NUR 206 / NUR206 HESI – Community Nursing Concepts V1 (Latest 2026/2027 Update) | Fortis College | Verified Questions & Answers | 100% Correct Solutions | Grade A

NUR 206 / NUR206 HESI – Community Nursing Concepts V1 (Latest 2026/2027 Update) | Fortis College | Verified Questions & Answers | 100% Correct Solutions | Grade A During a two-week postoperative follow-up home visit, a female client who had gastric bypass surgery exhibits abdominal tenderness, shoulder pain, and describes feelings of malaise. Her vital signs are: temperature 101.8°F, blood pressure 100/50, heart rate 104 beats/minute, and respirations 18 breaths/minute. Which action should the nurse take? a. Determine the client's current oxygen saturation rate. b. Instruct the client to drive to the hospital for admission c. Recheck the client's vital signs in 30 minutes d. Have the client transported via ambulance to the hospital d. Have the client transported via ambulance to the hospital An older man has become increasingly forgetful, frequently eats large quantities of food from refrigerator, and cannot remember when he takes his medications. He has limited mobility to weight-related osteoarthritis in both knees. When assisting the client's wife with a care plan for the home, which interventions should the nurse suggest? (Select all that apply.) a. Request a referral for motorized wheelchair to assist with mobility. b. Keep a variety of fresh fruits and vegetables that are easily accessible. c. Put medications into a container that organized the pills by the day and time. d. Encourage participation in televised exercise classes to help strengthen muscles. e. Post a sign on refrigerator reminding the client not to eat between meals. b. Keep a variety of fresh fruits and vegetables that are easily accessible. c. Put medications into a container that organized the pills by the day and time. d. Encourage participation in televised exercise classes to help strengthen muscles. The school nurse is assessing heights, weights, and body mass indexed (BMI) of the students who are entering high school. Because a majority of the students are found to be overweight, the nurse plans to develop a program that addresses obesity in this age population. Before initiating this program, what additional information is most important for the nurse to obtain? a. The history of obesity education in the community b. The level of parental concern regarding childhood obesity c. The demographic data for the student population d. An activity report from the physical education department a. The history of obesity education in the community The epidemiological triad can be used to frame strategies for the prevention of farm machinery injuries. Which action should the nurse take to focus on the agent? a. Teach farm workers not to smoke around farm equipment b. Work with legislators to mandate safe tractor design c. Translate written vehicle instructions into picture format d. Provide rehabilitation services to injured farm hands b. Work with legislators to mandate safe tractor design The public health nurse is creating a plan to increase state funding for a local health clinic. Which strategy is likely to be most effective in obtaining funding for the clinic? a. Run the health clinic economically and advertise the services the clinic provides b. Organize concerned citizens to write letters and telephone state representatives c. Described to the media the valuable services provided by the community clinic d. Engage a professional lobbyist to persuade Congress of the local clinic's value d. Engage a professional lobbyist to persuade Congress of the local clinic's value The nurse is documenting the medical history of a young adult male client who was recently diagnosed with Type 1 diabetes mellitus (DM). He smokes 2 packs of cigarettes daily and his father died of a heart attack at the age of 45. Which annual screening is most important for the nurse include? a. Peripheral neuropathy b. Renal insufficiency c. Retinography d. Hyperlipidemia d. Hyperlipidemia The nurse provides teaching to a group of evacuees in a mass casualty center after a natural flooding disaster. Which information should the nurse including in the teaching plan? (Select all that apply.) a. Wash all fruits and vegetables thoroughly in running tap water. b. Identify all sexual contacts since the evacuation process c. Take all doses of prophylactic prescriptions for diarrhea d. Clean hands using soap, clean water, or waterless antibacterial solutions e. Drink only boiled water or bottled oral rehydration solutions c. Take all doses of prophylactic prescriptions for diarrhea d. Clean hands using soap, clean water, or waterless antibacterial solutions e. Drink only boiled water or bottled oral rehydration solutions A nurse is planning a nutrition class for a group of senior citizens at a community center and wants to emphasize the amount and types of fat in some foods versus others. What is the best teaching method for the nurse to use? a. Display posters with foods and tell seniors about fat content b. Determine foods most often eaten by this group and discuss the nutritional panel of each product c. Show a movie about cooking with foods that are low in fat but delicious d. Ask each senior to bring a food for others to taste, then estimate the fat contained in these foods b. Determine foods most often eaten by this group and discuss the nutritional panel of each product An adult male who has diabetes is laid off from his job of 15 years where he had health care benefits. By law, he is provided with Consolidated Omnibus Budget Reconciliation Act (COBRA) benefits. What is likely to be his greatest concern in planning for his health care during the next year? a. Paying for his health care b. Obtaining quality medical care c. Selecting a primary care provider d. Having required lab work completed a. Paying for his health care A prescription for discharge is written for an elderly female client who has asked to be discharged to her home. The client lives alone and is able to walk 10 to 15 feet with assistance. What action should the nurse implement first? a. Review the home medication schedule with the client and family b. Arrange for a bedside commode to be delivered to the home c. Meet with the case manager to plan a home safety evaluation d. Provide the client with information about medical alert devices c. Meet with the case manager to plan a home safety evaluation The nurse at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, it is most important for the nurse to obtain which information as a part of a community assessment? a. Availability of fresh water for washing hands after work b. Air pollution levels in the surrounding community c. Number of hours of worker's exposure to direct sunlight d. Percentage of poisonous plants in the work fields a. Availability of fresh water for washing hands after work A teenage boy with a history of recurring atopic dermatitis (eczema) tells the school nurse that he wants to play high school football. Which action should the nurse take? a. Encourage the teenager to join the swim team instead of the football team b. Notify the parents of problems associated with perspiration for those with eczema c. Tell the teenager to shower with a non-perfumed soaps immediately after practice d. Inform the football coach of the teenager's skin condition and its manifestations. c. Tell the teenager to shower with a non-perfumed soaps immediately after practice The wife of an older adult man who has had diabetes mellitus for the past 10 years reports to the home health nurse that her husband fell yesterday while taking his daily walk in the neighborhood. He has a bruised hand and a small abrasion on his left knee. The nurse assess that his neurologic vital signs are stable. To reduce risk for future falls, which assessment is most important for the nurse to obtain? a. Current blood sugar level b. Degree of paresthesia in feet c. Wound healing of knee abrasion d. A1c glycosylated hemoglobin b. Degree of paresthesia in feet The home health nurse visits a young male client with AIDS who has Kaposi's sarcoma and peripheral neuropathies. His parents, who are the care-takers, tell the nurse that their son sleeps most of the times. The nurse assess that the client is semi-conscious with stable vital signs, cries out in pain when turned or moved, has a Duragesic pain patch in place, and skin lesions that are closed and dried. Which intervention should the nurse implement? a. Remove the Duragesic patch as directed by prescription b. Give a complete bed bath to further assess the client c. Discuss end-of-life decisions with the client's parents d. Call for ambulance transportation to the hospital immediately c. Discuss end-of-life decisions with the client's parents An assessment conducted last year of the health needs of children who attended a middle school indicated that bicycle injuries were a priority problem, so the nurse developed a bicycle safety program. Six weeks after completion of the program, a survey was sent to parents and students. Which finding is the best indicator that the program was effective? a. The number of students wearing bicycle helmets increased by 10% b. 50% of the parents reported that their children are aware of bicycle safety c. The number of students riding bicycles to school increased by 25% d. 80% of the parents identified the need for an annual bicycle safety program a. The number of students wearing bicycle helmets increased by 10% The nurse is planning a series of health screening programs for elderly African- Americans. Which health problem should the nurse target for this population? a. Peripheral vascular disease b. Sickle cell anemia c. Decreased visual acuity d. High blood pressure d. High blood pressure The nurse is serving on a medical center committee to update goals and protocols based on current national standards. Which goal most directly addresses the Healthy People 2020 initiative? a. Decrease incidence of professional boundary violations b. Reduce emergency room wait times for indigent clients c. Encourage the use of the 5 rights of delegation d. Standardize communication for shift-to-shift report b. Reduce emergency room wait times for indigent clients A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin skin test was prescribed by the healthcare provider. What intervention is most important for the nurse to implement prior to discharge? a. Identify how the client will follow-up to have the results read. b. Give the client written information about the tuberculosis test c. Determine if the client understands the purpose of the tuberculin test d. Explain to the client results should be read between 48 and 72 hours a. Identify how the client will follow-up to have the results read. A Hispanic mother insists on using special candles to treat her child's ear infection. The nurse should demonstrate cultural accommodation by making which request? a. Use the prescribed antibiotics and if there is no improvement, use the candles b. Give the prescribed antibiotics in addition to using the candles. c. Do not use the candles because of the risk of fire and subsequent burns to the child. d. Provide the prescribed antibiotics instead of using the candles b. Give the prescribed antibiotics in addition to using the candles. The nurse is making a home visit to female client with end stage heart disease. She has a living will and states that she refuses to ever go back to a hospital. During the visit, the nurse notes that the client is pale and short of breath while speaking. The nurse discovers 3+ pitting edema in both ankles and bilateral pulmonary crackles. Which intervention should the nurse implement first? a. Explain the need for hospitalization b. Obtain a peripheral oxygen saturation level c. Elevate her feet above the level of her heart d. Apply 2L of oxygen per nasal cannula b. Obtain a peripheral oxygen saturation level The nurse must delegate some aspects of a homebound client's care to a home health aide. Which intervention should the nurse delegate to the home health aide? a. Evaluate a pressure sore b. Apply a prosthetic device c. Perform a sterile dressing change d. Assess the client's need for an elevated toilet seat b. Apply a prosthetic device After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program? a. Measure the prevalence of pediculosis capitis among the children after four months b. Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition. c. Conduct an initial examination of each child in the school to obtain baseline data d. Evaluate the teachers' ability to identify pediculosis capitis 2 months after initiation of the program a. Measure the prevalence of pediculosis capitis among the children after four months The nurse is conducting routine assessments of clients at an ambulatory clinic. Which assessment warrants immediate interventions by the nurse? a. Hepatovax B was prescribed for a client who is allergic to yeast b. An INR of 2 was obtained for a client taking warfarin (Coumadin) c. HIV screening was requested by a client having unprotected sex with two individuals d. Nafcillin (Unipen) was taken for ten days by a client whose infected wound is healing a. Hepatovax B was prescribed for a client who is allergic to yeast During a home visit, a client tells a home health nurse that he was recently diagnosed with viral conjunctivitis. The client reports eye pain and swelling. What instructions should the nurse provide? a. Avoid straining or sneezing b. Apply a cool compress c. Keep the room well lighted d. Drink plenty of fluids b. Apply a cool compress To promote heart healthy eating during a school fair, the nurse presents information about a "Mediterranean-based" approach to eating. To assess learning, the nurse sponsors a contest and asks the children to create a rhyme that shows food that should be limited. Which selection should the nurse choose as the winner of the contest? a. Fish on a dish b. Meats and sweets c. Greens and beans d. Berries and cherries b. Meats and sweets The public health nurse is called to investigate a report of several cases of chickenpox (varicella virus) at a day care center. The day care worker states that five children have been sent home over the past two weeks with fever and itchy blisters. Which intervention should the nurse implement first? a. Confirm the number of children with symptoms b. Determine how many people have been exposed c. Report the presence of a viral endemic at the day care center d. Validate that the children sent home did develop chickenpox d. Validate that the children sent home did develop chickenpox Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.) a. A 7-year-old who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness b. A 12-year-old with history of asthma who is wheezing and complaining of shortness of breath. c. A 5-year-old who is crying uncontrollably because of an incontinent bowel episode. d. A 10-year-old with bleeding lacerations on both knees after falling in gym class. b. A 12-year-old with history of asthma who is wheezing and complaining of shortness of breath. a. A 7-year-old who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness d. A 10-year-old with bleeding lacerations on both knees after falling in gym class. c. A 5-year-old who is crying uncontrollably because of an incontinent bowel episode. The parish nurse notes that an elderly male client has had a 5 pound weight loss since his check up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client? a. The Adult Day Care Center b. The Senior Citizen Center c. The Women, Infant, and Children office d. The Social Security Administration office b. The Senior Citizen Center While presenting a workshop titled, "Improving Access to Health Services" to community leaders, the community health nurse is asked by a city council member to explain the reason for addressing this issue. Which statement provides the best response? a. The committee for "Healthy People 2020" has identified "access" as a national goal b. The Institute of Medicine includes "access" as one of its priority recommendations. c. The Community Health Improvement Process is used for issues in high risk populations. d. The Center for Disease Control has identified this problem as a variable in morbidity a. The committee for "Healthy People 2020" has identified "access" as a national goal The school nurse is assessing a group of middle school students for signs of scoliosis and discovers a female student with a noticeable unequal symmetry of the upper and lower back. Which intervention is most important for the nurse to implement? a. Make a referral to have the scoliosis further evaluated b. Ask the student about her ability to participate in sports c. Measure the degree of the thoracic and lumbar curvature d. Review student's health record for a recent growth spurt a. Make a referral to have the scoliosis further evaluated A newly hired school nurse conducts a "windshield" survey of the geographic area served by the school. Which method is best for the nurse to use to objectively validate the findings obtained? a. Obtain mortality data for the geographic area b. Talk with teachers about their concerns for the students c. Discuss with the PTA board their perception of school events d. Review the previous school nurse's anecdotal documents. d. Review the previous school nurse's anecdotal documents. The local health department needs to prioritize the distribution of influenza vaccinations due to a limited supply. In determining which individuals should receive the limited available vaccine, which person should the public health nurse ask to return to the clinic later when more vaccine is available? a. A 60-year-old with diabetes and agoraphobia b. An 80-year-old resident in an Alzheimer's unit c. A 65-year-old aide working in a nursing home. d. An 8-year-old girl with poorly-controlled asthma a. A 60-year-old with diabetes and agoraphobia A nurse designs a series of four weekly classes for client with Type 2 diabetes. Which information should the nurse use as an outcome evaluation for the classes? a. Parking convenience for attendees continued to be a major concern b. Demonstrating by the use of a blood glucose meter was an effective teaching strategy c. Fasting blood glucose average readings were 20% lower at the end of the classes d. Discussion of food exchanges and calories was a well attended class c. Fasting blood glucose average readings were 20% lower at the end of the classes On a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse take first? a. Complete a physical and mental exam of the client b. Call Adult Protective Services to obtain emergency nursing home placement. c. Seek the family's assistance in caring for the client d. Call the client's pharmacy to determine what medications she is taking a. Complete a physical and mental exam of the client The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. What action should the nurse take first to intervene with this health problem? a. Join a political action group that focuses attention on the issue in the local news media b. Partner with a local children's hospital in setting up free "shot" clinics in the neighborhood c. Review current epidemiological population data that might document a low immunization rate d. Call a meeting of citizens to inform them of the important of having their children immunized c. Review current epidemiological population data that might document a low immunization rate An older adult male with a history of type 2 diabetes mellitus (DM2) is seen in the community health clinic for an annual physical examination. Which nursing action should be included in assessing for long-term complications of diabetes? (Select all that apply.) a. Obtain venous sample for liver enzymes b. Obtain urine specimen to assess for albumin c. Test lower extremities for changes in sensation d. Auscultate for adventitious breath sounds e. Palpate pedal pulses and foot temperatures c. Test lower extremities for changes in sensation e. Palpate pedal pulses and foot temperatures A nurse identifies the clinic receptionist as having the role of gatekeeper for the clinic. What statement by the receptionist is indicative of a gatekeeper in a community setting? a. "You may talk with the RN if you need information about how clients purchase car seats." b. "Over 85% of the clients treated at this clinic are women of Hispanic of Asian heritage." c. "The clinic standards are determined by those set forth by American Academy of Obstetrics." d. "Monthly, we see more than 200 women for prenatal visits and venereal disease for treatment." a. "You may talk with the RN if you need information about how clients purchase car seats." The nurse is developing a health class curriculum for students aged 11 through 14. Which content topic is most important for the nurse to emphasize in the curriculum for these students? a. Reduction of risk-taking behaviors b. Promotion of healthy dietary habits c. Participation in physical exercise d. Recognition of personal identity a. Reduction of risk-taking behaviors A client is admitted to the emergency department with flu-like symptoms. Which intervention should the nurse to obtain to rule out exposure to anthrax-spores? a. Determine the client's occupation b. Inquire about previous vaccination for smallpox. c. Obtain a twenty-four diet history d. Identify the client's personal contacts over the past week a. Determine the client's occupation A male migrant farm worker who lives in a mobile home with several other workers visits the Migrant Health Care Center. He reports increasing episodes of dizziness, headaches, abdominal cramps, and difficulty breathing. What nursing action has the highest priority? a. Ask about the length of his workday and frequency of rest breaks b. Gather information about the client's recent exposure to pesticides c. Determine the number and age of persons living in the mobile home d. Obtain a blood sample to assess for possible lead pain exposure b. Gather information about the client's recent exposure to pesticides A nurse has started a group for senior citizens in a church setting. The group decides that their first project will be to begin a program for home-bound members. Which program outcome is the best measure of the project's effectiveness? a. Average annual income for the home bound members b. Number of home-bound seniors who are visited c. Calls received showing interest in the program d. Number of church members who are over 65 b. Number of home-bound seniors who are visited During a visit to the community health clinic, a 45-year-old native American female, who has a body mass index (BMI) of 35, complains of changes in her vision. Which condition is most important for the nurse to be aware of based on family history? a. Alcoholism b. Tuberculosis c. Cataracts d. Diabetes mellitus d. Diabetes mellitus One hundred families in a community refuse to have their children immunized because of religious beliefs. When one documented case of whooping cough occurs within this aggregate, which intervention should the nurse implement? a. Quarantine the one hundred family aggregate b. Immunize all members of the one hundred families c. Quarantine all family members of the child with whooping cough d. Immunize all children under age 5 in the one hundred family aggregate c. Quarantine all family members of the child with whooping cough A 93-year-old client with a number of co-morbidities is assessed by the home health nurse. What problem is most important for the nurse to investigate further? a. Social isolation b. Medication interactions c. Urinary incontinences d. Caregiver stress b. Medication interactions Which interventions should the nurse implement to help prevent a client from getting a vector born infectious disease? a. Encourage the client to get immunizations prior to international travel. b. Discuss the importance of wearing insect repellent when camping c. Instruct the client to drink only bottled water when traveling abroad d. Demonstrate the correct way to remove ticks imbedded in the skin b. Discuss the importance of wearing insect repellent when camping A home health nurse is reviewing the laboratory results for several clients with a history of heart failure (HF). Which client finding should the nurse report to the healthcare provider immediately? a. Total cholesterol 190 mg/dl. b. B-type natriuretic peptide 550 pg/ml. c. Glycosylated Hemoglobin of 7% d. Potassium 3.7 mEq/L b. B-type natriuretic peptide 550 pg/ml. The community health nurse who works in a town that has a large chemical plant is concerned about the occurrence of a natural disaster related to chemical exposure. Which action is most important for the nurse to take? a. Evaluate company safety procedures for prevention of chemical exposures b. Elicit the company's participation in a disaster preparedness program. c. Determine the antidotes for the chemicals produced by the company d. Inform employees of their potential risk for a chemical exposure incident. b. Elicit the company's participation in a disaster preparedness program. A community group proposes building a new well-child clinic because this year's demographics reflect that a large percentage of the population is less than 19 years of age. Which question indicates that the nurse understands the potential gaps in these data? a. What is the distribution of males to females within this population? b. What percentage of the population was under 19 years of age in each of the 5 previous years? c. How will the large percentage of under 19-year-olds affect the community's dependency ration? d. How can the income level of the families within the community be determined? b. What percentage of the population was under 19 years of age in each of the 5 previous years? During a community health screening fair for older adults, the nurse observes that a woman has pale, bluish feet. With sores on both lower extremities that are healing poorly. Which intervention should the nurse implement? a. Create a list of foods that promote wound healing. b. Send client to the emergency room for treatment. c. Refer to healthcare provider for complete evaluation d. Instruct client to apply antibiotic ointment to sores c. Refer to healthcare provider for complete evaluation The nurse caring for a 62-year-old African-American male client arranges a time for the client's wife, 80-year-old mother, three children, and sister to meet with the healthcare provider to discuss the client's medical condition. Which cultural variation is the nurse including when providing care for this client? a. Social spacing b. Cultural repatterning c. Social organization d. Environmental control c. Social organization The RN care-manager at the public department is making a home visit to a client with four children under the age of 6. The client is a single mother and the family is living below poverty level. Which intervention should the nurse include as a primary level prevention measure? a. Enroll the client in the Women, Infant, and Children program b. Counsel the client on available birth control methods c. Provide the client with a listing for local healthcare providers. d. Provide the client with the local bus schedule. a. Enroll the client in the Women, Infant, and Children program A 12-year-old female is seen by the school nurse after recently experiencing increasing difficulty sitting and paying attention in class, and increasingly illegible handwriting. The nurse observes that the child has protruding eyeballs and a staring expression. What action should the nurse take next? a. Refer the child for psychologic evaluation due to attention deficit disorder. b. Call the child's parents to schedule the child for an immediate medical exam. c. Gather additional data by taking a health history and measuring vital signs d. Collaborate with the teacher to place the child on a behavior modification program. c. Gather additional data by taking a health history and measuring vital signs When asked to help develop interventions to combat obesity among children, the community health nurse should stress the importance of implementing which activity? a. Set goals that are focused on developing healthier lifestyles. b. Develop strict diet plans for school-aged children. c. Provide diet classes for the obese children during school hours. d. Require all children to participate in organized team sports. a. Set goals that are focused on developing healthier lifestyles. A terrorist attack has occurred and several people have inhaled Ricin. Which intervention should the emergency department nurse implement when caring for these clients? a. Administer the antibiotic streptomycin, IV STAT. b. Provide all clients with the Ricin antidote. c. Implement strict respiratory isolation immediately. d. Provide supportive nursing care until antitoxin is available. d. Provide supportive nursing care until antitoxin is available. A young woman tells the public health nurse that a friend was recently diagnosed with Hepatitis B and she is concerned about getting the disease. During the assessment interview, which question is most important for the nurse to ask this woman? a. Did you drink after or use any utensils that your friend used? b. Have you noticed any yellowish tinge to the whites of your eyes? c. Have you shared any needles or had sex with your friend? d. How long ago was your friend diagnosed with Hepatitis B? c. Have you shared any needles or had sex with your friend? Which example should the nurse identify as a significant outcome for the Leading Health indicators of Healthy People 2020? a. A community has adopted a no smoking policy. b. A rural community has a public transportation system. c. The high school drop out rate has decreased by 15%. d. A county has decreased their divorce rate by 10% a. A community has adopted a no smoking policy. Which intervention should the public health nurse implement when attempting to address one of the leading health indicators of Healthy People 2020? a. Lead a weekly water aerobics class for the elderly at a community center. b. Teach a class on cultural awareness to nursing students at the university. c. Design and implement a no smoking campaign at the local high school. d. Write a grant to help provide glucometers to individuals who cannot afford one. c. Design and implement a no smoking campaign at the local high school. Lillian Wald was a significant person in the history of American Nursing. Which contributions can be attributed to her? (Select all) a. Development of public health nursing practice. b. First nursing service for occupational health. c. Campaigned for laws to require registration for nurses. d. Established committee that was the forerunner of the NLN. e. Instituted a sliding scale fee for service. a. Development of public health nursing practice. b. First nursing service for occupational health. d. Established committee that was the forerunner of the NLN. e. Instituted a sliding scale fee for service. A male client is brought to the emergency department as the result of a motorcycle accident. He was not wearing a helmet at the time of the accident, and states that he has no intention of ever wearing one. Within the framework of the Transtheoretical Model (TTM), which response should the nurse provide? a. Wearing a helmet or not is certainly an individual decision. b. You should seriously consider wearing a helmet. c. Riding a motorcycle with a helmet increases your safety. d. I really think you don't have the facts about helmet use a. Wearing a helmet or not is certainly an individual decision. After accepting the position of school nurse in a public elementary school, what strategy is best for the nurse to use to obtain an overview of the student body? a. Review all of the health records of the students presently registered for classes. b. Talk with the current officers of the parent-teacher association. c. Send home a survey form to parents of third grade students. d. Conduct a windshield survey of the geographic areas served by the school d. Conduct a windshield survey of the geographic areas served by the school A nurse organizes a community action group to help resolve health problems in a low income neighborhood with a large population of recent immigrants from Africa. What problem should the nurse address first? a. High rate of unemployment. b. Low immunization rate of children. c. Provision of substandard health care. d. Access to bilingual care providers. b. Low immunization rate of children. The nurse is preparing to discharge an elderly, recently widowed female client following a mild stroke. At this time she is able to walk with the aid of a walker. As part of the discharge planning, what referral is most important for the nurse to make? a. Pastoral care. b. Meals-on-Wheels c. Grief support group. d. Physical therapy. b. Meals-on-Wheels The nurse is designing a bioterrorism plan for a community. Which agents are transmitted person to person via respiratory or inhalation exposure? (Select all) a. Ricin. b. Pneumonic plague. c. Anthrax. d. Botulism. e. Smallpox. f. Brucellosis. b. Pneumonic plague. e. Smallpox. An occupational health nurse is reviewing a 20-year-old trend in the United States that has resulted in an increase in certain medical conditions due to the rapid expansion of an urban industrial workforce. Which medical conditions are specifically identified with this trend? a. Asthma. b. Alcoholism. c. Lung cancer. d. Lead poisoning. e. West Nile virus infection. f. Hepatitis B virus infection. a. Asthma. c. Lung cancer. Which presentation of an infectious disease is acquired through an indirect transmission? a. Syphilis contracted from a sexual partner. b. Measles resulting from a daycare center outbreak. c. Malaria following exposure in a mosquito-infested area. d. Nosocomial influenza spreading rapidly in a long-term center c. Malaria following exposure in a mosquito-infested area. What action is best for the community health nurse to take if the nurse suspects that an infant is being physically abused? Follow agency protocols to report suspected abuse The nursing education coordinator is creating employee orientation materials for staff nurses who plan to work at a clinic that serves a lower socioeconomic neighborhood. What information should the educator include regarding the clinic's client population? (Select all) a. Most of the clients are unemployed or disabled. b. Access to mass transit may be an issue. c. Clients will need reminders to bring insurance cards. d. Basic physiologic needs of this population are often unmet. e. Clients who are homebound will qualify for Medicaid. f. Nonadherence to healthcare recommendations is likely. a. Most of the clients are unemployed or disabled. b. Access to mass transit may be an issue. d. Basic physiologic needs of this population are often unmet. The nurse administers a booster dose of DTaP (diphtheria, tetanus, and pertussis) vaccine to an infant. Which level of prevention is the nurse implementing? a. Primary prevention b. Tertiary prevention c. Secondary prevention d. Primary nursing. a. Primary prevention During an initial clinic visit, the nurse is taking the history for a client who wants to confirm her pregnancy. The client's last child has a history of low-birth-weight (LBW). Which additional finding is most important for the nurse to consider? a. Cigarette smoking. b. African-American ethnicity. c. Poor nutritional status. d. Limited maternal education. b. African-American ethnicity. The home health nurse is planning a visit with a client who has been discharged home after hospitalization. Which action should the nurse implement? a. Avoid creating barriers by wearing a name tag in the home. b. Schedule home visits that take place during the daylight hours. c. Ensure HIPAA laws are observed by avoiding visits with other home care providers. d. Use a duplicate copy of the client's record to provide concurrent services. b. Schedule home visits that take place during the daylight hours. Which topic should the nurse include in planning a primary prevention class for adolescents? a. Risk factors for heart disease. b. Dietary management of obesity. c. Suicide risks and prevention. d. Coping with stressful situations. c. Suicide risks and prevention. The nurse is working in a community clinic that serves a population comprised mainly of migrant families. In planning the use of resources for secondary prevention, which activity should be the priority? a. Skin testing for tuberculosis. b. Glucose monitoring for diabetes. c. Blood work for cardiovascular disease. d. Height and weight for altered nutrition. a. Skin testing for tuberculosis. The nurse is assessing a Vietnamese child during a home health visit and identifies round swellings on the child's back. The child's mother says she rubbed the edge of a coin on her child's oiled skin. The nurse should recognize that this behavior is prompted by which cultural belief? a. The child's behavior was not acceptable. b. The purpose is to rid the body of disease. c. This method is commonly used for discipline. d. Temper tantrums are commonly managed using this method. b. The purpose is to rid the body of disease. Which topic should the nurse include in planning a secondary prevention project for the local retirement community? a. Safety measures in the home. b. Adult immunization program. c. Rehabilitation after surgery. d. Vision and hearing screening d. Vision and hearing screening The nurse is planning a community-based project to reduce obesity in a school-aged population. Which outcome statement best supports the goal for this population? a. Increase in exercise will decrease obesity in children with a sedentary life style. b. Students with a body mass index above the 95 percentile will decrease. c. Within 2 years, students with a body mass index greater than 95% will be reduced by 50%. d. In the target population, 30% of students will be below the 95 percentile in weight c. Within 2 years, students with a body mass index greater than 95% will be reduced by 50%. While discussing the science of nursing, the nurse identifies the domain of nursing theory. Which linkages should the nurse provide to describe nursing's paradigm? a. The person, the environment or situation, and health. b. Stress reduction, self-care, and a systems model. c. Curative care, restorative care, and terminal care. d. Self-actualization, fundamental needs, and belonging. a. The person, the environment or situation, and health. The nurse is developing a plan to provide quality health care for a certain community. Data obtained from which resources should be helpful to the nurse in developing a community healthcare plan for this community? (Select all) a. Census data. b. Risk management data. c. Budgeting process information. d. Available workforce in the community. e. Client-satisfaction surveys. f. Changes in the community's demographic data. a. Census data. b. Risk management data. c. Budgeting process information. e. Client-satisfaction surveys. f. Changes in the community's demographic data. The nurse is teaching a community group about risks of cardiovascular disease. Several clients ask the nurse to determine their risk. Which client should the nurse identify as having the greatest risk for cardiovascular disease? A. A male with a serum cholesterol level of 199 mg/dl. b. A female with a serum cholesterol level of 201 mg/dl. c. A male with a low-density lipoprotein (LDL) level of 200 mg/dl. d. A female with a low-density-lipoprotein (LDL) level of 160 mg/dl. c. A male with a low-density lipoprotein (LDL) level of 200 mg/dl. The multidisciplinary home healthcare team is discussing a female client diagnosed with Parkinson's disease. The home healthcare nurse reports the cient is getting worse and her husband is no longer able to care for her in the home. Which action should the home health nurse implement first? a. Request a chaplain to counsel with the couple. b. Assign a home health care aide to provide care daily. c. Talk to the husband about placing his wife in a nursing home. d. Contact the client's children to discuss the situation. b. Assign a home health care aide to provide care daily. A nurse working in a community health setting is performing primary health screenings. Which individual is at highest risk for contracting an HIV infection? a. A 17-year-old who is sexually active with numerous partners. b. A 45-year-old lesbian who has been sexually active with two partners in the past year. c. A 30-year-old cocaine user who inhales the drug and works in a topless bar. d. A 34-year-old male homosexual who is in a monogamous relationship. a. A 17-year-old who is sexually active with numerous partners. Attendance at a community health clinic is rising and clients have long waits for service. The charge nurse believes that a computer system would be helpful in decreasing the time needed to conduct intake and exit processing. What is the best way for the nurse to introduce the idea of obtaining a computer system for the clinic? a. Ask the medical director to talk to the Board of Directors about obtaining funds to implement a computer system. b. Send a signed letter to the editor of the local newspaper describing the benefits to the community. c. Submit a written proposal to the Board of Directors about hardware and software improvement needs. d. Meet informally with some Board members to enlist their support for the idea of implementing a computer system. c. Submit a written proposal to the Board of Directors about hardware and software improvement needs. The home health nurse is admitting a client with Parkinson's disease to the home healthcare service. In planning care for this client which nursing diagnosis has priority? a. Impaired physical mobility related to muscle rigidity and weakness. b. Ineffective coping related to depression and dysfunction due to disease progression. c. Ineffective breathing pattern related to respiratory muscle weakness. d. Fear related to constant possibility of experiencing seizures. a. Impaired physical mobility related to muscle rigidity and weakness. During a home health visit, a male client reports to the nurse that he felt a solid testicular mass during self-exam, but that is wasn't painful. What instruction should the nurse provide the client? a. Continue to monitor the mass until the next scheduled annual medical exam. b. Notify the healthcare provider if the mass becomes soft, painful, or starts to drain. c. Schedule an appointment with the healthcare provider for prompt evaluation. d. Testicular nodules are of concern only if they feel matted or are not easily movable. c. Schedule an appointment with the healthcare provider for prompt evaluation. A home health nurse knows that a 70-year-old male client who is convalescing at home following a hip replacement, is at risk for developing decubitus ulcers. Which physical characteristic of aging contributes to such a risk? a. 16% increase in overall body fat. b. Reduced melanin production. c. Thinning of the skin with loss of elasticity. d. Calcium loss in the bones. c. Thinning of the skin with loss of elasticity. A college student asks the nurse in the Campus Student Health Center about obtaining medication for motion sickness before a scuba diving trip. What instruction should the nurse give the student regarding the use of prescription-strength scopolamine (Transderm-V)? a. Take the oral preparation 30 minutes before diving. b. Apply the skin patch behind the ear 12 hours before your trip. c. Use the medication at the first feeling of nausea on the boat. d. Apply a new skin patch every 6 hours to the chest or abdomen. b. Apply the skin patch behind the ear 12 hours before your trip. A client presents at a community-based clinic with complaints of shortness of breath, headache, dizziness, and nausea. During the assessment, the nurse learns that the client is a migrant worker who often uses a gasoline-powered pressure washer to clean equipment and farm buildings. Which type of poisoning is the most likely etiology of this client's symptoms? a. Asbestos. b. Silica dust. c. Histoplasmosis. d. Carbon monoxide d. Carbon monoxide The nurse is conducting a process evaluation of a prevention education program for older adults who are risk for substance abuse. Which data source provides the information the nurse needs to conduct this process evaluation? a. client's score on an alcohol screening instrument b. results of a urine drug and alcohol screen c. most recent community census data d. documentation of client education in the nursing record d. documentation of client education in the nursing record A 17-year old unmarried, pregnant client with drug addiction is a high school dropout, homeless, and has a history of past abuse arrives at the clinic for her first prenatal visit. Which findings should the nurse document as health risk factors for the client? (Select all that apply) a. age b. school dropout. c. drug addiction d. history of abuse e. pregnancy f. homelessness g. unmarried a. age c. drug addiction d. history of abuse e. pregnancy f. homelessness The nurse is designing a community health project based on a report provided by the World Health Organization that describes healthcare problems in the United States. Which healthcare issue should the nurse give the highest priority when planning the project? a. overuse of diagnostic technology b. government-based health insurance c. the neonatal and infant mortality rates d. number of people without access to healthcare d. number of people without access to healthcare The nurse working in a community health clinic that serves recent Somali immigrants notes that most mothers refuse to give permission for routine immunizations of their preschoolers. Which individual is likely to have the most influence on these women's perceptions about their children's healthcare needs? a. husbands. b. clinic healthcare provider. c. older females. d. tribal chief d. tribal chief The community health nurse is planning a series of educational courses about the healthcare system and meeting healthcare needs for the community center. Which adjunct issue should the nurse address for a group of older adults? a. peer concerns. b. adult daycare. c. retirement issues d. vocational concerns. c. retirement issues A female adult walks into a local community health clinic and tells the nurse that she is homeless and cannot seem to find help. Which statement indicates to the nurse that a client is feeling separated from society and helpless? a. "I'm feeling really isolated from everyone and scared." b. "I feel like I cannot get enough food to live any longer." c. "I know that I will always be poor so what's the use of trying?" d. "People like me are never respected, no matter how well we do." a. "I'm feeling really isolated from everyone and scared." A community health nurse is planning to implement an outreach program for a community group. Which criteria should the nurse clarify about the program when examining sources for funding? a. focuses on multiple health problems and concerns b. identifies populations and individuals in need of healthcare services c. evaluations variations in health services and health status among populations d. offers healthcare services to community members in local factories, schools, and churches d. offers healthcare services to community members in local factories, schools, and churches The home health care agency can expect to obtain Medicare reimbursement for which home visit performed by a registered nurse or a practical nurse? a. assessment of the speech pattern of a mobile adult who had a mild stroke last year b. safety teaching for an older male client whose wife complains that he uses an unsafe ladder while painting c. wound care for a client who had postoperative infection following abdominal surgery two weeks ago d. evaluation of crutch use by a 65-year old client who broke his tibia while snow skiing c. wound care for a client who had postoperative infection following abdominal surgery two weeks ago The nurse is administering the measles, mumps, rubella (MMR) vaccine to a 12-month old child during the well-baby visit. Which age range should the nurse advise the parents to plan for their child to receive the MMR booster based on the current recommendations and guidelines by the CDC? a. 13-18 years of age b. 11-12 years of age c. 18-24 months of age d. 4-6 years of age d. 4-6 years of age The occupational health nurse is completing a yearly self-evaluation. Which activity should the nurse document as an example of proficient performance criteria in professionalism? a. contributes money to a professional society or organization b. maintains chairmanship of the hospital nursing council c. documents the nursing process in care care management d. develops policy initiatives that impact occupational health and safety b. maintains chairmanship of the hospital nursing council Which factors influence an occupational health nurse's role in the workplace? (Select all that apply) a. skill level b. punctuality c. role perception d. organizational politics e. graduate school program attended f. commitment to the company occupational health and safety program a. skill level c. role perception f. commitment to the company occupational health and safety program What title should be given to this occupational health nurse job description? A registered nurse with expertise in health promotion, illness and injury prevention, risk reduction, and adult learning principles. a. case manager b. health educator c. nurse consultant d. health promotion specialist d. health promotion specialist What title should be given to this occupational health nurse job description? An advanced practice nurse who provides workers with primary care services with an emphasis on the diagnosis and management of common acute illnesses/injuries and stable chronic diseases. a. case manager b. nurse consultant c. clinician nurse practitioner d. health promotion specialist c. clinician nurse practitioner What title should be given to this occupational health nurse job description? A registered nurse who establishes a provider network, recommends treatment plans that assure quality and efficacy while controlling costs, monitors outcomes, and maintains communication among all involved. a. manager b. researcher c. case manager d. health promotion specialist c. case manager What title should be given to this occupational health nurse job description? A registered nurse who functions in a comprehensive executive role to set goals, formulate policy, and direct and evaluate the health service. a. manager b. researcher c. health educator d. health promotion specialist a. manager What title should be given to this occupational health nurse job description? A registered nurse who teaches and prepares nursing students to function as expert clinicians/practitioners, administrators, educators, researchers, or consultants to the work site. a. researcher b. case manager c. health educator d. health promotion specialist c. health educator What title should be given to this occupational health nurse job description? A registered nurse who develops researchable questions, conducts research, and communicates the findings to occupational and environmental health nurses, other peers, and the public. a. manager b. researcher c. clinician/practitioner d. health promotion specialist b. researcher What title should be given to this occupational health nurse job description? A registered professional nurse who has knowledge and experience in nursing and is able to communicate effectively, both orally and in writing, and possesses good administrative, consultative, and listening skills. a. manager b. case manager c. health educator d. nurse consultant d. nurse consultant The nurse-manager is planning to transform safety ideas into prevention and protection strategies in the work place. What committee should review and plan policies and education about safety in the work place? a. policy and procedures committee b. quality assurance committee c. education committee d. ethics committee b. quality assurance committee Several employees who have a 10 year or longer history of smoking ask the occupational nurse for assistance with smoking cessation. The RN develops a 2 month program that includes weekly group sessions on lifestyle changes and use of OTC products. Which measurement provides the best indication of the programs effectiveness? a. Survey employees to determine how many are smoking 2 months after the end of the program b. At the end of the program test the employees knowledge of OTC nicotine substitute products c. Ask the employees to inform the group if they stop smoking and if they start smoking again d. Design a questionnaire that identifies lifestyle changes that contribute to smoking cessation c. Ask the employees to inform the group if they stop smoking and if they start smoking again