NR 442 Community Health Nursing Exam 2: Complete
Study Set with 100% correct answers & Rationales
(Graded A+)"NR 442 Community Health Nursing
SECTION 1: DISASTER NURSING & MANAGEMENT
1. A community health nurse suspects an outbreak of scabies in the local area.
Which of the following actions should the nurse take first?
• A. Institute prophylactic treatment
• B. Educate the community about disease transmission
• C. Determine the incidence rate
• D. Discuss treatment plans with clients' families
☑ correct answers: C. Determine the incidence rate
Rationale: The first action the nurse should take when using the nursing process
is to determine the number of new cases of scabies in the community (incidence
rate) .
2. What are the three types of disasters? (Select all that apply)
• A. Natural
• B. Technological
• C. Man-made
• D. Financial
, • E. Combination
☑ correct answerss: A, C, E
Rationale: The three types of disasters are natural (tornado, earthquake,
hurricane), man-made (plane crash, terrorism, toxic spill), and combination—a
natural disaster that creates or results in a widespread technological problem .
3. A public 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 traveling to mosquito-
infested countries
• B. Administering antibiotics to a client who has AIDS and was diagnosed
with Pneumocystis jiroveci
• C. Performing serological screening for HIV for a client who is pregnant
• D. Participating in partner notification for a client who has an STI
☑ correct answers: B. Administering antibiotics to a client who has AIDS
and was diagnosed with Pneumocystis jiroveci
Rationale: Tertiary prevention involves reducing complications of illness.
Administering antibiotics to a client with an active infection (Pneumocystis
jiroveci) is tertiary prevention .
4. Match the following bioterrorism agents to their CDC Category:
,Agent Category
Smallpox, Anthrax, Ebola Category ___
Typhus, Ricin toxin, West Nile virus Category ___
Influenza, TB, Rabies Category ___
Answers: Category A (smallpox, anthrax, Ebola); Category B (Typhus, ricin toxin,
West Nile virus, E. coli); Category C (influenza, TB, rabies)
5. Which of the following are components of a basic disaster supply kit? (Select
all that apply)
• A. Important papers
• B. Antiseptics
• C. Non-perishable food
• D. Only water
• E. Clothing
☑ correct answerss: A, B, C, E
Rationale: A basic disaster supply kit (Bug Out Bag) should include important
papers, antiseptics, food, clothing, water, and other essentials .
, 6. A nurse is preparing an educational program about influenza for a group of
community health nurses. Which activity should the nurse include as an
example of tertiary prevention?
• A. Offer classes to elementary school teachers about handwashing
• B. Provide information to occupational nurses about reasons employees
should not come to work when sick
• C. Administer antiviral medications within 48 hours to clients who have
manifestations of influenza
• D. Provide immunizations at long-term care facilities
☑ correct answers: C. Administer antiviral medications within 48 hours
to clients who have manifestations of influenza
Rationale: Tertiary prevention involves reducing complications of illness.
Administering antiviral medications to clients who already have influenza is
tertiary prevention .
SECTION 2: HOME HEALTH NURSING & HOSPICE
7. A home health nurse is scheduling client visits for the day. Which client
should the nurse plan to visit first?
• A. A client who is 10 days postoperative following a mastectomy needing
surgical staple removal
• B. A client who has diabetes mellitus and reports new erythema to the left
foot
Study Set with 100% correct answers & Rationales
(Graded A+)"NR 442 Community Health Nursing
SECTION 1: DISASTER NURSING & MANAGEMENT
1. A community health nurse suspects an outbreak of scabies in the local area.
Which of the following actions should the nurse take first?
• A. Institute prophylactic treatment
• B. Educate the community about disease transmission
• C. Determine the incidence rate
• D. Discuss treatment plans with clients' families
☑ correct answers: C. Determine the incidence rate
Rationale: The first action the nurse should take when using the nursing process
is to determine the number of new cases of scabies in the community (incidence
rate) .
2. What are the three types of disasters? (Select all that apply)
• A. Natural
• B. Technological
• C. Man-made
• D. Financial
, • E. Combination
☑ correct answerss: A, C, E
Rationale: The three types of disasters are natural (tornado, earthquake,
hurricane), man-made (plane crash, terrorism, toxic spill), and combination—a
natural disaster that creates or results in a widespread technological problem .
3. A public 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 traveling to mosquito-
infested countries
• B. Administering antibiotics to a client who has AIDS and was diagnosed
with Pneumocystis jiroveci
• C. Performing serological screening for HIV for a client who is pregnant
• D. Participating in partner notification for a client who has an STI
☑ correct answers: B. Administering antibiotics to a client who has AIDS
and was diagnosed with Pneumocystis jiroveci
Rationale: Tertiary prevention involves reducing complications of illness.
Administering antibiotics to a client with an active infection (Pneumocystis
jiroveci) is tertiary prevention .
4. Match the following bioterrorism agents to their CDC Category:
,Agent Category
Smallpox, Anthrax, Ebola Category ___
Typhus, Ricin toxin, West Nile virus Category ___
Influenza, TB, Rabies Category ___
Answers: Category A (smallpox, anthrax, Ebola); Category B (Typhus, ricin toxin,
West Nile virus, E. coli); Category C (influenza, TB, rabies)
5. Which of the following are components of a basic disaster supply kit? (Select
all that apply)
• A. Important papers
• B. Antiseptics
• C. Non-perishable food
• D. Only water
• E. Clothing
☑ correct answerss: A, B, C, E
Rationale: A basic disaster supply kit (Bug Out Bag) should include important
papers, antiseptics, food, clothing, water, and other essentials .
, 6. A nurse is preparing an educational program about influenza for a group of
community health nurses. Which activity should the nurse include as an
example of tertiary prevention?
• A. Offer classes to elementary school teachers about handwashing
• B. Provide information to occupational nurses about reasons employees
should not come to work when sick
• C. Administer antiviral medications within 48 hours to clients who have
manifestations of influenza
• D. Provide immunizations at long-term care facilities
☑ correct answers: C. Administer antiviral medications within 48 hours
to clients who have manifestations of influenza
Rationale: Tertiary prevention involves reducing complications of illness.
Administering antiviral medications to clients who already have influenza is
tertiary prevention .
SECTION 2: HOME HEALTH NURSING & HOSPICE
7. A home health nurse is scheduling client visits for the day. Which client
should the nurse plan to visit first?
• A. A client who is 10 days postoperative following a mastectomy needing
surgical staple removal
• B. A client who has diabetes mellitus and reports new erythema to the left
foot
