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    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)
      Identify the client's dietary preferences.
      B)
      Teach the client about appropriate food choices.
      C)
      Develop a nutritional program.
      D)
      Refer the client to a diabetes mellitus support group.
    2. A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which of the following statements by the guardian indicates an understanding of the teaching?
      A)
      "I should inspect my child's mouth for sores."
      B)
      "I will make sure my child gets a measles, mumps, and rubella vaccine this week."
      C)
      "I'm sure my child will feel better now that he can ride his bicycle."
      D)
      "I should take my child's rectal temperature daily."
    3. A home health nurse is providing teaching to a client and their family about hospice care. Which of the following information should the nurse include in the teaching?
      A)
      Hospice care will provide life-extending interventions.
      B)
      Hospice services end when the client dies.
      C)
      Hospice care allows families to participate in the client's care.
      D)
      Hospice programs are designed for clients who have 9 months or fewer to live.
    4. 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)
      Establish a triage area.
      B)
      Contact the local health department.
      C)
      Notify the parents of the students.
      D)
      Administer oxygen therapy.
    Page 1 of 14

    Exam Review

    1. A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize that which of the following is the host?
      A)
      The vaccine
      B)
      The children
      C)
      The school
      D)
      The virus
    2. A community health nurse notes that six new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. Which of the following is the prevalence proportion for the community?
      A)
      33.3/100,000
      B)
      40.0/100,000
      C)
      0.9/100,000
      D)
      73.3/100,000
    3. A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?
      A)
      "Describe the place where you are currently living."
      B)
      "Apply moisture barrier ointment three times a day."
      C)
      "Eat a balanced diet with high-protein snacks."
      D)
      "A social worker can help you with the cost of supplies."
    4. 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.
    Page 2 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)
      Provide quiet time during visits for prayer or meditation.
      C)
      Initiate topics of conversation that avoid the client's health status.
      D)
      Place the client's name and medical condition on an online prayer chain.
    2. A school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa. Which of the following actions should the nurse take?
      A)
      Ask the caregivers if the child recently used alcohol-based mouthwash.
      B)
      Check the child's classmates for parotid gland enlargement.
      C)
      Instruct the caregivers to increase the child's Vitamin B12 intake.
      D)
      Review the immunization records of the child's classmates.
    3. 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.)
      A)
      I can receive care in the hospital or at home."
      B)
      "I will need to have private insurance because Medicare does not cover hospice services."
      C)
      "I can discontinue hospice care whenever I want."
      D)
      "I will receive care from a variety of interprofessional team members."
      E)
      "My provider will recommend that I enter hospice care when I have 1 year left to live."
    4. Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from rips in the heating duct insulation?
      A)
      Centers for Disease Control and Prevention
      B)
      Environmental Protection Agency
      C)
      National Institutes of Health
      D)
      Department of Health and Human Resources
    Page 3 of 14

    Exam Review

    1. A nurse is counseling a client who has advanced-stage lung cancer about the use of palliative care. Which of the following client statements indicates an understanding of the information?
      A)
      "The purpose of palliative care is to provide comfort measures for cancer."
      B)
      "If my oncologist recommends palliative care, it means that I have about 6 months or less to live."
      C)
      "If I choose palliative care, I can only go to the hospital if I stop breathing."
      D)
      "I need to stop treatments for my cancer before beginning palliative care."
    2. A home health nurse is explaining a HIPAA acknowledgement form to a client in preparation for them to sign it. Which of the following information should the nurse provide?
      A)
      "The billing department at the agency will have access to your medical record."
      B)
      "Your health care provider will assist you in making decisions about who to disclose your health information to."
      C)
      "I can share your current medical information with providers who are involved in your care."
      D)
      "Assistive personnel will be able to access your prior admission information."
    3. A community health nurse is developing a disaster-preparedness plan. Which of the following actions should the nurse take first when developing the plan?
      A)
      Evaluate the effectiveness of local disaster-preparedness drills.
      B)
      Identify the community's risks and capabilities.
      C)
      Provide education about first aid and triage.
      D)
      Assemble an emergency disaster response team.
    4. A first-response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients?
      A)
      A client who has a femur fracture with a 2+ pedal pulse
      B)
      A client who has superficial partial-thickness burn injuries over 5% of his body
      C)
      A client who is ambulatory and exhibits manic behavior
      D)
      A client who has a rigid abdomen with manifestations of shock
    Page 4 of 14

    Exam Review

    1. A nurse is counseling a client who has advanced-stage lung cancer about the use of palliative care. Which of the following client statements indicates an understanding of the information?
      A)
      "The purpose of palliative care is to provide comfort measures for cancer."
      B)
      "If my oncologist recommends palliative care, it means that I have about 6 months or less to live."
      C)
      "If I choose palliative care, I can only go to the hospital if I stop breathing."
      D)
      "I need to stop treatments for my cancer before beginning palliative care."
    2. A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions?
      A)
      Implementing a disaster triage plan with a local medical facility
      B)
      Organizing a mass casualty drill for community members
      C)
      Assisting with the identification of a biological agent
      D)
      Functioning as a manager at a temporary shelter
    3. A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group?
      A)
      Motor vehicle safety
      B)
      Sports injury prevention
      C)
      Gun safety
      D)
      Substance abuse prevention
    4. A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?
      A)
      Perform tuberculosis screenings throughout the community.
      B)
      Provide education to the community about the manifestations of tuberculosis.
      C)
      Ensure client adherence to the medication regimen.
      D)
      Report the active case to the public health department.
    Page 5 of 14

    Exam Review

    1. A home health nurse is visiting with a client who is recovering from a stroke. The client's adult child has taken on the role of caregiver. Which of the following statements indicates they are adapting to their role change?
      A)
      "I apologize for the dishes piling up in the kitchen sink."
      B)
      "I will need financial assistance if I don't get back to my job soon."
      C)
      "I am still trying to rearrange the furniture so they can use their walker."
      D)
      "I have a neighbor coming over so I can go get my hair cut and styled."
    2. A nurse is conducting discharge planning for several clients. When reviewing information to report to other members of the interprofessional team, which of the following actions is the nurse's priority?
      A)
      Ask social services to inform a client about community support organizations.
      B)
      Notify spiritual support personnel about a client who requests a visit.
      C)
      Request a dietitian consult for a client who asks for information about a vegan diet.
      D)
      Inform the physical therapist of activity restrictions for a client following a hip arthroplasty.
    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 is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take?
      A)
      Address the physical needs of clients.
      B)
      Help clients gather needed supplies.
      C)
      Explore feelings the clients are experiencing.
      D)
      Create diversionary activities for children.
    Page 6 of 14