1A nurse at a community clinic is assessing a client who reports injecting heroin an 1hr ago. Which of the following should the nurse expect?
a. Nystagmus
b. Tachypnea
c. Euphoria
d. Dilated pupils
c. euphoria
2A school nurse is planning a safety education for a group of adolescent's. The nurse should give priority to which of the following topics as the leading cause of death in this age group?
a. Gun safety
b. Motor vehicle safety
c. Substance abuse prevention
d. Sports injury prevention
b. Motor vehicle safety
3A case manager is completing discharge planning for a client who has
ETOH 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 client information on self-help groups for ETOH use disorder
c. Determine which home safety measure the client will need to
implement
d. Arrange for a home health nurse to visit the client following
discharge.
c. Determine which home safety measure the client will need to implement
4A faith based organization asks a community health nurse to develop
mobile meal program for older adults who are no longer driving. Which of
the following should the nurse plan to take first?
a. Inquire about availability of volunteers
b. Perform a needs assessment
Determine potential funding sources for the program.
Identify alternative solutions to address concerns.
b. Perform a needs assessment
514.A nurse is teaching a to a 50-year old female client. Which of the following statement should the nurse include in the teaching?
a. You should have a complete eye exam every 2 years until the age
of 64.
B. You should have your stool tested for blood every other year until the
age of 74
C. You should have your hearing screened every 5 years
D. You should have your fasting Blood glucose level checked every 6
years
a. You should have a complete eye exam every 2 years until the age of 64
6A nurse care manager is providing discharge planning for a client. The
nurse is functioning in which of the following roles when arranging
delivery of medical equipment to the client home?
a. Advocate
b. System allocator
c. Consultant
d. Coordinator
d. Coordinator
7A home health nurse is caring for a client who has terminal cancer and no
longer wants to receive enteral feeding tube feeding. Which of the
following actions should the nurse take?
a. Request the facility Chaplin to visit the client
b. Ask the client to sign an informed consent
c. Complete an against medical advice form
D. explain the process for completing a living will
a. Request the facility Chaplin to visit the client "Something similar to this, answer was to allow time for prayer and meditation"
828. A community health nurse is working with a migrant population. The nurse should recognize which of the following interventions is necessary to provide care to this population?
a. Requiring the clients to show a work visa before they receive care
b. Treating clients on a fee-for-service basis
c. Providing health services at work sites
d. Offer health screenings at a community center
d. Offer health screenings at a community center
9A nurse is caring for a client who asks "Can I decide not to continue with
chemotherapy?" the nurse responds "This is your choice, and I'll support
whatever decision you make." The nurse response is an example of which
of the following?
a. Nonmalefiecence
b. Veracity
c. Autonomy
d. Beneficence
c. Autonomy
10A nurse caring for a client who is homeless. Which of the following
actions should the nurse take first?
a. Assist the client to develop goals for obtaining shelter.
B. Discuss the risks of being homeless with the client
C. Develop client teaching using a variety strategies
D. Determine the client's understanding of her living situation.
D. Determine the client's understanding of her living situation.
11SIMILAR QUESTION NOT EXACT: An occupational health nurse is completing a walk-through of a factory to identify workers at risk for injury. Which of the following workers should
the nurse identify at being at risk?
a. A worker who is standing in place in extended period and rests one foot on a box
b. A worker standing with a wide base support when pulling a cart towards himself
c. A worker who is 7 weeks postoperative following a rotator cuff surgery and is labeling boxes.
d. A worker who is wearing a back brace and bends at the waist when picking up a pallet.
The answer was proper body mechanics, primary prevention
12A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment
structures?
a. The client pays the insurer a percentage of the total cost for each
service rendered by the provider
b. The provider is paid a fixed sum for the client on a monthly or yearly bases
c. The client is participating in a fee-for service health care insurance program
d. The provider bills the client directly predetermined percentage for the cost of services.
b. The provider is paid a fixed sum for the client on a monthly or yearly bases
13A first response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of
the following clients?
a. Client who has a finger fracture with a 2+ pedal pulse
b. A client who has superficial partial thickness burns injuries over 5% of his body
c. A client who is ambulatory in exhibits manic behavior
D. A client who has rigid abdomen with manifestations of shock
D. A client who has rigid abdomen with manifestations of shock
14A nurse in a antepartum clinic is reviewing the medical records for 4 clients. Which of the following infectious conditions should the nurse report to the CDC?
a. Gonorrhea
b. Bactria vaginosis
c. Genital herpes simplex virus
d. HPV
a. Gonorrhea
15Pediculosis Capitus (lice):
there is an answer choice that says, put their stuff that they can't use in a bag for 14 days (something with bag and 14 days)
16Primary secondary and tertiary. smoking cessation is considered
one weird question, smoking cessation is considered secondary
171 question has an exception tho where a kid goes to a doctors office, and the question is like which action would be considered secondary prevention,
the answer was scoliosis screening, but smoking cessation was on option don't pick it
18Walker questions, talking about safety measures
wipe the rubber bottoms to prevent moisture is the answer
19Reportable thing: a bunch of clients with different diseases
answer is chlamydia, don't report herpes
20Hospice- who do we allow to be included in hospice care
Allow family to be included in hospice care
21What kind of care for hospice care do we refer
answer: respite care
22When developing a protocol for treatment of inhalation anthrax in the event of
widespread public exposure, what information should be included?
A. The anthrax vaccine is ineffective following direct anthrax exposure.
B. Ciprofloxacin should be
administered for asymptomatic clients who were directly exposed to anthrax.
C. Prophylactic
treatment should be provided to clients for 10 days following exposure to anthrax.
D. Manifestations
of anthrax infection appear within 3 days of exposure.
Ciprofloxacin should be
administered for asymptomatic clients who were directly exposed to anthrax.
23Plague case study, signs of symptoms for plague, someone went to europe got bit by an insect
myalgia, swollen lymph nodes, high temperature, relevant travel history, and bites
24Need to know s/s of plague
Fever
Chills
Fatigue/malaise
muscle aches (myalgia)
Headache
Swollen and painful lymph nodes (buboes)
25Triage
RED = Immediate: Life-threatening but treatable injuries (e.g., airway issues, severe bleeding, shock).
YELLOW = Delayed: Serious injuries that can wait (e.g., fractures, burns without airway compromise).
GREEN = Minor: "Walking wounded" (e.g., cuts, bruises, minor fractures).
BLACK = Expectant/Deceased: Dead or injuries that won't survive even with care.
261. A school nurse is reviewing the family history of a school-age child who has a
fractured ulna for the second time. Which of the following findings place the child at
risk for child abuse? (SATA)
a. Neither of the child's parents are financially stable.
b. The child's family has an indoor cat that sleeps with the child.
c. One of the child's parents appears frightened of the other parent.
d. One of the child's parents has a history of alcohol use disorder.
e. The child spends the weekends with their grandparents.
c. One of the child's parents appears frightened of the other parent.
d. One of the child's parents has a history of alcohol use disorder.
27Question about TB teaching
Taken medication for atleast 6 months
28Question about whooping cough, but it ask about the environmental factor
human population
29Question about examples of
physical hazard for workers
Loud noises
3015. A nurse is caring for a client who is homeless. Which of the following actions should the
nurse take first?
1. determine the clients understanding of her living situation
2. assist the client to develop goals for obtaining shelter
3. discuss the risks of being homeless with the client
4. develop client teaching using a variety of strategies
1. determine the clients understanding of her living situation
31A nurse is counseling a client who has a new diagnosis of chlamydia. which of the
following information should the nurse include in the teaching? (select all that apply)
1. you should avoid sexual contact until therapy is complete
2. notify anyone with whom you have had sexual contact over the past 2 months
3. you will need to take an antiviral medication for 30 days
4. once your complete treatment you will have an acquired immunity against chlamydia
5. you might experience painful urination until the infection has resolved
1. you should avoid sexual contact until therapy is complete
5. you might experience painful urination until the infection has resolved
32several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should
the nurses plan to provide to the congregation?
1. organize an influenza immunization clinic with the American red cross
2. perform wound care in the home of members
3. provide end of life care for members who are terminal
4. facilitate discharge from the facility to the home
1. organize an influenza immunization clinic with the American red cross
33As a community health nurse developing a disaster-preparedness plan, what is the first
action you should take?
A. Evaluate the effectiveness of local disaster-preparedness drills.
B. Assemble an emergency disaster
response team.
C. Provide education about first aid and triage.
D. Identify the community's risks and
capabilities.
D. Identify the community's risks and
capabilities.
34When developing a protocol for treatment of inhalation anthrax in the event of widespread public exposure, what information should be included?
A The anthrax vaccine is ineffective following direct anthrax exposure.
B Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax.
C Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax.
D Manifestations of anthrax infection appear within 3 days of exposure.
B Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax.
35Question about patient getting tired from caring for a sick family member what service you would offer
Respite care
365. A nurse is developing a surveillance guide to assist with monitoring for bioterrorist attacks. Which of the following situations should the nurse include as an indication of possible bioterrorism?
A Report of rash and fever among over half the attendees at a recent college sports event
B Report of four cases of tuberculosis among inmates residing at a correctional facility
C Report of five cases of Fifth disease among preschoolers at a local day care facility
D Report of increased national incidences of pertussis following decreased immunization rates
A. Report of rash and fever among over half the attendees at a recent college sports event
37A nurse is assessing an outbreak of mumps among school aged children. Using the epidemiological triangle, the nurse should recognize that which of the following is the host?
a. The vaccine
b. The school
c. The virus
d. The children
d. The children
3828.A community health nurse is working with a migrant population. The nurse should recognize which of the following interventions is necessary to provide care to this population?
a. Requiring the clients to show a work visa before they receive care
b. Treating clients on a fee-for-service basis
c. Providing health services at work sites
d. Offer health screenings at a community center
d. Offer health screenings at a community center
39A 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 chose a non-family member as the designated power of attorney
b. The living will binding contract between the client and the provider
c. The client family has the authority to revoke the do-not-resuscitate order at any time
d. The client can verbally choose a health care proxy it two nurses witness the designation.
a. The client can chose a non-family member as the designated power of attorney
40A nurse working in an assisted living care facility is developing a disasterplan. Which of the following is the first action the nurse should take?
a. Develop response strategies specific to older adults
b. Verify dates of the annual community-wide mass causality drill
c. Determine potential environmental health hazards
d. Identify materials needed for staff and resident education.
Determine potential environmental health hazards
41A 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 responsible for voluntarily reporting cases of this disease to CDC?
a. State health department
b. Local red cross chapter
c. Hospital infection control department
d. Office of the surgeon general
a. State health department