Leadership and Community Pre-Assessment Quiz (30 OUT OF 30)
Questions and Answers
A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which
of the following diseases should the nurse plan to report to the Centers for Disease Control and
Prevention (CDC)?
Lyme disease
A nurse is caring for four clients. After administering morning medications, she realizes that
nifedipine prescribed for one client was inadvertently administered to another. Which of the
following actions should the nurse take first?
Check the client's vital signs.
A community health nurse is reviewing information about infectious diseases with the nurses on
her team. The nurse should remind the team that which of the following diseases are included in
the list of nationally notifiable infectious diseases? (select all that apply).
Chlamydia
Gonorrhea
Chancroid
A nurse is assigned a group of clients at the start of the shift. Which of the following clients
should the nurse plan to care for first?
A client asking about his PCA pump that contains morphine.
An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative
following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the
following tasks should the nurse delegate to the AP?
Obtain vital signs.
A nurse on a pediatric unit is caring for a child and his family. His parents define family as a
husband, wife, and child. This definition is which type of family form?
Nuclear family.
A nurse is teaching a class on torts. The nurse should include which of the following situations as
an example of negligence?
A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning
and reports it to the provider in the early afternoon.
, A nurse is caring for a client whose family member requests to view the client's medical record.
Which of the following responses should the nurse make?
"The client must provide permission to share the records with you."
A nurse is among the first responders to a mass-casualty incident and does not know what type
of personal protective equipment (PPE) is needed. Which of the following actions should the
nurse take?
Choose the highest level of protection equipment available.
A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the
nurses assesses the clients. Which of the following clients is the nurse's priority?
A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg
A nurse is providing instructions for a 52-year-old client who is schedule for a colonoscopy. The
client reports that he has not had the procedure before and is very anxious about feeling pain
during the procedure. Which of the following responses by the nurse is appropriate?
"Before the examination, your provider will give you a sedative that will make you sleepy."
A nurse is caring for an older adult client who is disoriented and has a history of falls. Which of
the following actions should the nurse take? (Select all that apply.)
Check on the client hourly
Instruct the client about the use of the call light
Apply an ambulation alarm to the client's leg
A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a
hospitalized client while in the cafeteria. Which of the following is the priority nursing action?
Quietly tell the APs that this is not appropriate.
A nurse in the emergency department is caring for a client who has extensive partial and full-
thickness burns of the head, neck and chest. While planning the client's care, the nurse should
identify which of the following risks as the priority for assessment and intervention?
Airway obstruction
A charge nurse is working with an assistive personnel (AP) who provides excellent care to
clients and is an effective team member. Which of the following actions should the nurse take
first to recognize the AP's contributions to client care?
Give positive feedback directly to the AP.
Questions and Answers
A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which
of the following diseases should the nurse plan to report to the Centers for Disease Control and
Prevention (CDC)?
Lyme disease
A nurse is caring for four clients. After administering morning medications, she realizes that
nifedipine prescribed for one client was inadvertently administered to another. Which of the
following actions should the nurse take first?
Check the client's vital signs.
A community health nurse is reviewing information about infectious diseases with the nurses on
her team. The nurse should remind the team that which of the following diseases are included in
the list of nationally notifiable infectious diseases? (select all that apply).
Chlamydia
Gonorrhea
Chancroid
A nurse is assigned a group of clients at the start of the shift. Which of the following clients
should the nurse plan to care for first?
A client asking about his PCA pump that contains morphine.
An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative
following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the
following tasks should the nurse delegate to the AP?
Obtain vital signs.
A nurse on a pediatric unit is caring for a child and his family. His parents define family as a
husband, wife, and child. This definition is which type of family form?
Nuclear family.
A nurse is teaching a class on torts. The nurse should include which of the following situations as
an example of negligence?
A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning
and reports it to the provider in the early afternoon.
, A nurse is caring for a client whose family member requests to view the client's medical record.
Which of the following responses should the nurse make?
"The client must provide permission to share the records with you."
A nurse is among the first responders to a mass-casualty incident and does not know what type
of personal protective equipment (PPE) is needed. Which of the following actions should the
nurse take?
Choose the highest level of protection equipment available.
A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the
nurses assesses the clients. Which of the following clients is the nurse's priority?
A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg
A nurse is providing instructions for a 52-year-old client who is schedule for a colonoscopy. The
client reports that he has not had the procedure before and is very anxious about feeling pain
during the procedure. Which of the following responses by the nurse is appropriate?
"Before the examination, your provider will give you a sedative that will make you sleepy."
A nurse is caring for an older adult client who is disoriented and has a history of falls. Which of
the following actions should the nurse take? (Select all that apply.)
Check on the client hourly
Instruct the client about the use of the call light
Apply an ambulation alarm to the client's leg
A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a
hospitalized client while in the cafeteria. Which of the following is the priority nursing action?
Quietly tell the APs that this is not appropriate.
A nurse in the emergency department is caring for a client who has extensive partial and full-
thickness burns of the head, neck and chest. While planning the client's care, the nurse should
identify which of the following risks as the priority for assessment and intervention?
Airway obstruction
A charge nurse is working with an assistive personnel (AP) who provides excellent care to
clients and is an effective team member. Which of the following actions should the nurse take
first to recognize the AP's contributions to client care?
Give positive feedback directly to the AP.
