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    Exam Review

    1. A nurse in a public health department is caring for a client. Exhibits Which of the following data in the client’s medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.
      (SATA)
      A)
      Temperature
      B)
      Client’s statement about “bites”
      C)
      Travel history
      D)
      Lymph node assessment
      E)
      Body aches
      F)
      New onset of weakness
      G)
      Headache and chills
      H)
      Pruritic lesions on the right leg
      I)
      Clear lungs to auscultation bilaterally
    2. A nurse manager in a public health clinic is reviewing the charts of five recent clients. Exhibits The nurse manager should identify which of the following clients as having conditions that require national notification? Please select all that apply:
      (SATA)
      A)
      Client 1
      B)
      Client 2
      C)
      Client 3
      D)
      Client 4
    3. As a community health nurse developing a disaster-preparedness plan, what is the first action you should take?
      A)
      Evaluate the effectiveness of local disaster-preparedness drills.
      B)
      Assemble an emergency disaster response team.
      C)
      Provide education about first aid and triage.
      D)
      Identify the community’s risks and capabilities.
    4. When developing a protocol for treatment of inhalation anthrax in the event of widespread public exposure, what information should be included?
      A)
      The anthrax vaccine is ineffective following direct anthrax exposure.
      B)
      Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax.
      C)
      Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.
      D)
      Manifestations of anthrax infection appear within 3 days of exposure.
    Page 1 of 14

    Exam Review

    1. Which statement by a newly licensed nurse indicates an understanding of maintaining client confidentiality according to HIPAA regulations?
      A)
      HIPAA rules vary from state to state.
      B)
      A client’s diagnosis can be posted on the communication board inside the client’s room.
      C)
      We should share our computer passwords with our manager.
      D)
      HIPAA rules allow clients to receive a copy of their medical records.
    2. What isolation precautions should be recommended for a client who has laryngeal tuberculosis?
      A)
      Airborne precautions.
      B)
      Protective environment.
      C)
      Contact precautions.
      D)
      Droplet precautions.
    3. Which response by a client who has AIDS indicates a risk for suicide?
      A)
      I know that everything will be better soon.
      B)
      I don’t want to lose control of my ability to make decisions.
      C)
      I am relying more and more on my partner for support.
      D)
      I am afraid of experiencing pain near the end.
    4. What is the first action to take when planning a program on early detection of breast cancer for employees at a local business?
      A)
      Determine employee knowledge level of breast self-examination.
      B)
      Schedule a guest speaker to talk about breast cancer to employees.
      C)
      Develop educational materials for employees.
      D)
      Have breast models available to employees during teaching sessions.
    Page 2 of 14

    Exam Review

    1. What is the first action to take in the initial phase of planning a smoking cessation program?
      A)
      Determine the prevalence of smoking in the community.
      B)
      Formulate objectives for the smoking cessation program.
      C)
      Gain community support for the program.
      D)
      Evaluate the methods of successful smoking cessation programs.
    2. A school nurse is conducting an assessment on a child and notices the presence of Koplik spots on the child’s buccal mucosa. What should be the nurse’s next course of action?
      A)
      Review the immunization records of the child’s classmates.
      B)
      Advise the caregivers to increase the child’s Vitamin B intake.
      C)
      Examine the child’s classmates for enlargement of the parotid gland.
      D)
      Contact the local health department.
    3. During a routine visit to a physical education class, a nurse receives multiple complaints of shortness of breath, coughing, and nausea. What should be the nurse’s immediate action?
      A)
      Administer oxygen therapy.
      B)
      Establish a triage area.
      C)
      Notify the parents of the students.
      D)
      Contact the local health department.
    4. A school nurse is planning primary prevention activities for the upcoming school year. Which of the following should be included in the nurse’s plan? (Select all that apply)
      A)
      Organize a program to promote skateboard safety.
      B)
      Lobby for funding for health promotion efforts.
      C)
      Teach a class about the risks of cigarette smoking.
      D)
      Recommend a seating arrangement for a child in a body cast.
    Page 3 of 14

    Exam Review

    1. A home health nurse is visiting a client who has recently been diagnosed with diabetes mellitus. What should be the nurse’s initial action?
      A)
      Refer the client to a diabetes mellitus support group.
      B)
      Identify the client’s dietary preferences.
      C)
      Develop a nutritional program.
      D)
      Teach the client about appropriate food choices.
    2. A home health nurse is reviewing a list of staff activities for the upcoming month.Which of the following activities should the nurse identify as providing feedback regarding care quality?
      A)
      Organize an event to improve the morale of the home health staff.
      B)
      Teach clients’ family members how to care for a wound in the home setting.
      C)
      Orient staff members to a new piece of equipment that will be used in the home setting.
      D)
      Track the number of postoperative clients who are readmitted to the acute care facility.
    3. 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.”.
    4. A school nurse is planning safety education for a group of adolescents.Which of the following topics should the nurse prioritize as the leading cause of death for this age group?
      A)
      Substance abuse prevention.
      B)
      Sports injury prevention.
      C)
      Gun safety.
      D)
      Motor vehicle safety.
    Page 4 of 14

    Exam Review

    1. A nurse is collaborating with a case manager for a client who is part of a health maintenance organization. Which of the following payment structures does a health maintenance organization typically use?
      A)
      The provider directly bills the client for a predetermined percentage of the cost of services.
      B)
      The client pays the insurer a percentage of the total costs for each service provided.
      C)
      The provider receives a fixed sum from the client on a monthly or yearly basis.
      D)
      The client pays the provider directly for each individual service rendered.
    2. A home health nurse is instructing a client with diabetes mellitus on the correct disposal of insulin syringes. Which statement by the client indicates they have understood the teaching?
      A)
      “I will store used syringes in a biohazard bag before discarding.”.
      B)
      “I will discard the syringes in a metal container.”.
      C)
      “I will take containers of used syringes to the local recycling center.”.
      D)
      “I will wear gloves when I discard the syringes.”.
    3. A nurse at a health department is participating in an immunization clinic.Which child should the nurse identify as requiring a modification in the standard immunization schedule?
      A)
      A 4-month-old infant who has Down syndrome.
      B)
      An 18-month-old toddler who has failure to thrive.
      C)
      A 3-year-old toddler who has leukemia.
      D)
      A 12-month-old infant who has sickle cell disease.
    4. A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. What action should the nurse plan to take?
      A)
      Direct conversation to the parents to avoid embarrassing the adolescent.
      B)
      Determine how the adolescent’s health has affected family roles.
      C)
      Focus the discussion on the adolescent’s future career plans.
      D)
      Ask another family from the same faith congregation to attend the meeting for support.
    Page 5 of 14

    Exam Review

    1. A newly hired occupational health nurse is assessing hazards in the work environment. Which action will assist the nurse in detecting potential physical hazards?
      A)
      Measure noise levels at various locations in the facility.
      B)
      Survey workers about job-related emotional stress.
      C)
      Identify industrial toxins that are present in the environment.
      D)
      Track rates of illness caused by infection among employees.
    2. A school nurse is examining a child who has a toothache and bruises on both knees.Which of the following observations should the nurse report as a potential sign of maltreatment at home?
      A)
      The child is receiving free lunches at school.
      B)
      The child has recently started experiencing urinary incontinence.
      C)
      The child has a history of frequent absences from school.
      D)
      The child appears to be underweight for their age.
    3. A nurse in a community health clinic is conducting an assessment of a client who has two preschool-aged children, has recently gone through a divorce, and is seeking help for managing depression.Which of the followingQuestions should the nurse ask first?
      A)
      “Could you describe how you are feeling today?”
      B)
      “Are you having any thoughts about hurting yourself?”
      C)
      “Is there anything that makes you feel less depressed?”
      D)
      “Who is available to help you?”
    4. 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)
      “Eat a balanced diet with high-protein snacks.”.
      B)
      “Describe the place where you are currently living.”.
      C)
      “A social worker can help you with the cost of supplies.”.
      D)
      “Apply moisture barrier ointment three times a day.”. .
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