exam review questions and answers.
Comprehensive Graded A doc.
A nurse is assessing a new client. Which of the following information should the nurse include in the
cultural portion of the assessment?
A. Food preferences
B. Employment status
C. History of illness
D. Sexual orientation - A. Food preferences
Rationale:
Fodd preference are a part of a cultural assessment
A nurse is preparing an educational program about influenza for a group of community health nurses.
Which of the following activities should the nurse include as an example of tertiary prevention.
A. Offer classes to elementary school teachers about hand washing
B. Provide information to occupational nurses about the reasons for employees to not come to work
C. Administer antiviral medications within 48 hr to clients who have manifestations of influenza.
D. Provide immunizations at long-term care facilities. - C. Administer antiviral medications within 48 hr
to clients who have manifestations of influenza.
Rationale:
Tertiary prevention involves ways to reduce the complications of illness. Which includes administering
antiviral medications to clients who already have influenza.
,A nurse is collecting demographic data as a part of a community assessment. Which of the following
information should the nurse include?
A. Racial distribution
B. Family genograms
C. Number of open water sources
D. Presence of condemned buildings - A. Racial distribution
Rationale:
Racial distribution is part of demographic data.
A community health nurse suspects an outbreak of scabies in the local area. Which of the following
actions should the nurse take first?
A. Educate the community about disease transmission
B. Determine the incidence rate
C. Institute prophylactic treatment
D. Discuss treatment plans with the client's families - B. Determine the incidence rate
Rationale:
The first action that the nurse should take when using the nursing process is to determine the number
of new cases of scabies in the community
A public health nurse is planning care for four clients. Which of the following interventions should the
nurse recognize as tertiary prevention?
A. Providing chemoprophylaxis for malaria to a client who is traveling to mosquito-infested countries.
B. Performing a serologicial screening for HIV for a client who is pregnant
C. Participating in partner notification for a client who has an STI
, D. Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jiroveci - D.
Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jiroveci
Rationale: Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis
jiroveci is an example of tertiary prevention.
A home health nurse is assessing an older adult client who is taking captopril to treat heart failure.
Which of the following findings should the nurse identify as an adverse effect of this medication?
A. Weight gain
B. Ataxia
C. Photophobia
D. Dry cough - D. Dry cough
Rationale:
Captopril prevents the conversion of angiotensin I to angiotensin II, causing bradykinin to accumulate.
The client ma experience coughing as a result of bradykinin accumulation.
A home health nurse is caring for a client who has breast cancer. Which of the following assessment
findings should the nurse identify as an indication that the client is copying effectively?
A. Inability to concentrate
B. Makes eye contact
C. Excessive sleeping
D. Lack of interest in food - B. Makes eye contact
Rationale:
The nurse should recognize that making eye contact is a characteristic of effective coping.