1. 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 - Answer-D. Diabetes mellitus
/.A 4-year old near drowning victim who is severely disabled due to anoxia that occurred
during the incident is being transferred to a long term care facility. When helping the
parents select a treatment center for their child, which factor should the nurse
encourage the parents to consider?
A. Proximity of the facility to their home
B. How many children are residents of the facility
C. What type of home schooling is available at the facility
D. Availability of medical care for emergencies - Answer-A. Proximity of the facility to
their home
/.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 - Answer-B. Medication interactions
/.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 - Answer-A. Determine the
client's occupation
,/.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? -
Answer-B. What percentage of the population was under 19 years of age in each of the
5 previous years?
/.A community health nurse is applying for a federal grant to support a smoking
cessation educational program. In which order should the nurse prioritize these nursing
activities? Arrange in order top to bottom
Select and train the data collection personnel
Review and analyze the data
Consider pros and cons of different methods of data gathering
Determine the target aggregate that will be served by the program - Answer-1.
Determine the target aggregate that will be served by the program
2. Consider pros and cons of different methods of data gathering
3. Select and train the data collection personnel
4. Review and analyze the data
/.A community hit by a hurricane has suffered mass destruction and flooding. Sewage
facilities are non functioning and the area is contaminated with human excreta. The
nurse is developing a plan of care for clients diagnosed with cholera after an outbreak.
Which intervention has the highest priority?
A. Administer prophylactic antibiotics as prescribed
B. Provide fluid and electrolyte replacement
C. Isolate all infectious diarrhea victims
D. Administer cholera vaccine - Answer-B. Provide fluid and electrolyte replacement
/.A government office worker is seen in the emergency room after opening an envelope
containing a powder like substance which is being tested for anthrax. Which discharge
instruction should the nurse provide the client concerning inhalation anthrax?
A. Return to the emergency room if flu like symptoms develop within 42 days
B. Notify co-workers to get the anthrax vaccine at the public health department
C. Isolation from friends and family members is recommended for 3 weeks
, D. Cleanse all surfaces touched with pre-moistened anti-bacterial wipes - Answer-A.
Return to the emergency room if flu like symptoms develop within 42 days
/.A graduate nursing student requests information, including laboratory findings and
chest x-ray results, about all clients with symptoms of h1n1 who have been seen during
the last month in a community health clinic. Which action should the charge nurse take?
A. Ask if permission has been obtained from the research committee
B. Ask the student to sign a standard waiver form
C. Obtain written authorization from clients to release the information
D. Provide the information for research purposes only - Answer-C. Obtain written
authorization from clients to release the information
/.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 - Answer-B. Give the
prescribed antibiotics in addition to using the candles.
/.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 - Answer-B. B-type natriuretic peptide 550 pg/ml.
/.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 - Answer-A.
Identify how the client will follow-up to have the results read.
/.A male client comes to the public health clinic requesting information about which
immunizations he should receive prior to visiting a developing nation. Which
immunization should the nurse recommend as a priority for this client?
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 - Answer-D. Diabetes mellitus
/.A 4-year old near drowning victim who is severely disabled due to anoxia that occurred
during the incident is being transferred to a long term care facility. When helping the
parents select a treatment center for their child, which factor should the nurse
encourage the parents to consider?
A. Proximity of the facility to their home
B. How many children are residents of the facility
C. What type of home schooling is available at the facility
D. Availability of medical care for emergencies - Answer-A. Proximity of the facility to
their home
/.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 - Answer-B. Medication interactions
/.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 - Answer-A. Determine the
client's occupation
,/.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? -
Answer-B. What percentage of the population was under 19 years of age in each of the
5 previous years?
/.A community health nurse is applying for a federal grant to support a smoking
cessation educational program. In which order should the nurse prioritize these nursing
activities? Arrange in order top to bottom
Select and train the data collection personnel
Review and analyze the data
Consider pros and cons of different methods of data gathering
Determine the target aggregate that will be served by the program - Answer-1.
Determine the target aggregate that will be served by the program
2. Consider pros and cons of different methods of data gathering
3. Select and train the data collection personnel
4. Review and analyze the data
/.A community hit by a hurricane has suffered mass destruction and flooding. Sewage
facilities are non functioning and the area is contaminated with human excreta. The
nurse is developing a plan of care for clients diagnosed with cholera after an outbreak.
Which intervention has the highest priority?
A. Administer prophylactic antibiotics as prescribed
B. Provide fluid and electrolyte replacement
C. Isolate all infectious diarrhea victims
D. Administer cholera vaccine - Answer-B. Provide fluid and electrolyte replacement
/.A government office worker is seen in the emergency room after opening an envelope
containing a powder like substance which is being tested for anthrax. Which discharge
instruction should the nurse provide the client concerning inhalation anthrax?
A. Return to the emergency room if flu like symptoms develop within 42 days
B. Notify co-workers to get the anthrax vaccine at the public health department
C. Isolation from friends and family members is recommended for 3 weeks
, D. Cleanse all surfaces touched with pre-moistened anti-bacterial wipes - Answer-A.
Return to the emergency room if flu like symptoms develop within 42 days
/.A graduate nursing student requests information, including laboratory findings and
chest x-ray results, about all clients with symptoms of h1n1 who have been seen during
the last month in a community health clinic. Which action should the charge nurse take?
A. Ask if permission has been obtained from the research committee
B. Ask the student to sign a standard waiver form
C. Obtain written authorization from clients to release the information
D. Provide the information for research purposes only - Answer-C. Obtain written
authorization from clients to release the information
/.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 - Answer-B. Give the
prescribed antibiotics in addition to using the candles.
/.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 - Answer-B. B-type natriuretic peptide 550 pg/ml.
/.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 - Answer-A.
Identify how the client will follow-up to have the results read.
/.A male client comes to the public health clinic requesting information about which
immunizations he should receive prior to visiting a developing nation. Which
immunization should the nurse recommend as a priority for this client?
