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1. a community health nurse is planning an in-service C
about STI to a group of adolescents. which of the fol-
lowing clinical findings should the nurse include as a
manifestation of primary syphilis?
A. malaise
B. maculopapular rash on palms
C. chancre
D. lymphadenopathy
2. a nurse who is facilitating a support group in a com- D.
munity center noticies that one member of the group the nurse should ask them
expresses anger repeatedly. which of the following in private to uncover the
strategies should the nurse use to facilitate the group source of her ongoing
process with this member? anger
A. remind the group that everyone should have a
chance to participate
D. divide the group into pairs and give each pair a topic
for discussion
C. give the member extra time to compose her thought
before expressing them
D. focus more on the group members who have a
positive outlook
3. a community health nurse is providing education to B.
a group of children who have asthma. which of the cold air can be a trigger
following statements indicates an understanding of for asthma. this response
the teaching? indicates the student re-
A. i shouldn't play sports because it will make me too conizes this risk
tired
B. i will stay indoors during cold weather
C. i will use my rescue medication every day
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D. I shouldn't get the flu shot because it might make
me sick
4. a public health nurse is working in a community that C
ha a population of 24, 096. There are 2,096 existing
cases of heart disease within the populaiton. The nurse
can determine which of the following from this infor-
mation?
A. mortality rate
B. attack rate
C. prevalence proportion
D. incidence proportion
5. a nurse is preparing a community education program B
about heatlh care needs during pregnancy. The nurse
should include that which of the following vaccines is
safe to administer to a client who is pregnant?
A. herpes zoster
B. tetanus, diphtheria, pertussis
C. varicella
D. measles, mumps, rubella
6. a school nurse is notified that an elementary school A
child is newly diagnosed with pertussis. Which of the B
following actions should the school nurse take? (select E
all that apply)
A. instruct the parent to keep the child home until the
coughing stage has passed
B. encourage family members to obtain prophylactic
treatment
C. quarantine the children in the child's class
D. recommend the child receive a pneumococcal vac-
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cine in 28 days
E. check the immunizations of the child's classmates
7. a nurse is caring for a 50-year-old client who has DM, B.
recently lost his job, and has no health insurance. The low income, no insurance
nurse should advise the client to do which of the fol-
lowing?
A. contact medicare to determine eligibility
B. contact medicaid to determine eligibility
C. go to the ER when services are needed
D. go to the public health department when services
are needed
8. a home health nurse is orienting a newly licensed D
nurse who is drawing blood from a client for laboratory oral-fecal route
testing and gets stuck by a used needle. Which of
the following statements by the newly licensed nurse
indicates a need for further teaching?
A. the client will be tested for HIV
B. the client will be tested for hepatitis B virus
C. the client will be tested for hepatitis C virus
D. the client will be tested for hepatitis A virus
9. a clinic nurse manager is developing an education A
program on TB skin testing. The nurse should include C
that which of the following can cause a false-negative D
result?
A. advanced HIV or AIDS
B. Bacilli CAlmette-Gue'rin (BCG) vaccination
C. time between exposure and screening
D. age of the client
E. recent abuse of IV substances