RN Community Health Online Practice 2019 B
1. A nurse in a county health department is caring for a client who states, "I've been
drinking too much in the evenings since my friend died last year." Which of the following
responses should the nurse make?
- “Can I give you some information about Alcoholics Anonymous?”
The nurse is giving information to the client, which conveys a sense of caring. This
also allows the nurse to provide additional information on resources that can help the
client.
2. A home health care nurse is teaching a client's family about preventing the transmission
of Clostridium difficile. Which of the following transmission-based precautions should the
nurse include in the teaching?
- Contact precautions
The nurse should instruct the family to implement contact precautions while providing care for a
client who has Clostridium difficile. Contact precautions eliminate the exposure to contaminated
body fluids and items.
3. A community health nurse is working in a mobile health care clinic. Which of the following
clients should the nurse assess first?
- A client who has a new onset of confusion and slurred speech
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
acute changes in mental status and speech might indicate the client is experiencing a neurological
problem that requires immediate intervention. Therefore, the nurse should assess this client first.
4. A nurse is providing education regarding lead exposure to a group of clients who live in a
housing development built in 1968. Which of the following client statements indicates an
understanding of the teaching?
- "I will increase the amount of red meat and milk in my child's diet."
Children should receive adequate amounts of iron and calcium in their diets to prevent lead
absorption from their environment.
5. A public health nurse is lobbying Congress to increase funding for health screenings
provided to migrant farm workers. Which of the following concepts is the nurse
demonstrating?
- Advocacy
This is an example of advocacy. Advocacy is supporting or seeking a specific course of action for
the benefit and on behalf of a person, group, or community.
6. A community health nurse is made aware that several children, who are from the same
family and did not receive immunizations, have contracted measles (a respiratory tract viral
infection commonly found in children. Symptoms start with cough, fever and then the skin
rash shows up). Which of the following actions should the nurse take?
- Report this information to the state health department.
The CDC lists measles as a nationally notifiable disease. Requirements for reporting diseases are
state mandated, rather than federally mandated. Therefore, the nurse should report this
occurrence to the state health department, which then determines if it will report to the CDC.
7. A nurse at a county health clinic is caring for a client who has recently assumed the role of
primary caregiver for their parent. Which of the following client statements indicates that they
are experiencing role conflict?
, - "I feel overwhelmed with not having enough time for my mom as well as my children."
Role conflict occurs when a client performs two or more roles that are in opposition of each other.
Caring for children and a parent can cause feelings of stress for the client and lead to conflict
within the family.
-
8. A nurse is preparing to administer medication to a client who has active tuberculosis.
Which of the following precautionary measures should the nurse take?
- Use an N95 respirator.
A client who has active tuberculosis requires airborne precautions to prevent the spread of droplet
nuclei smaller than 5 microns. The nurse should wear an N95 respirator when administering
medication to prevent transmission of the infection.
9. A nurse in a community center is preparing to administer a tuberculin skin test to multiple
clients to screen for tuberculosis. Which of the following actions should the nurse take?
- Inject 0.1 mL of purified protein derivate.
The nurse should inject 0.1 mL of purified protein derivative to form the wheal.
10. A public health nurse is working in a community that has a population of 24,096. There are
2,096 existing cases of heart disease within the population. The nurse can determine which
of the following from this information?
- Prevalence proportion
The prevalence proportion can be calculated by using the number of people who were affected at
a given time and the total population.
11. A nurse at a county health department is caring for a client who is at 28 weeks of gestation.
The nurse should identify which of the following characteristics as a risk factor for future child
maltreatment?
- The client has changed providers three times during their pregnancy.
Frequently changing health care providers is a risk factor for future child maltreatment because it
can indicate that the client is experiencing partner violence and is attempting to hide it from the
provider. Clients who experience violence are at a higher risk for perpetuating violence against
their own children.
12. 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?
- Demonstrate proper handwashing techniques.
This is an example of primary prevention, the goal of which is to promote health and prevent
diseases from developing.
13. A community health nurse is assigned to lead a county-level environmental task force. Which
of the following activities should the nurse direct the task force to complete first?
- Review community-specific epidemiological data.
The first action the nurse should direct the task force to take when using the nursing process is to
conduct a community assessment, which includes a review of community-specific epidemiological
data. The community assessment will assist the task force in identifying environmental health
concerns within the county.
14. A community health nurse is providing teaching about health promotion to a group of
adolescents. Which of the following topics is the most important for the nurse to include in an
attempt to lower adolescent mortality rates?
- Safety belt use
1. A nurse in a county health department is caring for a client who states, "I've been
drinking too much in the evenings since my friend died last year." Which of the following
responses should the nurse make?
- “Can I give you some information about Alcoholics Anonymous?”
The nurse is giving information to the client, which conveys a sense of caring. This
also allows the nurse to provide additional information on resources that can help the
client.
2. A home health care nurse is teaching a client's family about preventing the transmission
of Clostridium difficile. Which of the following transmission-based precautions should the
nurse include in the teaching?
- Contact precautions
The nurse should instruct the family to implement contact precautions while providing care for a
client who has Clostridium difficile. Contact precautions eliminate the exposure to contaminated
body fluids and items.
3. A community health nurse is working in a mobile health care clinic. Which of the following
clients should the nurse assess first?
- A client who has a new onset of confusion and slurred speech
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
acute changes in mental status and speech might indicate the client is experiencing a neurological
problem that requires immediate intervention. Therefore, the nurse should assess this client first.
4. A nurse is providing education regarding lead exposure to a group of clients who live in a
housing development built in 1968. Which of the following client statements indicates an
understanding of the teaching?
- "I will increase the amount of red meat and milk in my child's diet."
Children should receive adequate amounts of iron and calcium in their diets to prevent lead
absorption from their environment.
5. A public health nurse is lobbying Congress to increase funding for health screenings
provided to migrant farm workers. Which of the following concepts is the nurse
demonstrating?
- Advocacy
This is an example of advocacy. Advocacy is supporting or seeking a specific course of action for
the benefit and on behalf of a person, group, or community.
6. A community health nurse is made aware that several children, who are from the same
family and did not receive immunizations, have contracted measles (a respiratory tract viral
infection commonly found in children. Symptoms start with cough, fever and then the skin
rash shows up). Which of the following actions should the nurse take?
- Report this information to the state health department.
The CDC lists measles as a nationally notifiable disease. Requirements for reporting diseases are
state mandated, rather than federally mandated. Therefore, the nurse should report this
occurrence to the state health department, which then determines if it will report to the CDC.
7. A nurse at a county health clinic is caring for a client who has recently assumed the role of
primary caregiver for their parent. Which of the following client statements indicates that they
are experiencing role conflict?
, - "I feel overwhelmed with not having enough time for my mom as well as my children."
Role conflict occurs when a client performs two or more roles that are in opposition of each other.
Caring for children and a parent can cause feelings of stress for the client and lead to conflict
within the family.
-
8. A nurse is preparing to administer medication to a client who has active tuberculosis.
Which of the following precautionary measures should the nurse take?
- Use an N95 respirator.
A client who has active tuberculosis requires airborne precautions to prevent the spread of droplet
nuclei smaller than 5 microns. The nurse should wear an N95 respirator when administering
medication to prevent transmission of the infection.
9. A nurse in a community center is preparing to administer a tuberculin skin test to multiple
clients to screen for tuberculosis. Which of the following actions should the nurse take?
- Inject 0.1 mL of purified protein derivate.
The nurse should inject 0.1 mL of purified protein derivative to form the wheal.
10. A public health nurse is working in a community that has a population of 24,096. There are
2,096 existing cases of heart disease within the population. The nurse can determine which
of the following from this information?
- Prevalence proportion
The prevalence proportion can be calculated by using the number of people who were affected at
a given time and the total population.
11. A nurse at a county health department is caring for a client who is at 28 weeks of gestation.
The nurse should identify which of the following characteristics as a risk factor for future child
maltreatment?
- The client has changed providers three times during their pregnancy.
Frequently changing health care providers is a risk factor for future child maltreatment because it
can indicate that the client is experiencing partner violence and is attempting to hide it from the
provider. Clients who experience violence are at a higher risk for perpetuating violence against
their own children.
12. 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?
- Demonstrate proper handwashing techniques.
This is an example of primary prevention, the goal of which is to promote health and prevent
diseases from developing.
13. A community health nurse is assigned to lead a county-level environmental task force. Which
of the following activities should the nurse direct the task force to complete first?
- Review community-specific epidemiological data.
The first action the nurse should direct the task force to take when using the nursing process is to
conduct a community assessment, which includes a review of community-specific epidemiological
data. The community assessment will assist the task force in identifying environmental health
concerns within the county.
14. A community health nurse is providing teaching about health promotion to a group of
adolescents. Which of the following topics is the most important for the nurse to include in an
attempt to lower adolescent mortality rates?
- Safety belt use
