RN Community Health Online Practice 2019 A
1. A home health nurse is evaluating a partner's understanding of postoperative care of a client who
had a total hip arthroplasty. Which of the following statements by the partner indicates an
understanding of the prescribed care?
- “I will remind my partner to use a walker when moving around in the house”
The client should use a walker when ambulating. The walker provides stability and support for the client,
decreasing the risk for falls.
2. A community health nurse has been contacted regarding a client diagnosis of influenza type A in an
adult day care. Which of the following actions should the nurse take to assist in the prevention of an
outbreak?
- Administer antiviral medication to clients at the facility.
Antiviral medications are administered to individuals who have been exposed to influenza type A to
provide immediate protection and to help prevent an outbreak.
3. A community health nurse is teaching a group of clients about environmental health hazards. Which
of the following examples should the nurse include as a possible source of carbon monoxide
exposure?
- Gas ranges
Carbon monoxide is an odorless, colorless, tasteless gas that is emitted into the air. Gas ranges, motor
vehicles, and fire places are potential sources for carbon monoxide exposure.
4. An occupational health nurse is planning to use an interpreter during an educational
session with a group of workers who speak a different language than the nurse. Which
of the following actions should the nurse take? (Select all that apply.)
- Instruct the interpreter to guide the nurse in providing information in a culturally-
sensitive manner is correct. The nurse should instruct the interpreter to give feedback to
the nurse regarding the delivery of information that workers might find culturally sensitive to
prevent insensitivity.
- Choose an interpreter who speaks the workers' language and dialect is correct. The
nurse should choose an interpreter who can speak the workers' preferred language,
including the specific dialect, in order to facilitate accurate communication.
- Evaluate the interpreter's approach to clients prior to the educational session is
correct. The nurse should evaluate the style of the interpreter prior to the educational
session to determine their ability to develop a trusting relationship with the workers in order
to promote effective communication.
5. A public health nurse is developing a presentation for local day care providers about
infectious childhood diseases. Which of the following statements should the nurse
include?
- "Respiratory syncytial virus is spread through contact with respiratory secretions
from an infected person."
, The nurse should include this statement in the presentation because respiratory syncytial
virus (RSV) is spread by direct contact with respiratory secretions while within 3 feet of a
person who is infected. Manifestations of RSV include dyspnea, tachypnea, coughing, and
wheezing.
6. A nurse is developing a genogram for a client to determine education needs. Which of
the following health risk information should the nurse expect to obtain with this tool?
- Biological
A family genogram tracks the incidence of disease over multiple generations of a family and
will identify biological risk factors.
7. A home health nurse is visiting with an older adult client. Which of the following
observations indicates the need for a home modification?
- There are two rocking chairs in the living room.
Rocking chairs and swivel chairs will require a modification. The nurse should block the
motion of the chairs to keep them stable so that the client can easily get in and out.
8. A nurse is caring for a client who has stage IV pancreatic cancer and has received
information regarding available treatment options. Which of the following is the
responsibility of the nurse if the client chooses to forgo treatment and enter hospice
care?
- Make the hospice referral in accordance with the client's decision.
The nurse should follow the ethical principle of respect for client autonomy and make the
hospice referral for the client.
9. A nurse in an emergency department is caring for a client who is homeless and has
hypothermia. Which of the following actions should the nurse take?
- Initiate a referral to the facility's social worker.
The nurse should refer the client to the facility's social worker or to an agency that can assist
the client with finding housing.
10. A nurse in an emergency department is triaging clients following an explosion at a local
factory. Which of the following clients should the nurse identify as the priority?
- A client who has tracheal deviation and shortness of breath.
A client who has tracheal deviation and shortness of breath most likely has a pneumothorax
and requires immediate intervention for survival. Therefore, when using the survival
approach to client care, the nurse should give priority to this client.
11. A community health nurse is teaching a client who was newly diagnosed with active
pulmonary tuberculosis about disease transmission. Which of the following information
should the nurse include?
1. A home health nurse is evaluating a partner's understanding of postoperative care of a client who
had a total hip arthroplasty. Which of the following statements by the partner indicates an
understanding of the prescribed care?
- “I will remind my partner to use a walker when moving around in the house”
The client should use a walker when ambulating. The walker provides stability and support for the client,
decreasing the risk for falls.
2. A community health nurse has been contacted regarding a client diagnosis of influenza type A in an
adult day care. Which of the following actions should the nurse take to assist in the prevention of an
outbreak?
- Administer antiviral medication to clients at the facility.
Antiviral medications are administered to individuals who have been exposed to influenza type A to
provide immediate protection and to help prevent an outbreak.
3. A community health nurse is teaching a group of clients about environmental health hazards. Which
of the following examples should the nurse include as a possible source of carbon monoxide
exposure?
- Gas ranges
Carbon monoxide is an odorless, colorless, tasteless gas that is emitted into the air. Gas ranges, motor
vehicles, and fire places are potential sources for carbon monoxide exposure.
4. An occupational health nurse is planning to use an interpreter during an educational
session with a group of workers who speak a different language than the nurse. Which
of the following actions should the nurse take? (Select all that apply.)
- Instruct the interpreter to guide the nurse in providing information in a culturally-
sensitive manner is correct. The nurse should instruct the interpreter to give feedback to
the nurse regarding the delivery of information that workers might find culturally sensitive to
prevent insensitivity.
- Choose an interpreter who speaks the workers' language and dialect is correct. The
nurse should choose an interpreter who can speak the workers' preferred language,
including the specific dialect, in order to facilitate accurate communication.
- Evaluate the interpreter's approach to clients prior to the educational session is
correct. The nurse should evaluate the style of the interpreter prior to the educational
session to determine their ability to develop a trusting relationship with the workers in order
to promote effective communication.
5. A public health nurse is developing a presentation for local day care providers about
infectious childhood diseases. Which of the following statements should the nurse
include?
- "Respiratory syncytial virus is spread through contact with respiratory secretions
from an infected person."
, The nurse should include this statement in the presentation because respiratory syncytial
virus (RSV) is spread by direct contact with respiratory secretions while within 3 feet of a
person who is infected. Manifestations of RSV include dyspnea, tachypnea, coughing, and
wheezing.
6. A nurse is developing a genogram for a client to determine education needs. Which of
the following health risk information should the nurse expect to obtain with this tool?
- Biological
A family genogram tracks the incidence of disease over multiple generations of a family and
will identify biological risk factors.
7. A home health nurse is visiting with an older adult client. Which of the following
observations indicates the need for a home modification?
- There are two rocking chairs in the living room.
Rocking chairs and swivel chairs will require a modification. The nurse should block the
motion of the chairs to keep them stable so that the client can easily get in and out.
8. A nurse is caring for a client who has stage IV pancreatic cancer and has received
information regarding available treatment options. Which of the following is the
responsibility of the nurse if the client chooses to forgo treatment and enter hospice
care?
- Make the hospice referral in accordance with the client's decision.
The nurse should follow the ethical principle of respect for client autonomy and make the
hospice referral for the client.
9. A nurse in an emergency department is caring for a client who is homeless and has
hypothermia. Which of the following actions should the nurse take?
- Initiate a referral to the facility's social worker.
The nurse should refer the client to the facility's social worker or to an agency that can assist
the client with finding housing.
10. A nurse in an emergency department is triaging clients following an explosion at a local
factory. Which of the following clients should the nurse identify as the priority?
- A client who has tracheal deviation and shortness of breath.
A client who has tracheal deviation and shortness of breath most likely has a pneumothorax
and requires immediate intervention for survival. Therefore, when using the survival
approach to client care, the nurse should give priority to this client.
11. A community health nurse is teaching a client who was newly diagnosed with active
pulmonary tuberculosis about disease transmission. Which of the following information
should the nurse include?
