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    Exam Review

    1. 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)
      Track rates of illness caused by infection among employees.
      B)
      Measure noise levels at various locations in the facility.
      C)
      Identify industrial toxins that are present in the environment.
      D)
      Survey workers about job-related emotional stress.
    2. 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.
    3. A hospice nurse is planning care for a client who is near death. Which of the following actions should the nurse include in the client's plan of care to promote the client's comfort?
      A)
      Elevate the head of the client's bed.
      B)
      Offer the client ice chips.
      C)
      Turn the client every 4 hours.
      D)
      Provide oral care to the client every 6 hours.
    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)
      Ensure client adherence to the medication regimen.
      B)
      Perform tuberculosis screenings throughout the community.
      C)
      Report the active case to the public health department.
      D)
      Provide education to the community about the manifestations of tuberculosis.
    Page 1 of 11

    Exam Review

    1. 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.
    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 when selecting appropriate resources for the client?
      A)
      The website is updated every five years.
      B)
      The website is hosted by a dialysis equipment marketing group.
      C)
      The website is sponsored by a healthcare political action committee.
      D)
      The website provides a peer review process for publishing information.
    3. 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 that the client understands the teaching?
      A)
      The client nods their head and smiles during the teaching.
      B)
      The client demonstrates what they learned during the teaching.
      C)
      The client wears their glasses and hearing aids during the teaching.
      D)
      The client makes frequent eye contact during the teaching.
    4. 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)
      Sit on a shower chair while showering.
      B)
      Place several small throw rugs on non-carpeted floors.
      C)
      Ambulate without the walker for short distances.
      D)
      Use 40-watt bulbs in light fixtures.
    Page 2 of 11

    Exam Review

    1. 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)
      "A social worker can help you with the cost of supplies."
      D)
      "Eat a balanced diet with high-protein snacks."
    2. 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)
      (SATA)
      A)
      Recommending a seating arrangement for a child in a body cast.
      B)
      Lobbying for funding for health promotion efforts.
      C)
      Creating a plan of care for children who have a diagnosis of diabetes mellitus.
      D)
      Organizing a program to promote skateboard safety.
      E)
      Teaching a class about risks of smoking cigarettes
    3. 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 that the client understands the teaching?
      A)
      The client nods their head and smiles during the teaching.
      B)
      The client demonstrates what they learned during the teaching.
      C)
      The client wears their glasses and hearing aids during the teaching.
      D)
      The client makes frequent eye contact during the teaching.
    4. A home health nurse is visiting 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 will need financial assistance if I don't get back to my job soon."
      B)
      "I have a neighbor coming over so I can go get my hair cut and styled."
      C)
      "I apologize for the dishes piling up in the kitchen sink."
      D)
      "I am still trying to rearrange the furniture so they can use their walker."
    Page 3 of 11

    Exam Review

    1. A nurse is instructing a newly licensed nurse about preparing educational documents for a primary prevention program. Which of the following statements by the newly licensed nurse indicates that health literacy needs are met?
      A)
      "I will use third person when conducting the presentation."
      B)
      "I will focus on medical facts instead of desired behaviors."
      C)
      "I will ensure the content is written at an 8th-grade level."
      D)
      "I will use a 16-point font when creating the handouts."
    2. 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."
    3. 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 am relying more and more on my partner for support."
      B)
      "I know that everything will be better soon."
      C)
      "I am afraid of experiencing pain near the end."
      D)
      "I don't want to lose control of my ability to make decisions."
    4. A teacher suspects a child is being maltreated at home and takes them to the school nurse. Which of the following findings should the nurse report as an indication of possible maltreatment?
      A)
      The child has recent onset of urinary incontinence
      B)
      The child has bruises on both knees
      C)
      The child reports having a toothache
      D)
      The child receives free lunches at school
    Page 4 of 11

    Exam Review

    1. A home health nurse is providing teaching to a client who has diabetes mellitus about the proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will wear gloves when I discard the syringes."
      B)
      "I will store used syringes in a biohazard bag before discarding."
      C)
      "I will take containers of used syringes to the local recycling center."
      D)
      "I will discard the syringes in a metal container."
    2. A community health nurse is in the initial phase of planning a smoking cessation program. Which of the following actions should the nurse take first?
      A)
      Evaluate the methods of successful smoking cessation programs.
      B)
      Gain community support for the program.
      C)
      Determine the prevalence of smoking in the community.
      D)
      Formulate objectives for the smoking cessation program.
    3. A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take?
      A)
      Request a referral for a social worker.
      B)
      Instruct the client that they need to change their advance directives first.
      C)
      Discuss the client's wishes with their provider.
      D)
      Ask the client why they do not want to continue treatment.
    4. A public health nurse is developing a protocol for the treatment of inhalation anthrax in the event of widespread public exposure. Which of the following pieces of information should the nurse plan to include?
      A)
      The anthrax vaccine is ineffective following direct anthrax exposure.
      B)
      Manifestations of anthrax infection appear within 3 days of exposure.
      C)
      Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.
      D)
      Ciprofloxacin should be administered to asymptomatic clients who were directly exposed to anthrax.
    Page 5 of 11

    Exam Review

    1. 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.
    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 nurse is caring for a client who has terminal cancer and has decided to be discharged to 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.
    4. A nurse is working for a hospice organization. The nurse should identify that which of the following criteria must be met for a client to qualify for hospice care?
      A)
      The client has documentation stating he has less than 12 months to live
      B)
      The client has declined additional life prolonging treatments
      C)
      The client's insurance provides coverage for palliative care
      D)
      The client requires inpatient care due to lack of a caregiver
    Page 6 of 11