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    Exam Review

    1. A team of nurse case managers is implementing a community-based palliative care program. They are meeting today to discuss their progress. Exhibits Select the 2 nurses who are performing actions in the evaluation phase of the nursing process.
      (SATA)
      A)
      Nurse 1
      B)
      Nurse 2
      C)
      Nurse 3
      D)
      Nurse 4
      E)
      Nurse 5
    2. A nurse is assessing the social determinants of health for community members. Which of the following factors should the nurse identify as part of the neighborhood and built environment?
      A)
      Community organizations
      B)
      Level of education
      C)
      Quality of housing
      D)
      Health insurance coverage
    3. A nurse is planning care for clients in the community. For which of the following actions should the nurse plan an interprofessional conference?
      A)
      Teaching fall prevention strategies to caregivers
      B)
      Implementing a population-based approach to client care
      C)
      Maintaining confidentiality of HIV-positive status
      D)
      Conducting a windshield survey in a neighbourhood
    4. A nurse in an extended care facility enters the room of a client and notices a fire in the trash can. Which of the following actions is the nurse's priority?
      A)
      Shut the doors and windows of the room.
      B)
      Activate the alarm.
      C)
      Move the client to another location
      D)
      Attempt to extinguish the fire
    Page 1 of 15

    Exam Review

    1. A community health nurse is participating in a natural disaster drill. This activity would fall into which of the following phases of the disaster management cycle?
      A)
      Disaster prevention
      B)
      Disaster response
      C)
      Disaster preparedness
      D)
      Disaster recovery
    2. A case management nurse is planning discharge teaching for a client. Which of the following interventions should the nurse plan to include for secondary prevention?
      A)
      Teach the client about support groups in the community.
      B)
      Inform the client about home health visits to monitor effectiveness of care.
      C)
      Teach the client about modifications for activities of daily living skills.
      D)
      Inform the client about ongoing screening for high risk conditions.
    3. A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. Which of the following assessments should the nurse identify as the priority?
      A)
      Ask whether the client's insurance will cover home health services
      B)
      Determine whether the client is eligible to go to a skilled nursing facility.
      C)
      Collaborate with a prosthetist to teach the client about care of the prosthesis.
      D)
      Evaluate the client's home environment.
    4. A community health nurse is planning a program for young adults about STI prevention. Which of the following actions should the nurse take first when preparing this program?
      A)
      Develop content appropriate to learner needs.
      B)
      Arrange for computer-assisted learning
      C)
      Collect data to identify learners' current knowledge base
      D)
      Identify topics with health department nurses.
    Page 2 of 15

    Exam Review

    1. A school nurse is assessing a child who has a fever and notices several bite marks on the child's arm. The nurse should submit a referral for suspected child maltreatment based on which of the following additional findings? Select all that apply)
      (SATA)
      A)
      The child is frequently absent from school
      B)
      The child's clothes are wrinkled and dirty
      C)
      The child reports coughing all day.
      D)
      The child is wearing open-toed shoes and the weather is cold outside.
      E)
      The child tells the nurse that they are sick because they are bad.
    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)
      Hepatitis E
      D)
      Respiratory syncytial virus (RSV)
    3. A home health nurse is caring for a client who is receiving antibiotics via a central venous access device (CVAD). Which of the following actions should the nurse take to prevent infection?
      A)
      Instruct the client to change the end caps of the CVAD daily.
      B)
      Use clean technique when administering medication.
      C)
      Clean blood spills on hard surfaces with isopropyl alcohol
      D)
      Use disposable equipment whenever possible.
    4. A nurse in a community health center is counseling a group of clients who are currently experiencing partner violence. Which of the following strategies is the priority for the nurse to include in the counseling?
      A)
      Developing an escape plans.
      B)
      Using stress management techniques
      C)
      Identifying a primary support person.
      D)
      Providing referrals for legal counseling.
    Page 3 of 15

    Exam Review

    1. A nurse is presenting healthy living information to a group of older adults. Which of the following vaccines should the nurse recommend?
      A)
      Inactivated poliovirus
      B)
      Zoster
      C)
      Rotavirus
      D)
      Human papillomavirus
    2. A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following Interventions is an example of tertiary prevention?
      A)
      Presenting community education programs about stress management
      B)
      Assessing for risk factors of partner violence during health examinations
      C)
      Developing resources for victims of violence
      D)
      Urging community leaders to make nonviolence a priority
    3. A community health nurse is planning care by using the family system approach. Which of the following methods should the nurse use to obtain Information about family function?
      A)
      Determine each member's role in the family.
      B)
      Review the Healthy People objectives for family health
      C)
      Complete a three-generation genogram of the family.
      D)
      Conduct a windshield survey of the family's community.
    4. A nurse is evaluating a client who uses ginger as an alternative and complementary therapy. Which of the following outcomes indicates the effectiveness of the treatment?
      A)
      Decreased manifestations of allergy
      B)
      Decreased manifestations of menopause
      C)
      Decreased nausea
      D)
      Decreased eczema
    Page 4 of 15

    Exam Review

    1. A community health nurse is preparing a health promotion presentation for a group of older adults. Which of the following recommendations should the nurse include? (Select all that apply.)
      A)
      Maintain a BMI between 28 and 32.
      B)
      Participate in weight-bearing exercises.
      C)
      Complete a lead poisoning screening every two years
      D)
      Receive an influenza vaccine every year.
      E)
      Limit alcohol to no more than one drink per day or four per week
    2. A nurse is conducting an initial home health assessment for an older adult who has a new diagnosis of moderate Alzheimer's disorder and lives with their caregiver. For which of the following findings should the nurse obtain a referral to a physical therapist?
      A)
      The client has gained 4.5 kg (10 lb) over 8 weeks.
      B)
      The caregiver reports that recently the client is incontinent of urine during the day.
      C)
      The client is unable to climb the stairs to their bedroom.
      D)
      The caregiver reports the client needs assistance with activities of daily living such as bathing
    3. A public health nurse is assisting a client who is a recent immigrant and is hesitant to utilize community resources. Which of the following action should the nurse take to provide culturally competent care? (Select all that apply.)
      A)
      Use a family member as an interpreter when discussing services.
      B)
      Explain that the client must use the available resources
      C)
      Learn more about the client's values
      D)
      Support the client as the owner of their own healthcare.
      E)
      Review the client's current health practices
    4. As part of an anti-smoking campaign, a school nurse is teaching a group of adolescents about the negative health effects of smoking tobacco. Which of the following strategies is the nurse using?
      A)
      Primary prevention
      B)
      Tertiary prevention
      C)
      Screening
      D)
      Case findings
    Page 5 of 15

    Exam Review

    1. A nurse in a faith-based community is evaluating outcomes of a spiritual care program with clients. Which of the following actions should the nurse take if the outcomes are not met?
      A)
      Provide programs without an emphasis on spiritual care.
      B)
      Reassess the social demographics of the faith community.
      C)
      Disregard differences in the nurse's and clients' beliefs.
      D)
      Apply objective measurements for the outcomes.
    2. A community health nurse is being pulled away from the laptop computer while documenting in a client's electronic health record. Which of the following actions should the nurse take?
      A)
      Lock the computer with their password.
      B)
      Minimize the computer application.
      C)
      Close the computer screen.
      D)
      Log out of the computer.
    3. 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
    4. A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in the teaching (Select all that apply.)
      A)
      "You might experience painful urination until the infection has resolved."
      B)
      "You will need to take an antiviral medication for 30 days."
      C)
      "You should avoid sexual contact until therapy is complete."
      D)
      "Notify anyone with whom you have had sexual contact over the past 2 months."
      E)
      "Once you complete treatment, you will have an acquired immunity against chlamydia."
    Page 6 of 15