NR 442 - RN COMMUNITY HEALTH PRACTICE ASSESSMENT B
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Course
NR 422
Institution
NR 422
NR442 - RN Community Health Practice Assessment B (50 Items)
1. A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment?
a. Food preferences
b. Employment status
c. History of illnesses
d. Sexual orientation
...
NR442 - RN Community Health Practice Assessment B (50 Items)
1. A nurse is assessing a new client. Which of the following information should the
nurse include in the cultural portion of the assessment?
a. Food preferences
b.Employment status
c.History of illnesses
d.Sexual orientation
Rationale: Food preferences are a part of cultural assessment.
2. A nurse is preparing an educational program about influenza for a group of
community health nurses. Which of the following activities should the nurse include
as an example for tertiary prevention?
a.Offer classes to elementary school teachers about handwashing.
b.Provide information to occupational nurses about the reasons for
employees to not come to work.
c. Administer antiviral meds within 48 hr to clients who have manifestations
of influenza.
d. Provide immunizations at long-term care facilities.
Rationale: Tertiary prevention involves ways to reduce the complications of
illness, which includes administering antiviral medications to clients who
already have influenza.
3. Anurse is collecting demographic data as a part of a community assessment.
Which of the following info should the nurse include?
a. Racial distribution
b.Family genograms
c.Number of open water sources
d. Presence of condemned buildings
Rationale: Racial distribution is part of demographic data.
4. A community health nurse suspects an outbreak of scabies in the local area.
which of the following actions should the nurse take first?
a. Determine the incidence rate
b.Institute prophylactic treatment
c.Educate the community about disease transmission
d.Discuss treatment plans with clients' families
Rationale: The first action the nurse should take when using the nursing process
is to determine the number of new cases of scabies in the community.
5. A public health nurse is planning care for four clients. Which of the following
interventions
,should the nurse recognize as tertiary prevention?
a.Providing chemoprophylaxis for malaria to a client who is traveling to
mosquito- infested countries
b. Administering antibiotics to a client who has AIDS and was diagnosed
with pneumocystis jiroveci
c.Performing a serological screening for HIV for a client who is pregnant
d.Participating in partner notification for a client who has an STI ‘=
Rationale: Administering antibiotics to a client who has AIDS and was diagnosed with
Pneumocystis jiroveci is an example of tertiary prevention.
6. A home health nurse is assessing an older adult client who is taking captopril
to treat heart failure. Which of the following findings should the nurse identify as
an adverse effect of this medication?
a. dry cough
b.weight gain
c.ataxia
d.photophobia
Rationale: Captopril prevents the conversion of angiotensin I to angiotensin
II, causing bradykinin to accumulate. The client may experience coughing
as a result of bradykinin accumulation.
7. A home health nurse is caring for a client who has breast cancer. Which of
the following assessment findings should the nurse identify as an indication
that the client is coping effectively?
a.Inability to concentrate
b. Makes eye contact
c.Excessive sleeping
d.Lack of interest in food
Rationale: The nurse should recognize that making eye contact is a characteristic of
effective coping.
8. A public health nurse is providing information to a client who has an alcohol use
disorder and is asking about treatment. Which of the following statements should
the nurse identify as an indication that the client understands the information?
a."I will not have to completely stop drinking alcohol if I go into an
inpatient treatment program."
b. "Once I make it through detoxification, I will be free of my addiction."
c. "I am not eligible for an outpatient program until I have completed
an inpatient program first."
d. "I can expect to get help with other aspects of my life while in treatment."
, Rationale: Successful treatment of alcohol use disorder is more likely if the client
receives help in other areas of his life, such as his physical health, psychological
well-being, and family interactions.
9. The daughter of a client who is terminally ill and at the end of life approaches a
hospice nurse and asks what she can do to help relieve her father’s pain. Which of
the following interventions should the nurse suggest?
a. Give the client brief hand massages.
b.Increase the illumination in the room.
c.Place a warm cloth on the client's forehead.
d. Administer citalopram when the client is agitated.
Rationale: Soft massage and brief hand massages can reduce pain and stress in
palliative care settings.
10.A community health nurse is developing a plan of care for a client who is
hispanic. which of the following actions should the nurse include in the plan?
a.maintain direct eye contact when speaking with the client
b.avoid using hand gestures when working with the client
c.discourage the client from using a faith healer
d. Use therapeutic touch during conversation
Rationale: A client who is Hispanic might view touch as a gesture of caring and
compassion.
11.A nurse is caring for a client who has AIDS and is experiencing rapid weight
loss. which of the following actions should the nurse take first?
a. Examine the client's oral mucous membranes.
b.Encourage the client to consume 1.2 to 2.0 g/kg of protein daily.
c.Recommend the client increase her daily calorie intake by 25%.
d.Teach the client about findings that should be reported to the provider.
Rationale: The first action the nurse should take when using the nursing process is
to assess the client. The nurse should examine the client's oral mucous
membranes for painful lesions, such as candidiasis.
12.A school nurse is discussing levels of prevention with a teacher. which of
the following activities should the nurse identify as a primary prevention
strategy?
a.Provide nutritional counseling for students who have diabetes.
b.Report suspected child neglect to the proper authorities.
c.Conduct vision and hearing screening for kindergarten enrollment.
d. Demonstrate proper handwashing techniques.
Rationale: This is an example of primary prevention, the goal of which is to promote
health and
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