Practice Exam Questions With Correct
Answers
1. A 12-year-old female is seen by the school nurse after recently experiencing
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increasing difficulty sitting and paying attention in class, and increasingly illegible
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handwriting. The nurse observes that the child has protruding eyeballs and a
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staring expression. What action should the nurse take next?
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Refer the child for psychologic evaluation due to attention deficit disorder.
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Call the child's parents for an immediate medical exam
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Gather additional data by taking a health history and measuring vital signs
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Collaborate w/ the teacher to place the child on a behavior modification program.
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- CORRECT ANSWER✔✔-Gather additional data by taking a health history and
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measuring vital signs | |
Based on the available data, the child may have hyperthyroidism (Grave's
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Disease). The nurse should gather additional date (C) that may help confirm this
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suspicion. (A or D) are premature actions at this time. Once additional data are
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collected, a call to the parents is warranted (B).
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2. When asked to help develop interventions to combat obesity among children,
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the community health nurse should stress the importance of implementing which
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activity?
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,Set goals that are focused on developing healthier lifestyles
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Develop strict diet plans for school-aged children
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Provide diet classes for obese children during school hours.
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Require all children to participate in organized team sports - CORRECT
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ANSWER✔✔-Set goals that are focused on developing healthier lifestyles | | | | | | | |
Setting goals focused on healthy lifestyles that include good nutrition, healthy
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food choices, and regular physical (A) is helpful in managed childhood obesity. B
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is not appropriate for school-aged children. The focus should be on increasing
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activity and making healthier food choices. C may make the children more self-
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conscious about their weight. Physical activities should be geared to things that
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will promote lifetime activities, not (D), which might not appeal to all children.
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3. A terrorist attack has occurred and several people have inhaled Ricin. Which
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intervention should the emergency department nurse implement when caring for
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|these clients? |
Administer the antibiotic streptomycin, IV STAT.| | | | | |
Provide all clients w/ the Ricin antidote
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Implement strict respiratory isolation immediately
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Provide supportive nursing care until antitoxin is available - CORRECT
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ANSWER✔✔-Provide supportive nursing care until antitoxin is available | | | | | | |
Production of the Ricin antitoxin involves immunizing sheep with inactive ricin,
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which results in the production of antibodies that are harvested to produce a
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freeze-dried product for reconstitution and injection for victims exposed to Ricin
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poisoning. Although the antitoxin is ready to be manufactured, full licensing is
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, likely in 5 yars (2014). There is no known cure or treatment for Ricin exposure so
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supportive care (D) should be provided until the antitoxin is available. (A) may be
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administered for secondary infections but is not a treatment for Ricin exposure.
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(B) does not exist at this time. Ricin does not have person-to-person transmission,
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|so (C) is not necessary.
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4. A young woman tells the public health nurse that a friend was recently
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diagnosed with Hepatitis B and she is concerned about getting the disease.
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During the assessment interview, which question is most important for the nurse
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to ask this woman?
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Did you drink after or use any utensils that your friend used?
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Have you noticed any yellowish tinge to the whites of your eyes?
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Have you shared any needles or had sex with your friend?
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How long ago was your friend diagnosed with Hepatitis B? - CORRECT
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ANSWER✔✔-"Have you shared any needles or had sex with your friend?" | | | | | | | | | |
Hepatitis B is transmitted by sharing needles or unprotected sex, so (C) is the
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most important question for the nurse to ask this young woman. Hepatitis A is
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transmitted by (A). The incubation period for Hepatitis B is 75 days, so (B & D) are
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not priority questions at this time.
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5. Which example should the nurse identify as a significant outcome for the
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Leading Health indicators of Healthy People 2020?
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A community has adopted a no smoking policy
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A rural community has a public transportation system
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