1) A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. Which of the following agencies is respo... [Show More] nsible for voluntarily reporting cases of this disease to the Centers for Disease Control and Prevention?
b. Office of the Surgeon General
c. Local Red Cross chapter
d. Hospital infection control department
2) A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first?
a. Contact a social worker to assist the client with managing finances.
b. Provide the client with information on self-help groups for alcohol use disorder.
c. Arrange for a home health nurse to visit the client following discharge.
3) 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 client can verbally choose a health care proxy if two nurses witness the designation.
b. The client’s family has the authority to revoke the do-not- resuscitate order at any time.
d. The client can choose a non-family member as the designated power of attorney.
4) 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. Human papillomavirus
b. Bacterial vaginosis
d. Genital herpes simplex virus
5) A home health nurse is performing an eye assessment for an older adult client. Which of the following findings is the priority for the nurse to report to the provider?
a. Decreased near vision
d. Increased sensitivity to glare
6) A home health nurse is caring for a client who has Clostridium difficile infection. Which of the following actions should the nurse take?
a. Obtain a surgical mask for the client to wear when away from home.
b. Instruct the client to avoid the use of probiotics.
c. Use an alcohol-based hand sanitizer following care.
7) A nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. The client does not speak the same language as the nurse. Which of the following actions should the nurse take?
a. Arrange for a member of the client’s community to interpret the teaching.
b. Have the client's daughter communicate information about the procedure.
d. Use professional terminology when providing education prior to the procedure.
8) A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
a. Assist the client and the client’s partner with finding an affordable exercise program.
b. Discuss the benefits of eating a well-balanced diet with the client’s family.
d. Offer to accompany the client and the client’s partner during health care provider visits.
9) A school nurse is planning primary prevention activities for the school year. Which of the following actions should the nurse plan to take?
b. Schedule hearing screenings for each grade level.
c. Provide referrals for students who have asthma.
d. Provide first aid for injured students.
10) A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son’s family. Which of the following actions should the nurse take first during the visit?
b. Provide the family with information about respite care.
c. Educate the family regarding the progression of dementia.
d. Encourage the family to join a support group.
11) A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that HMO provides which of the following payment structures?
a. The client pays the insurer a percentage of the total costs for each service rendered by the provider.
c. The provider bills the client directly for a predetermined percentage of the cost of services.
d. The client is participating in a fee-for-service health care insurance program.
12) A nurse manager at a clinic is reviewing the preventative services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity?
a. Advocate for laws that prohibit texting while driving.
b. Refer a client who is recovering from a substance use disorder to a social service program.
c. Provide a smoking cessation class.
13) 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. Substance abuse prevention
b. Sports injury prevention
c. Gun safety
14) A home health nurse is caring for a client who has chemotherapy- induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? (SATA)
a. Use seasonings to enhance the flavor of foods.
e. Offer 120 mL (4oz) of cold 2% milk as a meal replacement.
15) A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention?
a. Urging community leaders to make nonviolence a priority
b. Presenting community education programs about stress management
c. Assessing for risk factors of intimate partner abuse during health examinations
16) A nurse is developing health promotion strategies for older adult clients at an assisted living facility. Which of the following strategies is the priority for the nurse to include?
a. Scheduling annual dental examinations for the clients
c. Encouraging the clients to exercise regularly
d. Providing the clients with a low-fat diet
17) A nurse is triaging clients who were involved in a commuter train crash. Which of the following clients should the nurse choose for transport to the emergency departments first?
a. A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm
b. A client who is exhibiting agonal respirations with fixed and dilated pupils
d. An ambulatory client who has a nosebleed and reports feeling dizzy
18) A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize which of the following is the host?
b. The virus
c. The vaccine
d. The school
19) A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include?
a. “You should cover electrical cords with an area rug.”
c. “You should secure extension cords with clear packing tape.”
d. “You should pull on the cord when unplugging items.”
20) A nurse in a clinic is reviewing home safety precautions with a client who is to begin radioactive iodine therapy. Which of the following statements by the client indicates an understanding of the teaching?
a. “I will wait 1 week after treatment to use a laxative.”
b. “I will allow my granddaughter to visit for 4 hours daily.”
c. “I will use cloth handkerchiefs instead of tissues.”
d. “I will use a toilet that is not used by others in my family.”
21) A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching?
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