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    Exam Review

    1. A migrant farmworker presents to the clinic reporting an acute onset of dizziness, intense thirst, vomiting, fatigue, and headache with difficulty concentrating.Which of the following conditions would cause such symptoms?
      A)
      Bacterial gastroenteritis.
      B)
      Viral illness.
      C)
      Pesticide poisoning.
      D)
      Appendicitis.
    2. A nurse observes the father of a newborn baby pushing his wife in a wheelchair out onto the patio.The man and woman each smoke a cigarette while the baby sleeps in the mother's arms.Which of the following information should the nurse share with the parents?
      A)
      The baby will eventually develop tolerance to tobacco smoke.
      B)
      The parents should switch to chewing tobacco as long as the child lives in the home.
      C)
      Fetal nicotine syndrome may cause complications in the newborn.
      D)
      The sidestream/secondhand smoke that the baby is exposed to is more dangerous than the mainstream smoke that the parents are inhaling themselves.
    3. The wife of an abusive husband reports to the nurse that her husband has been increasingly more abusive over the past year.Which of the following should be the first action taken by the nurse?
      A)
      Work with the client on developing better self-esteem.
      B)
      Teach the client how to avoid conflict with the husband.
      C)
      Arrange for the couple to attend counseling sessions together.
      D)
      Develop a safety plan for the wife.
    4. The public health nurse is working with a homeless client.The public health nurse has an understanding that promoting health equity is important for the client.Which of the following is an example of health equity?
      A)
      Access to medical services.
      B)
      A community's farmer's market.
      C)
      Preventative health care.
      D)
      Free insurance.
    Page 1 of 11

    Exam Review

    1. A teacher asks the school nurse to assess a child for neglect.Which of the following assessment findings could indicate neglect?
      A)
      Newly found lice in the hair.
      B)
      Bruises in various stages of healing.
      C)
      Lack of weight gain and wearing dirty clothes.
      D)
      Failure of the parent to attend parent-teacher conferences or return teacher phone calls.
    2. The public health nurse has an understanding that ensuring there is a competent public health workforce when working with vulnerable populations is which of the following public health core functions?
      A)
      Policy development.
      B)
      Health policy.
      C)
      Assurance.
      D)
      Assessment.
    3. A migrant farmworker brings his daughter to the clinic with severe heat stroke from being out in the sun.The nurse explains the danger signs and stresses staying cool and drinking lots of water.The man seems to know this already.Which of the following best describes the most likely reason that this happened?
      A)
      The daughter either disobeyed her father and went out to play in the sun or just did not realize how hot she was.
      B)
      It was a rare occurrence, which probably won't be repeated.
      C)
      The parents were busy working and didn't realize the child was outside so long.
      D)
      Children may work on small farms because the family may need the additional income.
    4. A confirmed drug abuser admits to the nurse he has no desire to stop using drugs.Rather than lecture the individual on the dangers of drug addiction, the nurse provides information on how to sterilize his needles.Which of the following prevention efforts is the nurse attempting to achieve?
      A)
      Primary prevention by avoidance of future legal complications.
      B)
      Tertiary prevention to reduce the transmission of blood-borne diseases.
      C)
      Secondary prevention to reduce the risk for infection or other complications.
      D)
      Primary prevention by educating about safe injections.
    Page 2 of 11

    Exam Review

    1. The public health nurse is working with a homeless client.Which of the following statements made by the homeless client indicates an understanding of tertiary prevention?
      A)
      I will go to the public health clinic and request a blood pressure screening.
      B)
      I will be certain to attend the health fair to get a free flu shot.
      C)
      I will make sure that I use the sunscreen that I got for free on my face every day.
      D)
      I will make sure to work with my social worker on obtaining my medication for my depression.
    2. The physician has requested that the rape survivor be assessed for post-traumatic stress syndrome.This is an example of which level of prevention?
      A)
      Tertiary.
      B)
      Policy development.
      C)
      Primary.
      D)
      Secondary.
    3. The public health nurse understands that which of the following is a common factor typically found in those who abuse others?
      A)
      Fear and belief that others are out to get them.
      B)
      Poor self-esteem and unawareness of alternatives.
      C)
      Previous observations of violent behaviors to manage conflict.
      D)
      Difficulty keeping commitments.
    4. Which of the following is a potential consequence of workplace bullying in nursing?
      A)
      Decreased absenteeism.
      B)
      Reduced medical and legal expenses.
      C)
      Increased client mortality rate.
      D)
      Improved client satisfaction scores.
    Page 3 of 11

    Exam Review

    1. A nurse is caring for a client who was admitted for suspected abuse.The client is quiet and withdrawn.Which of the following actions should the nurse take to promote client communication?
      A)
      Invite a family member to be present for the nursing history.
      B)
      Be direct and honest when speaking with the client.
      C)
      Probe the client to offer a factual account of the abuse.
      D)
      Provide basic wound care for obvious physical injuries.
    2. A nurse is concerned about the possibility of suicide in a teenage boy.Which of the following characteristics has the boy most likely displayed?
      A)
      He has threatened harm to his school peers.
      B)
      He is between the ages of 15 and 19.
      C)
      He is depressed and has a history of being sexually abused.
      D)
      He has been accused of abusing an animal.
    3. A nurse is implementing a tertiary prevention strategy related to pesticide exposure.Which of the following activities would the nurse complete?
      A)
      Observe farmworkers for evidence of unsafe handling of pesticides.
      B)
      Teach farmworkers how to recognize signs and symptoms of pesticide poisoning.
      C)
      Treat a client who has pesticide exposure to prevent complications.
      D)
      Provide teaching on how to handle pesticides to avoid or decrease exposure.
    4. The nurse is working with a client that is addicted to cocaine.The nurse understands that which of the following is a sign and symptom associated with cocaine intoxication?
      A)
      High levels of energy.
      B)
      Drowsiness.
      C)
      Low heart rate.
      D)
      Increased appetite.
    Page 4 of 11

    Exam Review

    1. A new public health nurse understands that which of the following factors predisposes many migrant farm workers to disenfranchisement?
      A)
      Previous experiences of physical abuse.
      B)
      Not feeling connected to society.
      C)
      Inability to attend religious services because of work requirements.
      D)
      Being a minority group member.
    2. Which of the following is an accurate concern about marijuana?
      A)
      Psychological and physiological dependence are seldom experienced with marijuana use.
      B)
      Strength of most available marijuana is weaker than in the past.
      C)
      Marijuana has no effect on the fetus.
      D)
      Marijuana may cause dependency and other long-term health issues.
    3. A mother confides to the nurse that her live-in boyfriend knocked down her 2-year-old child because he was crying too much.She begs the nurse not to tell anyone because her boyfriend has agreed to take anger management classes.Which of the following actions should be taken by the nurse?
      A)
      Arrange for counseling for the boyfriend at the earliest possible availability.
      B)
      Encourage the mother to take the child and find alternate housing right away.
      C)
      Report the incident to child protective services or other appropriate legal authority.
      D)
      Abide by the mother's wishes because this information was provided in confidence.
    4. Which of the following statements, made by a caregiver of an older client, should alert the nurse to assess for evidence of elder abuse?
      A)
      She has not been having incontinence problems since we have been taking her to the toilet every 2 to 3 hours when she is awake.
      B)
      Mom is always into something and can't seem to stay still, so I've been giving her half of my Valium to get her to relax so I can get some rest.
      C)
      We have to feed Mom baby food now because she has trouble chewing and swallowing regular food.
      D)
      Mom wanted to stay at her home, but we were scared for her safety, so we moved some of her personal things into our home and brought her to live with us.
    Page 5 of 11

    Exam Review

    1. A nurse is teaching a newly licensed nurse about reporting suspected child abuse.Which of the following statements indicates an understanding by the newly licensed nurse?
      A)
      Be direct and honest when speaking with the client.
      B)
      Invite a family member to be present for the nursing history.
      C)
      Provide basic wound care for obvious physical injuries.
      D)
      Probe the client to offer a factual account of the abuse.
    2. Which of the following is the most rapidly growing group experiencing poverty and homelessness?
      A)
      Families with children.
      B)
      African-American families.
      C)
      Single men of all ages.
      D)
      Hispanic families.
    3. A school health nurse presents a program on preventing teen pregnancy to a group of parents.Following the presentation, which of the following comments by a parent would cause concern?
      A)
      "I have spoken to my son about birth control.
      B)
      "My daughter and I have often discussed sexuality, and when she's ready, I'll pay for her birth control pills.”.
      C)
      "My daughter is too intelligent to get involved with boys, even if her friends do sleep around.”.
      D)
      "I do not know if my son is sexually active; however, I have decided I'm going to talk to him about it.”.
      E)
      He wants to go to college.”.
    4. A nurse would like to increase the accessibility to health care services for mentally ill homeless clients in the community.Which of the following actions should be taken by the nurse?
      A)
      Apply for a grant to fund a mobile clinic to take health care to the clients as a one-stop shop.
      B)
      Refer homeless clients to areas that provide temporary housing.
      C)
      Distribute flyers to the homeless that detail the location of various types of health care services.
      D)
      Solicit donations for food and clothing to be distributed to the homeless.
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