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    Exam Review

    1. A nurse administers an incorrect medication to a client. Following an assessment of the client, the nurse determines that the client has experienced no untoward effects as a result of the medication. The nurse does not complete an incident report because no harm came to the client. Which of the following ethical principles did the nurse violate?
      A)
      Autonomy
      B)
      Beneficence
      C)
      Confidentiality
      D)
      Veracity
    2. Which statement best describes the cost of health care in the United States?
      A)
      Health care costs are kept low, and the indicators of health are among the best worldwide.
      B)
      Health care costs are the highest in the world, but the indicators of health are not the best worldwide.
      C)
      Health care costs and indicators of health are the highest in the world.
      D)
      Health care costs are low which has resulted in poor health outcomes.
    3. A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first?
      A)
      Study the beliefs and traditions of persons living in other cultures.
      B)
      Consider how the nurse’s own personal beliefs and decisions are reflective of his or her culture.
      C)
      Complete a survey of all the various ethnicities represented in the nurse’s community.
      D)
      Invite a family from another culture to join the nurse for an event.
    4. The public health nurse understands that the following statement best describes the goal of community-oriented nursing?
      A)
      Giving direct care to ill individuals within their family setting
      B)
      Providing care to manage acute or chronic conditions
      C)
      Providing care to individuals and families
      D)
      To preserve, protect, promote, or maintain health and prevent disease
    Page 1 of 22

    Exam Review

    1. A nurse plans to leave her scheduled shift an hour early without permission or notification of the charge nurse. The clients in the nurse’s assignment are stable. Which of the following legal torts applies to this situation?
      A)
      Negligence
      B)
      Battery
      C)
      Libel
      D)
      Slander
    2. The public health nurse identifies that childhood obesity is a significant problem at the local elementary school. This is an example of which public health core function?
      A)
      Tertiary Prevention
      B)
      Policy Development
      C)
      Assessment
      D)
      Assurance
    3. Which of the following best represents an example of infectious disease spreading via a vector?
      A)
      A group of partygoers hugging and shaking hands
      B)
      Two persons, one of whom is infected, sharing a glass of soda
      C)
      Disease spreading from infected mother to infant via the placenta
      D)
      Being bitten by an infected mosquito
    4. The public health nurse is working with a homeless client. Which of the following statements made by the homeless client indicates an understanding of tertiary prevention?
      A)
      "I will make sure that I use the sunscreen that I got for free on my face every day."
      B)
      "I will make sure to work with my social worker on obtaining my medication for my depression."
      C)
      "I will be certain to attend the health fair to get a free flu shot."
      D)
      "I will go to the public health clinic and request a blood pressure screening."
    Page 2 of 22

    Exam Review

    1. The public health nurse understands that immediate treatment for a possible sexually transmitted infection is secondary prevention. Once there is a confirmed diagnosis, the public health nurse knows that this is now which of the following levels of prevention?
      A)
      Quaternary
      B)
      Tertiary
      C)
      Secondary
      D)
      Primary
    2. A nurse is implementing a tertiary prevention strategy related to pesticide exposure. Which of the following activities would the nurse complete?
      A)
      Teach farmworkers about the importance of daily sunscreen use.
      B)
      Provide teaching on how to handle pesticides to avoid or decrease exposure.
      C)
      Screen farmworkers for evidence of unsafe handling of pesticides.
      D)
      Treat a client who has pesticide exposure to prevent complications.
    3. For a bedridden Muslim patient, the nurse rearranges the room and moves the bed so that it faces toward Mecca for the patient’s daily prayers. Which of the following is the nurse demonstrating through these actions?
      A)
      Accommodation
      B)
      Brokering
      C)
      Awareness
      D)
      Imposition
    4. An instructor is reviewing Salmonella infections with her class. Which of the following comments indicates that the student needs further review on Salmonella?
      A)
      "Salmonella has a 48-hour incubation period."
      B)
      "Salmonella may be spread by spores that form once contaminated blood is exposed to the air."
      C)
      "Salmonella is a bacterial infection."
      D)
      "Salmonella symptoms include headaches, abdominal pain, diarrhea, nausea, vomiting, and fever."
    Page 3 of 22

    Exam Review

    1. The occupational health nurse holds a flu vaccine clinic. This is an example of which level of prevention?
      A)
      Primary
      B)
      Policy development
      C)
      Tertiary
      D)
      Secondary
    2. The nurse understands that which of the following is the most common vector-borne disease as a result of travelers introducing the disease to the United States?
      A)
      Malaria
      B)
      Yellow fever
      C)
      Dengue
      D)
      Onchocerciasis (river blindness)
    3. The public health nurse is working with a type 2 diabetic and is providing education on the importance of using a helmet while riding a bicycle for exercise. This is an example of which level of prevention?
      A)
      Primary
      B)
      Secondary
      C)
      Tertiary
      D)
      Policy Development
    4. The public health nurse understands that which of the following is an accurate concern about the marijuana?
      A)
      Marijuana has no effect on a fetus.
      B)
      Psychological and physiological dependence are seldom experienced with marijuana use.
      C)
      Paranoia is a known long term side effect of marijuana use.
      D)
      Strength of most available marijuana is weaker than in the past.
    Page 4 of 22

    Exam Review

    1. The school nurse understands that the Snellen test assesses for which of the following?
      A)
      High pitch sounds
      B)
      Dental caries
      C)
      Visual acuity
      D)
      Curvature of the spine
    2. The newly hired public health nurse understands that which of the following is an example of moral distress?
      A)
      Having the knowledge and skill set needed to provide culturally competent care.
      B)
      Having the knowledge and skill set needed to advocate for the patient, but not being able to act on it due to not having the authority to do so.
      C)
      Having the authority to override a physician’s order for pain medication.
      D)
      Having the authority to call off a code, then realizing the decision was harmful to the patient.
    3. A nurse is investigating a bacterial illness that has caused a health problem in the community. Only some of the people exposed to the bacteria have become ill. Which of the following factors best explains why this would have happened?
      A)
      Physical agent factors
      B)
      Successful interaction among the agent, host, and environment
      C)
      Environmental factors
      D)
      Chemical agent factors
    4. The public health nurse is working with a homeless client. The public health nurse has an understanding that promoting health equity is important for the client. Which of the following is an example of health equity?
      A)
      Farmer’s markets
      B)
      Preventative health care
      C)
      Free insurance for all
      D)
      Access to medical services
    Page 5 of 22

    Exam Review

    1. The nursing diagnosis that would have the highest priority in the care of the client who has become comatose following cerebral hemorrhage is which of the following?
      A)
      Disturbed body image
      B)
      Risk for unstable blood glucose
      C)
      Impaired urinary elimination
      D)
      Ineffective airway clearance
    2. A school nurse wants to decrease the incidence of obesity in elementary school children. Which of the following describes a secondary prevention intervention that the nurse could implement?
      A)
      Designing a game in which students select healthy food choices
      B)
      Putting students on a diet if they weigh greater than 20% of their ideal weight
      C)
      Giving a presentation on the importance of exercise and physical fitness
      D)
      Weighing students to identify those who are overweight
    3. The public health nurse has an understanding that ensuring there is a competent public health workforce when working with vulnerable populations is which of the following public health core functions?
      A)
      Assurance
      B)
      Assessment
      C)
      Health policy
      D)
      Policy development
    4. A teacher asks the school health nurse to assess a child for neglect. Which of the following assessment findings could indicate neglect?
      A)
      Bruises in various stages of healing
      B)
      Lack of weight gain and wearing dirty clothes
      C)
      Failure of parent to attend parent-teacher conferences or return teacher phone calls
      D)
      Lice in the hair
    Page 6 of 22