2023 RN Community Health Proctored Exam

What activity should a parish nurse include when planning for a faith-based community?

Teach stress management.

What payment structure does a health maintenance organization provide?

The provider is paid a fixed sum for the client on a monthly or yearly basis.

What is a secondary prevention strategy for clients who survive a disaster in emergency shelters?

Compiling resources available to transition individuals from shelters to a home.

What statement indicates understanding of teaching for postpartum adolescents regarding baby care?

I carry my baby with me as I move around the house.

What is the reservoir for hepatitis A infection?

Feces.

Which client should be transported to the Emergency Department first in a triage situation?

A client who is exhibiting agonal respirations with fixed pupils.

What is the first action a nurse should take when developing a disaster plan in an assisted living facility?

Develop response strategies specific to older adults.

What strategies should be developed for older adults in community health?

Response strategies specific to older adults.

What should a nurse verify regarding community-wide drills?

Verify dates of the annual community-wide mass casualty drill.

What is an important consideration for environmental health in nursing?

Determine potential environmental health hazards.

What materials are needed for staff and resident education in community health?

Identify materials needed for staff and resident education.

Which worker is at risk for injury in a factory setting?

A worker who is wearing a back brace and bends at the waist when picking up a pallet.

What secondary prevention strategy should be taught regarding violence and abuse?

Refer clients to the appropriate community agency if signs of abuse are evident.

What intervention is necessary for providing care to a migrant population?

Providing health services at work sites.

What is the first action a nurse should take when caring for a homeless client?

Determine the client's understanding of her living situation.

What criteria must be met for a client to qualify for hospice care?

The client has documentation that states he has less than 12 months to live.

What should a nurse include in teaching about end-of-life care directives?

The client can choose a non-family member as the designated power of attorney.

What is the first action a home health nurse should take when visiting a client with dementia?

Engage the family in informal conversation.

Which statement indicates understanding of HIPAA regulations by a newly licensed nurse?

HIPAA rules allow clients to receive a copy of their medical records.

In the epidemiological triangle, who is considered the host in a mumps outbreak?

The children.

What intervention should a nurse initiate for chemotherapy-induced nausea resistant to medication?

Offer 120ml (4oz) of cold 2% milk as a meal replacement.

What should be offered as a meal replacement for a client?

120ml (4oz) of cold 2% milk.

What position should the head of the bed be maintained in after eating?

Elevated position.

What beverage should be provided between meals?

Sips of room-temperature ginger ale.

How can the flavor of foods be enhanced?

By using seasoning.

What technique can assist a client in relaxation?

Guided imagery.

Which intervention is an example of tertiary prevention in community health?

Developing resources for victims of abuse.

Which infectious condition should a nurse report to the CDC?

Gonorrhea.

What action should a nurse take for a client with a C. diff infection?

Clean the client's bathroom with diluted bleach solution.

Which agency is responsible for reporting Lyme disease cases to the CDC?

State health department.

What indicates a client understands radioactive iodine therapy precautions?

I will use a toilet that is not used by others in my family.

What is a primary prevention strategy for skin cancer?

Avoid direct sunlight between 10am-4pm.

What planned intervention is a primary prevention strategy to decrease community violence?

Providing parenting classes for local parents.

What is the priority health promotion strategy for older adults in assisted living?

Immunizing the clients against influenza.

What should a nurse advise about electrical hazards?

You should limit your use of extension cords.

What does the nurse's response to a client about chemotherapy represent?

Autonomy.

What role is a nurse fulfilling when arranging delivery of medical equipment?

Advocate.

What should a nurse instruct a client with C. diff regarding probiotics?

Instruct the client to avoid use of probiotics.

What is the purpose of assessing risk factors of IPV during health examinations?

To identify potential victims and provide necessary support.

What should a nurse do when a client expresses a desire to stop chemotherapy?

Support the client's decision.

What is an example of a secondary prevention strategy in community health?

Presenting community education programs about stress management.

What is a recommended action for clients undergoing radioactive iodine therapy regarding visitors?

I will allow my granddaughter to visit for 4 hours daily.

What should a nurse clarify about the use of laxatives after radioactive iodine therapy?

I will wait one week after treatment to use a laxative.

What is a common misconception about hand hygiene after caring for a C. diff patient?

Using ETOH-based hand sanitizer is sufficient.

What role is the nurse functioning in when arranging delivery of medical equipment to the client's home?

Coordinator

Which client response indicates a risk for suicide in a client with AIDS?

I'm afraid of experiencing pain near the end.

What referral should a school nurse initiate for a child with muscular dystrophy who has difficulty swallowing?

Speech-language therapist

What is the nurse's priority action upon noticing a fire in a trash can?

Move the client to another location.

What manifestation of alcohol withdrawal should a community nurse include in teaching?

Seizures

Which example represents tertiary prevention?

Teaching about inhaler use in a client who has asthma.

What topic should a nurse recommend for review by a quality improvement committee for home health clients?

An increase in client falls at home.

In a triage situation after a bombing, which client should receive treatment priority?

A client who has rigid abdomen with manifestations of shock.

What statement by a client who lost a partner indicates a need for immediate nursing intervention?

There's no need for anyone to come see me, including you.

What primary prevention activity should a school nurse plan for the school year?

Monitor the immunization status of students.

What should a case manager first say to a client with a pressure injury requiring special beds at home?

Describe the place where you are currently living.

What action should a community health nurse take upon encountering a client with suspected bioterrorism-related illness?

Don personal protective equipment.

What program is a community health nurse asked to develop for older adults who are no longer driving?

Mobile meal program.

What is the first step a nurse should take when developing a mobile meal program for older adults who are no longer driving?

Perform a needs assessment.

What should a nurse do when caring for a client who requires a tetanus immunization but does not speak the same language?

Arrange for a member of the client's community to interpret the teaching.

Which primary prevention activities should a school nurse include for the new school year? (Select all that apply)

Lobbying for funding for health promotion efforts, organizing a program to promote skateboard safety, teaching a class about the risks of cigarette smoking.

What acute effects should an occupational health nurse expect when assessing agricultural workers for pesticide exposure?

Dizziness.

What action should a home health nurse take for a client with terminal cancer who no longer wants enteral feeding?

Explain the process for completing a living will.

What task is a responsibility of a case manager that a newly licensed nurse should know?

Evaluate the cost effectiveness of client treatments.

What should a nurse say to a family who reports seeing a folk healer and has different cultural beliefs?

Describe how you hope the treatments will affect your health.

What primary prevention strategy should a nurse use to reduce obesity in a community?

Educate children at a day care center about nutrition and exercise.

What is the first question a nurse should ask a client with preschoolers who is seeking help for managing depression?

Are you having any thoughts of hurting yourself?

Which statements indicate a client's understanding of hospice care? (Select all that apply)

I will receive care from a variety of interprofessional team members, I can discontinue hospice care whenever I want, I can receive care in the hospital or at home.

What is a common misconception about when a provider recommends hospice care?

My provider will recommend that I enter hospice care when I have 1 year left to live.

What is a common misunderstanding regarding insurance coverage for hospice care?

I will need to have private insurance because Medicare does not cover hospice care.

What should a nurse do if a client is experiencing acute pesticide exposure symptoms?

Monitor for symptoms such as dizziness.

What is an appropriate response for a nurse when a client expresses cultural beliefs that differ from medical practices?

I can refer you to a medical practitioner for your health care needs.

What is an appropriate action for a nurse to take when developing community health programs?

Inquire about the availability of volunteers.

What should a nurse consider when planning health education for clients with language barriers?

Use a professional interpreter rather than relying on family members.

What is a suitable primary prevention activity for a school nurse?

Organizing a program to promote skateboard safety.

What should a nurse assess first when a client is experiencing depression?

Assess for any thoughts of self-harm.

What is an important consideration for a nurse when discussing hospice care with clients?

Ensure the client understands they can discontinue hospice care at any time.

What should a nurse do when planning a community health initiative?

Evaluate potential funding sources for the program.

What is a key responsibility of a case manager in a healthcare setting?

Teach a smoking cessation support group.

What is a critical question for a nurse to ask a client who has recently experienced a significant life change?

Who is available to help you?

What is an important aspect of hospice care that clients should understand?

Care can be provided in various settings, including home and hospital.

What type of care can I receive in the hospital or at home?

Care from a variety of interprofessional team members.

What should a 50-year-old female client have every 2 years until age 64?

A complete eye exam.

What screening should a 50-year-old female client have every other year until age 74?

Stool tested for blood.

How often should a 50-year-old female client have her hearing screened?

Every 5 years.

What is an action a nurse takes when engaging in disaster preparedness?

Organizing a mass casualty drill for community members.

For which infection should the nurse identify the need for contact precautions?

Herpes simplex.

What is the priority finding for a nurse to report after an eye assessment of an older adult?

Hemianopia.

What should a nurse expect from a client who injected heroin 1 hour ago?

Euphoria.

What is an example of a secondary prevention activity?

Provide smoking cessation class.

What should a parish nurse do first when counseling a family after a heart disease diagnosis?

Ask family about the impact of the disease on relationships within the family.

What indicates understanding of teaching for a guardian of a child with leukemia?

I should inspect my child's mouth for sores.

What topic should a school nurse prioritize for safety education among adolescents?

Motor vehicle safety.

What is the first action a case manager should take for a client with alcohol use disorder and cirrhosis?

Contact a social worker to assist the client with managing finances.

What should a nurse include about Puerto Rican cultural practices regarding pain?

Outspoken expression of pain is viewed as shameful.

What should a nurse include about Middle Eastern cultural practices regarding pain?

Hiding pain from close family members.

What is a cultural practice of Native Americans regarding pain expression?

Being outspoken about pain.

What cultural practice may lead to enduring pain to prevent family dishonor?

Chinese cultural practices.

What is the first action a community health nurse should take when planning a program for adolescents about preventing STIs?

Collect data to identify barriers to learning.

What should a nurse include when counseling a client diagnosed with chlamydia?

Avoid sexual contact until therapy is complete, notify anyone whom you had sexual contact with in the past 2 months, and inform that painful urination may occur until the infection resolves.

In the context of arranging for occupational therapy for a client with difficulty in ADLs, what role is the nurse acting as?

Case manager.