Community Health
A community health nurse is providing primary, secondary, tertiary interventions for migrant workers. Identify each action as primary, secondary or tertiary prevention.
1. Partner with physical therapy clinics to provide treatment for back injuries
2. Partner with employers to provide sunscreen for workers
3. Provider fliers about recognizing pesticide toxicity
1. Tertiary
2. Primary
3. Secondary
A newborn’s mother is HBsAg‑positive. What is the priority action?
1. Delay vaccination until the 2‑month visit
2. Administer hepatitis B vaccine + HBIG within 12 hours
3. Encourage breastfeeding restriction
4. Monitor liver enzymes monthly
Administer hepatitis B vaccine + HBIG within 12 hours
A competent patient wants to create a living will. What is the primary purpose?
1. To assign financial power of attorney
2. To detail wishes to avoid, limit, or withhold specific interventions
3. To authorize organ donation
4. To appoint a healthcare proxy only
To detail wishes to avoid, limit, or withhold specific interventions
A nurse is planning care for a client who has anxiety disorder who is being treated with Buspirone 5 mg BID. Which of the following actions should the nurse include as a psychobiological intervention?
1. Assist the client with cognitive behavioral therapy.
2. Teach the client deep breathing exercise.
3. Assess the client for any comorbid health conditions.
4. Monitor the client for adverse effects of Buspirone.
Monitor the client for adverse effects of Buspirone.
A nurse is caring for a client who has an urinary tract infection (UTI). Which of the following is the priority intervention by the nurse?
Offer a warm sitz bath.
Recommend drinking cranberry juice.
Encourage increased fluids.
Administer an antibiotic.
Administer an antibiotic.
A train derailment releases an unknown gas. Community members report burning eyes and coughing. The nurse notes a yellow‑green cloud drifting low to the ground.
Which action should the community health nurse take first?
1. Initiate evacuation of all residents within a 5‑mile radius
2. Instruct residents to shelter indoors and close all windows
3. Contact the CDC for toxicology support
4. Identify the specific hazardous agent involved
Identify the specific hazardous agent involved
A nurse is teaching a client about the benefits of internal fetal heart rate and contraction monitoring. Which of the following statements should the nurse include?
Select all that apply
It is considered noninvasive
It can detect abnormal FHR
It can determine the amount of amniotic fluid you have
It allows for accurate readings with maternal movements
It can measure uterine contraction intensity
It can detect abnormal FHR
It allows for accurate readings with maternal movements
It can measure uterine contraction intensity
A patient asks if enrolling in hospice means they must stop all medical treatment. Which response is most accurate?
1. All medical treatment must cease immediately
2. Only curative treatment for the terminal illness stops; treatment for unrelated conditions may continue
3. Hospice patients can receive any treatment they request
4.Treatment decisions are made by the hospice team only
Only curative treatment for the terminal illness stops; treatment for unrelated conditions may continue
A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching?
Select all that apply
1. Expect therapeutic effects in 24-48 hours
2. Discontinue the medication after a week of improved mood
3. Change positions slowly to minimize dizziness
4. Decrease dietary fiber intake to control diarrhea
5. Chew sugarless gum to prevent dry mouth
Change positions slowly to minimize dizziness
Chew sugarless gum to prevent dry mouth
A nurse is monitoring a client who began receiving a unit of packed RBCs 10 min ago. Which of the following findings should the nurse identify as an indication of a febrile transfusion reaction?
Select all that apply
Temperature change from 37° C (98.6° F) pretransfusion to 37.2° C (99.0° F)
Current blood pressure 178/90 mm Hg
Heart rate change from 88/min pretransfusion to 120/min
Client report of itching
Client appears flushed
Heart rate change from 88/min pretransfusion to 120/min
Client appears flushed
A migrant farmworker presents with worsening hypertension after missing follow‑up visits.
Which intervention demonstrates best public health practice?
1. Provide written health instructions in English
2. Refer the worker back to the employer for discipline
3. Arrange mobile clinic visits to the farm site
4. Discontinue medications until follow‑up is possible
Arrange mobile clinic visits to the farm site
A nurse knows that parent education on newborn nutrition has been successful when the client states which of the following as important indicators for adequate newborn nutrition
Select all that apply
1. Gaining weight
2. Voiding 6-8 times
3. Content between feedings
4. Sleeping all day
5. Cluster feeding
Gaining weight
Voiding 6-8 times
Content between feedings
A nurse is caring for a client with schizophrenia. The nurse observes that the client is talking to himself and is asking the staff for a razor. Which of the following actions should the nurse take first?
Notify the provider about the client's behavior.
Administer the prescribed antipsychotic medication as scheduled.
Initiate one‑to‑one observation of the client
Place the client in seclusion and assess his behaviors bihourly.
Initiate one‑to‑one observation of the client
A nurse is preparing to provide teaching with a client who is taking Risperidone. Which of the following statements should the nurse make?
1. Add extra snacks to your diet to prevent weight loss.
2. Notify the provider if you have trouble sleeping.
3. You may begin to have mild seizures while taking this medication
4. This medication is likely to increase your libido.
Notify the provider if you have trouble sleeping.
During tracheostomy suctioning, the nurse notes the patient becomes cyanotic and tachycardic. What is the most appropriate immediate action?
Continue suctioning to clear the airway
Stop suctioning and hyperoxygenate the patient
Increase suction pressure to remove secretions faster
Call the provider before taking further action
Stop suctioning and hyperoxygenate the patient
A 35‑year‑old man with chronic HBV asks why follow‑up is necessary.The best response is:
1. “The infection is always mild and self‑limiting.”
2. “Long‑term HBV can cause cirrhosis and liver cancer.”
3. “You will likely outgrow the disease.”
4. “Treatment is never needed unless you are symptomatic.
“Long‑term HBV can cause cirrhosis and liver cancer.”
A nurse is preparing to teach a parent how to care for a child who has ADHD. Which of the following instructions should the nurse include?
Select all that apply
1. Use modeling to show acceptable behavior
2. Obtain the child’s attention before giving directions.
3. Provide short and clear explanations.
4. Apply physical restraints if the child exhibit any disruptive behavior
5. Promote a safe home environment
6. Demand that the child complete all the school tasks in one setting
Use modeling to show acceptable behavior
Obtain the child’s attention before giving directions.
Provide short and clear explanations.
Promote a safe home environment.
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?
Select all that apply
1. Bradycardia
2. Fine tremors of both hands
3. Hypotension
4. Vomiting
5. Restlessness
Fine tremors of both hands
Vomiting
Restlessness
A nurse in the ED is caring for a client who has benzodiazepine toxicity. Which of the following medications should the nurse expect to administer?
1. Chlordiazepoxide
2. Citalopram
3. Flumazenil
4. Fluoxetine
Flumazenil
A nurse is preparing educational material to present to a female client who has frequent urinary tract infections. Which of the following information should the nurse include?
Select all that apply
Avoid sitting in a wet bathing suit.
Wipe the perineal area back to front following elimination.
Empty the bladder when there is an urge to void.
Wear synthetic fabric underwear.
Take a shower daily.
Avoid sitting in a wet bathing suit.
Empty the bladder when there is an urge to void.
Take a shower daily.
A hospital receives a patient exposed to an aerosolized biological agent.
Which action should the nurse take first?
1. Place the patient in negative‑pressure isolation
2. Obtain a complete blood count
3. Start IV fluids
4. Notify the poison control center
Place the patient in negative‑pressure isolation
A nurse is providing care for a client who has a marginal abruption. Which of the following findings are risk factors for developing the condition?
Select all that apply
Fetal position
Blunt abdominal trauma
Cocaine use
Maternal age
Cigarette smoking
Blunt abdominal trauma
Cocaine use
Cigarette smoking
A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following complications is anticipated?
Select all that apply
1. Gingivitis
2. Dysrhythmia
3. Yellowing of the skin
4. Obesity.
5. Esophagitis
Gingivitis
dysrhythmia
Obesity.
Esophagitis
A nurse is preparing to administer cyclophosphamide IV to a client who has Hodgkins disease. What action should the nurse take?
Select all that apply
1. Increase fluid intake to 2-3L a day
2. Monitor for blood in urine
3. Monitor for manifestations of bleeding
4. Administer antiemetics as needed
5. Monitor CBC, uric acid levels and liver enzymes
Increase fluid intake to 2-3L a day
Monitor for blood in urine
Monitor for manifestations of bleeding
Administer antiemetics as needed
Monitor CBC, uric acid levels and liver enzymes
A nursing is caring for a client who has a closed-head injury with ICP readings ranging from 16 to 22 mm Hg. Which of the following actions should the nurse take to decrease the potential for raising the client’s ICP?
Select all that apply
Suction the endotracheal tube frequently.
Decrease the noise level in the client’s room.
Elevate the client’s head on two pillows.
Administer a stool softener.
Keep the client well hydrated.
Decrease the noise level in the client’s room
Administer a stool softener.