Exam Review

A home health nurse is performing a home visit to determine safety needs for a client. Exhibits Which of the following findings by the nurse may present complications for the client? Select all that apply.
(SATA)
A)
Shower
B)
Flooring
C)
Home entrance
D)
Inside walking pathway
E)
Rugs
F)
Inside lighting
G)
Home assistance
H)
Toilet
I)
Bedroom Location
J)
Handrails
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)
Neither of the child's parents are financially stable.
B)
The child's family has an indoor cat that sleeps with the child.
C)
One of the child's parents appears frightened of the other parent.
D)
One of the child's parents has a history of alcohol use disorder.
E)
The child spends the weekends with their grandparents.
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)
(SATA)
A)
You should avoid sexual contact until therapy is complete.
B)
You will need to take an antiviral medication for 30 days.
C)
Notify anyone with whom you have had sexual contact over the past 2 months.
D)
You might experience painful urination until the infection has resolved.
E)
Once you complete treatment, you will have acquired immunity against chlamydia.
A nurse in an antepartum clinic is reviewing the medical records of four clients. Which of the following infectious conditions should the nurse report to the Centers for Disease Control and Prevention?
A)
Gonorrhea
B)
Bacterial vaginosis
C)
Human papillomavirus
D)
Genital herpes simplex virus

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Exam Review

A nurse is evaluating outcomes for a client who is using alternative and complementary therapies. Which of the following statements should the nurse expect the client to make about therapeutic touch?
A)
"It helps my posture."
B)
"It strengthens my immune system."
C)
"It helps me relax more deeply."
D)
"It increases my energy."
A nurse is developing a surveillance guide to assist with monitoring for bioterrorist attacks. Which of the following situations should the nurse include as an indication of possible bioterrorism?
A)
Report of rash and fever among over half the attendees at a recent college sports event
B)
Report of four cases of tuberculosis among inmates residing at a correctional facility
C)
Report of five cases of Fifth disease among preschoolers at a local day care facility
D)
Report of increased national incidences of pertussis following decreased immunization rates
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)
Survey workers about job-related emotional stress.
C)
Identify industrial toxins that are present in the environment.
D)
Measure noise levels at various locations in the facility.
A nurse at a primary care provider's office is conducting a client history. Which of the following client actions should the nurse identify as a secondary prevention activity?
A)
The client has stopped smoking cigars and now smokes a pipe.
B)
The client increases their intake of St. John's wort to improve sleep.
C)
The client applies sunscreen twice a day when working as a lifeguard.
D)
The client attends a health seminar and has a cholesterol test.

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Exam Review

A nurse in a health department is reviewing the infection reports for a group of clients. For which of the following clients should the nurse file a report with the CDC?
A)
A client who has herpes simplex type 1
B)
A client who has rubeola virus
C)
A client who has scarlet fever
D)
A client who has Kawasaki disease
A community health nurse is working with a migrant population. The nurse should recognize that which of the following interventions is necessary to provide care to this population?
A)
Offering health screenings at a community center
B)
Providing health services at work sites
C)
Requiring clients to show a work visa before they receive care
D)
Treating clients on a fee-for-service basis
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 care will provide life-extending interventions.
B)
Hospice services end when the client dies.
C)
Hospice care allows families to participate in the client's care.
D)
Hospice programs are designed for clients who have 9 months or fewer to live.
A home health nurse is planning care for a client who has osteoarthritis. Which of the following recommendations should the nurse make to the client?
A)
Avoid aerobic exercise.
B)
Take ginkgo supplements twice per day.
C)
Use lowered toilet seats in the home.
D)
Apply warmth to joints before physical activity.

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Exam Review

A school nurse is planning to teach the parent of a school-age child who has pediculosis capitis. Which of the following instructions should the nurse include in the teaching?
A)
Apply permethrin 1% cream rinse daily for 5 days.
B)
Soak combs in boiling water for 3 minutes every day.
C)
Seal non-washable items in plastic bags for 14 days.
D)
Dry bed linens in a hot dryer for 15 minutes.
A nurse in a community clinic is providing education to a group of adults about preventing sexually transmitted infections (STIs). Which of the following information should the nurse include in the teaching?
A)
A new condom should be used for each sexual act.
B)
Oil-based lubricants are recommended for use with condoms.
C)
Gonorrhea can be prevented by vaccinations.
D)
Older adults have a lower risk of contracting STIs.
A nurse is providing teaching to a client about directives regarding end-of-life care. Which of the following information should the nurse include in the teaching?
A)
The living will is a legally binding contract between the client and the provider.
B)
The client's family has the authority to revoke the do-not-resuscitate (DNR) order at any time.
C)
The client can verbally choose a health care proxy if two nurses witness the designation.
D)
The client can choose a non-family member as the designated power of attorney.
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 information should the nurse plan to include?
A)
Manifestations of anthrax infection appear within 3 days of exposure.
B)
Ciprofloxacin should be administered to asymptomatic clients who were directly exposed to anthrax.
C)
The anthrax vaccine is ineffective following direct anthrax exposure.
D)
Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.

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Exam Review

A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which of the following statements by the client indicates the teaching has been effective?
A)
"I will need to have a special HEPA filter installed in my home."
B)
"I will be taking medication daily for at least 6 months."
C)
"I will be contagious until I have completed the full medication regimen."
D)
"I will have a repeat tuberculin skin test in 6 weeks."
A school nurse is teaching safety to a group of students regarding food storage. Which of the following plans should the nurse provide to the congregation?
A)
Store members' food separately.
B)
Provide care for members who are terminally ill.
C)
Collaborate on a clinic with the American Red Cross.
D)
Ensure safe storage from the facility to the home.
A nurse is caring for a client who asks, "Can I decide not to continue with chemotherapy?" The nurse responds, "This is your choice, and I'll support whatever decision you make." The nurse's response is an example of which of the following ethical principles?
A)
Veracity
B)
Nonmaleficence
C)
Beneficence
D)
Autonomy
A home health nurse is discussing how to meet the needs of a diverse client population with a newly licensed nurse. The nurse should include which of the following as an example of a nurse incorporating culturally competent care?
A)
Integrating a client's desire to use acupuncture to manage pain into their plan of care.
B)
Informing the guardian of a child that the use of cupping to prevent illness is a form of child maltreatment.
C)
Using a family member as an interpreter when caring for a client who speaks a different language than the nurse.
D)
Instructing a client who is pregnant and has gestational diabetes mellitus that they must avoid the use of herbal

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Exam Review

A nurse in a community clinic is caring for a 4-year-old child. Exhibits Which of the following findings should the nurse identify as long-term complications of elevated lead levels? Select all that apply.
A)
Hearing Findings
B)
Eating History
C)
Behavior Findings
D)
Vital Signs
E)
Speech History
F)
Attention Findings
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)
Recommend the client seek out hospice services rather than seek treatment.
B)
Initiate topics of conversation that avoid the client's health status.
C)
Place the client's name and medical condition on an online prayer chain.
D)
Provide quiet time during visits for prayer or meditation.
A hospice nurse administered furosemide 80 mg PO 1 hour ago to a client who has end-stage heart failure. Which of the following findings is an indication that the furosemide has been effective?
A)
The client's potassium level is increased.
B)
The client reports relief of dyspnea.
C)
The client's weight is stable from the previous day.
D)
The client reports decreased hunger.
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 modifications for activities of daily living skills.
B)
Inform the client about home health visits to monitor effectiveness of care.
C)
Inform the client about ongoing screening for high-risk conditions.
D)
Teach the client about support groups in the community.

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