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    Exam Review

    1. A home health nurse is caring for a newborn Exhibits
      (Highlight — findings requiring follow-up are marked)

      A home health nurse is caring for a newborn

      Exhibits
      Click to highlight the findings that require further intervention. To deselect a finding, click on the finding again.

       

      Nurses’ Notes

      3 weeks old:

      Follow up newborn weight check. Parent is smoking a cigarette in the living room while infant sleeps. Parent reports the newborn is breastfeeding well. The newborn is asleep in their bassinet in the living room. Newborn currently asleep in prone position. Parent reports that the newborn sleeps in their bassinet in the parents' bedroom overnight

      Vital Signs

      3 weeks old:

      • Temperature 36.9° C (98.4" F)
      • Heart rate 138/min
      • Respiratory rate 42/min
    2. 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
    3. A community health nurse is triaging clients following a worksite explosion Exhibits Select the 2 clients that the nurse should identify as requiring immediate care.
      (SATA)
      A)
      Client 1
      B)
      Client 2
      C)
      Client 3
      D)
      Client 4
      E)
      Client 5
      F)
      Client 6
    4. A nurse manager in a public health clinic is reviewing the charts of five recent clients. Exhibits The nurse manager should identify which of the following clients as having conditions that require national notification? Select all that apply.
      (SATA)
      A)
      Client 1
      B)
      Client 2
      C)
      Client 3
      D)
      Client 4
      E)
      Client 5
    Page 1 of 15

    Exam Review

    1. A school nurse realizes that a student who has asthma visits the health office two to three times every day to use their rescue inhaler. Which of the following interventions should the nurse plan to implement first?
      A)
      Discuss the manifestations of asthma with the student's teacher.
      B)
      Encourage the student's parent to identify and reduce environmental triggers.
      C)
      Review breathing exercises with the student.
      D)
      Determine if the student sees their provider on a regular basis.
    2. A nurse is teaching newly licensed nurses about types of advocacies in the community. Which of the following examples should the nurse include when discussing legislative advocacy?
      A)
      Working with nursing organizations to facilitate health policy
      B)
      Building partnerships between providers, practitioners, and clients
      C)
      Working with clients to develop services to promote client health outcomes
      D)
      Translating medical terminology into basic terms
    3. A nurse is caring for a group of clients who have substance use disorder. Which of the following strategies should the nurse suggest for maintaining long-term abstinence?
      A)
      Respite care
      B)
      Support group
      C)
      Benzodiazepines
      D)
      Detoxification
    4. A nurse is developing community programs for a women's clinic. Which of the following areas should be included according to Healthy People 2020?
      A)
      Surgical options for weight reduction in individuals classified as obese
      B)
      Vocational education opportunities to enhance financial independence
      C)
      Educational programs regarding warning signs of heart attack
      D)
      Adult day care programs to provide respite for employed caregivers
    Page 2 of 15

    Exam Review

    1. A community health nurse is working in a homeless shelter during a pandemic. The nurse should identify which of the following situations as an ethical dilemma?
      A)
      Deciding when to transport residents who are symptomatic to an urgent care center
      B)
      Determining how to keep meals warm when serving each of the homeless shelter residents
      C)
      Deciding which workers will wear the limited personal protective equipment available
      D)
      Determining the arrangement of residents within the shelter to prevent spread of infection
    2. 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
    3. A nurse is caring for a client who is receiving palliative care and wants to make sure they document their wishes for end-of-life care. Which of the following should the nurse assist the client with completing?
      A)
      A living will
      B)
      Durable medical power of attorney
      C)
      Do-not-resuscitate prescription
      D)
      Organ donation card
    4. 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)
      Collaborate with a prosthetist to teach the client about care of the prosthesis.
      B)
      Evaluate the client's home environment.
      C)
      Ask whether the client's insurance will cover home health services.
      D)
      Determine whether the client is eligible to go to a skilled nursing facility.
    Page 3 of 15

    Exam Review

    1. A government official reports to the health department that an employee was possibly exposed to anthrax. Which of the following actions should a public health nurse take?
      A)
      Alert the family members of coworkers about their possible exposure to anthrax.
      B)
      Place the employee under quarantine for 14 days.
      C)
      Refer coworkers who might have been exposed to a provider for prophylactic antibiotics.
      D)
      Instruct the client to wear a mask at work.
    2. 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.
    3. 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.)
      A)
      The child tells the nurse that they are sick because they are bad.
      B)
      The child is wearing open-toed shoes and the weather is cold outside.
      C)
      The child's clothes are wrinkled and dirty.
      D)
      The child is frequently absent from school.
      E)
      The child reports coughing all day.
    4. A nurse is caring for a client who has a terminal illness. Which of the following statements by the client would require referral to a social worker?
      A)
      "I really hope that I can live another 2 weeks, so I can see my child graduate high school."
      B)
      "I am so proud of my child who promised to step up and help my spouse after I am gone."
      C)
      "I don't have health insurance, and now I am leaving my family with such a mess."
      D)
      "I am angry and cannot believe this is happening to me at such a young age."
    Page 4 of 15

    Exam Review

    1. 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)
      Minimize the computer application.
      B)
      Log out of the computer.
      C)
      Close the computer screen.
      D)
      Lock the computer with their password.
    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)
      Hepatitis E
      B)
      Gastroenteritis
      C)
      Gonorrhea
      D)
      Respiratory syncytial virus (RSV)
    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)
      Recommending a seating arrangement for a child in a body cast
      B)
      Creating a plan of care for children who have a diagnosis of diabetes mellitus
      C)
      Teaching a class about the risks of cigarette smoking
      D)
      Organizing a program to promote skateboard safety
      E)
      Lobbying for funding for health promotion efforts
    4. 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 virus
      C)
      The vaccine
      D)
      The school
    Page 5 of 15

    Exam Review

    1. A home health nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following interventions should the nurse recommend to promote recovery?
      A)
      Take baths instead of showers.
      B)
      Use a walker on the stairs.
      C)
      Cross legs at the ankles.
      D)
      Use an elevated toilet seat.
    2. During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that they were struck by their parent. Which of the following actions should the nurse take first?
      A)
      Check the child for injuries.
      B)
      Report the incident to local authorities.
      C)
      Enroll the parent in anger management classes.
      D)
      Refer the parent to a social service agency.
    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)
      Use clean technique when administering medication.
      B)
      Instruct the client to change the end caps of the CVAD daily.
      C)
      Use disposable equipment whenever possible.
      D)
      Clean blood spills on hard surfaces with isopropyl alcohol.
    4. A case management nurse is providing education about liability to a newly licensed nurse. Which of the following should the nurse include as an example of a liability concern for case managers?
      A)
      Consulting with the provider throughout a client's course of treatment
      B)
      Verifying a provider's licensure before referring the client to them
      C)
      Determining a client's literacy level before providing advance directive documents
      D)
      Providing recommendations to a client about alternatives to treatments prescribed by their provider
    Page 6 of 15