Community Health Exam - Version A
Your response has been submitted successfully.
Points Awarded 9
Points Missed 36
Percentage 20%
1. Which topic should the nurse include in planning a primary prevention
class for adolescents?
A. Risk factors for heart disease.
B. Dietary management of obesity.
C. Suicide risks and prevention.
D. Coping with stressful situations.
Primary prevention focuses on health promotion and prevention of injury and
illness. Since suicide is a leading cause of death in adolescents, including (C)
is essential. Health screenings and interventions are designed to increase
the probability of early diagnosis and treatment, so (A, B, and D) are
important secondary prevention topics for adolescents.
Points Earned: 0/1
Correct Answer: C
Your Response: B
2. The nurse is designing a bioterrorism plan for a community. Which agents
are transmitted person to person via respiratory or inhalation exposure?
(Select all that apply.)
A. Ricin.
B. Pneumonic plague.
C. Anthrax.
D. Botulism.
E. Smallpox.
F. Brucellosis.
,Correct selections are (B and E). The pneumonic plague (B) can be
transmitted person to person via respiratory droplets. Smallpox (E) can
produce aerosolized droplets of ruptured pock marks in the buccal cavity,
thus aerosolizing the virus and causing respiratory transmission. (A) is a
biological toxin that is not transmitted person to person. (C) can be spread
by respiratory transmission from an exposure source, but is not transmitted
person to person (communicable). (D) is a biological toxin commonly
associated with food-borne or ingestion exposures, but is not communicable.
(F) is found in livestock, but is not communicable.
Points Earned: 0/2
Correct Answer: B, E
Your Response: C, D, E
3. A 12-year-old female is seen by the school nurse after recently
experiencing increasing difficulty sitting still and paying attention in
class, and increasingly illegible handwriting. The nurse observes that the
child has protruding eyeballs and a staring expression. What action
should the nurse take next?
A. Refer the child for psychologic evaluation due to attention deficit
disorder.
B. Call the child's parents to schedule the child for an immediate medical
exam.
C. Gather additional data by taking a health history and measuring vital
signs.
D. Collaborate with the teacher to place the child on a behavior
modification program.
Based on the available data, the child may have hyperthyroidism (Graves
disease). The nurse should gather additional data (C) that may help confirm
this suspicion. (A or D) are premature actions at this time. Once additional
data are collected, a call to the parents is warranted (B).
Points Earned: 0/1
Correct Answer: C
Your Response: B
4. The nurse is developing a plan to provide quality health care for a certain
community. Data obtained from which resources should be helpful to the
, nurse in developing a community healthcare plan for this community?
(Select all that apply.)
A. Census data.
B. Risk management data.
C. Budgeting process information.
D. Available workforce in the community.
E. Client-satisfaction surveys.
F. Changes in the community's demographic data.
Census data (A), risk management data (B), budgeting process information
(C), data obtained from client-satisfaction surveys (E), and changes in the
community's demographic data (F) provide pertinent data for planning for
the current and future healthcare needs of the community. Available
workforce (D), although a concern, is not a factor in quality-assurance
directives.
Points Earned: 1/5
Correct Answer: A, B, C, E, F
Your Response: A, C, D
5. The nurse is assessing a Vietnamese child during a home health visit and
identifies round swellings on the child's back. The child's mother says
she rubbed the edge of a coin on her child's oiled skin. The nurse should
recognize that this behavior is prompted by which cultural belief?
A. The child's behavior was not acceptable.
B. The purpose is to rid the body of disease.
C. This method is commonly used for discipline.
D. Temper tantrums are commonly managed using this method.
Coining, a Vietnamese practice, may produce welt-like swellings from rubbing
a coin lengthwise on oiled skin to rid the body of disease (B). Certain cultural
practices that address illness may be considered abusive by another culture
and misunderstood by uninformed professionals. (A, C, and D) are not
correct interpretations.
Points Earned: 0/1
Correct Answer: B
Your Response: C
, 6. The nurse administers a booster dose of DTaP (diphtheria, tetanus, and
pertussis) vaccine to an infant. Which level of prevention is the nurse
implementing?
A. Primary prevention.
B. Tertiary prevention.
C. Secondary prevention.
D. Primary nursing.
Primary prevention (A) involves activities that focus on reducing the
potential for illness before it occurs, such as immunizations. Tertiary
prevention (B) minimizes the consequences of a disorder or illness through
aggressive management or rehabilitation. Secondary prevention (C) includes
early diagnosis and implementing interventions aimed at a cure or reducing
the progress of a disease. Primary nursing (D) describes a method of nursing
management and nursing care assignments, not a healthcare strategy.
Points Earned: 0/1
Correct Answer: A
Your Response: B
7. A terrorist attack has occurred and several people have inhaled Ricin.
Which intervention should the emergency department nurse implement
when caring for these clients?
A. Administer the antibiotic streptomycin, IV STAT.
B. Provide all clients with the Ricin antidote.
C. Implement strict respiratory isolation immediately.
D. Provide supportive nursing care to the clients.
There is no known cure or treatment for Ricin exposure and supportive care
(D) is the only treatment. (A) may be administered for secondary infections
but is not a treatment for Ricin exposure. (B) does not exist at this time.
Ricin does not have person-to-person transmission, so (C) is not necessary.
Points Earned: 0/1
Correct Answer: D
Your Response: B
8. When asked to help develop interventions to combat obesity among
Your response has been submitted successfully.
Points Awarded 9
Points Missed 36
Percentage 20%
1. Which topic should the nurse include in planning a primary prevention
class for adolescents?
A. Risk factors for heart disease.
B. Dietary management of obesity.
C. Suicide risks and prevention.
D. Coping with stressful situations.
Primary prevention focuses on health promotion and prevention of injury and
illness. Since suicide is a leading cause of death in adolescents, including (C)
is essential. Health screenings and interventions are designed to increase
the probability of early diagnosis and treatment, so (A, B, and D) are
important secondary prevention topics for adolescents.
Points Earned: 0/1
Correct Answer: C
Your Response: B
2. The nurse is designing a bioterrorism plan for a community. Which agents
are transmitted person to person via respiratory or inhalation exposure?
(Select all that apply.)
A. Ricin.
B. Pneumonic plague.
C. Anthrax.
D. Botulism.
E. Smallpox.
F. Brucellosis.
,Correct selections are (B and E). The pneumonic plague (B) can be
transmitted person to person via respiratory droplets. Smallpox (E) can
produce aerosolized droplets of ruptured pock marks in the buccal cavity,
thus aerosolizing the virus and causing respiratory transmission. (A) is a
biological toxin that is not transmitted person to person. (C) can be spread
by respiratory transmission from an exposure source, but is not transmitted
person to person (communicable). (D) is a biological toxin commonly
associated with food-borne or ingestion exposures, but is not communicable.
(F) is found in livestock, but is not communicable.
Points Earned: 0/2
Correct Answer: B, E
Your Response: C, D, E
3. A 12-year-old female is seen by the school nurse after recently
experiencing increasing difficulty sitting still and paying attention in
class, and increasingly illegible handwriting. The nurse observes that the
child has protruding eyeballs and a staring expression. What action
should the nurse take next?
A. Refer the child for psychologic evaluation due to attention deficit
disorder.
B. Call the child's parents to schedule the child for an immediate medical
exam.
C. Gather additional data by taking a health history and measuring vital
signs.
D. Collaborate with the teacher to place the child on a behavior
modification program.
Based on the available data, the child may have hyperthyroidism (Graves
disease). The nurse should gather additional data (C) that may help confirm
this suspicion. (A or D) are premature actions at this time. Once additional
data are collected, a call to the parents is warranted (B).
Points Earned: 0/1
Correct Answer: C
Your Response: B
4. The nurse is developing a plan to provide quality health care for a certain
community. Data obtained from which resources should be helpful to the
, nurse in developing a community healthcare plan for this community?
(Select all that apply.)
A. Census data.
B. Risk management data.
C. Budgeting process information.
D. Available workforce in the community.
E. Client-satisfaction surveys.
F. Changes in the community's demographic data.
Census data (A), risk management data (B), budgeting process information
(C), data obtained from client-satisfaction surveys (E), and changes in the
community's demographic data (F) provide pertinent data for planning for
the current and future healthcare needs of the community. Available
workforce (D), although a concern, is not a factor in quality-assurance
directives.
Points Earned: 1/5
Correct Answer: A, B, C, E, F
Your Response: A, C, D
5. The nurse is assessing a Vietnamese child during a home health visit and
identifies round swellings on the child's back. The child's mother says
she rubbed the edge of a coin on her child's oiled skin. The nurse should
recognize that this behavior is prompted by which cultural belief?
A. The child's behavior was not acceptable.
B. The purpose is to rid the body of disease.
C. This method is commonly used for discipline.
D. Temper tantrums are commonly managed using this method.
Coining, a Vietnamese practice, may produce welt-like swellings from rubbing
a coin lengthwise on oiled skin to rid the body of disease (B). Certain cultural
practices that address illness may be considered abusive by another culture
and misunderstood by uninformed professionals. (A, C, and D) are not
correct interpretations.
Points Earned: 0/1
Correct Answer: B
Your Response: C
, 6. The nurse administers a booster dose of DTaP (diphtheria, tetanus, and
pertussis) vaccine to an infant. Which level of prevention is the nurse
implementing?
A. Primary prevention.
B. Tertiary prevention.
C. Secondary prevention.
D. Primary nursing.
Primary prevention (A) involves activities that focus on reducing the
potential for illness before it occurs, such as immunizations. Tertiary
prevention (B) minimizes the consequences of a disorder or illness through
aggressive management or rehabilitation. Secondary prevention (C) includes
early diagnosis and implementing interventions aimed at a cure or reducing
the progress of a disease. Primary nursing (D) describes a method of nursing
management and nursing care assignments, not a healthcare strategy.
Points Earned: 0/1
Correct Answer: A
Your Response: B
7. A terrorist attack has occurred and several people have inhaled Ricin.
Which intervention should the emergency department nurse implement
when caring for these clients?
A. Administer the antibiotic streptomycin, IV STAT.
B. Provide all clients with the Ricin antidote.
C. Implement strict respiratory isolation immediately.
D. Provide supportive nursing care to the clients.
There is no known cure or treatment for Ricin exposure and supportive care
(D) is the only treatment. (A) may be administered for secondary infections
but is not a treatment for Ricin exposure. (B) does not exist at this time.
Ricin does not have person-to-person transmission, so (C) is not necessary.
Points Earned: 0/1
Correct Answer: D
Your Response: B
8. When asked to help develop interventions to combat obesity among
