NURS 403 RN COMMUNITY HEALTH FINAL EXAM 2020
1.A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
The client will walk for 30 min 5 days a week
2. A public health ...
1a nurse is establishing health promotion goals for a female client who smokes cigarettes
and has a bmi of 26 which of the following goals shoul
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NURS 403 COMMUNITY FINAL EXAM 2020
1.A nurse is establishing health promotion goals for a female client who smokes cigarettes, has
hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
The client will walk for 30 min 5 days a week
2. A public health nurse is assessing an older adult client who lives with a family member.
Thenurse identifies several bruises in various stages of healing. The client and family
member explain that the bruises are a result of clumsiness. However, based on the
distribution of the bruises, the nurse suspects abuse. Which of the following actions should
the nurse take first?
Report the findings to a supervisor
3. A community health nurse is developing a pamphlet about breast self-examination (BSE)
for a localhealth fair. Which of the following instruction should the nurse include?
Expect some breast dimpling or discharge with age
4. A community health nurse in a pediatric clinic is reviewing the history of a 12 years old
client. Which of the following immunizations should the nurse expect to administer?
Meningococcal conjugate
5. A CHN is conducting an education program on various environmental pollutants. The
nurse should emphasize that clients who have which of the following disorders are
especially vulnerable to ozone effects?
Asthma
6. A nurse working for a home health agency is assessing an older adult male client.
Which of the following findings is the priority for the nurse to address?
Dysphagia
7. A nurse is preparing a community health program for adults at risk for cardiovascular
disease. Which of the following should the nurse include as a modifiable risk factor?
Cigarette smoking
8. A school nurse is teaching a group of nurses newly hired to work in the school system
about pediculosis capitis (head lice). Which of the following information is appropriate
to include in the teaching?
Nits that are shed into the environment are capable of hatching for up to 10 days
9. An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to
the store and is afraid to cook on the stove. Which of the following community resources
should the nurse recommend for this client?
Meals on Wheels
10. A nurse is working with an interdisciplinary disaster committee to develop a community-
wide emergency response plan in the event of a nonbiological or chemical incident. The nurse
should include which of the following agencies to be notified immediately after calling 911?
Office of Emergency Management (OEM)
,11. An occupational health nurse in the clinic of an industrial plant is developing a guidebook
for clinic workers. Which of the following actions should the nurse include as a secondary
prevention strategy?
Help plant workers identify signs of carpal tunnel syndrome
12. A public health nurse is teaching a group of nurses about smallpox. Which of the
following statements by one of the nurses indicates understanding of the teaching?
Unlike chickenpox, the vesicles of smallpox are more abundant on the face
13. A school nurse receives a call that some children and teachers report being exposed to an
undetermined noxious gas odor presenting the classrooms and are experiencing dizziness.
Which of the following actions should the nurse take?
A. Have students evacuated from the school and establish a triage area in the
school parkinglot.
B. Move individuals who are reporting symptoms to one of the aected classrooms
and createa triage area inside the room.
C. Arrange for client transportation to the nearest emergency department and tell
the grouptriage will occur there.
D. Transport all children and school personnel to the nearest medical facility
using schoolbuses
Have students evacuated from the school and establish a triage area in the school parking lot
14.A nurse is working with an emergency response team in caring for a group of people who
may have been exposed to anthrax while doing farm work but are not exhibiting manifestation of
illness. Which of the following is the appropriate action for the nurse to take?
Administer antibiotic therapy
15.A nurse is participating in a biological disaster simulation where citizens are exposed to
pneumonic plague. Which of the following isolation precautions should the nurse plant to use
while caring for these clients.
Initiate Droplet precaution
16.A nurse is among the first responders to a mass-casualty incident and does not know what
type of personal protective equipment PPE is needed. which of the following actions should the
nurse take? Choose the highest level of PPE available
17.A charge nurse is making a room assignment for a client who has scabies. In which of the
following rooms should the nurse place the client?
A private room
18.A nurse is performing triage for a group of clients following a mass casualty incident (MCI).
Which of the following clients should the nurse plan to care for first?
A. A client experiencing a tension pneumothorax
B. A client who has a closed upper extremity fracture
C. A client who has full-thickness burns over 80% of his body
D. A client who has agonal respirations
A client experiencing a tension pneumothorax.
19.A nurse is helping to triage a group of clients at a mass casualty incident who were
,involved in an explosion at a local factory. Which of the following clients should the nurse
tag to be the priority for care?
A client who has a piece of wood punctured into the chest wall and has an audible hissing
sound coming from the wound site
20.A nurse is assisting with field triage following a motor-vehicle crash involving a bus with
multiple victims. The nurse assesses a child who has an open fracture of the femur. Which of the
following actions should the nurse take?
Place a yellow tag on the child
21.A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client
trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his
upper airway the client remains apneic. Which of the following actions should the nurse take?
Place a black tag on the client's upper body and attempt to help the next client in need
22.A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an
open fracture of his arm. Which of the following actions should the nurse take?
Place a yellow tag on the client's upper body
23.A nurse is the triage officer in the emergency department when four clients arrive following a
factory explosion. which of the following clients should the nurse care for first?
An unconscious adult client who has a sucking chest wound, respirations of 38/min, and
capillary refill of
<2 seconds
24.A nurse is educating community members about how to prepare for disaster. Which of the
following supplies should the nurse instruct the clients to include in a disaster preparedness kit?
(Select all that apply)
Clean clothing
Personal
identification
Matches
Prescription medications
25.A nurse is assisting with triaging clients following an explosion. Which of the following
clients should the nurse identify as the highest priority?
A conscious adult client who has second-degree burns on both lower legs; respiratory rate is
>30/min
26.A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases.
Which of the following diseases should the nurse plan to report to the Centers for Disease
Control and Prevention (CDC)?
Lyme disease
27.A community health nurse is reviewing the levels of disease prevention. Which of the
following activities is an example of tertiary prevention?
Providing treatment for clients who have chronic obstructive pulmonary disease
28.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?
Identify community resources that are available
, 29.A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which
of thefollowing agents should the nurse plan to administer a vaccine following exposure?
Smallpox
30.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)
"Smallpox is transmitted person to person"
"Naturally occurring smallpox has been eradicated from the world"
"Smallpox is often confused with varicella"
31.A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse
should prepare the protocol based on which of the following information? (Select all that
apply)
-Botulism can produce paralysis within 12-72 hr following exposure
-Vomiting and diarrhea are expected findings following exposure
32.A nurse is preparing to care for a client who has suspected exposure to plague as a result of
bioterrorism. Which of the following actions should the nurse plan to take first?
Initiate contact precautions
33.A nurse is planning a staff education session regarding biological weapons of mass
destruction. Which of the following should he plan to include in the session? (Select all that
apply)
Smallpox
Anthrax
Botulism
34.A charge nurse is discussing the phases of community response to disaster with nursing
staff. Which of the following statements indicates an understanding of the heroic phase of
disaster response?
Personnel are willing to work in dangerous conditions to provide assistance.
35.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)
Pencil and
paper Whistle
Antibiotics
Copies of insurance cards
36.A nurse is reinforcing teaching with a group of adolescent females who are pregnant about
expected changes related to pregnancy. Which of the following client statements indicates
understanding of the teaching?
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