RN Community Health Final Exam | NURS 403

NURS 403 RN COMMUNITY HEALTH FINAL EXAM 2020 1.A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include? The client will walk for 30 min 5 days a week 2. A public health nurse is assessing an older adult client who lives with a family member. The nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first? Report the findings to a supervisor 3. A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instruction should the nurse include? Expect some breast dimpling or discharge with age 4. A community health nurse in a pediatric clinic is reviewing the history of a 12 years old client. Which of the following immunizations should the nurse expect to administer? Meningococcal conjugate 5. A CHN is conducting an education program on various environmental pollutants. The nurse should emphasize that clients who have which of the following disorders are especially vulnerable to ozone effects? Asthma 6. A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address? Dysphagia 7. A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor? Cigarette smoking 8. A school nurse is teaching a group of nurses newly hired to work in the school system about pediculosis capitis (head lice). Which of the following information is appropriate to include in the teaching? Nits that are shed into the environment are capable of hatching for up to 10 days 9. An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on the stove. Which of the following community resources should the nurse recommend for this client? Meals on Wheels 10. A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911? Office of Emergency Management (OEM) 11. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? Help plant workers identify signs of carpal tunnel syndrome 12. A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching? Unlike chickenpox, the vesicles of smallpox are more abundant on the face 13. A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting the classrooms and are experiencing dizziness. Which of the following actions should the nurse take? A. Have students evacuated from the school and establish a triage area in the school parking lot. B. Move individuals who are reporting symptoms to one of the aected classrooms and create a triage area inside the room. C. Arrange for client transportation to the nearest emergency department and tell the group triage will occur there. D. Transport all children and school personnel to the nearest medical facility using school buses Have students evacuated from the school and establish a triage area in the school parking lot 14.A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work but are not exhibiting manifestation of illness. Which of the following is the appropriate action for the nurse to take? Administer antibiotic therapy 15.A nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following isolation precautions should the nurse plant to use while caring for these clients. Initiate Droplet precaution 16.A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment PPE is needed. which of the following actions should the nurse take? Choose the highest level of PPE available 17.A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? A private room 18.A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? A. A client experiencing a tension pneumothorax B. A client who has a closed upper extremity fracture C. A client who has full-thickness burns over 80% of his body D. A client who has agonal respirations A client experiencing a tension pneumothorax. 19.A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care? A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site 20.A nurse is assisting with field triage following a motor-vehicle crash involving a bus with multiple victims. The nurse assesses a child who has an open fracture of the femur. Which of the following actions should the nurse take? Place a yellow tag on the child 21.A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway the client remains apneic. Which of the following actions should the nurse take? Place a black tag on the client's upper body and attempt to help the next client in need 22.A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following actions should the nurse take? Place a yellow tag on the client's upper body 23.A nurse is the triage officer in the emergency department when four clients arrive following a factory explosion. which of the following clients should the nurse care for first? An unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of 2 seconds 24.A nurse is educating community members about how to prepare for disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (Select all that apply) Clean clothing Personal identification Matches Prescription medications 25.A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority? A conscious adult client who has second-degree burns on both lower legs; respiratory rate is 30/min 26.A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)? Lyme disease 27.A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? Providing treatment for clients who have chronic obstructive pulmonary disease 28.A charge nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? Identify community resources that are available 29.A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? Smallpox 30.A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply) "Smallpox is transmitted person to person" "Naturally occurring smallpox has been eradicated from the world" "Smallpox is often confused with varicella" 31.A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare the protocol based on which of the following information? (Select all that apply) -Botulism can produce paralysis within 12-72 hr following exposure -Vomiting and diarrhea are expected findings following exposure 32.A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first? Initiate contact precautions 33.A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (Select all that apply) Smallpox Anthrax Botulism 34.A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response? Personnel are willing to work in dangerous conditions to provide assistance. 35.A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family's disaster readiness supply kit or "go bag"? (Select all that apply) Pencil and paper Whistle Antibiotics Copies of insurance cards 36.A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching? It is normal to have white vaginal discharge 37.A nurse is leading a therapeutic group for clients at an outpatient mental health clinic. Which of the following client statements indicates a problem with role transition? I just can't seem to find any energy to take care of my children since my husband divorced me 38.A nurse is preparing to administer ciprofloxacin to a client. The nurse should identify that the medication is treatment for exposure to which of the following agents? Anthrax 39.A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? Flu-like symptoms 40. The Nurse-Led Wellness Center is a type of nursing center that focuses on: A. Health-promotion, disease-prevention, and disease-management programs B. Programs aliated with major for-prot health corporations C. Programs for special populations and specic health conditions D. Public health programs E. 41.A newly graduated nurse is looking into applying for community-related jobs. Among all the possibilities are the following, EXCEPT: A. School Nursing B. Occupational Nursing C. Trauma care Nursing D. Home care nursing 42.A riverfront community builds a retaining wall to divert floodwater away from the town. Which term describes what has happened (related to disaster)? Mitigation 43. Which levels of intervention are nurse-led centers designed to provide? Primary, Secondary, and Tertiary prevention 44. The new community nurse is interested in serving rural communication. After exploring different possibilities, which one do you think the nurse chose? Telehealth 45. A nurse is caring for the community as the client. Which of the following is most likely the focus of the nurse’s care? A. Providing care for aggregates living in the community B. The collective good of the population C. The provision of care for families in the home setting D. Providing health education in the community 46. The community health nurse is assigned to work in an X community. One of the responsibilities for the nurse is to investigate if that is a rural, urban or suburban community. (This is important for the assessment). She must have to look for all the following data, EXCEPT): A. Distance between the community and the core city. B. How many business and medical services offices are located on the community assigned. C. The demographic data, especially how many people are residents in the assigned community. D. The time needed to commute from the assigned community to the center of the city 47.A nurse is completing a community assessment. Which of the following actions would be most likely for the nurse to complete? Determine the weaknesses of a community Assess individual needs within a community Perform the core functions of public health nursing Identify community needs and clarify problems 48.A nurse is working in a community that is experiencing the Honeymoon Phase after a disaster. Which of the following is characteristic of this phase? Survivors share their stories 49. The best definition of “Doughnut Effect” is: A. when the people and people activities shift out from the center of the city to the suburbs. B. When the people move out near the Donuts stores. C. When the people of the city move out the center to work in business outside the downtown. D. When people shift from the rural environments to the core center of the cities. When the people of the city move out the center to work in business outside the downtown. 50. In Community Health Nursing and Public Health, the best description of a rural environment is: A. The rural environment is called to the location where low-income families live. B. Is there no neighbors or business oces near your home, you live in a rural environment. C. Communities having fewer than 20,000 residents or fewer than 99 persons per square mile; or it may be described in terms of the distance D. When your town is a small village with 15 residents and take 10 minutes to get the downtown area Community having fewer than 20, 000 residents or fewer that 99 persons per square mile; or it may be described in terms of the distance 51. A nurse is participating in the preparedness stage of disaster management. Which of the following describes what is happening?