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    Exam Review

    1. A community health nurse is caring for a client who has laryngeal tuberculosis. Which of the following isolation precautions should the nurse recommend for this client?
      A)
      Airborne precautions
      B)
      Contact precautions
      C)
      Protective environment
      D)
      Droplet precautions
    2. A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?
      A)
      "I don't want to lose control of my ability to make decisions."
      B)
      "I know that everything will be better soon."
      C)
      "I am relying more and more on my partner for support."
      D)
      "I am afraid of experiencing pain near the end."
    3. A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. Which of the following actions should the nurse plan to take?
      A)
      Focus the discussion on the adolescent's future career plans.
      B)
      Determine how the adolescent's health has affected family roles.
      C)
      Ask another family from the same faith congregation to attend the meeting for support.
      D)
      Direct conversation to the parents to avoid embarrassing the adolescent.
    4. A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?
      A)
      Survey workers about job-related emotional stress.
      B)
      Measure noise levels at various locations in the facility
      C)
      Identify industrial toxins that are present in the environment.
      D)
      Track rates of illness caused by infection among employees
    Page 1 of 14

    Exam Review

    1. A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
      (SATA)
      A)
      I will receive care from a variety of interprofessional team members."
      B)
      I will need to have private insurance because Medicare does not cover hospice services."
      C)
      "My provider will recommend that I enter hospice care when I have 1 year left to live."
      D)
      I can receive care in the hospital or at home."
      E)
      "I can discontinue hospice care whenever I want."
    2. A nurse at a local health department is caring for several clients. Which of the following infections should the nurse report to the state health department?
      A)
      Herpes simplex virus
      B)
      Human papillomavirus
      C)
      Chlamydia
      D)
      Group B streptococcus 8-hemolytic
      E)
      I can discontinue hospice care whenever I want."
    3. A nurse is caring for a client who has been using tea tree oil as an alternative treatment. Which of the following client responses indicates the essential oil has been effective?
      A)
      "My athlete's foot is almost gone."
      B)
      I haven't had a migraine headache this month."
      C)
      The pain in my back has decreased."
      D)
      "My sleeping has improved over the last 3 weeks
    4. A school nurse is reviewing the family history of a school-age child who has a fractured ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.
      (SATA)
      A)
      The child's family has an indoor cat that sleeps with the child.
      B)
      The child spends the weekends with their grandparents.
      C)
      One of the child's parents has a history of alcohol use disorder.
      D)
      Neither of the child's parents are financially stable.
      E)
      One of the child's parents appears frightened of the other parent.
    Page 2 of 14

    Exam Review

    1. A community health nurse is providing teaching to a client who speaks a different language. Which of the following findings should the nurse document as an indication the client understands the teaching?
      A)
      The client makes frequent eye contact during the teaching,
      B)
      The client demonstrates what they learned during the teaching.
      C)
      The client nods their head and smiles during the teaching.
      D)
      The client wears their glasses and hearing aids during the teaching.
    2. A nurse manager in a community health clinic is reviewing the charts of four clients. Which of the following illnesses should the nurse manager recognize as a national notifiable condition?
      A)
      Gonorrhea
      B)
      Gastroenteritis
      C)
      Respiratory syncytial virus (RSV)
      D)
      Hepatitis E
    3. A nurse is performing a home hazard appraisal for a client who is experiencing weakness in the lower extremities and uses a walker. Which of the following recommendations should the nurse make?
      A)
      Ambulate without the walker for short distances,
      B)
      Use 40-watt bulbs in light fixtures.
      C)
      Place several small throw rugs on non-carpeted floors.
      D)
      Sit on a shower chair while showering.
    4. A home health nurse is assessing the health history of a new client. The nurse should identify that which of the following conditions increases the client's risk for falls?
      A)
      Chronic obstructive pulmonary disease
      B)
      Chronic kidney disease
      C)
      Osteoarthritis
      D)
      Wide-angle glaucoma
    Page 3 of 14

    Exam Review

    1. A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer. Which of the following interventions should the nurse include in the plan?
      A)
      Recommend the client seek out hospice services rather than seek treatment.
      B)
      Initiate topics of conversation that avoid the client's health status.
      C)
      Place the client's name and medical condition on an online prayer chain.
      D)
      Provide quiet time during visits for prayer or meditation.
    2. A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider in selecting appropriate resources for the client?
      A)
      The website is sponsored by a health care political action committee.
      B)
      The website is updated every 5 years.
      C)
      The website is hosted by a dialysis equipment marketing group.
      D)
      The website provides a peer review process for publishing information.
    3. A public health nurse is developing a protocol for treatment of inhalation anthrax in the event of widespread public exposure. Which of the following information should the nurse plan to include?
      A)
      Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax.
      B)
      Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.
      C)
      Manifestations of anthrax infection appear within 3 days of exposure.
      D)
      The anthrax vaccine is ineffective following direct anthrax exposure.
    4. A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
      A)
      "A client's diagnosis can be posted on the communication board inside the client's room."
      B)
      "We should share our computer passwords with our manager."
      C)
      "HIPAA rules vary from state to state."
      D)
      "HIPAA rules allow clients to receive a copy of their medical records."
    Page 4 of 14

    Exam Review

    1. An occupational health nurse is planning a program on early detection of breast cancer for employees at a local business. Which of the following is the first action the nurse should take?
      A)
      Develop educational materials for employees.
      B)
      Have breast models available to employees during teaching sessions.
      C)
      Determine employee knowledge level of breast self-examination.
      D)
      Schedule a guest speaker to talk about breast cancer to employees.
    2. A community health nurse is in the initial phase of planning a smoking cessation program. Which of the following is the first action the nurse should take?
      A)
      Formulate objectives for the smoking cessation program.
      B)
      Evaluate the methods of successful smoking cessation programs.
      C)
      Gain community support for the program.
      D)
      Determine the prevalence of smoking in the community.
    3. During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse take first?
      A)
      Notify the parents of the students.
      B)
      Administer oxygen therapy.
      C)
      Contact the local health department.
      D)
      Establish a triage area.
    4. A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (Select all that apply
      A)
      Teaching a class about the risks of cigarette smoking
      B)
      Organizing a program to promote skateboard safety
      C)
      Recommending a seating arrangement for a child in a body cast
      D)
      Creating a plan of care for children who have a diagnosis of diabetes mellitus
      E)
      Lobbying for funding for health promotion efforts
    Page 5 of 14

    Exam Review

    1. A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?
      A)
      Teach the client about appropriate food choices.
      B)
      Refer the client to a diabetes mellitus support group.
      C)
      Identify the client's dietary preferences.
      D)
      Develop a nutritional program.
    2. A home health nurse is reviewing a list of staff activities for the upcoming month. The nurse should identify that which of the following activities will provide feedback regarding care quality?
      A)
      Teaching clients' family members how to care for a wound in the home setting
      B)
      Organizing an event to improve the morale of the home health staff
      C)
      Tracking the number of postoperative clients who are readmitted to the acute care facility
      D)
      Orienting staff members to a new piece of equipment that will be used in the home setting
    3. A community health nurse is providing support to the caregiver of a client who has new onset dementia. Which of the following statements should the nurse make to the caregiver?
      A)
      You should not expect any financial assistance for dementia.
      B)
      You should find a local support group for caregivers.
      C)
      You should not allow anyone else to care for your partner.
      D)
      You should complete all ADLs for your partner.
    4. A nurse at a community mental health center is teaching a course for the family and friends of clients who have a gambling disorder. Which of the following statements by a participant indicates an understanding of the information?
      A)
      “There is no genetic link to an increased risk for a gambling disorder.”.
      B)
      “Gambling behaviors can increase during times of stress.”.
      C)
      “A person must gamble at least four to six times per month to have a gambling disorder.”.
      D)
      “Family members should provide financial assistance during times of increased gambling.”.
    Page 6 of 14