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    Exam Review

    1. A nurse in a public clinic is planning a health fair for clients in the community who are at risk for developing type 2 diabetes mellitus. Which of the following activities should the nurse include for secondary prevention?
      A)
      Demonstrating a 15-minute exercise routine
      B)
      Screening for blood sugar levels
      C)
      Providing a cooking lesson using sugar alternatives
      D)
      Educating about stress management strategies
    2. A community health nurse is calculating the number of deaths of school age children in a county. Which of the following methods should the nurse use to obtain this data?
      A)
      Age-specific mortality rate
      B)
      Prevalence rate
      C)
      Cause-specific mortality rate
      D)
      Case fatality rate
    3. A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?
      A)
      Inform the client that they are better off without medical care if they continue to drink
      B)
      Report the client's refusal to comply to the charge nurse and end the discussion.
      C)
      Accept the client's decision and offer to be a resource if the client changes their mind.
      D)
      Ask the client's family to remove alcohol from the client's home.
    4. A nurse should identify a possible health literacy barrier when a client responds with which of the following statements?
      A)
      My sibling has the same diagnosis, so I know what to expect
      B)
      “I don’t like to read: just tell me what I need to know
      C)
      “With practice I am able to learn new skills pertaining to my health
      D)
      “Let me put my glasses on before start reading this material
    Page 1 of 13

    Exam Review

    1. A school nurse is preparing a lesson for a high school health class about the prevention of sexually transmitted infections (STIS). Which of the following interventions should the nurse include that aims to block transmission of STIS at the portal of exit?
      A)
      Prophylactic antivirals
      B)
      Immunizations
      C)
      Condom use
      D)
      Antibiotics
    2. A school nurse receives a telephone call from a parent who suspects their school-age child may have coronavirus-2 (SARS-COV-2). Which of the following instructions should the nurse give as secondary prevention?
      A)
      The child should be immunized prior to coming to school.
      B)
      The child should wear a mask to school
      C)
      The child should be taken to the hospital if they develop difficulty breathing
      D)
      The child should be tested to determine the cause of their illness.
    3. A nurse is preparing a workshop on preventing common communicable and infectious diseases in the community. Which of the following prevention methods should the nurse include to target diseases that are transmitted directly?
      A)
      Isolation
      B)
      Clean drinking water
      C)
      Proper sanitation
      D)
      Pest control
    4. A public health nurse is working with local health care providers on programs to improve the growth and development of children in their community. Which of the following describes a secondary prevention intervention for autism spectrum disorder (ASD)?
      A)
      Well child preventive health visits
      B)
      Environmental policies to decrease the amount of air pollution in the area
      C)
      Free healthy pregnancy classes for expectant parents
      D)
      Early intervention program screening children for developmental delays
    Page 2 of 13

    Exam Review

    1. A nurse is discussing individual client factors that influence developing a communicable or infectious disease with a peer. Which of the following factors could increase a client's risk for contracting a communicable or infectious disease? (Select All that Apply.)
      (SATA)
      A)
      Older age
      B)
      Immunizations are up to date
      C)
      Immunosuppressant medications
      D)
      Living in nursing home
      E)
      Malnutrition
    2. A nurse is collecting data from a client and their full-time caregiver who is their adult child. The caregiver appears to be disheveled and irritable. Which of the following should the nurse identify as a caregiver concern to address?
      A)
      Deficient knowledge
      B)
      Injury
      C)
      Self-care
      D)
      Roles
    3. A nurse working in a community health clinic is planning care for a client who recently lost their job and is unable to afford their medications to treat diabetes mellitus. Which of the following actions should the nurse take?
      A)
      Offer nonpharmacological strategies for diabetes management.
      B)
      Request a referral to the social worker
      C)
      Provide suggestions on budgeting
      D)
      Provide suggestions on employment opportunities
    4. The public health nurse is explaining to a newly licensed nurse how to investigate the incidence of breast cancer in the community. Which of the following information should the nurse provide about calculating the incidence rate?
      A)
      The denominator for the incident rate calculation is for the entire population.
      B)
      Incidence is a measure of mortality.
      C)
      New cases are not considered when calculating an incident rate
      D)
      Incidence includes only people at risk for the disease
    Page 3 of 13

    Exam Review

    1. A nurse is teaching a 12-year-old child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?
      A)
      "Even if I control my asthma well, I won't be able to participate in sports or physical activities
      B)
      “If I don't control my asthma I will miss fewer days of school
      C)
      "Eliminating allergens that irritate my lungs can help me avoid getting an asthma attack."
      D)
      “Coughing and shortness of breath in the morning can be a sign that my asthma is well controlled."
    2. A community health nurse is preparing a public service announcement about Lyme disease. Which of the following strategies should the nurse include as an example of secondary prevention?
      A)
      Notify your health care provider if you notice a rash.
      B)
      Wear long-sleeved shirts and pants while outdoors.
      C)
      Check your clothing and body for ticks after being outdoors.
      D)
      Use EPA-registered insect repellants.
    3. A school nurse is providing teaching to young students to cover their cough to prevent disease transmission. The nurse should identify that this intervention breaks which of the following links in the chain of transmission?
      A)
      Susceptible Host
      B)
      Portal of exit
      C)
      Reservoir
      D)
      Portal of entry
    4. A primary care nurse is reviewing the medical history of a client. Which of the following chronic conditions should the nurse identify as risk factors for developing kidney disease? (Select All that Apply.)
      A)
      Obesity
      B)
      Diabetes
      C)
      Coronary heart disease
      D)
      Chronic lung disease
      E)
      Hypertension
    Page 4 of 13

    Exam Review

    1. Which of the following steps of the nursing process includes gathering information from a client who requires medical treatment?
      A)
      Assessment
      B)
      Evaluation
      C)
      Outcomes identification
      D)
      Implementation
    2. A nurse and a family have identified a problem that needs to be addressed. Which of the following should the nurse remember when determining interventions?
      A)
      Interventions should only consider the needs of the individual.
      B)
      interventions should be solely based on what the nurse and provider think is best
      C)
      Interventions should be based on what the weaknesses of the family are
      D)
      Family members should be involved in the formulation of interventions.
    3. A nurse is caring for an older adult client whom the nurse suspects has experienced abuse by a nonpartner. Which of the following principles does the nurse demonstrate by reporting their concern to a supervisor?
      A)
      Trusting relationships
      B)
      Accountability
      C)
      Social justice
      D)
      Ethical decision-making
    4. An emergency department nurse is discharging a toddler to home with family following an episode of choking. Which of the following instructions should the nurse include in the discharge teaching?
      A)
      Toddlers do not need to be closely supervised while eating if no high-risk foods are given
      B)
      Toddlers should only play with toys that are approved for their age group.
      C)
      High-risk foods like carrots and hot dogs should be cut into small pieces before being given to infants and toddlers.
      D)
      Toddlers can eat peanuts if the shell has been removed.
    Page 5 of 13

    Exam Review

    1. A nurse is preparing a presentation for an HIV taskforce regarding strategies to help decrease the number of newly diagnosed cases. Which of the following major health care organizations should the nurse utilize to find strategies to include in the presentation?
      A)
      Occupational Safety and Health Administration (OSHA)
      B)
      Centers for Medicare and Medicaid Services (CMS)
      C)
      National Institutes of Health (NIH)
      D)
      Centers for Disease Control and Prevention (CDC)
    2. A nurse is reviewing a client's intake form to determine the client's living conditions. In which of the following areas of the intake form should the nurse expect to find this information?
      A)
      Ecomap
      B)
      Genogram
      C)
      Social determinants of health
      D)
      Family APGAR
    3. A school is providing education about the spread of COVID-19 across national boundaries and throughout the world in 2020, which prompted disease control measures in most countries. Which of the following terms should the nurse use to describe this level of disease?
      A)
      Epidemic
      B)
      Endemic
      C)
      Pandemic
      D)
      Cluster
    4. A home health nurse is interviewing a client and asks the client, "Have you or your family been exposed to any chemical liquids, fumes, lead, or unusual smells?" Which type of assessment is the nurse conducting?
      A)
      Mental status assessment
      B)
      Faith-based assessment
      C)
      Nutritional assessment
      D)
      An environmental health assessment
    Page 6 of 13