1. A nurse is conducting a screening class for hypertension. Which of the following should be the nurse’s goal for secondary prevention?
a. Prevent
... [Show More] the onset of the condition
b. Identify the severity of the condition
c. Identify the condition early
d. Deter condition-related complications
2. A community health nurse is caring for a client who was exposed to human immunodeficiency virus (HIV) 2 days ago. The client asks the nurse what she should do. Which of the following responses should the nurse provide?
a. “I will administer an HIV today, and it will need to be repeated in 3 months”
b. “I will administer an HIV test today, and you will need to return in 48 hours to have me read the results”
c. “You will need to have an HIV test every other week for 6 months”
d. “You will need to take prophylactic medications for 4 weeks”
3. A nurse is working in the triage area of an emergency department. Which of the following activities is unlikely to be the nurse’s responsibility in this setting?
a. Fostering positive public relations for the facility
b. Preforming a comprehensive client assessment
c. Preventing cross-contamination of infectious clients
d. Educating a client and his family members
4. A nurse is providing psychological counseling at a community center for families who’s loved one dies in a fire. After learning that both of their children died in the fire, 2 parents’ express disbelief at the loss of their children. One parent states, “How will I make it through this? Which of the following is an appropriate response by the nurse?
a. “Are you feeling overwhelmed right now?”
b. “Don’t worry. You will have plenty of help”
c. “Can I call someone to sit here with you”
d. “Anyone who has experienced a loss like this would feel the same way”
5. A charge nurse is assembling a list of clients who can be safely discharged home to accommodate incoming casualties following an earthquake. The nurse should recognize that discharging which of the following clients would be unsafe?
a. A client who has osteomyelitis and will require 6 weeks of IV antibiotic therapy
b. A client who has Crohn’s disease and 1 day preoperative for an ileostomy
c. A client who has Alzheimer’s disease and is awaiting placement in a long-term care facility
d. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace
6. A charge nurse is discussing staff nurses’ responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion?
a. Identify community resources that are available.
b. Evaluate the impact of a disaster on the community.
c. Assess survivors of a disaster for levels of psychological stress.
d. Link victims with support agencies to help with food, shelter, and counseling needs.
7. A nurse is preparing to teach about communicable diseases. During which of the following stages is the period in which a disease is contagious?
a. Communicability period
b. Convalescent period
c. Incubation period
d. Prodromal period
8. A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?
a. Avoid covering sores with bandages
b. Avoid handwashing after eating
c. Avoid foods prepared with tap water
d. Avoid eating meal
9. A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply.)
a. “Smallpox is transmitted person to person.”
b. “Infection is characterized by severe respiratory distress.”
c. “Smallpox vaccination ensures lifelong immunity.”
d. “Naturally occurring smallpox has been eradicated from the world.”
e. “Smallpox is often confused with varicella.”
10. An occupational health nurse is providing teaching to a group of clients about the risks of the work environment. Which of the following actions is the nurse performing?
a. Case management
b. Secondary prevention
c. Tertiary prevention
d. Primary prevention
11. A nurse on a bioterrorism committee is developing a brochure to increase public awareness about the threat of inhalation anthrax. Which of the following information should the nurse plan to include in the brochure?
a. An immunization for inhalation anthrax is recommended for administration to children.
b. Clients who have manifestations of inhalation anthrax will need antibiotic treatment for 60 days.
c. The initial manifestations of inhalation anthrax include an itchy skin lesion that blisters and scabs.
d. Clients exposed to housemates who have anthrax must receive prophylactic treatment.
12. A nurse is educating a group of older adults in a community center on weight management using the BMI scale. Using the client’s height and weight to calculate BMI, which of the following clients has a healthy BMI?
a. A client with a weight of 128lb and height of 70 inches
b. A client with a weight of 150lb and height of 68 inches
c. A client with a weight of 200lb and height of 72 inches
d. A client with a weight of 133lb and height of 60 inches
13. A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients’ cultures?
a. Nurses should focus on clients’ cultures, rather than their ethnicity, when providing care
b. Nonverbal communication is important in few cultures
c. Culture plays no role in determining when a client will seek medical care
d. Nurses should report clients to adapt to the care provided regardless of culture
14. A nurse educator is discussing community mental health with a group of nursing students. Which of the following sites should the educator identify as a source of secondary prevention?
a. Day care center
b. Outpatient rehabilitation center
c. Community recreational center
d. Crisis center
15. A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. Which of the following information should the nurse include?
a. Women should start yearly mammograms at age 30
b. Clients should have a colonoscopy at age 40 and every 10 years thereafter
c. Clients should have a yearly test for fecal occult blood
d. Women should have a yearly clinical breast examination starting at age 45
16. A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family’s disaster readiness supply kit or “go bag”? (Select all that apply.)
a. Pencil and paper
b. Whistle
c. Antibiotics
d. Copies of insurance cards
e. Household bleach
17. A nurse is teaching a group of newly license nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
a. “Use close-ended questions when obtaining the health history.”
b. “No client reproduction health history is needed for counseling purposes.”
c. “Ask about the client’s exposure to any past or present STIs.”
d. “Refer the client to genetic counseling if he has had an STI.”
18. A nurse is preparing a presentation at a community center about complementary and alternative therapies. Which of the following therapies should the nurse describe as placing her hands on or above the client’s body to transfer energy to the client?
a. Reiki
b. Biofeedback
c. Acupuncture
d. Autogenic training
19. A charge nurse is teaching a group of health care workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include in the teaching?
a. Keep artificial nails trimmed
b. Use alcohol-based hand rubs before administering eye drops for a client
c. Wash hands with alcohol-based hand rubs when caring for a client with C. diff
d. Use chlorhexidine to wash hands if the client is immunosuppressed
20. A nurse is preparing to exit the room a client who has methicillin-resistant Staphylococcus aureus (MRSA) in a draining wound. Identify the sequence the nurse should follow before leaving the clients room
a. Remove face mask
b. Remove eyewear
c. Remove gloves
d. Remove gown
e. Perform hand hygiene
21. A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of the following findings should the nurse expect?
a. Anuria
b. Influenza-like symptoms
c. White or flesh colored papillary growths in the genital area
d. Green penile discharge
22. A clinical nurse educator is preparing an educational program about transmission of MRSA in hospitalized clients. Which of the following information should the nurse include in the program?
a. Place clients who have MRSA on airborne precautions
b. MRSA can be effectively treated with an antiviral medication
c. MRSA can live on the hands for 1 hr
d. Bathe clients with water and chlorhexidine gluconate
23. A community health nurse is reviewing information about infectious diseases with the nurse on her team. The nurse should remind the team that which of the following diseases are included in the list of nationally notifiable infectious diseases? (Select all that apply.)
a. Trichomonas vaginalis
b. Chlamydia
c. Gonorrhea
d. Chancroid
e. Candidiasis albicans [Show Less]