Questions & Accurate Answers (Complete & Verified)
Client reports fever, fatigue, lack of appetite, and headache that started 2 days
ago. Today, client woke up with blister-like rash all over their face, chest, and
back. Client states, "It is beginning to itch and spread." Lung sounds clear to
auscultation. S1, S2, heard no murmur detected. Bowel sounds normoactive in
all quadrants. Notified provider of findings. Right Ans - When generating
solutions, the nurse should anticipate the client has varicella (chicken pox);
therefore, the nurse should place the client in a negative-pressure airflow
room, wear an N95 mask when caring for the client, designate a stethoscope
to be used only on the client, and request a prescription for an antipyretic.
Varicella is transmitted by the air; therefore, airborne isolation precautions
need to be taken while caring for this client.
A nurse is giving a presentation about family violence at a local community
center. Which of the following information should the nurse include? Right
Ans - Child maltreatment is more common in homes where partner violence is
present.
Child maltreatment is very common in homes where partner violence is
present.
A school nurse is conducting hearing screening procedures in an elementary
school. Which of the following instructions should the nurse provide when
performing the Rinne test? Right Ans - "After I place this tuning fork behind
your ear, tell me when you no longer hear the sound."
This is the appropriate instruction for a Rinne test, a hearing evaluation that
compares air conduction and bone conduction of sound.
A nurse on the scene following a mass casualty explosion is triaging a client
who has a large, open occipital wound and the following findings: respiratory
rate 6/min, agonal pattern; capillary refill time 4.5 seconds; nonresponsive to
painful stimuli. Which of the following actions should the nurse take? Right
Ans - Turn the client to left semi-Fowler's position and begin assessing the
next client.
, Principles of triage indicate that clients who have extensive injuries and a low
probability of survival do not receive treatment. Therefore, the nurse should
provide only comfort measures before moving on to assess the next client.
A public health agency has assigned a newly licensed nurse to assist with the
task force that is responsible for the core function of assessment. Which of the
following is a task that the public health agency could assign to the nurse that
would be consistent with the focus of the task force? Right Ans -
Investigating local health hazards
Investigating health hazards of the local community is a component of the
public health core function of assessment.
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? Right Ans - Demonstrate proper handwashing techniques.
This is an example of primary prevention, the goal of which is to promote
health and prevent diseases from developing.
A community health nurse is working to meet the health care needs of
residents in a rural community. Which of the following characteristics should
the nurse identify as a barrier to health care resources for this population?
Right Ans - Unavailability of outreach services
Lack of availability of outreach services is a barrier to health care for residents
in rural areas.
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? Right Ans - Administer
antiviral medications within 48 hr to clients who have manifestations of
influenza.
Tertiary prevention involves ways to reduce the complications of illness,
which includes administering antiviral medications to clients who already
have influenza.