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    Exam Review

    1. 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)
      Discuss the client's wishes with their provider.
      B)
      Ask the client why they do not want to continue treatment.
      C)
      Instruct the client that they need to change their advance directives first.
      D)
      Request a referral for a social worker.
    2. An occupational health nurse is planning health promotion activities for a group of workers in a local manufacturing plant Which of the following are secondary prevention activities the nurse should plan to include? (Select all that apply)
      (SATA)
      A)
      Educate the workers on the importance of safety goggles.
      B)
      Demonstrate proper lifting techniques for the workers.
      C)
      Encourage the workers to use back braces provided by the employer.
      D)
      Refer workers who report difficulty hearing for further auditory testing.
      E)
      Conduct visual screenings for workers operating equipment.
    3. 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 take my child's rectal temperature daily."
      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 inspect my child's mouth for sores."
    4. 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 clients dietary preferences.
      B)
      Develop a nutritional program.
      C)
      Teach the client about appropriate food choices.
      D)
      Refer the client to a diabetes mellitus support group.
    Page 1 of 14

    Exam Review

    1. 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 programs are designed for clients who have 9 months or fewer to live.
      B)
      Hospice care allows families to participate in the clients care.
      C)
      Hospice services end when the client dies.
      D)
      Hospice care will provide life-extending interventions.
    2. 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)
      Notify the parents of the students.
      B)
      Administer oxygen therapy.
      C)
      Contact the local health department.
      D)
      Establish a triage area.
    3. 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 updated every 5 years.
      B)
      The website is hosted by a dialysis equipment marketing group.
      C)
      The website is sponsored by a health care political action committee.
      D)
      The website provides a peer review process for publishing information.
    4. A community health nurse notes that 6 new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, 5 cases were reported. The population of the community is 15,000 people. Which of the following is the prevalence proportion for the community?
      A)
      73.3/100,000
      B)
      33.3/100,000
      C)
      0.9/100,000
      D)
      40.0/100,000
    Page 2 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 children
      B)
      The school
      C)
      The virus
      D)
      The vaccine
    2. 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)
      (SATA)
      A)
      "I will receive care from a variety of interprofessional team members."
      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 can receive care in the hospital or at home."
      E)
      "My provider will recommend that I enter hospice care when I have 1 year left to live."
    3. 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)
      Place the client's name and medical condition on an online prayer chain.
      B)
      Recommend the client seek out hospice services rather than seek treatment.
      C)
      Initiate topics of conversation that avoid the clients health status.
      D)
      Provide quiet time during visits for prayer or meditation.
    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)
      Apply moisture barrier ointment three times a day.
      B)
      Eat a balanced diet with high-protein snacks.
      C)
      Describe the place where you are currently living.
      D)
      A social worker can help you with the cost of supplies.
    Page 3 of 14

    Exam Review

    1. 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)
      Provide education about first aid and triage.
      B)
      Identify the community's risks and capabilities.
      C)
      Evaluate the effectiveness of local disaster-preparedness drills.
      D)
      Assemble an emergency disaster response team.
    2. 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)
      Department of Health and Human Resources
      B)
      National Institutes of Health
      C)
      Environmental Protection Agency
      D)
      Centers for Disease Control and Prevention
    3. 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)
      Review the immunization records of the child’s classmates.
      B)
      Ask the caregivers if the child recently used alcohol-based mouthwash.
      C)
      Instruct the caregivers to increase the child's Vitamin B12 intake.
      D)
      Check the child's classmates for parotid gland enlargement.
    4. 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)
      "Your health care provider will assist you in making decisions about who to disclose your health information to."
      B)
      "Assistive personnel will be able to access your prior admission information."
      C)
      "I can share your current medical information with providers who are involved in your care."
      D)
      "The billing department at the agency will have access to your medical record."
    Page 4 of 14

    Exam Review

    1. 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 a rigid abdomen with manifestations of shock.
      C)
      A client who has superficial partial-thickness burn injuries over 5% of his body.
      D)
      A client who is ambulatory and exhibits manic behavior.
    2. 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)
      "If I choose palliative care, I can only go to the hospital if I stop breathing."
      B)
      "The purpose of palliative care is to provide comfort measures for cancer."
      C)
      "I need to stop treatments for my cancer before beginning palliative care."
      D)
      "If my oncologist recommends palliative care, it means that I have about 6 months or less to live."
    3. 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)
      Organizing a mass casualty drill for community members.
      B)
      Implementing a disaster triage plan with a local medical facility.
      C)
      Assisting with the identification of a biological agent.
      D)
      Functioning as a manager at a temporary shelter.
    4. 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.
    Page 5 of 14

    Exam Review

    1. 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.
    2. 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."
    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 nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?
      A)
      The provider is paid a fixed sum for the client on a monthly or yearly basis.
      B)
      The client pays the insurer a percentage of the total costs for each service rendered by the provider.
      C)
      The client is participating in a fee-for-service health care insurance program.
      D)
      The provider bills the client directly for a predetermined percentage of the cost of services.
    Page 6 of 14