sh
WORD COMMUNITY 403 Final EXAM ATI
ne
la
RN Community Health Online Practice 2019 A
tz
sh
Sp
A home health nurse is visiting with an older adult client. Which of the following
ne
observations indicate the need for home modification?
la
a. The home has power strips that have breakers.
sh
b. The client uses an electric toaster oven for cooking.
Sp
ne
c. There are two rocking chairs in the living room.
la
d. The bathtub has a seat and a hand-held shower head
tz
sh
Sp
A case manager is planning an educational program for a client who has diabetes mellitus. Which
ne
of the following activities should the nurse include when using the psychomotor domain of
learning?
la
a. show the client a video about how to monitor blood glucose levels
sh
Sp
b. give the client a pamphlet about foot care
ne
c. observe the client's technique for drawing up insulin
d. review the color diagram of the food pyramid with the client
la
tz
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a
sh
Sp
rehab facility. Which of the following actions should the nurse take first?
ne
a. contact service providers to determine the availability of services offered
la
b. determine the client's ability to perform self-care
c. hold a care conference with the client and his family to discuss treatment options
sh
Sp
d. evaluate the client's satisfaction with the case managers services
ne
A school nurse is teaching health promotion to a group of staff members who sit at a desk and
la
use a computer for 8hr at a time. Which of the following information is the priority for the nurse
tz
to include sh
Sp
a. take a walk after work
ne
b. have your visual acuity assessed regularly
la
c. adjust your chair so your elbows are at desk height
d. point and flex your toes periodically
sh
Sp
A nurse is assessing a new client. Which of the following information should the nurse include in
ne
the cultural portion of the assessment?
a
tz
a. employment status
l
sh
b. history of illness
Sp
c. sexual orientation
ne
d. food preferences
la
sh
Sp
la
Sp
, ne
sh
A nurse is collecting demographic data as part of a community assessment. Which of the
ne
following information should the nurse include?
la
a. presence of condemned buildings
tz
sh
b. racial distribution
Sp
c. family genograms
ne
d. number of open water sources
la
A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which
sh
of the following statements should the nurse ID as an indication that the client is in the denial
Sp
stage of the grief process?
ne
a. I'm going to plan my memorial service next week
la
b. I don't deserve to die. this just isn't fair
tz
sh
c. If I could just make it through this, I'd never smoke again
Sp
d. I'm looking forward to my daughter's wedding next year
ne
An occupational health nurse is planning to use an interpreter during an educational
la
session with a group of workers who speak a different language than the nurse. Which of
sh
the following actions should the nurse take?
Sp
ne
a. evaluate the interpreter's approach to clients prior to the educational session
b. instruct the interpreter to guide the nurse in providing info in a culturally sensitive manner
la
c. ask the interpreter to add info she feels may be necessary
tz
sh
d. encourage the interpreter to paraphrase the workers' questions and responses
Sp
d. choose an interpreter who speaks the workers language and dialect
ne
A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hepatitis
la
C. Which of the following instructions should the nurse include in the teaching?
sh
a. schedule an appointment for an immunoglobulin injection
Sp
ne
b. wear a mask in public places while receiving treatment
c. abstain from sexual intercourse until antibody tests are negative
la
d. consume a low-carbohydrate diet until symptoms resolve
tz
sh
Sp
A home health nurse is reviewing several client requests regarding complementary strategies.
ne
The nurse should ID that which of the following alternative therapies is contraindicated for the
client?
la
Kava for a client who has cirrhosis
sh
Sp
A community health nurse is teaching a client who was newly diagnosed with active pulmonary
ne
tuberculosis about disease transmission. Which of the following info should the nurse include?
a
tz
a. household members should be placed in respiratory isolation
l
sh
b. the client should have a repeat purified protein derivative test in 3 months
Sp
c. the client should use disposable utensils during meals
ne
d. household members should take isoniazid for 6-12 months
la
sh
Sp
la
Sp
, ne
sh
Household members should take isoniazid for at least 6mo
ne
A nurse in a rural community is planning education for a young adult client who is a migrant
la
farm worker. Which of the following actions should the nurse include?
tz
sh
Sp
a. recommend a dental health screening
ne
b. provide skin cancer information
c. provide forms to apply for Medicare
la
d. provide environmental health information
sh
e. refer the client for a tuberculosis screening
Sp
ne
A nurse is teaching a client who has a new diagnosis of hepatitis A about how to prevent the
la
spread of the virus. Which of the following instruction should the nurse include?
tz
sh
Sp
a. clean your bathroom fixtures with a chlorine bleach solution
ne
b. rinse your toothbrush with hydrogen peroxide after each use
la
A community health nurse is planning to establish a community garden to introduce new
sh
Sp
nutritious food options in the area. Which of the following actions should the nurse take first to
ne
initiate the plan?
la
a. monitor the progress of the project to keep the project on course
tz
b. select residents to take on leadership roles in the project
sh
Sp
c. identify community members who demonstrate an interest in the project
ne
d. hold a community information session to inform the residents of the plan
la
A palliative care nurse is teaching a client who has cancer about the services that are available
for the client. Which of the following statements should the nurse ID as an indication that the
sh
client understands the teaching?
Sp
ne
a. I can begin palliative care when i have less than 6 months to live
la
b. this type of care can help me with pain control
tz
c. my family will not be involved with this type of care program sh
Sp
d. if I begin palliative care, i will have to stop my chemotherap
ne
A community healht nurse is teaching a group of clients about environmental health hazards.
la
Which of the following examples should the nurse include as a possible source of carbon
monoxide exposure
sh
Sp
A. motor vehicles
ne
B. gas ranges
a
C. vented gas heaters
tz
D. electric space heaters
l
sh
Sp
A community health nurse is planning a health education program for adults. The nurse should
ne
plan to take which of the following actions during the program?
la
sh
Sp
la
Sp
, ne
sh
A. program content is organized topicall
ne
B. pamphlets are written at a 12th grade level
la
C. the presentation is delivered via powerpoint slides
tz
D. attendance at the program is voluntary
sh
Sp
Provide take-home materials written at 6th grade level
ne
An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse
la
should counsel the client about the risk for which of the following adverse effects?
sh
Sp
Gastric ulcerations
ne
Orthostatic hypertension
la
Hyperglycemia
tz
sh
Sp
Urinary retention
ne
A public health nurse is developing a presentation for local day care providers about infectious
la
childhood diseases. Which statements should the nurse include
sh
“Respiratory syncytial virus is spread through contact with respiratory secretions from an
Sp
infected person.”
ne
la
“Rotavirus infections in children peak during the summer months.”
tz
“Children who have fifth disease will exhibit bloody diarrhea.”
sh
Sp
ne
“Antiviral medications shorten the duration of a shigella infection.”
la
A home health nurse is planning care for the day. Which client should the nurse visit first
sh
a. an older adult client who has a newly prescribed antihypertensive medication and needs a BP
Sp
check
ne
b. an older adult client who was treated in the ED last night for a stage III pressure ulcer
la
c. a school-age child who was treated in the ED last night with status asthmaticus
tz
d. a school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing
sh
Sp
A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that
ne
which condition is included on the Nationally Notifiable Infectious Condition list
la
a. varicella
sh
b. scarlet fever
Sp
c. erythema infectious
ne
d. molluscum contagiosa
a
A nurse is performing a home visit for a client who has TB. As the nurse is leaving the clients
tz
l
sh
house a neighbor asks "is it true that my neighbor has TB?", which response should the nurse
Sp
make
ne
a. you should take precautions against this infection
la
b. have you ever been tested for TB?
sh
Sp
la
Sp