NR 442 COMMUNITY HEALTH EXAM 2 QUESTIONS WITH VERRIFIED SOLUTIONS LATEST UPDATE 2026

NR 442 COMMUNITY HEALTH EXAM 2 QUESTIONS WITH VERRIFIED SOLUTIONS LATEST UPDATE 2026 A nurse is assessing a new client. which of the following information should the nurse include in the cultural portion of the assessment? A. food preference b. employment status c. history of illness d. sexual orientation - Answers A. food preference A nurse is prpearing an educational program about influenza for a group of community health nurses. which of the following activities should the nurse as an example for tertiary prevention? a. offer classes to elementary school teachers about handwashing b. provide information to occupational nurses about the reasons for employess to not come to work c. administer antiviral meds within 48 hours to client who have manifestations of influenza d. provide immunixations at long-term care facilities - Answers c. administer antiviral meds within 48 hours to clients who have manifestations of influenza A nurse is collecting demographic data as part of a community assessment. which of the following information should the nurse include? a. racial discrimination b. family genograms c. number of open water sources d. presence of condemend buildings - Answers a. racial distribution a community health nurse suspects an outbreak of scabies in the local area. which of the following actions should the nurse take first? a. determine the incidence rate b. institute prophylactic treatment c. educate the community about disease transmission d. discuss treatment plans with clients' families - Answers a. determine the incidence rate a publich health nurse is planning care for four clients. which of the following interventions should the nurse recognize as tertiary prevention? a. providing chemoprophylaxis for malaria to a client who is traveling to mosquito-infester countires b. administering antibiotics to a cleitn who has AIDs and was diagnosed with pneumocystis jiroveci c. performing a selogical screening for HIV for a client who is pregnant d. participating in partner notification for a client who has an STI - Answers b. administering antibiotics to a cleint who has AIDs and was diagnosied with pneumocystis jioveci A home health nurse is assessing an older adult client who is taking captopril to treat heart failure. Which of the following findings should the nurse identify as an adverse effect of this medication? a. dry cough b. weight gain c. ataxia d. photophobia - Answers a. dry cough A home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is coping effectively? a. Inability to concentrate b. Makes eye contact c. Excessive sleeping d. Lack of interest in food - Answers b. makes eye contact A public health nurse is providing information to a client who has an alcohol use disorder and is asking about treatment. Which of the following statements should the nurse identify as an indication that the client understands the information? a. "I will not have to completely stop drinking alcohol if I go into an inpatient treatment program." b. "Once I make it through detoxification, I will be free of my addiction." c. "I am not eligible for an outpatient program until I have completed an inpatient program first." d. "I can expect to get help with other aspects of my life while in treatment." - Answers d. "I can expect to get help with other aspects of my life while in treatment" The daughter of a client who is terminally ill and at the end of life approaches a hospice nurse and asks what she can do to help relieve her father's pain. Which of the following interventions should the nurse suggest? a. Give the client brief hand massages. b. Increase the illumination in the room. c. Place a warm cloth on the client's forehead. d. Administer citalopram when the client is agitated. - Answers a. give the client brief hand massage A community health nurse is developing a plan of care for a client who is hispanic. which of the following actions should the nurse include in the plan? a. maintain direct eye contact when speaking with the client b. avoid using hand gestures when working with the client c. discourage the client from using a faith healer d. Use therapeutic touch during conversation - Answers d. use therapeutic touch during conversation A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. which of the following actions should the nurse take first? a. Examine the client's oral mucous membranes. b. Encourage the client to consume 1.2 to 2.0 g/kg of protein daily. c. Recommend the client increase her daily calorie intake by 25%. d. Teach the client about findings that should be reported to the provider - Answers a. examine the client's oral mucous membranes A school nurse is discussing levels of prevention with a teacher. which of the following activities should the nurse identify as a primary prevention strategy? a. Provide nutritional counseling for students who have diabetes. b. Report suspected child neglect to the proper authorities. c. Conduct vision and hearing screening for kindergarten enrollment. d. Demonstrate proper handwashing techniques. - Answers d. demonstrate proper handwasing techniques A school nurse is conducting hearing screening procedures in an elementary school. Which of the following instructions should the nurse provide when performing the Rinne test? a. "After I place the tuning fork on your scalp, tell me if you hear the sound better in one ear or the same in both ears." b. "Use your finger to close one ear while I whisper some numbers into your other ear." c. "After I place this tuning fork behind your ear, tell me when you no longer hear the sound." d. "You'll wear headphones and press the button when you hear a sound." - Answers c."after I place this tning fork behind your ear, tell me when you no longer head the sound" A public health nurse is developing a presentation for local daycare providers about infectious childhood diseases. which of the following statements should the nurse include? a. "Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person." b. "Rotavirus infections in children peak during the summer months." c. "Children who have fifth disease will exhibit bloody diarrhea." d. "Antiviral medications shorten the duration of shigella infection." - Answers a. "respiratory syncytial virus is spreading through contact with respiratory secretions from an infected person." A public health nurse is developing a visual health program by using a community-oriented approach. Which of the following interventions should the nurse include? a. Teach a client who has a vision loss about safety in the home environment. b. Provide genetic counseling to the family of a newborn who has congenital cataracts. c. Consult with the local school nurse to schedule yearly vision screenings for students. d. Develop a plan of care for a client who was newly diagnosed with glaucoma - Answers c. consult with the local school nurse to schedule yearly vision screenings for students A nurse in a rural health clinic is caring for a client who has heart failure. The client states "I'm not going to take any more heart medicine." Which of the following responses should the nurse make? a. "Why did you decide to stop your heart medicine?" b. "Can you tell me more about your decision to stop your medicine?" c. "Don't you know what stopping your medicine will do to your heart?" d "Don't you think your doctor knows what's best for your heart?" - Answers b. "Can you tell me more about your decision to stop your medicine?" A case manager is delivering a discharge plan for a client who has a spinal cord injury and is in a rehabilitation facility. Which of the following actions should the nurse take first a. Hold a care conference with the client and his family to discuss treatment options. b. Contact service providers to determine the availability of services offered. c. Determine the client's ability to perform self-care. d. Evaluate the client's satisfaction with the case manager's services. - Answers c. determine the client's ability to perform self-care A home health nurse is scheduling client visits for the day. which of the following clients should the nurse plan to visit first? a. A client who is 10 days postoperative following a mastectomy and needs to have surgical staples removed b. A client who has diabetes mellitus and reports new erythema to the left foot c. A client who has COPD and needs a follow-up visit related to home oxygen therapy d. A client in a hip spica cast who reports pruritus under the cast - Answers B. a client who has diabetes mellitus and reports new erythema to the left foot A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first? a. Conducting screenings for dental caries in the local school system b. Reviewing county health records for data on cases of chickenpox c. Providing a client with information about preventing d. STIs Documenting medication compliance for clients who have tuberculosis - Answers b. reviewing county health records for data on cases of chickenpox A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following information should the nurse include? a. Household members should be placed in respiratory isolation b. The client should have a repeat purified protein derivative test in 3 months c. The client should use disposable utensils during meals d. Household members should take isoniazid for 6-12 months - Answers d. household members should take isoniazid for 6-12 months Monitoring medication compliance for a group of migrant workers who are being treated for TB. the nurse should use info from which of the following resources to assist with this process? a. Migrant Clinicians Network (MCN) b. U.S. preventive services task force (USPSTF) c. Agency for healthcare quality and research (AHRQ) d. Centers for disease control and prevent - Answers a. migrant clinicians network (MCN) A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8 hrs at a time. Which of the following information is a priority for the nurse to include? a. "Take a walk after work." b. "Point and flex your toes periodically." c. "Have your visual acuity assessed regularly." d. "Adjust your chair so that your elbows are at desk height." - Answers b. point and flec your toes periodically A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients for abuse. Which of the following statements by a nurse indicates an understanding of the teaching? A) once I determine that a client is not at risk for abuse, I do not need to ask about it at future visits B) I should not document the name of the person the client's medical record C) I should wait until I see signs of physical abuse before I help the client develop a safety plan D) I should refer a client for a rape kit examination if she reports sexual assault within the previous 24hr - Answers D. "I should refer a client for a rape kit examination if she reports sexual assualt within the previous 24 hours." A case manager is planning an educational program for a client who has diabetes mellitus. Which of the following activities should the nurse include when using the psychomotor domain of learning? A) review a color diagram of the food pyramid with the client B) show the client a video about how to monitor blood glucose levels C) observe the client's technique for drawing up insulin