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1. Client reports fever, fa- When generating solutions, the nurse should anticipate the client has
tigue, lack of appetite, varicella (chicken pox); therefore, the nurse should place the client in
and headache that start- a negative-pressure airflow room, wear an N95 mask when caring for
ed 2 days ago. Today, the client, designate a stethoscope to be used only on the client, and
client woke up with blis- request a prescription for an antipyretic. Varicella is transmitted by the
ter-like rash all over air; therefore, airborne isolation precautions need to be taken while
their face, chest, and caring for this client.
back. Client states, "It
is beginning to itch and
spread." Lung sounds
clear to auscultation. S1,
S2, heard no murmur
detected. Bowel sounds
normoactive in all quad-
rants. Notified provider
of findings.
2. A nurse is giving a pre- Child maltreatment is more common in homes where partner violence
sentation about family is present.
violence at a local com-
munity center. Which of Child maltreatment is very common in homes where partner violence is
the following informa- present.
tion should the nurse in-
clude?
3. A school nurse is con- "After I place this tuning fork behind your ear, tell me when you no
ducting hearing screen- longer hear the sound."
ing procedures in an el-
ementary school. Which This is the appropriate instruction for a Rinne test, a hearing evaluation
of the following instruc- that compares air conduction and bone conduction of sound.
tions should the nurse
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provide when perform-
ing the Rinne test?
4. A nurse on the scene Turn the client to left semi-Fowler's position and begin assessing the
following a mass casu- next client.
alty explosion is triag-
ing a client who has Principles of triage indicate that clients who have extensive injuries
a large, open occipital and a low probability of survival do not receive treatment. Therefore,
wound and the follow- the nurse should provide only comfort measures before moving on to
ing findings: respiratory assess the next client.
rate 6/min, agonal pat-
tern; capillary refill time
4.5 seconds; nonrespon-
sive to painful stimuli.
Which of the following
actions should the nurse
take?
5. A public health agency Investigating local health hazards
has assigned a newly li-
censed nurse to assist Investigating health hazards of the local community is a component of
with the task force that is the public health core function of assessment.
responsible for the core
function of assessment.
Which of the following
is a task that the pub-
lic health agency could
assign to the nurse that
would be consistent with
the focus of the task
force?
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6. A school nurse is dis- Demonstrate proper handwashing techniques.
cussing levels of pre-
vention with a teacher. This is an example of primary prevention, the goal of which is to
Which of the follow- promote health and prevent diseases from developing.
ing activities should the
nurse identify as a pri-
mary prevention strate-
gy?
7. A community health Unavailability of outreach services
nurse is working to meet
the health care needs Lack of availability of outreach services is a barrier to health care for
of residents in a rural residents in rural areas.
community. Which of the
following characteristics
should the nurse identi-
fy as a barrier to health
care resources for this
population?
8. A nurse is preparing Administer antiviral medications within 48 hr to clients who have man-
an educational program ifestations of influenza.
about influenza for a
group of community Tertiary prevention involves ways to reduce the complications of illness,
health nurses. Which of which includes administering antiviral medications to clients who al-
the following activities ready have influenza.
should the nurse include
as an example of tertiary
prevention?
9. A nurse at a coun- The client has changed providers three times during their pregnancy.
ty health department is
Frequently changing health care providers is a risk factor for future