KEY (2019, 2020, 2021)
Primary prevention strategy for reducing obesity - ANSWER: Educate children about
nutrition and exercise at a daycare center
Highest priority action in health promotion activities - ANSWER: Participate in
community assessment to identify community health problems
Client to visit first in home health nurse's schedule - ANSWER: 79-year-old client with
an exacerbation of COPD
Measure to determine the country with the most people living with Alzheimer's
disease - ANSWER: Analytic epidemiology
Highest priority finding in reviewing laboratory results - ANSWER: Sputum specimen
that is positive for tuberculosis
Client to be transported to the Emergency Department first in a train crash -
ANSWER: Ambulatory client with a nosebleed and dizziness
Action that demonstrates accurate cultural knowledge about a specific cultural
group - ANSWER: Including both hot and cold food items on a Hispanic client's menu
Actions to perform as a client advocate - ANSWER: Provide education about the
diagnosis, inform about the provider's responsibility to provide information, assist in
preparing questions, affirm the client's decision about the treatment plan
First step to advocate for a homeless client - ANSWER: Refer the client to a public
homeless shelter
Information to include in education for pregnant adolescents - ANSWER: Replace
caffeinated beverages with caffeine-free alternatives
Inclusion in an emergency response plan for a day care - ANSWER: Immunization
protocol for various biological agents
Priority topic for accident and injury prevention in a family with a 10-year-old child -
ANSWER: Use of seat belts in automobiles
Finding that supports the diagnosis of rubeola - ANSWER: Koplik spots in the oral
mucosa
Finding that indicates a need for intervention in an older adult client's eye
assessment - ANSWER: Slightly yellow sclera
, Responsibilities of public health nursing - ANSWER: Informing state health officials of
potential outbreaks
Indication of a need for further teaching on HIPAA regulations - ANSWER: Belief that
demographic data can be released without consent
Indication of a positive reaction to a tuberculin skin test in an HIV positive client -
ANSWER: Induration at infection site of 8 mm
Effective teaching on the harmful effects of tobacco use - ANSWER: Understanding
that diseases can still affect them if they stop smoking while young
Statement indicating a need for additional teaching on home oxygen use - ANSWER:
Using wool blankets on the bed while oxygen is in use
Statement indicating effective teaching on health-related services provided in the
home - ANSWER: Physical therapist teaching exercises to increase hand dexterity
Time to disclose an evacuation plan to the public - ANSWER: During disaster
preparedness activities
Statement indicating understanding of disease transmission in a client with
tuberculosis - ANSWER: Wearing a mask in enclosed areas with other people
Example of an ethical principle in responding to a client's decision about
chemotherapy - ANSWER: Autonomy
Translator selection for a family in which only the children speak English - ANSWER:
Skilled in health-related interpretation
Necessary action to provide care to a migrant population - ANSWER: Offering health
screenings at a community center
Responsibility of a case manager - ANSWER: Evaluating cost effectiveness of client
treatments
Example of secondary prevention intervention - ANSWER: Performing hypertension
screening in a community center
First action for a program on early detection of breast cancer - ANSWER:
Determining employee knowledge level of breast self-examination
Fastest growing segment of the homeless population - ANSWER: Families with
children