal vaccine in 28 days
E. Review the immunization records of classmates
✅ Correct Answers: A, B, E
7. Access to Care for Uninsured Diabetic Client
A 50-year-old client with diabetes has recently lost his job and health insurance.
What should the nurse recommend?
, A. Contact Medicare to check eligibility
B. Apply for Medicaid
C. Visit the emergency department for needed services
D. Seek care at the local public health department
✅ Correct Answer: B — Contact Medicaid to determine eligibility
8. Needle Stick Injury Protocol
A newly licensed home health nurse accidentally sustains a needle stick injury
while drawing blood. Which statement by the nurse shows a misunderstanding of
proper post-exposure protocol?
A. “The client will be tested for HIV.”
B. “The client will be tested for hepatitis B.”
C. “The client will be tested for hepatitis C.”
D. “The client will be tested for hepatitis A.”
✅ Correct Answer: D — “The client will be tested for hepatitis A.”
9. Tuberculosis (TB) Skin Testing
During an educational session on TB skin testing, which factors should the nurse
explain can cause a false-negative result? (Select all that apply)
A. Advanced HIV or AIDS
B. Previous Bacille Calmette-Guérin (BCG) vaccination
C. Time elapsed between exposure and testing
D. Client’s age
E. Recent IV drug abuse
✅ Correct Answers: A, C, D
10. Demographic Data Collection
When gathering demographic information during a community assessment, which
data should the nurse include?
A. Racial distribution
B. Family genograms
C. Number of open water sources
Detailed Answers
1.Managing Group Dynamics
A nurse leading a community support group notices that one participant frequently
displays anger. Which action should the nurse take to maintain a positive group
process?
A. Remind members that everyone should have a chance to participate
B. Divide the group into pairs for discussion
C. Allow the member additional time to organize her thoughts before speaking
D. Focus attention on members who maintain a positive outlook
✅ Correct Answer: D — Focus on group members with a positive outlook
2. Asthma Education for Children
A community health nurse is educating children with asthma. Which statement
indicates that the child has understood the teaching?
A. “I shouldn’t play sports because I’ll get tired.”
B. “I’ll stay indoors when it’s cold outside.”
C. “I need to use my rescue inhaler every day.”
D. “I shouldn’t get a flu shot because it can make me sick.”
✅ Correct Answer: B — “I’ll stay indoors when it’s cold outside.”
3. Primary Syphilis Manifestation
When teaching adolescents about sexually transmitted infections, which clinical
sign should the nurse identify as typical of primary syphilis?
A. Malaise
B. Maculopapular rash on the palms
C. Chancre
D. Lymphadenopathy
✅ Correct Answer: C — Chancre
,4. Determining Prevalence Proportion
A public health nurse serves a community of 24,096 people, with 2,096 existing
cases of heart disease. What does this data represent?
A. Mortality rate
B. Attack rate
C. Prevalence proportion
D. Incidence proportion
✅ Correct Answer: C — Prevalence proportion
5. Vaccination During Pregnancy
In preparing an education session about vaccines during pregnancy, which vaccine
should the nurse identify as safe to administer?
A. Herpes zoster
B. Tetanus, diphtheria, and pertussis (Tdap)
C. Varicella
D. Measles, mumps, rubella (MMR)
✅ Correct Answer: B — Tetanus, diphtheria, and pertussis (Tdap)
6. Managing a Pertussis Case in School
An elementary school nurse learns that a student has been diagnosed with
pertussis. Which actions should the nurse take? (Select all that apply)
A. Instruct the parent to keep the child home until the coughing stage has resolved
B. Encourage all family members to receive prophylactic treatment
C. Quarantine all classmates
D. Recommend a pneumococcal vaccine in 28 days
E. Review the immunization records of classmates
✅ Correct Answers: A, B, E
7. Access to Care for Uninsured Diabetic Client
A 50-year-old client with diabetes has recently lost his job and health insurance.
What should the nurse recommend?
, A. Contact Medicare to check eligibility
B. Apply for Medicaid
C. Visit the emergency department for needed services
D. Seek care at the local public health department
✅ Correct Answer: B — Contact Medicaid to determine eligibility
8. Needle Stick Injury Protocol
A newly licensed home health nurse accidentally sustains a needle stick injury
while drawing blood. Which statement by the nurse shows a misunderstanding of
proper post-exposure protocol?
A. “The client will be tested for HIV.”
B. “The client will be tested for hepatitis B.”
C. “The client will be tested for hepatitis C.”
D. “The client will be tested for hepatitis A.”
✅ Correct Answer: D — “The client will be tested for hepatitis A.”
9. Tuberculosis (TB) Skin Testing
During an educational session on TB skin testing, which factors should the nurse
explain can cause a false-negative result? (Select all that apply)
A. Advanced HIV or AIDS
B. Previous Bacille Calmette-Guérin (BCG) vaccination
C. Time elapsed between exposure and testing
D. Client’s age
E. Recent IV drug abuse
✅ Correct Answers: A, C, D
10. Demographic Data Collection
When gathering demographic information during a community assessment, which
data should the nurse include?
A. Racial distribution
B. Family genograms
C. Number of open water sources
