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    Exam Review

    1. A hospice nurse is caring for a client who is terminally ill. The client says they wish for a miracle cure. Which of the following actions by the client demonstrates that they are effectively coping?
      A)
      The client plans a family reunion in 6 months.
      B)
      The client journals about the experience of dying.
      C)
      The client expresses anger frequently.
      D)
      The client says they have accepted their condition.
    2. A nurse is speaking with several clients at a health fair. Which of the following statements should the nurse assess further?
      A)
      "I prepare my medications for the week on Sundays.”.
      B)
      "I have to turn my head completely to see things that are beside me.”.
      C)
      "I have to change my hearing aid battery weekly.”.
      D)
      "I prepare all of my own meals.”.
    3. A community health nurse is preparing an educational program about levels of prevention. Which of the following actions is an example of a secondary prevention intervention?
      A)
      Instructing elementary school students about healthy food choices.
      B)
      Giving a presentation about immunizations at a parent-teacher conference.
      C)
      Performing hypertension screenings in a community center.
      D)
      Teaching self-care strategies to a client who has had a stroke.
    4. A nurse is assessing clients for risks of intimate partner violence (IPV). Which of the following findings should the nurse recognize as an individual risk factor for IPV?
      A)
      A client has recently experienced divorce.
      B)
      A client describes their family as dysfunctional.
      C)
      A client lives in a neighborhood with low socioeconomic status.
      D)
      A client experienced poor parenting as a child.
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    Exam Review

    1. A nurse is caring for a population of clients in a community. Which of the following actions should the nurse take to promote client advocacy?
      A)
      Conduct an educational session on bioterrorism with community leaders.
      B)
      Provide information about the rates of diabetes in the community.
      C)
      Coordinate multiple health services at a central location.
      D)
      Review the hospital's disaster plan and make recommendations.
    2. A nurse is caring for a client who has terminal cancer and has decided to be discharged and receive palliative care at home. Which of the following statements made by the client indicates an understanding of palliative care management?
      A)
      "Palliative care services end for my family upon my death.”.
      B)
      "Palliative care is reserved for end of life.”.
      C)
      "Palliative care will help to postpone my death.”.
      D)
      "Palliative care aims to improve my quality of life.”.
    3. A school nurse is performing vision screenings for a group of students to check ocular alignment using the cover test. Which of the following instructions should the nurse give to the students?
      A)
      "Read the words on this paper while I quickly move a cover from one eye to the other.”.
      B)
      "Look straight ahead and try not to blink while I shine this light into your eyes.”.
      C)
      "Focus on the finger I am holding up while I cover one eye, and then the other.”.
      D)
      "Cover your left eye and use your right eye to read the letters I point to on this chart.”.
    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)
      One of the child's parents has a history of alcohol use disorder.
      B)
      The child spends the weekends with their grandparents.
      C)
      One of the child's parents appears frightened of the other parent.
      D)
      Neither of the child's parents are financially stable.
      E)
      The child's family has an indoor cat that sleeps with the child.
    Page 2 of 16

    Exam Review

    1. A nurse is conducting a community assessment. Which of the following observations indicate individual lifestyle choices in the community?
      A)
      The presence of a manufacturing facility.
      B)
      The presence of a community health clinic.
      C)
      The presence of high-speed internet.
      D)
      The presence of community members smoking.
    2. A home health nurse is reviewing the treatment plan for a client who has diabetes mellitus and is recovering from the surgical removal of an ingrown toenail. Which of the following prescriptions should the nurse verify with the provider?
      A)
      Apply antibiotic ointment to the surgical area.
      B)
      Soak feet in warm water twice per day.
      C)
      Teach client how to inspect feet daily.
      D)
      Follow up with a podiatrist for further treatment.
    3. A hospice nurse is talking with the partner of a client who is near death. The partner states, "How will I go on without them? I already feel so alone.”. Which of the following actions should the nurse take?
      A)
      Reassure the client's partner that it will get better.
      B)
      Express sympathy to the client's partner.
      C)
      Ask the client's partner if they need anything.
      D)
      Hug the client's partner.
      E)
      None
      F)
      None
    4. A public health nurse is developing a presentation on vaccine-preventable diseases. Which of the following diseases should the nurse include?
      A)
      Hepatitis C.
      B)
      Botulism.
      C)
      Lyme disease.
      D)
      Smallpox.
    Page 3 of 16

    Exam Review

    1. A home health nurse is visiting a client who reports their new prescription was denied by their insurance. Which of the following actions should the nurse take?
      A)
      Contact the client's provider to request a change in the client's medication.
      B)
      Provide a new prescription for the medication to the client's pharmacy.
      C)
      Collaborate with a social worker to provide legal advice.
      D)
      Tell the client they can forgo the medication.
    2. A faith community nurse is making a referral to a meal delivery program for a member of the congregation. This is an example of which of the following functions of the faith community nurse?
      A)
      Health educator.
      B)
      Liaison.
      C)
      Personal health counselor.
      D)
      Pastoral care provider.
    3. A community health nurse is assessing a family that includes a member who has paraplegia following a recent accident. Which of the following should the nurse say to the family?
      A)
      "You should know that everything is going to be alright.”.
      B)
      "You should make your house wheelchair accessible.”.
      C)
      "What has changed within your family since the accident?"
      D)
      "Do you think you will be able to handle this new diagnosis?" .
    4. A nurse is assessing the care area of a client who is prescribed a protective environment. The client's room has a high-efficiency particulate air filtration system. For which of the following findings should the nurse intervene?
      A)
      The client is placed in a private room.
      B)
      The client wears a mask when leaving their room for a procedure.
      C)
      The client has a plant in their bedroom.
      D)
      The client's caregiver washes their hands before entering the room.
    Page 4 of 16

    Exam Review

    1. A public health nurse is educating caregivers about expected age-related changes seen in toddlers. Which of the following information should the nurse include?
      A)
      Toddlers will engage in imaginary play with other children their age.
      B)
      Toddlers do not require short nap periods during the day.
      C)
      Toddlers are able to use safety scissors to cut out simple shapes.
      D)
      Toddlers are able to feed themselves using a spoon.
    2. A home health nurse is providing teaching to a client who has diabetes mellitus about proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      I will discard the syringes in a metal container."
      B)
      "I will wear gloves when I discard the syringes."
      C)
      I will take containers of used syringes to the local recycling center."
      D)
      I will store used syringes in a biohazard bag before discarding."
    3. A case manager is providing discharge instructions to a client's caregiver about assistance with transportation to the client's hemodialysis treatments. Which of the following statements should the case manager make?
      A)
      The client can skip treatments when they do not have transportation.
      B)
      I am changing the client's therapy to home peritoneal dialysis.
      C)
      The client should make personal arrangements for therapy appointments.
      D)
      I will arrange for the client to take the community van to their treatments.
    4. A nurse is caring for a group of clients who have sexually transmitted infections (STIs). Which of the following STIs should the nurse report to the local health department?
      A)
      Gonorrhea.
      B)
      Genital herpes.
      C)
      Human papillomavirus (HPV).
      D)
      Trichomoniasis.
    Page 5 of 16

    Exam Review

    1. A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
      A)
      Discuss the benefits of eating a well-balanced diet with the client's family.
      B)
      Assist the client and the client's partner with finding an affordable exercise program.
      C)
      Offer to accompany the client and the client's partner during health care provider visits.
      D)
      Ask family members about the impact of the disease on relationships within the family.
    2. A faith community nurse is educating new nurses about legal issues. Which of the following statements by a new nurse indicates an understanding of the teaching?
      A)
      Faith community nurses have no need to carry malpractice insurance.
      B)
      Faith community nurses follow different standards of practice than hospital nurses.
      C)
      Faith community nurses follow the scope of practice that is established by their faith institution.
      D)
      Faith community nurses are required to identify and report cases of abuse and neglect.
    3. A nurse is caring for a client at a community health clinic who speaks a different language than the nurse. Which of the following findings indicates the client’s language needs have been met?
      A)
      The client is following the nurse’s directions without difficulty.
      B)
      The client's family is providing interpreter services.
      C)
      The client nods when asked a querry
      D)
      The nurse provides written information.
    4. A home health nurse is teaching about home modifications to promote safety for an older client following an extensive hospitalization. Which of the following information should the nurse include in the teaching?
      A)
      Secure electrical cords to the edges of the floor.
      B)
      Mark the edges of the stairs with gray tape.
      C)
      Use bathmats with foam backing.
      D)
      Keep the water heater temperature below 49°C (120°F).
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