1. A home health nurse is teaching the parents of a toddler about complication of
influenza. Which of the following complication is the priority for the nurse to
discuss?
a. Pneumonia
b. Sinusitis
c. Dehydration
d. Otitis Media
2. The wife of an adult client who has Alzheimer’s disease reports that he is not eating.
The home health aide later tells the nurse that the wife is refusing to feed him,
insisting that he do it himself. Which of the following is the priority action the nurse
should take?
a. Refer the client’s wife to an Alzheimer’s support group.
b. Direct the home health aide to assist with meals.
c. Arrange for Meals on Wheel assistance.
d. Determine the clients’ ability to self-feed
3. A nurse is working with a community health care team to devise strategies for
preventing violence in the community. Which of the following interventions is an
example of tertiary prevention
a. Presenting community education programs on stress management
b. Urging community leaders to make nonviolence a priority
c. Assessing for risk factors of intimate partner abuse during health
examination
d. Developing resources for victims abuse
4. A home health nursing is conducting an initial assessment for a client who is
prescribed warfarin sodium (Coumadin). Which of the following clinical findings is
associated with thrombocytopenia?
a. Distended jugular veins
b. Polyuria
c. Akathisia
d. Black tarry stools
5. A nurse working with parents suspected of child abuse recognizes that the social
most predictive of abusive behaviour is
a. Inadequate living conditions
b. Relationship difficulties
c. Social isolation
d. Prior exposure to violence
6. In the last month, three cases of tuberculosis have been referred to the health
department. Which of the following would be the priority information for the
community health nurse to obtain from each client?
a. Demographics
b. Health history
c. Occupation
d. Household members
7. A nurse is reviewing data for communicable disease in his rural public health region.
Which of the following data should the nurse identify as an agent factors affecting
the spread of communicable disease?
, a. A change in the prevalence of older adults obtaining the pneumococcal
vaccine
b. An increase in the migrant farm workers living in the community
c. A decrease in the number of ambulatory clinics in the area
d. An antigenic shift in the composition of the strain of influenza
8. A home health nurse is providing education for a client who has esophageal cancer
and reports dysphagia. Which of the following instructions should the nurse include
in the teaching?
a. “You should include thin soups and liquids in you meal plan?”
b. “You should weigh yourself once each week”
c. “You should place you food on the front of your tongue when eating”
d. “You should maintain a chin tuck position when swallowing”
9. A nurse is providing education to a group of adolescents who are pregnant and
attending high school. Which of the following information should the nurse include
in the teaching?
a. Pregnant adolescents need to gain less weight than adult mothers
b. The need for supplemental folic acid is greatest during the 3rd trimester
c. Caffeinated beverages should be replaced with caffeine-free
d. The incidence of high birth weight infants is higher adolescent pregnancy
10. A community health nurse in the initial phase of planning a smoke cessation
program. Which of the following is the following is the first action the nurse should
take?
a. Determine the prevalence of smoking in the community
b. Formulate objectives for the smoking cessation program
c. Gain community support for the program
d. Evaluate the methods of successful smoke cessation programs
11. Which of the following federal agencies should a community health nurse seek
guidance from regarding a public building that has asbestos leaking from rips in the
heating duct insulation?
a. Department of Health and Human Resources
b. National Institute of Health
c. Centers of Disease Control and Prevention
d. Environmental Protection Agency
12. A nurse manager in a local community health agency is creating a job description for
a new nurse who will practice community-oriented nursing. Which of the following
would be appropriate to include in the job description? (Select all that apply)
a. Initiate support groups for parents of autistic children.
b. Provide health-related education to community groups
c. Investigate potential health and environmental issues
d. Provide wound care for client in their homes
e. Participate in local health surveillance activities
13. A client comes to a mental health clinic and tells the nurse that he has no purpose in
life. Which of the following is the nurse’s priority response?
a. Tell what is going on with you right now?
b. Do you really think your life has no purpose?
c. Have you been thinking about harming yourself?
influenza. Which of the following complication is the priority for the nurse to
discuss?
a. Pneumonia
b. Sinusitis
c. Dehydration
d. Otitis Media
2. The wife of an adult client who has Alzheimer’s disease reports that he is not eating.
The home health aide later tells the nurse that the wife is refusing to feed him,
insisting that he do it himself. Which of the following is the priority action the nurse
should take?
a. Refer the client’s wife to an Alzheimer’s support group.
b. Direct the home health aide to assist with meals.
c. Arrange for Meals on Wheel assistance.
d. Determine the clients’ ability to self-feed
3. A nurse is working with a community health care team to devise strategies for
preventing violence in the community. Which of the following interventions is an
example of tertiary prevention
a. Presenting community education programs on stress management
b. Urging community leaders to make nonviolence a priority
c. Assessing for risk factors of intimate partner abuse during health
examination
d. Developing resources for victims abuse
4. A home health nursing is conducting an initial assessment for a client who is
prescribed warfarin sodium (Coumadin). Which of the following clinical findings is
associated with thrombocytopenia?
a. Distended jugular veins
b. Polyuria
c. Akathisia
d. Black tarry stools
5. A nurse working with parents suspected of child abuse recognizes that the social
most predictive of abusive behaviour is
a. Inadequate living conditions
b. Relationship difficulties
c. Social isolation
d. Prior exposure to violence
6. In the last month, three cases of tuberculosis have been referred to the health
department. Which of the following would be the priority information for the
community health nurse to obtain from each client?
a. Demographics
b. Health history
c. Occupation
d. Household members
7. A nurse is reviewing data for communicable disease in his rural public health region.
Which of the following data should the nurse identify as an agent factors affecting
the spread of communicable disease?
, a. A change in the prevalence of older adults obtaining the pneumococcal
vaccine
b. An increase in the migrant farm workers living in the community
c. A decrease in the number of ambulatory clinics in the area
d. An antigenic shift in the composition of the strain of influenza
8. A home health nurse is providing education for a client who has esophageal cancer
and reports dysphagia. Which of the following instructions should the nurse include
in the teaching?
a. “You should include thin soups and liquids in you meal plan?”
b. “You should weigh yourself once each week”
c. “You should place you food on the front of your tongue when eating”
d. “You should maintain a chin tuck position when swallowing”
9. A nurse is providing education to a group of adolescents who are pregnant and
attending high school. Which of the following information should the nurse include
in the teaching?
a. Pregnant adolescents need to gain less weight than adult mothers
b. The need for supplemental folic acid is greatest during the 3rd trimester
c. Caffeinated beverages should be replaced with caffeine-free
d. The incidence of high birth weight infants is higher adolescent pregnancy
10. A community health nurse in the initial phase of planning a smoke cessation
program. Which of the following is the following is the first action the nurse should
take?
a. Determine the prevalence of smoking in the community
b. Formulate objectives for the smoking cessation program
c. Gain community support for the program
d. Evaluate the methods of successful smoke cessation programs
11. Which of the following federal agencies should a community health nurse seek
guidance from regarding a public building that has asbestos leaking from rips in the
heating duct insulation?
a. Department of Health and Human Resources
b. National Institute of Health
c. Centers of Disease Control and Prevention
d. Environmental Protection Agency
12. A nurse manager in a local community health agency is creating a job description for
a new nurse who will practice community-oriented nursing. Which of the following
would be appropriate to include in the job description? (Select all that apply)
a. Initiate support groups for parents of autistic children.
b. Provide health-related education to community groups
c. Investigate potential health and environmental issues
d. Provide wound care for client in their homes
e. Participate in local health surveillance activities
13. A client comes to a mental health clinic and tells the nurse that he has no purpose in
life. Which of the following is the nurse’s priority response?
a. Tell what is going on with you right now?
b. Do you really think your life has no purpose?
c. Have you been thinking about harming yourself?
