2019 ATN RN Community Health Online Practice Exam B With Answers-320 Solved Questions

Community Practice B RN Community Health Online Practice 2019 B
1. A public health nurse is planning a community health promotion program for hypertension
prevention. Which of the following interventions should the nurse include as a tertiary
prevention strategy?
a. Provide education about risk factors for hypertension.
b. Conduct a hypertension screening clinic for the community.
c. Teach clients who have a family history of hypertension how to monitor blood pressure.
d. Implement an exercise program for clients who have hypertension.
Answer: d. Implement an exercise program for clients who have hypertension.
2. A school nurse is serving on a community disaster planning committee looking at school
shooting scenarios. Which of the following actions should the nurse plan to take during the
response phase?
a. Conduct ongoing assessments to identify potential hazards.
b. Provide disaster training to school personnel.
c. Perform triage and provide hands-on care as needed to victims.
d. Serve as a liaison between available community resources and those in need.
Answer: c. Perform triage and provide hands-on care as needed to victims.
3. 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.
Answer: d. Demonstrate proper handwashing techniques.
4. A nurse is planning to teach a community group about the meningococcal vaccine. The nurse
should identity that which of the following clients should receive the vaccine?
a. A client who is traveling to northern

b. Europe An infant who has bronchiolitis
c. An infant who is 4 weeks old
d. A client who is moving into a college dormitory
Answer: d. A client who is moving into a college dormitory
5. A home health nurse is visiting an older adult client and notes that unwashed dishes are piled
up and newspapers cover the front steps. Which of the following questions should the nurse ask
the client to determine if the client is socially isolated?
a. "Why haven't you brought in your newspapers?"
b. "Do you need help completing your housework?"
c. "How often do you have visitors come to see you?"
d. "Have you considered moving to an assisted living facility?"
Answer: c. "How often do you have visitors come to see you?
6. A community health nurse is working with a community where the incidence of violence has
increased. Which of the following actions should the nurse take as a tertiary prevention strategy?
a. Provide open education sessions to teach parenting skills.
b. Provide victims of violence with referral information to crisis lines.
c. Identify potential community risk factors for violence.
d. Assess for evidence of violence during routine encounters.
Answer: b. Provide victims of violence with referral information to crisis lines.
7. A community health nurse is discussing the role of a faith community nurse with a chaplain.
Which of the following information should the nurse include in the discussion?
a. The faith community nurse can provide pharmacological pain management for clients who
have a terminal illness.
b. The faith community nurse can plan workplace safety training for employees in a local factory.
c. The faith community nurse can provide wound care for clients in their homes.
d. The faith community nurse can facilitate substance abuse support groups
Answer: d. The faith community nurse can facilitate substance abuse support groups

8. A nurse on the scene following a mass casualty explosion is triaging a client who has a large,
open occipital wound and the following findings: respiratory rate 6/min, agonal pattern; capillary
refill time 4.5 seconds; nonresponsive to painful stimuli. Which of the following actions should
the nurse take?
a. Turn the client to left semi-Fowler's position and begin assessing the next client.
b. Place a rm pressure dressing to the occiput and open the airway.
c. Apply a cervical spine collar and perform a focused neurological exam.
d. Request that the client be assessed immediately by the next available provider
Answer: a. Turn the client to left semi-Fowler's position and begin assessing the next client.
9. A nurse at a county health clinic is caring for a client who has recently assumed the role of
primary caregiver for their parent. Which of the following client statements indicates that they
are experiencing role conflict?
a. "I feel overwhelmed with not having enough time for my mom as well as my children."
b. "I hope my siblings will be able to visit and help care for mom for a few days."
c. "I am glad that my job is flexible, so I can accommodate my mom's needs."
d. "I don't think my partner likes having to help more with the household chores."
Answer: b. "I hope my siblings will be able to visit and help care for mom for a few days."
10. A case manager at a home health agency is obtaining equipment for a client's home use.
Which of the following actions is a violation of client confidentiality?
a. The case manager used a computer at the agency with an automatic sign-o mechanism.
b. The case manager left a clipboard with the client's prescription information face up on the
office desk.
c. The case manager sent a fax to the equipment company on a machine using programmed speed
dial.
d. The case manager shared the client's name with the equipment company.
Answer: b. The case manager left a clipboard with the client's prescription information face up
on the office desk.

11. A nurse is giving a presentation about family violence at a local community center. Which of
the following information should the nurse include?
a. Socially active parents and guardians are at greater risk for becoming violent.
b. Partner violence occurs more frequently in lower socioeconomic households.
c. Child maltreatment is more common in homes where partner violence is present.
d. Children who are abused are less likely to become abusers.
Answer: c. Child maltreatment is more common in homes where partner violence is present.
12. A nurse in a county health department is caring for a client who states, "I've been drinking
too much in the evenings since my friend died last year." Which of the following responses
should the nurse make?
a. "It sounds like you are probably an alcoholic."
b. "Don't you think your family is being affected by your drinking?"
c. "Can I give you some information about Alcoholics Anonymous?"
d. "I don't think your friend would have approved of your drinking."
Answer: c. "Can I give you some information about Alcoholics Anonymous?"
13. Community leaders have requested a meeting with a community health nurse to discuss
creating a mobile meals program. Which of the following information should the community
health nurse assess first?
a. The leadership support of the community
b. The accessibility of residences
c. The availability of volunteers
d. The need for the program
Answer: d. The need for the program
14. 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 of 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 medications within 48 hr to clients who have manifestations of influenza.
d. Provide immunizations at long-term care facilities.
Answer: c. Administer antiviral medications within 48 hr to clients who have manifestations of
influenza.
15. A community health nurse is conducting a program regarding crime reduction strategies for
older adult clients at the senior center. Which of the following statements indicates an
understanding of the information?
a. "When I am in my car, I will keep my personal items on the seat beside me."
b. "When I open my front door, I will ask for identification if the person is someone I do not
know."
c. "I should store my purchases in the back seat when I am out shopping."
d. "I should remove the identification tag that is on my key ring."
Answer: d. "I should remove the identification tag that is on my key ring."
16. A nurse is developing an educational program about bioterrorism and smallpox. The nurse
should include in the teaching that the smallpox rash is expected to rest appear in which of the
following locations?
a. Face
b. Posterior shoulders
c. Abdomen
d. Lower extremities
Answer: a. Face
17. A community health nurse is providing care to a client who has stopped taking their
prescribed blood pressure medication. Which of the following actions should the nurse take first?
a. Advise the client that adherence to the medication regimen will promote healthy outcomes.
b. Determine the client's reason for discontinuing the medication.
c. Discuss the consequences of discontinuing the medication with the client.

d. Educate the client about the benefits of the medication.
Answer: b. Determine the client's reason for discontinuing the medication.
18. A nurse is assessing the risks and benefits of meal delivery services for an older adult client
who lives alone and has no transportation. Which of the following ethical principles is the nurse
demonstrating?
a. Distributive justice
b. Respect for autonomy
c. Fidelity
d. Beneficence
Answer: d. Beneficence
19. A community health nurse is caring for an adolescent who is seeking help for an unplanned
pregnancy. Which of the following actions should the nurse take first?
a. Recommend that the adolescent meet with the school guidance counselor to discuss
educational options.
b. Help the client obtain a provider for prenatal care.
c. Educate the client about contraceptives to prevent future unplanned pregnancies.
d. Provide information on parenting classes so the client can learn about caring for a newborn
Answer: b. Help the client obtain a provider for prenatal care.
20. A community health nurse is conducting a needs assessment of a community. The nurse
should identify that which of the following methods will yield direct data?
a. Health surveys Medical records
b. Informant interviews
c. Morbidity/mortality
d. Statistics
Answer: b. Informant interviews
21. A hospice nurse is teaching about expected grief reactions with the family of a client who has
end stage pancreatic cancer. Which of the following information should the nurse include?

a. "It is common to experience a persistent state of sadness while grieving."
b. "Disturbances in your self-esteem is an expected grief reaction."
c. "You will feel a sense of hopelessness throughout the grieving process."
d. "A component of healthy grieving is the ability to openly express your anger."
Answer: d. "A component of healthy grieving is the ability to openly express your anger."
22. A nurse manager at a community health clinic is presenting an in-service for nurses about
assessing clients who have experienced violence. Which of the following statements by a nurse
indicates an understanding of the teaching?
a. "I do not need to ask about violence at future visits once I determine that a client is not at risk."
b. "I should not document the name of the person the client accuses of the violence in the client's
medical record."
c. "I should wait until I see signs of physical violence before I help the client develop a safety
plan."
d. "I should determine whether a client who has been sexually assaulted requires a rape kit
examination."
Answer: d. "I should determine whether a client who has been sexually assaulted requires a rape
kit examination."
23. A nurse at a county health department is caring for a client who is at 28 weeks of gestation.
The nurse should identify which of the following characteristics as a risk factor for future child
maltreatment?
a. The client refers to the unborn fetus by name.
b. The client works part-time at a local restaurant.
c. The client has changed providers three times during their pregnancy.
d. The client has recurring nightmares about the unborn fetus.
Answer: c. The client has changed providers three times during their pregnancy.
24. A school nurse is conducting visual acuity testing for a school-age child using a Snellen letter
chart. Which of the following actions should the nurse take?
a. Allow the child to keep her glasses on during the testing.

b. Have the child stand 5 feet away from the Snellen letter chart.
c. Progress to the next line once the child reads two symbols correctly.
d. Begin the test by instructing the child to use both eyes to read the chart.
Answer: a. Allow the child to keep her glasses on during the testing.
25. A home health care nurse is teaching a client's family about preventing the transmission of
Clostridium diffcille. Which of the following transmission-based precautions should the nurse
include in the teaching?
a. Contact precautions
b. Droplet precautions
c. Airborne precautions
d. Protective environment
Answer: a. Contact precautions
26. A nurse is preparing a community education program about health care needs during
pregnancy. The nurse should include that which of the following vaccines is safe to administer to
a client who is pregnant?
a. Herpes zoster
b. Tetanus, diphtheria, pertussis (Tdap)
c. Varicella
d. Measles, mumps, and rubella
Answer: b. Tetanus, diphtheria, pertussis (Tdap)
27. An adult child of a client who is terminally ill and at the end of life approaches a hospice
nurse and asks, "What can I do to help relieve my father's pain?" Which of the following
interventions should the nurse suggest?
a. "Give your father brief hand massages."
b. "Increase the illumination in your father's room."
c. "Avoid using analgesics unless your father exhibits nonverbal signs of pain."
d. "Administer citalopram when your father is agitated."
Answer: a. "Give your father brief hand massages."

28. A school nurse is notified that a school-age child has pertussis. Which of the following
actions should the school nurse take? (Select all that apply.)
a. Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first
present.
b. Encourage family members to obtain prophylactic treatment.
c. Quarantine the children in the child's class.
d. Recommend that the child receive a pneumococcal vaccine in 28 days.
e. Check the immunization status of the child's classmates
Answer: a. Instruct the parent to keep the child at home for 2 weeks after the initial symptoms
first present.
b. Encourage family members to obtain prophylactic treatment.
e. Check the immunization status of the child's classmates
29. A public health nurse is working in a community that has a population of 24,096. There are
2,096 existing cases of heart disease within the population. The nurse can determine which of the
following from this information?
a. Mortality rate
b. Attack rate
c. Prevalence proportion
d. Incidence proportion
Answer: c. Prevalence proportion
30. A nurse is conducting a home visit for an older adult client. The nurse should identify which
of the following findings as an indicator of possible neglect?
a. Lives alone
b. Taking outdated prescriptions
c. Has a BMI of 25
d. Presence of alcohol in the home
Answer: b. Taking outdated prescriptions

31. A community health nurse suspects an outbreak of scabies in the local area. Which of the
following actions should the nurse take first?
a. Educate the community about disease transmission.
b. Determine the incidence rate.
c. Institute prophylactic treatment.
d. Discuss treatment plans with the clients' families.
Answer: b. Determine the incidence rate.
32. A community health nurse is providing teaching about health promotion to a group of
adolescents. Which of the following topics is the most important for the nurse to include in an
attempt to lower adolescent mortality rates?
a. Underage smoking
b. Safer sex practices
c. Safety belt use
d. Heart-healthy diet
Answer: c. Safety belt use
33. A nurse is assessing a new client at a public health clinic. Which of the following areas
should the nurse address as part of the cultural assessment?
a. Immunization status
b. Sexual activity
c. Illness practices
d. Food allergies
Answer: c. Illness practices
34. An occupational health nurse in a factory is performing a routine tuberculosis screening and
identifies an employee who has a positive Mantoux tuberculin test. Which of the following
actions should the nurse plan to take?
a. Instruct the employee that they will need to obtain a chest Xray.
b. Initiate an employee immunization program.
c. Instruct the employee to wear an N95 respiratory mask.

d. Administer prophylactic penicillin to other employees.
Answer: a. Instruct the employee that they will need to obtain a chest Xray.
35. A nurse is caring for a client who has a positive gonorrhea culture. Which of the following
actions should the nurse take?
a. Instruct the client that recent sexual partners will need to be treated.
b. Instruct the client to return for a blood test in 1 month.
c. Administer penicillin G 2.4 million units IM once.
d. Teach the client how to apply imiquimod 5% cream to the lesions.
Answer: a. Instruct the client that recent sexual partners will need to be treated.
36. A public health nurse is lobbying Congress to increase funding for health screenings provided
to migrant farm workers. Which of the following concepts is the nurse demonstrating?
a. Advocacy
b. Principlism
c. Deontology
d. Communitarianism
Answer: a. Advocacy
37. A nurse in a community center is preparing to administer a tuberculin skin test to multiple
clients to screen for tuberculosis. Which of the following actions should the nurse take?
a. Prepare the outer aspect of the upper arm for the injection.
b. Insert the needle at a 45° angle.
c. Inject 0.1 mL of purified protein derivative.
d. Create a wheal that measures about 15 mm in diameter
Answer: c. Inject 0.1 mL of purified protein derivative.
38. A home health nurse is evaluating a caregiver's technique for providing care to a client who
has a chronic tracheostomy. Which of the following statements by the caregiver indicates an
understanding of the procedure?
a. "I should remove the soiled ties before replacing them with clean ones."

b. "I will use tap water to clean the inner cannula."
c. "I should use a slip knot to secure the tracheostomy ties."
d. "I will cut a four inch by four-inch gauze to use as a dressing."
Answer: b. "I will use tap water to clean the inner cannula."
39. A public health nurse is participating in a disaster preparedness planning committee for a
local community that is at risk for hurricanes. Which of the following information should the
nurse contribute to the plan?
a. A list of residents who have experienced a hurricane in the past and will not need evacuation
b. A list of areas within the community where residents speak multiple languages
c. How to activate the local medical facilities' emergency-management plans
d. The name of the individual who is necessary to implement the plan
Answer: b. A list of areas within the community where residents speak multiple languages
40. A community health nurse is participating in a quality improvement plan for a local health
department. Which of the following techniques should the nurse use for process evaluation of the
facility? (Select all that apply.)
a. Focus groups
b. Written audits
c. Satisfaction survey
d. Interviews
e. Values self-study
Answer: a. Focus groups
b. Written audits
c. Satisfaction survey
d. Interviews
41. A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and
noisy breathing. Which of the following actions should the nurse take?
a. Suction the client's oropharynx.
b. Administer the client's pain medication intramuscularly.

c. Use a fan in the client's room.
d. Place the client in Trendelenburg position.
Answer: c. Use a fan in the client's room.
42. A nurse is providing education regarding lead exposure to a group of clients who live in a
housing development built in 1968. Which of the following client statements indicates an
understanding of the teaching?
a. "I will use a dry-sanding technique when preparing to repaint my front door."
b. "I will vacuum our wood floors every week."
c. "I will increase the amount of red meat and milk in my child's diet."
d. "I will use hot tap water to prepare my baby's formula
Answer: c. "I will increase the amount of red meat and milk in my child's diet."
43. A community health nurse is working to meet the health care needs of residents in a rural
community. Which of the following characteristics should the nurse identify as a barrier to health
care resources for this population?
a. Less autonomy in providing client care
b. Disinterest by members of the population in providing input for community health programs
c. Lack of cohesiveness among community members
d. Unavailability of outreach services
Answer: d. Unavailability of outreach services
44. A community health nurse is teaching a client who is overweight about steps to take to begin
an exercise program. The nurse should identify that which of the following statements is an
indication that the client understands the teaching?
a. "I will need to purchase exercise equipment before I can start."
b. "I should try to perform aerobic exercise for an hour a day, 5 days a week."
c. "I will see my doctor before beginning an exercise program."
d. "I should avoid participating in weight-lifting exercises."
Answer: c. "I will see my doctor before beginning an exercise program."

45. A public health nurse is monitoring medication compliance for a group of migrant workers
who are being treated for tuberculosis (TB). The nurse should use information from which of the
following resources to assist with this process?
a. Agency for Healthcare Quality and Research (AHRQ)
b. Migrant Clinicians Network (MCN)
c. Centers for Disease Control and Prevention (CDC)
d. U. S. Preventive Services Task Force (USPSTF)
Answer: b. Migrant Clinicians Network (MCN)
46. A community health nurse is planning a presentation for adults who have a family history of
Alzheimer's disease. Which of the following behaviors should the nurse include as an early
manifestation of Alzheimer's disease?
a. Withdrawal from social activities
b. Forgetting the location of common objects
c. Experiencing incontinence
d. Neglecting personal hygiene
Answer: b. Forgetting the location of common objects
47. A community health nurse is assigned to lead a county-level environmental task force. Which
of the following activities should the nurse direct the task force to complete first?
a. Review community-specific epidemiological data.
b. Recommend updates to local environmental policies.
c. Create program goals that align with Healthy People objectives.
d. Distribute environmental health education materials to community members.
Answer: a. Review community-specific epidemiological data.
48. A nurse is preparing to administer medication to a client who has active tuberculosis. Which
of the following precautionary measures should the nurse take?
a. Wear gloves.
b. Wear protective eyewear.
c. Use disposable equipment.

d. Use an N95 respirator.
Answer: d. Use an N95 respirator.
49. A community health nurse is made aware that several children, who are from the same family
and did not receive immunizations, have contracted measles. Which of the following actions
should the nurse take?
a. Report this information to the state health department.
b. Encourage the family to keep the children isolated during the incubation period.
c. Speak to the guardians about getting the children immunized after they are disease free.
d. Provide the infected children's names to the parents and guardians of children who might have
been exposed.
Answer: a. Report this information to the state health department.
50. A community health nurse is working in a mobile health care clinic. Which of the following
clients should the nurse assess first?
a. A client who has a superficial partial thickness burn to the hand
b. A client who has a temperature of 38.3° C (101° F)
c. A client who has COPD and an oxygen saturation of 90%
d. A client who has a new onset of confusion and slurred speech
Answer: d. A client who has a new onset of confusion and slurred speech

Community Health Exit HESI
1. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which
of the following strategies should the nurse use?
Answer: Educate children about nutrition and exercise at a daycare center.
2. A community health nurse is developing health promotion activities for a community. Which
of the following is the highest priority action?
Answer: Participate in community assessment to identify community health problems.

3. A home health nurse is scheduling client visits for the day. Which of the following clients
should the nurse plan to visit first?
Answer: A 79-year-old client with an exacerbation of COPD.
4. A state public health nurse is asked to determine which country has the most people living in it
with a diagnosis of Alzheimer’s disease. Which of the following measures will determine this
information?
Answer: Analytic epidemiology.
5. A community health nurse is reviewing laboratory results for his case load of clients. Which of
the following is the highest priority finding?
Answer: A sputum specimen that is positive for tuberculosis.
6. A nurse is triaging victims of a commuter train crash. Which of the following clients should be
transported to the Emergency Department first?
Answer: An ambulatory client whose nose is bleeding and who reports feeling dizzy.
7. A community health nurse is caring for clients in a culturally diverse community. Which of the
following actions demonstrates accurate cultural knowledge about a specific cultural group?
Answer: Include both hot and cold food items on a Hispanic client’s menu.
8. A nurse is caring for a client who has questions about his treatment plan. Which of the
following should the nurse perform as a client advocate? (Select all that apply.)
Answer: • Provide education to the client about the diagnosis
• Inform the client about the provider’s responsibility to provide information
• Assist the client in preparing questions for the provider
• Affirm the client’s decision about the treatment plan
9. A nurse is working with a client who is homeless. Which of the following is the first step that
the nurse should take to advocate for this client?

Answer: Refer the client to a public homeless shelter.
10. A nurse is providing education to a group of adolescents who are pregnant and attending high
school. Which of the following information should the nurse include in this teaching?
Answer: Caffeinated beverages should be replaced with caffeine-free options.
11. A community health nurse is writing an emergency response plan for a day care. Which of the
following should be included in the plan?
Answer: Immunization protocol for various biological agents.
12. A community health nurse is preparing to teach accident and injury prevention. Which of the
following would be the priority topic for a family with a 10-year-old child?
Answer: Use of seat belts in automobiles.
13. A child is brought to the school nurse by her teacher who thinks the child may have
contracted rubeola. Which of the following findings supports this diagnosis?
Answer: Koplik spots in the oral mucosa.
14. A home health nurse is performing an eye assessment and vision screening on an older adult
client recently assigned to her care. Which of the following findings indicates a need for an
intervention?
Answer: Slightly yellow sclera.
15. Which of the following is an example of the responsibilities of public health nursing?
Answer: Informing state health officials of a potential meningitis outbreak.
16. A nurse is providing a staff development program on HIPAA regulations to the staff at a
community health clinic. Which of the following comments by one of the attendees would
indicate a need for further teaching?
Answer: “Demographic data that identify a client can be released without consent.”

17. A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the
following indicates a positive reaction to the test?
Answer: Induration at infection site of 8 mm.
18. After presenting several teaching sessions to a group of high school students about the
harmful effects of tobacco use, a nurse evaluates the teaching to be effective when a student
states which of the following?
Answer: “As long as I stop smoking while I am young, none of those diseases will affect me.”
19. A home health nurse is educating a client diagnosed with COPD about home oxygen use.
Which of the following statements by the client indicates a need for additional teaching?
Answer: “I should use wool blankets on my bed when oxygen is in use.”
20. A nurse is providing teaching to the wife of a client who has had a stroke regarding healthrelated services that will be provided in the home. Which of the following statements by the wife
indicates that the teaching has been effective?
Answer: “The physical therapist will teach my husband exercises to increase hand dexterity.”
21. A nurse is assisting with the development of a disaster management plan for a local
community. During which of the following times should an evacuation plan be disclosed to the
public?
Answer: During disaster preparedness activities.
22. A community health nurse is teaching a client who has tuberculosis about modes of disease
transmission. The nurse recognizes that the client understands the concept when the client makes
which of the following statements?
Answer: “I will wear a mask when I’m in an enclosed area with other people.”
23. A 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’s response is an example of which of the following ethical principles?

Answer: Autonomy.
24. A community health nurse is working with a family in which only the children speak English.
The nurse should select a translator who is:
Answer: Skilled in health-related interpretation.
25. A community health nurse working with a migrant population recognizes that which of the
following is necessary to provide care to this population?
Answer: Offering health screenings at a community center.
26. Which of the following activities is the responsibility of a case manager?
Answer: Evaluate cost effectiveness of client treatments.
27. A nurse uses a secondary prevention intervention when doing which of the following?
Answer: Performing hypertension screening in a community center.
28. An occupational health nurse is planning a program on early detection of breast cancer for
female employees at a local business. Which of the following is the first action the nurse should
take?
Answer: Determine employee knowledge level of breast self-examination.
29. While addressing community leaders at a forum for establishing community improvement
initiatives, a public health nurse identifies which of the following groups as the fastest growing
segment of the homeless population?
Answer: Families with children.
30. A nurse is working in an occupational health setting. Which of the following is a primary
prevention activity for the nurse?
Answer: Conducting smoking cessation classes.

31. A parish nurse is visiting an older adult client who was recently widowed. The client tells the
nurse that he no longer has a way to get to the grocery store or the doctor. Which of the following
responses by the nurse is appropriate?
Answer: “How would you feel about me contacting a local service that helps older adults with
transportation?”
32. A case manager nurse is caring for a client being discharged post-total hip arthroplasty.
Which of the following activities is an example of the nurse functioning in the negotiator role?
Answer: Discussing payment options with various pharmacies.
33. What patient would the Home Health Nurse send to the doctor first?
Answer: Abdominal pain.
34. A community health nurse is evaluating an outbreak of hepatitis A among adult clients in his
community. Which of the following should the nurse do to identify the cause of the disease?
Answer: Identify restaurants where the clients have recently eaten.
35. A nurse working for a home hospice organization recognizes that clients must meet which of
the following criteria to qualify for hospice care?
Answer: Documented need for palliative care.
36. A nurse is working with a case manager for a client who participates in a health maintenance
organization. Which of the following is characteristic of the payment structure provided under
this system?
Answer: The client pays the insurer a percentage of the total costs for each service rendered by
the provider.
37. A nurse is providing education to a troop of local Boy Scouts regarding first aid for
venomous snake bites in the event that transport to the hospital is delayed. Which of the
following would be appropriate information to include in teaching about bites to an extremity?
Answer: Apply a constricting band above the bite while maintaining circulation below the bite.

38. In reviewing goals of "Healthy People," a nurse determines the community has a significant
problem preventing dental caries in children. To bring about change, which of the following
should the nurse target?
Answer: WIC program intake offices.
39. A nurse is providing teaching to a community group regarding smallpox. Which of the
following is an appropriate response in relation to why people who received a single vaccination
prior to 1980 are no longer considered protected?
Answer: The vaccine does not confer life-long immunity.
40. A community health nurse is conducting a community assessment. Which of the following
data should be included as a component of the assessment?
Answer: Resources available to address health care issues.
41. A school nurse is creating a plan to address an increase in violence among high school
students. Which of the following is a secondary prevention strategy that the school nurse can
implement?
Answer: Surveying students to identify risk factors for bullying.
42. A school nurse is assessing the spinal alignment of students at a grade school. Which of the
following findings indicates a child should be assessed further for scoliosis?
Answer: Unilateral scapular hump when the child bends at the waist.
43. A nurse is preparing to provide postmortem care for a client who is Chinese American.
Which of the following should the nurse consider when providing care?
Answer: The family will remain with the body until burial.
44. A community health nurse is teaching a client who has active tuberculosis about disease
management. Which of the following information should be included in the teaching?
Answer: Provide sputum cultures until three come back negative.

45. A public health nurse has received a report of several infants who attend the same daycare
being diagnosed with respiratory syncytial virus (RSV). Which of the following actions should
the nurse take first?
Answer: Provide the staff with information regarding measures to minimize disease
transmission.
46. Primary Goal of Community Health Nursing:
Answer: Enhance the individuals, families, and communities.
47. A nurse is working with an interdisciplinary group to write procedures for the assessment of
clients from a multiracial inner-city population. One group member says, "Remember that all
Hispanic clients may not wish to give personal medical information to a stranger." What should
the nurse recommend?
Answer: Recommend changing the language that stereotypes one ethnic group.
48. A patient is having trouble with peripheral vision. What is best for the nurse to do?
Answer: Orient the patient to their surroundings.
49. Risk for constipation in older adults may be due to which of the following factors?
Answer: Immobility, older age, dehydration, narcotics, or BP medications.
50. Population-focused nursing practice includes which of the following?
Answer: Community diagnosis.
51. SIDS Prevention:
Answer: Supine position, sleep on back.
52. Primary Prevention of Asthma:
Answer: Take bronchodilator first.

53. Rheumatoid Arthritis Resources:
Answer: The Arthritis Association.
54. Necessary when a person is in need of psychiatric treatment, presents a danger to self or
others, or is unable to meet his or her own basic needs:
Answer: Involuntary admission criteria.
55. Child Injury vs. Abuse:
Answer: Abuse
56. Nurse is performing an intake interview at a prenatal clinic on a patient who is at 6 weeks
gestation. Which of the following should the nurse ask regarding the renovation of an old house
the family just purchased due to potential teratogen defects?
Answer: Ask about the possible presence of lead paint in the house.
57. The community health nurse is attempting to address the issue of child abuse in a large
metropolitan area. Which of the following is a primary prevention program?
Answer: High school child development and parenting classes.
58. Scheduling home visits, which is best for the home health charge nurse to assign to the LPN?
Answer: A bedfast client who needs daily irrigation of a stage 4 pressure ulcer.
59. Occupational Health Act:
Answer: Location of the workplace as it relates to health facilities.
60. Nurse has to conduct a community diagnosis to determine nursing needs and problems. This
is best achieved through:
Answer: Community-based practice.
61. Pregnant woman not getting enough of which vitamin may cause neural tube defects?
Answer: Folic acid.

62. Plans formulated for solving community problems are called:
Answer: Community organization.
63. Training of potential leaders in the community is known as:
Answer: Core group formation.
64. The PHN bag is an important tool for care during a home visit because it helps to:
Answer: Prevent the spread of infection.
65. A prenatal consult asks a home health nurse (HHN) if she can have her delivery at home. The
nurse advises her against a home delivery. What is the reason for this advice?
Answer: Her OB score is G5P3.
66. A 6-month-pregnant woman comes to the center for a consult. Which medication is
contraindicated?
Answer: Retinol 200,000 IU.
67. The type of family-nurse contact that offers the best opportunity to observe family dynamics
is:
Answer: Home visit.
68. The philosophy of public health nursing is based on the:
Answer: Worth and dignity of man.
69. In cases of abuse, the nurse should:
Answer: Advise the mother to call the police if violent behavior occurs again.
70. A 70-year-old male client in a nursing home after a hip replacement is at risk for decubitus
ulcers due to:
Answer: Thinning of the skin with loss of elasticity.

71. A Vietnamese child during a home health visit has round swellings on their back. The mother
says she rubbed a coin on his oiled skin. The purpose of this practice is to:
Answer: Rid the body of disease.
72. The core business of public health includes:
Answer: Disease control, health protection, health public policy, injury prevention.
73. An herbal plant given for fever, headache, and cough is:
Answer: Langundi.
74. The pillars of primary health care include:
Answer: Provision of medical care and emergency treatment.
75. If there were 250 deaths and 36,114 live births registered in Region III, with a total
population of 200,000, the fetal death rate would be:
Answer: 6.9 per 1,000 live births.
76. The type of water supply facility composed of a system with piped distribution networks and
household taps is:
Answer: Level III.
77. Pandemic occurrence of a disease is defined as:
Answer: The simultaneous occurrence of an epidemic of the same disease in several countries.
78. A 5-year-old child is given a Retinol capsule every 6 months to prevent xerophthalmia. The
preschooler dose is:
Answer: 200,000 IU.
79. In the Philippines, the condition most frequently associated with schistosomiasis that leads to
death is:

Answer: Liver cirrhosis.
80. Operation Timbang is which level of prevention of a health problem?
Answer: Primary.
81. In conducting a census, the method of population assignment based on the usual place of
residence of the people is:
Answer: De facto.
82. The method of family planning not immediately used by a breastfeeding mother is:
Answer: Combined OCP (Oral Contraceptive Pills).
83. A 3-year-old boy with severe pneumonia or very severe disease would show which of the
following signs?
Answer: Fast breathing.
84. A very important part of the community health nursing planning process is:
Answer: Evaluation of structures and qualifications of the health care team.
85. An advantage of a home visit is:
Answer: Provides an opportunity to do a first-hand appraisal of the home situation.
86. The different clients of the community health nurse include:
Answer: Individual, Family, Population group, Community.
87. The dependency ratio compares:
Answer: The number of economically dependent individuals with the economically productive
group in a population.
88. The Newborn Screening Act is:
Answer: R.A. 9288.

89. He defined public health as the science and art of preventing disease, prolonging life,
promoting health, and efficiency through organized community effort:
Answer: Winslow.
90. A woman brought her 2-month-old baby to the health center for immunization. The infant’s
temperature registered 38°C. What should the nurse do?
Answer: Proceed with the infant’s immunizations.
91. Rabies Awareness Month is celebrated in:
Answer: March
92. A 6-year-old boy entering school for the first time is experiencing a:
Answer: Foreseeable crisis.
93. Signs of severe dehydration include:
Answer: Sunken eyes, skin pinch goes back slowly, abnormally sleepy or difficult to awaken.
94. An element of the FOURmula One that aims to ensure quality and affordability of health
services is:
Answer: Health regulation.

Community Health ATI
1. During a home health visit a school age child who has muscular dystrophy confides in the
nurse that he was struck by his parents. which of the following actions should the nurse take
first?
a. report the incident to local authorities
b. check the child for injuries
c. refer the parent to a social service agency

d. enroll the parent in anger management classes.
Answer: b. check the child for injuries
2. A nurse is planning a program about healthy eating at an elementary school where most
students select French fries and pizza at lunch every day. which of the following actions should
the nurse plan to take first?
a. give positive feedback to students who make appropriate choices.
b. help students recognize the value of making healthy food choices
c. provide students with resources about making wise choices independently
d. determine student’s motivation to learn about healthy food choices.
Answer: d. determine student’s motivation to learn about healthy food choices.
3. a nurse manger in local community health agency is creating a job description for a new nurse
who will practice community oriented nursing. which of the following should the nurse include
in the job description? (select all that apply)
a. Investigate potential health and environmental issues
b. provide wound care for clients in their homes
c. participate in local health surveillance activities
d. provide health related education to community groups
Answer: a. Investigate potential health and environmental issues
c. participate in local health surveillance activities
d. provide health related education to community groups
4. A community health nurse is planning an educational program for a group of women who are
postmenopausal. which of the following outcomes is appropriate for this program?
a. clients will schedule bone density screening
b. clients will arrange for mammograms every 3 years
c. clients will start hormone replacement therapy
d. clients will significantly decrease caloric intake
Answer: a. clients will schedule bone density screening

5. a nurse is working with a care 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 is participating in a fee for service health care insurance program
b. the provider is paid a fixed sum for the client on a monthly or yearly basis
c. the client pays the insurer a percentage of the total costs for each service rendered by the
provider
d. the provider bills the client directly for a predetermined percentage of the cost of services
Answer: b. the provider is paid a fixed sum for the client on a monthly or yearly basis
6. a client who has diabetes mellitus asks a home health nurse to help her adapt some of her
traditional cultural foods to fit her meal plan. which of the following is the first action the nurse
should take when assisting this client?
a. provide the client with a printed recipe
b. observe the client during preparation of traditional foods
c. use cookbooks to include traditional foods in meal plans
d. explain diabetes exchange list
Answer: b. observe the client during preparation of traditional foods
7. a home health nurse manager is caring for a client who has methicillin resistant
staphylococcus aureus. which of the following actions should the nurse take?
a. remove fresh flowers from the client’s home
b. wear a mask when within 3 feet of the client
c. encourage the client to use a hepa filter in the house
d. double bag soiled dressing in polyethylene bags.
Answer: d. double bag soiled dressing in polyethylene bags.
8. an occupational health nurse is discussing health promotion with a client who has a history of
obesity. which of the following comments indicates the client is using rationalization as a coping
mechanism?
a. I have lots of health problems from being obese

b. I am obese it’s in my genes
c. I have difficulty resisting the items in vending machines
d. I know you don’t like me because i am obese
Answer: b. I am obese it’s in my genes
9. a nurse is conducting a community assessment. which of the following information should the
nurse include as part of the windshield survey?
a. demographic data
b. mortality rate
c. informant interviews
d. housing quality
Answer: d. housing quality
10. a community health nurse is educating a parent about the importance of hepatitis B
immunization. which of the following explanations should the nurse give the parent about the
disease?
a. one dose of the immunization gives children lifelong protection from hepatitis B
b. hepatitis B spreads easily among children through casual contact
c. many people who acquire acute hepatitis B develop chronic hepatitis
d. people who have had a hepatitis B infection still need the immunization
Answer: c. many people who acquire acute hepatitis B develop chronic hepatitis
11. a 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. a client who has superficial partial thickness burn injuries over 5% of his body
b. a client who has a femur fracture with a 2+ pedal pulse
c. a client who is ambulatory and exhibits manic behavior
d. a client who has a rigid abdomen with manifestations of shock.
Answer: d. a client who has a rigid abdomen with manifestations of shock.

12. a nurse is working with a community health care team to devise strategies for preventing
violence in the community. which of the following interventions is an example of tertiary
prevention?
a. presenting community education programs about stress management
b. developing resources for victims of abuse
c. urging community leaders to make nonviolence a priority
d. assessing for risk factors of intimate partner abuse during health examinations
Answer: b. developing resources for victims of abuse
13. public health nurse take
a. alert the family members of coworkers about possible exposure to anthrax
b. place the employee under quarantine for 14 days
c. refer coworkers who might have been exposed to a provider for prophylactic antibiotics
d. instruct the client to wear a mask at work
Answer: c. refer coworkers who might have been exposed to a provider for prophylactic
antibiotics
14. a community health nurse is providing teaching to a group of clients who have alcohol use
disorder. which of the following findings should the nurse include in the teaching as a
manifestation of alcohol withdrawal?
a. bradycardia
b. hypothermia
c. increased appetite
d. 4. insomnia
Answer: d. 4. insomnia
15. a nurse is caring for a client who is homeless. which of the following actions should the nurse
take first?
a. determine the clients understanding of her living situation
b. assist the client to develop goals for obtaining shelter
c. discuss the risks of being homeless with the client

d. develop client teaching using a variety of strategies
Answer: a. determine the clients understanding of her living situation
16. a community health nurse observes the accumulation of garbage at a neighborhood
playground. which of the following actions should the nurse take first to promote a clean and
safe environment?
a. meet with community members to discuss methods of playground maintenance
b. partner city officials with community members to improve the playground condition
c. work with local businesses to sponsor more trash receptacles in the playground
d. engage neighborhood families to monitor the playground for further trash buildup
Answer: a. meet with community members to discuss methods of playground maintenance
17. a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization
and is accompanied by his daughter. the client does not speak the same language as the nurse.
which of the following actions should the nurse take?
a. have the client’s daughter communicate information about the procedure
b. arrange for a member of the client’s community to interpret the teaching
c. identify the clients spoken dialect prior to contacting an interpreter
d. use professional terminology when providing education prior to the procedure
Answer: c. identify the clients spoken dialect prior to contacting an interpreter
18. a nurse at a local health department is caring for several clients. which of the following
infections should the nurse report to the state health department?
a. chlamydia
b. herpes simplex virus
c. group B Streptococcus B hemolytic
d. human papillornavirus
Answer: a. chlamydia
19. a clinic nurse is assessing a client who has measles. which of the following findings should
the nurse expect?

a. koplik spots inside the mouth
b. persistent low grade temperature
c. muscle aches and tenderness
d. rash confined to the trunk of the body
Answer: a. koplik spots inside the mouth
20. a community health nurse is planning a program for adolescents about preventing STIs.
which of the following actions should the nurse take first?
a. collect data to identify barriers to learning
b. establish methods to evaluate program outcomes
c. obtain visual aids that feature adolescents
d. provide computer based education
Answer: a. collect data to identify barriers to learning
21. a 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)
a. you should avoid sexual contact until therapy is complete
b. notify anyone with whom you have had sexual contact over the past 2 months
c. you will need to take an antiviral medication for 30 days
d. once your complete treatment you will have an acquired immunity against chlamydia
e. you might experience painful urination until the infection has resolved
Answer: a. you should avoid sexual contact until therapy is complete
b. notify anyone with whom you have had sexual contact over the past 2 months
e. you might experience painful urination until the infection has resolved
22. a home health nurse is planning the initial home visit for a client who has dementia and lives
with his adult son’s family. which of the following actions should the nurse take first during the
visit?
a. encourage the family to join a support group
b. provide the family with information about respite care
c. educate the family regarding the progression of dementia

d. engage the family in informal conversation
Answer: d. engage the family in informal conversation
23. a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease.
which of the following actions should the nurse take first?
a. discuss the benefits of eating a well-balanced diet with the client’s family
b. assist the client and the clients partner with finding an affordable exercise program
c. offer to accompany the client and the clients partner during health care provider visits
d. ask family members about the impact of the disease on relationships within the family
Answer: d. ask family members about the impact of the disease on relationships within the
family
24. a nurse is caring for a client who is having difficulty performing activities of daily living. the
nurse is functioning in which of the following roles when arranging for an occupational therapist
to visit the client.
a. Administrator
b. nurse consultant
c. case manager
d. clinician
Answer: c. case manager
25. a nurse is working in a shelter following a disaster. which of the following is the priority
action for the nurse to take?
a. create diversionary activities for children
b. address the physical needs of clients
c. help clients gather needed supplies
d. explore feelings the clients are experiencing
Answer: b. address the physical needs of clients
26. a community health nurse is planning a smoking cessation class. which of the following
factors will have the greatest effect on the success of the class?

a. presenters teaching strategies
b. presenter’s credibility
c. client’s motivation
d. client’s education level
Answer: c. client’s motivation
27. a home health nurse is caring for a client who has chemotherapy induced nausea that has
been resistant to relief form pharmacological measures. which of the following interventions
should the nurse initiate (select all that apply)?
a. use seasonings to enhance the flavor of foods
b. provide sips of room temperature ginger ale between meals
c. maintain the head of the clients bed in an elevated position after eating
d. offer 120 ml (4 oz.) of cold 2% milk as a meal replacement
e. assist the client in using guided imagery
Answer: b. provide sips of room temperature ginger ale between meals
c. maintain the head of the clients bed in an elevated position after eating
28. a nurse is preparing an educational program about breastfeeding for a group of new parents.
the nurse should use which of the following instructional strategies to promote psychomotor
learning
a. review flashcards that identify holding technique with the group
b. show the group a video on breastfeeding techniques
c. facilitate a discussion group about the benefits of breastfeeding
d. provide dolls for the participants to demonstrate positioning
Answer: d. provide dolls for the participants to demonstrate positioning
29. a nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster
preparedness efforts when performing which of the following actions
a. implementing a disaster triage plan with a local medical facility
b. functioning as a manager at a temporary shelter
c. assisting with the identification of a biological agent

d. organizing a mass casualty drill for community members
Answer: d. organizing a mass casualty drill for community members
30. a 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she
is unable to pay for the treatment. which of the following actions by the nurse will facilitate
obtaining appropriate treatment?
a. help the client apply for Medicare
b. explore options for alternative therapies
c. arrange for medication through local agencies
d. send the client to the nearest facility for further evaluation
Answer: c. arrange for medication through local agencies
31. a public health nurse is addressing community leaders at a forum about community
improvement. the nurse should identify which of the following groups as being the fastest
growing segment of the homeless population.
a. people who have substance use disorders
b. families who have children
c. adolescent runaways
d. men who are unemployed
Answer: b. families who have children
32. a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing
for hiv. which of the following information should the nurse include?
a. the test monitors progression of the disease
b. the test measures antibodies to the virus
c. the test results are accurate 24 hr. after exposure to the virus
d. a positive result requires initiating immunoglobulin administration
Answer: b. the test measures antibodies to the virus

33. a nurse case manager is providing discharge planning for a client. the nurse is functioning in
which of the following roles when arranging for the delivery of medical equipment to the client’s
home
a. consultant
b. systems allocator
c. advocate
d. coordinator
Answer: c. advocate
34. a faith based organization asks a community health nurse to develop a mobile meal program
for older _______________ the following actions should the nurse plan to take first.
a. determine potential funding sources for the program
b. inquire about the availability of volunteers
c. identify alternative solutions to address concerns
d. perform a needs assessment
Answer: d. perform a needs assessment
35. several 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?
a. organize an influenza immunization clinic with the American red cross
b. perform wound care in the home of members
c. provide end of life care for members who are terminal
d. facilitate discharge from the facility to the home
Answer: a. organize an influenza immunization clinic with the American red cross
36. a community health nurse is caring for client in a culturally diverse community. which of the
following actions demonstrates accurate cultural knowledge about a specific cultural group?
a. touching the hair of an African American client during an assessment
b. offering to shake hands when meeting an Asian client of the opposite gender
c. maintaining eye contact when interviewing a native American client

d. including both hot and cold food items on a Hispanic client’s menu
Answer: d. including both hot and cold food items on a Hispanic client’s menu
37. a community health nurse is providing screening for lipid disorders. which of the following is
the primary goal of this activity?
a. early detection of disease
b. client enrollment in prevention programs
c. promotion of appropriate lifestyle changes
d. identification of family history of medical problems
Answer: a. early detection of disease
38. a school nurse is implementing health screening. which of the following assessment finding
should the nurse recognize as the highest priority?
a. a child who has a BMI of 18
b. an adolescent who has scoliosis
c. an adolescent who has psoriasis
d. a child who has nits
Answer: d. a child who has nits
39. which of the following ____________ should the nurse include
a. should be placed beside the child’s bed
b. house hold contacts will receive prophylactic antibiotics
c. transmission will be emitted because of herd immunity
d. the child is most contagious after the rash develops
Answer: b. house hold contacts will receive prophylactic antibiotics
40. a home health nurse is scheduled for a first time visit to a client. which of the following
should the nurse perform first?
a. blood pressure screening
b. mental status examination
c. review of the neighborhood

d. family history
Answer: b. mental status examination
41. in the last month three cases of tuberculosis have been referred to the health department.
which of the following is the priority information for the community health nurse to obtain from
each client?
a. demographics
b. house hold members
c. occupation
d. health history
Answer: b. house hold members
42. a nurse is working to reduce individual and family violence in the local community. which of
the following actions by the nurse demonstrates a primary prevention strategy to achieve this
goal?
a. conducting counseling for at risk parents
b. assessing a family for marital discord
c. teaching parenting techniques to new parents
d. providing treatment for a young adult who has a substance use disorder
Answer: c. teaching parenting techniques to new parents
43. a newly hired occupational health nurse is assessing hazards in the work environment. which
of the following actions will help the nurse detect potential physical hazards?
a. track rates of illness caused by infection among employees
b. survey workers about job related emotional stress
c. identify industrial toxins that are present in the environment
d. measure noise levels at various locations in the facility
Answer: d. measure noise levels at various locations in the facility
44. a school nurse is planning safety education for a group of adolescents. the nurse should give
priority to which of the following topics as the leading cause of death for this age group

a. motor vehicle safety
b. sports injury prevention
c. substance abuse prevention
d. gun safety
Answer: a. motor vehicle safety
45. a nurse of a community clinic is preparing an educational guide about cultural variances in
expression of pain. which of the following information should the nurse include?
a. middle eastern cultural practices include hiding pain from close family members
b. native American cultural practices include being outspoken about pain
c. Puerto Rican cultural practices include the view that outspoken expressions of pain are
shameful
d. Chinese cultural practices include enduring pain to prevent family dishonor
Answer: d. Chinese cultural practices include enduring pain to prevent family dishonor
46. the partner of an older adult client who has Alzheimer’s disease reports that he is not eating.
the nurse . client partner refuses to assist the client with feeding. the partner insists the client feed
himself without help. which of the priority action the nurse should take?
a. arrange for meals on wheels’ assistance
b. determine the client’s ability to self-feed
c. direct the home health aide to assist with meals
d. refer the clients partner to an Alzheimer’s support group
Answer: b. determine the client’s ability to self-feed
47. a nurse working in an infectious disease clinic is caring for a client has a new diagnosis of
Lyme disease. which of the following agencies is responsible for voluntarily reporting cases of
this disease to the centers for disease control and prevention ?
a. office of the surgeon general
b. state health department
c. hospital infection control department
d. local red cross chapter

Answer: b. state health department
48. a nurse is providing teaching to a 50-year-old female client. which of the following
statements should the nurse include in the teaching?
a. you should have a complete eye examination every 2 years until the age of 64
b. you should have your hearing screened every 5 years
c. you should have your stool tested for blood every other year until the age of 74
d. you should have your fasting blood glucose level checked every 6 years
Answer: c. you should have your stool tested for blood every other year until the age of 74
49. a nurse is discussing short and long term goals with a client who has alcohol use disorder and
is being admitted to a treatment facility. which of the following statements is appropriate for the
nurse to include in the discussion?
a. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms
during treatment
b. remaining physically active will help to minimize drowsiness and chills associated with initial
alcohol withdrawal.
c. attending Al anon meetings will help you identify a role model to assist you with making
needed changes
d. you will begin learning functional skills to replace defense mechanisms and behaviors while in
treatment
Answer: c. attending Al anon meetings will help you identify a role model to assist you with
making needed changes
50. a nurse is assessing an outbreak of mumps among school age children. using the
epidemiological triangle. the nurse should recognize that which of the following is the host.
a. the vaccine
b. the virus
c. the school
d. the children
Answer: d. the children

51. a community health nurse is working with a group of homeless veterans who have
posttraumatic stress disorder. which of the following interventions should the nurse implement?
a. provide coffee and snacks during the meetings
b. avoid discussing the traumatic events experienced by the veterans
c. change the meetings sites frequently
d. teach the clients to practice deep breathing exercises
Answer: c. change the meetings sites frequently
52. client states my life has no meaning right now.
a. have you been thinking about harming yourself
b. how long have you been feeling this way
c. tell me what is going on with you right now
d. do you really think your life has no purpose
Answer: a. have you been thinking about harming yourself
53. a nurse is providing education to a group of adolescents who are pregnant and attending high
school. which of the following information should the nurse include in their teaching?
a. the need for supplemental folic acid is greatest during the third trimester
b. the incidence of high birth weight infants is higher in adolescent pregnancy
c. pregnant adolescent need to gain less weight than adult mothers
d. caffeinated beverages should be replaced with caffeine-free beverages
Answer: d. caffeinated beverages should be replaced with caffeine-free beverages
54. nurse expect
a. oliguria
b. diplopia
c. hypoglycemia
d. dizziness
Answer: c. hypoglycemia

55. a community health clinic nurse manager is reviewing the incidence rate of chlamydiain the
state. in a given year, 3144 new cases were reported and the population was estimated at
325,986. which of the following is the incidence rate in the state for the year?
a. about 300 reported cases per 100,000 population
b. about 1 reported case per 10,000 population
c. about 10 reported cases per 1000 population
d. about 3 reported cases per 10,000 population
Answer: c. about 10 reported cases per 1000 population
56. a home health nurse is visiting a client who had a stroke 2 months ago. which of the
following findings should the nurse report to the interprofessional care team?
a. the client dresses her affected side first.
b. the client bears weight on their arms when using crutches
c. the client coughs when swallowing her medications
d. the client’s caregiver fills a pill organizer weekly
Answer: c. the client coughs when swallowing her medications

1. A Community health nurse is providing teaching about nutrition guidelines to a group
adolescents. Which of the following Information should the nurse include in teaching ?
a. Adolescents have a decrease need for calcium due to high milk intake
b. appetite naturally increases during the Adolescent years
c. 75% of adult bone mass is developed during the Adolescent years
d. empty calories provide 70% of the total calories consumed by adolescents
Answer: b. appetite naturally increases during the Adolescent years
2. An occupational health nurse is caring for a client who does not speak the same language as
the nurse. Which of the following actions should the nurse take first?
a. Validate the clients Understanding of communicated information
b. determine the client's primary language
c. Use common words and phrases when speaking to the client

d. Obtain a translator that is the same gender
Answer: b. determine the client's primary language
3. A case manager is caring for a client who is being discharged following total hip arthroplasty.
Which of the following actions is an example of the nurse functioning in The Negotiator role.
a. providing social service with the list of needed referrals
b. reporting safety concerns to the Home Health agency
c. discuss payment options with various pharmacies
d. schedule appointments for physical therapy services
Answer: c. discuss payment options with various pharmacies
4. A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing.
Which of the following clients should the nurse manager include as an example of a client who
might manifest a false positive reading.
a. client who has lived in a country where tuberculosis is endemic
b. a client who has undergone radiation therapy within last 3 years
c. a client who has acquired immune deficiency syndrome
d. a client who has received the Bacille Calmette-Guerin vaccine within the last 10 years
Answer: d. a client who has received the Bacille Calmette-Guerin vaccine within the last 10
years
5. A school nurse is planning primary prevention activities for the new school year. Which of the
following should the nurse include ? Select all that apply
a. Lobbying 4 funding for health promotion efforts
b. recommending a seating arrangement for a child in a body cast
c. teaching a class about the risks of cigarette smoking
d. Create a plan of care for children who have a diagnosis of diabetes mellitus
e. Organizing a program to promote skateboard safety
Answer: a. Lobbying 4 funding for health promotion efforts
c. teaching a class about the risks of cigarette smoking
e. Organizing a program to promote skateboard safety

6. A recently hired occupational health nurse is assessing hazards in the work environment.
Which of the following actions will help the nurse detect physical hazards?
a. Identify industrial toxins that are present in the environment
b. measure noise levels at various locations in the facility
c. track rates of illness caused by infection among employees
d. survey workers about job-related emotional stress
Answer: b. measure noise levels at various locations in the facility
7. Hospice nurse is planning care for a client who follows traditional American Indian practices.
Which of the following actions should the nurse take?
a. Discuss safe use of herbal medications
b. provide direct eye contact when communicating with the client's family
c. face the clients bed towards the east
d. develop a list of appropriate hot and cold food choices
Answer: a. Discuss safe use of herbal medications
8. A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement?
a. provide coffee and snacks during the meetings
b. avoid discussing the traumatic event experienced by the veterans
c. teach the clients to practice deep breathing exercises
d. change the meeting sites frequently
Answer: c. teach the clients to practice deep breathing exercises
9. A group of technicians from a local automotive repair shop presents to an urgent care clinic
with reports of dizziness, headaches, and nausea. After Providing need to care for the clients
which of the following government agencies should the nurse notified to follow up on these
report ?
a. OSHA
b. Center for Disease Control

c. Environmental Protection Agency
d. Department of Health and Human Services
Answer: a. OSHA
10. A nurse is providing teaching to a 50 year old female client. Which of the following
statement should the nurse include in teaching?
a. You should have your fasting blood glucose level checked every 6 years
b. You should have your hearing screen every 5 years
c. you should have complete eye examination every two years until the age of 64
d. you should have your stool tested for blood every other year until the age of 74
Answer: c. you should have complete eye examination every two years until the age of 64
11. A nurse is caring for a client who asks, “can I decide not to continue with chemotherapy?”
The nurse responses, this is your choice, and I'll support whatever decision you make. The nurses
response is example of which of the following ethical principles?
a. beneficence
b. Nonmaleficence
c. 3.Veracity
d. autonomy
Answer: d. autonomy
12. A nurse manager that clinic is reviewing the preventive services offered to clients. Which of
the following activities should the nurse identify as secondary prevention activity?
a. Advocate
b. laws that prohibit texting while driving
c. provide a smoking cessation class
d. refer a client who is recovering from substance abuse disorder to a social service program
e. and hers are pregnant client to participate in prenatal care
Answer: c. provide a smoking cessation class

13. An occupational health nurse is discussing how promotion with a client who has a history of
obesity. Which of the following comment indicates the client is using rationalization as a coping
mechanism?
a. I am obese because it is in my genes
b. I know you don't like me because I'm obese
c. I have lots of health problems from being obese
d. I have difficulty resisting the items in vending machine
Answer: a. I am obese because it is in my genes
14. A home health nurse is evaluating an older client. Which of the following assessment
findings should the nurse report as a possible indicator of elder abuse?
a. The client attends Alcoholics Anonymous meetings
b. the client exhibits extreme thirst
c. the client receives in home meal delivery
d. The client reports that his son no longer visits
Answer: b. the client exhibits extreme thirst
15. A nurse in a Health Department is participating in immunization clinic. The nurse should
identify that which of the following children requires an alteration in the standard immunization
schedule?
a. An 18 month old toddler who has failure to thrive
b. a three year old toddler has leukemia
c. a four-month-old infant who has Down syndrome
d. a 12 month old infant who has sickle cell disease
Answer: d. a 12 month old infant who has sickle cell disease
16. The partner of an older adult client who has Alzheimer's disease reports that he is not eating.
The home health aide tells the nurse that the client partner refuses to assist the client with
feeding. The partner insist that the client feed himself without help. Which of the following is the
priority action of the nurse should take?
a. Determine the client's ability to self-feed

b. Refer the clients partner to an Alzheimer's support group
c. arrange for meals-on-wheels assistance
d. Direct the home health aide to assist with meals
Answer: a. Determine the client's ability to self-feed
17. The first response team is working at the location of a bombing incident. A nurse triaging in
the group of clients should give treatment priority through which of the following clients?
a. A client who has ambulatory and Exhibits manic behavior
b. a client who has rigid abdomen and manifestations of shock
c. A client who has a femur fracture and a 2 + pedal pulse
d. A client who has a superficial partial thickness burn injuries over 5% of his body
Answer: b. a client who has rigid abdomen and manifestations of shock
18. a client arrives at a mental health clinic and tell the nurse that there she has no purpose in life.
Which of the following is the nurses priority response?
a. How long have you been feeling this way?
b. Do you really think your life has no purpose?
c. Tell me what is going on with you right now?
d. Have you been thinking about harming yourself?
Answer: d. Have you been thinking about harming yourself?
19. A community health nurse is teaching a group of adolescent clients about substance use
disorders. Which of the following statements by a client indicates an understanding of the
teaching?
a. Barbiturates cause an increase in heart rate
b. Opiods cause a decrease in respiratory rate
c. anabolic steroids stimulate the immune system
d. Amphetamines alleviate symptoms of depression
Answer: b. Opiods cause a decrease in respiratory rate

20. A nurse case manager is providing discharge planning for a client. The nurse is functioning
and which of the following roles when arranging for the delivery of medical equipment to the
client's home?
a. Systems allocator
b. Coordinator
c. Consultant
d. Advocate
Answer: b. Coordinator
21. A nurse is providing teaching to a newly licensed nurse about case management. The nurse
should include that which of the following tasks is the responsibility of the case manager?
a. Teach Smoking cessation support group
b. Perform employee risk assessments
c. evaluate the cost effectiveness of clients treatments
d. Enforce OSHA standards in the workplace
Answer: c. evaluate the cost effectiveness of clients treatments
22. A home health nurse is making home safety evaluation visit for an older client who was
recently discharged from the facility after receiving a diagnosis of diabetes mellitus. Which of
the following findings indicate a need for corrective intervention?
a. A red light is kept on in the bedroom at night
b. an extension cord extends across the floor from the electrical outlet to a floor lamp
c. the water heater is set at 130 degrees Fahrenheit
d. A rubber backed bath mat is on the floor outside the shower
e. the floors of the house are made of wood.
Answer: b. an extension cord extends across the floor from the electrical outlet to a floor lamp
c. the water heater is set at 130 degrees Fahrenheit
23. A community health nurse is planning to use web-based information resources in the care of
a client who is undergoing dialysis. Which of the following criteria should the nurse consider and
select an appropriate resources for the client?

a. The website is sponsored by Health Care political action committee
b. the website provides a peer review process for publishing information
c. the website is hosted by a dialysis equipment Marketing Group
d. the website is updated every 5 years
Answer: b. the website provides a peer review process for publishing information
24. Public Health nurses address in community leaders at a forum about Community
Improvement. The nurse should identify that which of the following groups is being the fastest
growing segment of the homeless population?
a. Families who have children
b. men who are unemployed
c. people who have substance use disorders
d. adolescent Runaways
Answer: a. Families who have children
25. A home health nurse is teaching a client about the safe use of crutches. Which of the
following information should the nurse include in the teaching?
a. Wipe the rubber crutch tips to remove moisture
b. wear leather soled shoes when walking with crutches
c. Lean Forward while walking with crutches
d. support body weight on the axillae
Answer: c. Lean Forward while walking with crutches
26. A community health nurse is caring for a client who has a new diagnosis of Gonorrhea.
Which of the following actions should the nurse take?
a. Obtain a blood culture
b. change the client about application of imiquimod cream
c. notify the State Health Department
d. administer metronidazole 500 mg PO
Answer: c. notify the State Health Department

27. Community Health Clinic is planting annual goals. Which of the following outcomes
addresses the ethical principle of distributive justice?
a. Clients verbalize their right to refuse treatment
b. Clients understand the right to confidentiality
c. clients receive Medicare benefits When eligible
d. clients demonstrate completion of advance directives
Answer: c. clients receive Medicare benefits When eligible
28. A community health nurse is planning a program for young adults about STI prevention.
Which of the following actions should the nurse take preparing for this program?
a. identify topics with Health Department nurses
b. develop content appropriate to learner needs
c. arrange for computer-assisted learning
d. collect data to identify learner current knowledge base
Answer: d. collect data to identify learner current knowledge base
29. A community health nurse notes that 6 new cases of diabetes mellitus have been reported in
the past 3 months. In the previous year, 5 cases are reported. The population of the community is
15000 people. Which of the following is the prevalence proportion for the community?
a. 73.3/100,000
b. 0.9/100,000
c. 40.0/100,000
d. 33.3/100,000
Answer: a. 73.3/100,000
30. A community health nurse is teaching a group of parents about manifestations of alcohol
withdrawal. Which of the following manifestations should the nurse include in teaching?
a. Hypotension
b. Hyperglycemia
c. Seizures
d. Somnolence

Answer: c. Seizures
31. Community Health nurses working with a migrant population. The nurse should recognize
that which of the following interventions is necessary to provide care to the population?
a. Providing health services at work sites
b. treating clients on a fee-for-service basis
c. Requiring clients to show a work visa before they receive care
d. offering Health screenings at a community center
Answer: a. Providing health services at work sites
32. A nurse is working with parent suspected of child abuse recognizes that the social factor most
predictive of abusive behavior is
a. inadequate living conditions
b. social isolation
c. relationship difficulties
d. prior exposure to violence
Answer: d. prior exposure to violence
33. A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus.
Which of the following actions should the nurse take first?
a. Teach the client about appropriate food choices
b. Refer the client to diabetes mellitus support group
c. Identify the clients dietary preferences
d. develop a nutritional program
Answer: a. Teach the client about appropriate food choices
34. A nurse is assessing an outbreak of mumps among school-age children. Use the
epidemiological triangle, the nurse should recognize that which of the following is the host?
a. the virus
b. the children
c. the vaccine

d. the school
Answer: b. the children
35. Which of the following federal agencies should a community health nurse seek guidance
from regarding a public building that has asbestos leaking from Rip's in the heating duct
insulation ?
a. National Institutes of Health
b. Environmental Protection Agency
c. Centers for Disease Control and prevention
d. Department of Health and Human Resources
Answer: b. Environmental Protection Agency
36. A nurse educated is teaching a group of newly licensed nurses about maintaining client
confidentiality according to HIPAA regulations. Which of the following statements by a newly
licensed nurse indicates an understanding of the teaching?
a. We should share our computer passwords with our manager
b. A client's diagnosis can be posted on the communication board inside the clients room
c. HIPAA rules vary from state to state
d. HIPAA rules allow clients to receive a copy of their medical records
Answer: d. HIPAA rules allow clients to receive a copy of their medical records
37. During a home health visit, a school-age child who has muscular dystrophy confides in the
nurse that he was struck by his parent. Which of the following actions should the nurse take first?
a. Report the incident to local authorities
b. check the client for injuries
c. Refer the parent to Social Service Agency
d. Enroll the parent and anger management classes
Answer: b. check the client for injuries
38. A nurse is caring for a client who is homeless. Which of the following actions should the
nurse take first?

a. Determine the client's understanding of her living situation
b. discuss the risks of being homeless with the client
c. assist a client to develop goals for obtaining shelter
d. develop client teaching using a variety of strategies
Answer: a. Determine the client's understanding of her living situation
39. A nurse in a clinic is reviewing home safety precautions with a client who is to begin
radioactive iodine therapy. Which of the following statements of the client indicates an
understanding of the teaching?
a. I will wait one week after treatment to use a laxative
b. I will all my granddaughter to visit for 4 hours daily
c. I will use cloth handkerchiefs instead of tissues
d. I will use a toilet that is not used by others in my family
Answer: d. I will use a toilet that is not used by others in my family
40. A nurse is conducting a community assessment. Which of the following information should
the nurse include as part of the windshield survey?
a. Demographic data
b. informant interviews
c. housing quality
d. mortality rate
Answer: c. housing quality
41. During a routine School visit to physical education class, A Nurse receives multiple reports
of shortness of breath, coughing, and nausea. Which of the following actions should the nurse
First Take?
a. establish a triage area
b. notify the parents of the students
c. contact the local Health Department
d. administer oxygen therapy
Answer: a. establish a triage area

42. A school nurse is caring for a child who has Muscular Dystrophy and is having difficulty
swallowing at lunch. Which of the following referral should the nurse initiate?
a. occupational therapist
b. respiratory therapist
c. Dietitian
d. speech language therapist
Answer: d. speech language therapist
43. A home health nurse is reviewing messages from a group of clients. Which of the following
clients should the nurse contact First?
a. A client reports that her new colostomy stoma appears purple
b. A mother who reports that her son vomited after a dose of Methylphenidate
c. a client who has COPD and reports oxygen saturation of 90%
d. a client who reports feeling a vibration and his new internal arteriovenous graft for dialysis
Answer: a. A client reports that her new colostomy stoma appears purple
44. A school nurse is planning safety education for a group of adolescents. The nurse should give
priority to which of the following topics as leading cause of death for this age group?
a. Gun safety
b. Sports Injury prevention
c. Motor Vehicle Safety
d. Substance Abuse Prevention
Answer: c. Motor Vehicle Safety
45. A nurse in a community health center is counseling a group of clients or currently
experiencing intimate partner abuse. Which of the following strategies is a priority for the nurse
to include in the counseling?
a. Providing referrals for legal counseling
b. identifying a primary support person
c. using stress management techniques

d. developing an escape plan
Answer: a. Providing referrals for legal counseling
46. Public health nurse is assisting a client who is a recent immigrant. The client refuses
assistance from Community Resources. Which of the following actions should the nurse take to
provide culturally appropriate care?
a. Explain that the client must use the available resources
b. learn more about the client Ethnic values
c. review the client's current health practices
d. use a family member As an interpreter when discussing services
e. he was relevant nonverbal communication techniques
Answer: b. learn more about the client Ethnic values
c. review the client's current health practices
d. use a family member As an interpreter when discussing services
47. A community health nurse is teaching a group of older clients about hypertension. The nurse
should identify the which of the following clients has a barrier to learning?
a. Fear of public speaking
b. Low literacy
c. limited experience
d. lack of credibility
Answer: b. Low literacy
48. A nurse is reviewing data for communicable diseases in rural health region. Which of the
following data should the nurse identify as an age Factor affecting the spread of communicable
diseases
a. An increase in migrant Farm Workers living in the community
b. an antigenic shift in the composition of strain of influenza
c. a decrease in the number of ambulatory clinics in the area
d. a change in the prevalence of older adults obtaining the pneumococcal vaccine
Answer: d. a change in the prevalence of older adults obtaining the pneumococcal vaccine

49. A 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 are responsible for voluntarily reporting cases
of this disease to the Centers for Disease Control and prevention?
a. Office of the Surgeon General
b. local Red Cross chapter
c. hospital infection control Department
d. State Health Department
Answer: d. State Health Department
50. A nurse is working with a case manager for a client who participates in health maintenance
organization. The nurse should identify that a health maintenance organization provides which of
the following payment structures?
a. The provider is paid a fixed sum for the client on a monthly or yearly basis
b. the client pays the insurer percentage of the total cost for each service rendered by the provider
c. the client is participating in a fee-for-service health care insurance program
d. the provider bills the client directly for the predetermined percentage of the cost of services
Answer: a. The provider is paid a fixed sum for the client on a monthly or yearly basis
51. A nurse is discussing short and long-term goals with a client who has alcohol use disorder has
been admitted to a treatment facility. Which of the following statements is appropriate for the
nurse to include in the discussion?
a. Remaining Physically Active will help to minimize drowsiness and chills associated with
initial alcohol withdrawal
b. he will be taking a once weekly dose of disulfiram to help control withdrawal symptoms
during treatment
c. he will begin learning functional skills to replace their defense mechanisms and behaviors ball
in treatment
d. attending Al-Anon meetings will help you identify a role model to assist you with making
needed changes

Answer: c. he will begin learning functional skills to replace their defense mechanisms and
behaviors ball in treatment
52. A nurse manager is reviewing the disaster plan at a long-term care facility. Which of the
following is the most comprehensive method for the nurse determine the effectiveness of the
plan?
a. Use in-services to have the staff discussed various disaster scenarios
b. Test staff to determine their knowledge of the principles of the plan
c. analyze findings from a facility tabletop disaster simulation
d. review how the staff implements the plan during a Hands-On practice drill
Answer: d. review how the staff implements the plan during a Hands-On practice drill
53. A parish nurse is planning activities for a faith-based community. Which of the following
activities to the nurse include?
a. Offer Primary Care to uninsured members
b. change a negative pressure wound therapy dressing
c. Teach Stress Management strategies
d. provide case management
Answer: c. Teach Stress Management strategies
54. A community health nurse is educating a parent about the importance of hepatitis B
immunization. Which of the following exclamation should the nurse give to the parent about the
disease?
a. One dose of the immunization give children life-long protection from hepatitis B
b. Hepatitis B spreads easily among children through casual contact
c. many people who acquire acute hepatitis B develop chronic hepatitis
d. people who have had a hepatitis B infection still need the immunization
Answer: c. many people who acquire acute hepatitis B develop chronic hepatitis
55. A nurse working in assisted care facilities developing a disaster plan. Which of the following
is the first action the nurse to take?

a. Verify dates on the annual community-wide mass casualty drill
b. determine potential environmental health hazards
c. develop response strategies specific to older adults
d. identify materials needed for staff and Resident education
Answer: b. determine potential environmental health hazards
56. A home health nurse is providing teaching to a client who has diabetes mellitus about proper
disposal of insulin syringes. Which of the following statements by the client indicates an
understanding of the teaching?
a. I will discard the syringes in a metal container
b. I will store use syringes in a biohazard bag before discarding
c. I will take containers of used syringes to the local recycling center
d. I will wear gloves when I discard the syringes
Answer: a. I will discard the syringes in a metal container
57. A nurse is providing teaching to a client who has a confirmed case of tuberculosis.
Which of the following statements by the client indicates teaching has been effective?
a. I will have a repeat tuberculin skin test every 6 weeks
b. I will be contagious until I have completed the full medication regimen
c. I will be taking medication daily for least 6 months
d. I will need to have a special HEPA filter installed in my home
Answer: c. I will be taking medication daily for least 6 months
58. A community health nurse is an initial phase of planning a smoking cessation program.
Which of the following is the first action the nurse should take?
a. determine the prevalence of smoking in the community
b. Formulate objectives for the smoking cessation program
c. Gain community support for the program
d. Evaluate the methods of successful smoking cessation programs
Answer: a. determine the prevalence of smoking in the community

59. A hospice nurse is concerned that the partner of a client is experiencing caregiver burden.
Which of the following actions should the nurse take first?
a. Teach the partner about getting enough rest
b. suggest an assistive Personnel visits daily to provide client care
c. encourage the partner to invite family members to assist with client care
d. explore possible solutions with the partner
Answer: b. suggest an assistive Personnel visits daily to provide client care
60. A nurse is volunteering at a local community center is addressing a variety of Health needs
with a group of older adult clients. Which of the following interventions should the nurse
identify as a tertiary prevention strategy?
a. Holding a cooking class that focuses on low sodium meals
b. calculating the BMI of all clients
c. providing a class on living with arthritis
d. Distributing literature regarding signs and manifestations of a stroke
Answer: c. providing a class on living with arthritis

1. A home health nurse is teaching the parents of a toddler about complication of influenza.
Which of the following complication is the priority for the nurse to discuss?
a. Pneumonia
b. Sinusitis
c. Dehydration
d. Otitis Media
Answer: a. Pneumonia
2. A nurse working with parents suspected of child abuse recognizes that the social most
predictive of abusive behaviour is
a. Inadequate living conditions
b. Relationship difficulties
c. Social isolation

d. Prior exposure to violence
Answer: d. Prior exposure to violence
3. In the last month, three cases of tuberculosis have been referred to the health department.
Which of the following would be the priority information for the community health nurse to
obtain from each client?
a. Demographics
b. Health history
c. Occupation
d. Household members
Answer: d. Household members
4. The wife of an adult client who has Alzheimer’s disease reports that he is not eating. The home
health aide later tells the nurse that the wife is refusing to feed him, insisting that he do it
himself. Which of the following is the priority action the nurse should take?
a. Refer the client’s wife to an Alzheimer’s support group.
b. Direct the home health aide to assist with meals.
c. Arrange for Meals on Wheel assistance.
d. Determine the clients’ ability to self-feed
Answer: d. Determine the clients’ ability to self-feed
5. A nurse is working with a community health care team to devise strategies for preventing
violence in the community. Which of the following interventions is an example of tertiary
prevention
a. Presenting community education programs on stress management
b. Urging community leaders to make nonviolence a priority
c. Assessing for risk factors of intimate partner abuse during health examination
d. Developing resources for victims abuse
Answer: d. Developing resources for victims abuse

6. A home health nursing is conducting an initial assessment for a client who is prescribed
warfarin sodium (Coumadin). Which of the following clinical findings is associated with
thrombocytopenia?
a. Distended jugular veins
b. Polyuria
c. Akathisia
d. Black tarry stools
Answer: d. Black tarry stools
7. A nurse is reviewing data for communicable disease in his rural public health region. Which of
the following data should the nurse identify as an agent factors affecting the spread of
communicable disease?
a. A change in the prevalence of older adults obtaining the pneumococcal vaccine
b. An increase in the migrant farm workers living in the community
c. A decrease in the number of ambulatory clinics in the area
d. An antigenic shift in the composition of the strain of influenza
Answer: d. An antigenic shift in the composition of the strain of influenza
8. A community health nurse in the initial phase of planning a smoke cessation program. Which
of the following is the following is the first action the nurse should take?
a. Determine the prevalence of smoking in the community
b. Formulate objectives for the smoking cessation program
c. Gain community support for the program
d. Evaluate the methods of successful smoke cessation programs
Answer: a. Determine the prevalence of smoking in the community
9. Which of the following federal agencies should a community health nurse seek guidance from
regarding a public building that has asbestos leaking from rips in the heating duct insulation?
a. Department of Health and Human Resources
b. National Institute of Health
c. Centers of Disease Control and Prevention

d. Environmental Protection Agency
Answer: d. Environmental Protection Agency
10. A nurse manager in a local community health agency is creating a job description for a new
nurse who will practice community-oriented nursing. Which of the following would be
appropriate to include in the job description? (Select all that apply)
a. Initiate support groups for parents of autistic children.
b. Provide health-related education to community groups
c. Investigate potential health and environmental issues
d. Provide wound care for client in their homes
e. Participate in local health surveillance activities
Answer: b. Provide health-related education to community groups
c. Investigate potential health and environmental issues
e. Participate in local health surveillance activities
11. A home health nurse is providing education for a client who has esophageal cancer and
reports dysphagia. Which of the following instructions should the nurse include in the teaching?
a. “You should include thin soups and liquids in you meal plan?”
b. “You should weigh yourself once each week”
c. “You should place you food on the front of your tongue when eating”
d. “You should maintain a chin tuck position when swallowing”
Answer: d. “You should maintain a chin tuck position when swallowing”
12. A nurse is providing education to a group of adolescents who are pregnant and attending high
school. Which of the following information should the nurse include in the teaching?
a. Pregnant adolescents need to gain less weight than adult mothers
b. The need for supplemental folic acid is greatest during the 3rd trimester
c. Caffeinated beverages should be replaced with caffeine-free
d. The incidence of high birth weight infants is higher adolescent pregnancy
Answer: c. Caffeinated beverages should be replaced with caffeine-free

13. A client comes to a mental health clinic and tells the nurse that he has no purpose in life.
Which of the following is the nurse’s priority response?
a. Tell what is going on with you right now?
b. Do you really think your life has no purpose?
c. Have you been thinking about harming yourself?
d. How long have you been feeling this way?
Answer: c. Have you been thinking about harming yourself?
14. A nurse in a pediatric clinic is evaluating a child who has fifth disease. Which of the
following finding is associated with this diagnosis?
a. Facial rash
b. Epistaxis
c. Raised blisters
d. Conjunctivitis
Answer: a. Facial rash
15. A nurse is working with a client who presents with whooping cough. Based on the
epidemiological triangle, which of the following is considered the environment for this situation?
a. Human population distribution
b. Immunization status
c. Pertussis virus
d. Decreased disease resistance
Answer: a. Human population distribution
16. A community health nurse is planning to use a web-based information resources in the care
of a client who is undergoing dialysis. Which of the following criteria should the nurse consider
in selecting appropriate resources for the client?
a. The website provides a peer review process for publishing information
b. The website is hosted by a dialysis equipment marketing group.
c. The website is sponsored by a health care political action committee
d. The website is updated every 5 years

Answer: a. The website provides a peer review process for publishing information
17. A home health nurse is conducting an initial intake assessment with a client who has
hypothyroidism. Which of the following assessment findings is associated with this disease?
a. Bradycardia
b. Profuse sweating
c. Bulging eyes
d. Muscle weakness
Answer: a. Bradycardia
18. A client with Diabetes Mellitus asks the home health nurse to help her adapt some of her
traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse
should take when assisting this client?
a. Provide the client with printed recipes
b. Observe the client during preparation of traditional foods
c. Use cookbooks to include traditional foods in meal plans
d. Explain the diabetes exchange list
Answer: b. Observe the client during preparation of traditional foods
19. A nurse has provided a training session about disease prevention for staff at a community
summer camp. When asked to provide an example of vectorborne illness, which of the following
response indicated the teaching has been effective?
a. E. Coli
b. Lyme disease
c. Chicken pox
d. Pediculosis
Answer: b. Lyme disease
20. Several nurses affiliated with a church are developing a parish nurse group to help address
the primary and secondary health care needs of the congregation. Which of the following is
appropriate to include in regard to care they could provide?

a. Perform wound care in the home of members
b. Organize flu immunization clinic with the American Red Cross
c. Facilitate discharge from the hospital to the home
d. Provide end-of-life care for terminal members
Answer: b. Organize flu immunization clinic with the American Red Cross
21. The wife and son of a client with a terminal illness have just received information regarding
hospice care from a nurse. Which of the following statement indicated a need for further
teaching? A or B
a. My husband’s physician will no long be involved in his care
b. My father’s care will be provided by a variety of health care specialists
c. Hospice can be discontinued if my husband decides to start treatment again
d. My father can be cared for either in the hospital or at home
Answer: a. My husband’s physician will no long be involved in his care
22. A home health nurse is educating a client diagnosed with COPD about home oxygen use.
Which of the following statements by the client indicated a need for additional teaching?
a. I should keep my oxygen tank at least 5 feet away from the television
b. I should notify the local fire department that oxygen is being used in my home
c. I should use wool blanket on my bed when oxygen is in use
d. I should avoid being in the same room as burning candles when I’m using oxygen
Answer: c. I should use wool blanket on my bed when oxygen is in use
23. A case manager nurse is caring for a client being discharged post total hip arthroplasty.
Which of the following activities is an example of the nurse functioning in the negotiator role?
a. Scheduling appointments for physical therapy services
b. Discussing payment options with various pharmacies
c. Providing social services with a list of needed referrals
d. Reporting safety concerns to the home health agency
Answer: b. Discussing payment options with various pharmacies

24. A nurse is preparing a presentation on the epidemiology of HIV and AIDS for an organization
planning to open an HIV clinic. Which of the following information should the nurse include?
a. Document cases of HIV transmission in school settings are increasing
b. HIV diagnosis rates are disproportionately higher among minority groups
c. People with injection drug use disorder are at greater risk for HIV diagnosis
d. Enzyme-linked immunosorbent essay (EIA) testing diagnoses HIV in infants
Answer: c. People with injection drug use disorder are at greater risk for HIV diagnosis
25. A community health nurse is teaching a group of parents about manifestation of alcohol
withdrawal syndrome. Which of the following manifestations should the nurse include in the
teaching?
a. Tactile hallucinations
b. Hypotension
c. Somnolense
d. Slow reactive pupils
Answer: a. Tactile hallucinations
26. A nurse at a clinic is caring for a client during a post-partum visit following vaginal delivery.
The client has a perineal laceration and reports pain. Which of the following interventions should
the nurse recommend?
a. Apply witch hazel pads after defecation
b. Insert glycerin rectal suppositories as needed
c. Place a pillow across the lower abdomen when coughing
d. Decrease fiber in the diet
Answer: a. Apply witch hazel pads after defecation
27. A home health nurse is making a home safety evaluation visit with an older adult client
recently discharged from the hospital after being diagnosed with diabetes mellitus. Which of the
following findings indicates a need for a corrective intervention. (select all that apply.)
a. A rubber-backed bath mat is on the floor outside of the shower
b. An extension cord extends across the floor from the electrical outlet to floor lamp

c. A hot water heater is a set at 130 F
d. A red light is kept on in the bedroom at night
e. The floors of the house are made of wood
Answer: b. An extension cord extends across the floor from the electrical outlet to floor lamp
c. A hot water heater is a set at 130 F
28. A nurse is preparing a presentation about disease management for a group of older adults
who have osteoarthritis. Which of the following guidelines should the nurse include?
a. Sit with the back of the chair recline while resting
b. Bend at the waist to pick up objects off the floor
c. Increase exercise repetitions when joints are inflamed
d. Removed hot dishes from oven with both hands
Answer: d. Removed hot dishes from oven with both hands
29. A community health nurse is caring for clients in a culturally diverse community. Which of
the following actions demonstrates accurate cultural knowledge about a specific cultural group?
a. Maintaining eye contact when interviewing a Native- American client
b. Including both hot and cold food items on a Hispanic client’s menu
c. Offering to shake hands when meeting in Asian client of the opposite gender
d. Touching the hair of an African-American client during assessment
Answer: b. Including both hot and cold food items on a Hispanic client’s menu
30. A home health nurse is completing an assessment of a client who is undergoing radiation
therapy for cancer of the mastoid. Which of the following is an expected finding?
a. Pale skin over the affected area
b. Increased salivation
c. Excessive lacrimation
d. Hoarseness
Answer: a. Pale skin over the affected area

31. A Parish nurse is planning activities for faith-based community. Which of the following
activities should the nurse include?
a. Change a wound vac dressing
b. Provide case management
c. Teach stress management strategies
d. Offer primary care to uninsured members
Answer: d. Offer primary care to uninsured members
32. A home health care nurse is visiting a client who has heart failure and a new prescription for
furosemine (Lasix). Which of the following instructions should the nurse give the client?
a. Eat high-potassium foods
b. Take aspirin if muscle aches develop
c. Expect some swelling in the hands and feet
d. Take the medication at bedtime
Answer: a. Eat high-potassium foods
33. A group of technicians from a local automotive repair shop present to an urgent care clinic
with reports of dizziness, headaches, and nausea. After providing needed care to the clients,
which of the following government agencies should the nurse notify to follow up on these
reports?
a. Environmental protection agency
b. Department of health and human services
c. Centers of disease control and prevention
d. Occupational Safety and Health Administration
Answer: d. Occupational Safety and Health Administration
34. A School nurse is preparing in educational program about pediculosis capitis (head lice) for
the parents of elementary school children. Which of the following instructions should the nurse
include in the teaching?
a. Soak combs in boiling water for 10 min
b. Use a nit comb in the child’s hair every other day

c. Apply a second permethrin (nix) treatment within 3 days
d. Seal stuffed animals in plastic bags for 7 days
Answer: a. Soak combs in boiling water for 10 min
35. Which of the following should the nurse include in a cultural assessment?
a. Family relationships
b. Personal medical history
c. Primary health concerns
d. Occupational status
Answer: a. Family relationships
36. A community health nurse is reviewing the health record of a client who has a new
prescription for aspirin. Which of the following findings places the client at risk of an adverse
effect of this medication?
a. Peptic ulcer disease
b. Rheumatoid arthritis
c. History of ischemic stroke
d. Family history of colorectal cancer
Answer: a. Peptic ulcer disease
37. A nurse is planning an educational program for a new inmate in a correctional facility. Which
of the following topics is most important for the nurse to include in the teaching?
a. Communicable disease
b. Stress reduction techniques
c. Anger management techniques
d. Substance abuse prevention
Answer: a. Communicable disease
38. A community health nurse working with a migrant population recognizes that which of the
following is necessary to provide care to the population?
a. Offering health screenings at a community center

b. Requiring clients to show a work visa before they receive care
c. Providing health services at work sites
d. Treating clients on a free for service basis
Answer: c. Providing health services at work sites
39. A community health nurse notes that 6 new cases of diabetes mellitus have been reported in
the past 3 months. In the previous year, 5 cases were reported. The population of the community
is 15,000 people. What is the prevalence proportion for the community?
a. 40.0/100,000
b. 73.3/100,000
c. 33.3/100,000
d. 0.9/100,000
Answer: d. 0.9/100,000
40. A nurse at a shelter is assisting with client triage after a tornado destroyed a community.
Which of the following clients should receive priority care?
a. An adult client who is short of breath
b. An infant client who is crying
c. An older adult client who has a fractured arm
d. A school-age client who has a head abrasion
Answer: a. An adult client who is short of breath
41. During a routine school visit to a physical education class, a nurse receives multiple reports
of shortness of breath, coughing, and nausea. Which if the following actions should the nurse
take first?
a. Administer oxygen therapy
b. Establish a triage area
c. Contact the local health department
d. Notify the parents of the students
Answer: b. Establish a triage area

42. The nurse instructing a child who has asthma how to use the MDI. After depressing the
canister, in which order should the client continue to use the MDI? (put it in order)
a. Inhale slowly
b. hold breathe
c. breath out slowly
d. remove inhaler
Answer: c. breath out slowly
a. Inhale slowly
b. hold breathe
d. remove inhaler
43. A home health care nurse is teaching a client how to manage a central venous access device
at home. Which of the following statement by the client indicates an understanding of the
teaching?
a. Ill replace the cap on each lumen every 14 hours
b. Ill make sure we flush the central line once every week
c. Ill expect occasional drainage where the catheter goes in
d. Ill make sure to keep the catheter taped to my skin
Answer: d. Ill make sure to keep the catheter taped to my skin
44. A nurse volunteering at a local community center is addressing a variety of health needs with
a group of older adult clients. Which of the following interventions would be considered a
tertiary prevention strategy?
a. Distributing literature regarding signs and symptoms of a stroke
b. Providing a class on living with arthritis
c. Calculating the BMI of all the clients
d. Holding cooking class that focuses on low sodium meal
Answer: b. Providing a class on living with arthritis

45. A community health nurse is calculating mortality rates due to AIDS. Of 24,600 deaths in
population in a year 1,088 deaths were attributed to AIDS. What is the proportionate mortality
ratio of death due to AIDS expressed as a percentage?
Answer: 4.4%
46. A school nurse is planning a primary prevention activities for the new school year. Which of
the following should the nurse include? Select all that apply
a. Recommending a seating arrangement for a child in a body cast
b. Creating a plan of care for children diagnosed with diabetes
c. Lobbying for funding for health promotion efforts
d. Teaching a class about the risk of cigarette smoking
e. Organizing a program to promote skateboard safety
Answer: c. Lobbying for funding for health promotion efforts
d. Teaching a class about the risk of cigarette smoking
e. Organizing a program to promote skateboard safety
47. The home health nurse is teaching a client who is newly diagnosed with diabetes mellitus.
Which of the following statements by the client indicates an understanding of the teaching?
a. I will limit any fluid intake to one liter daily
b. I will take my insulin 30 minutes before exercise
c. I will use a mirror to inspect my feet daily
d. I will eat a low residue diet
Answer: c. I will use a mirror to inspect my feet daily
48. A nurse is providing education to the family of a school age child who has pertussis. Which
of the following should be included in the teaching?
a. Household contacts will receive prophylactic antibiotics
b. Transmission will be limited because of herd immunity
c. The child is most contagious after the rash develops
d. A dehumidifier should be placed beside the child’s bed
Answer: a. Household contacts will receive prophylactic antibiotics

49. A nurse is serving one a state task force of disaster planning. The nurse is engaging in
disaster preparedness efforts when performing which of the following actions?
a. Functioning as manager at a temporary shelter
b. Assisting with the identification of a biological agent
c. Implementing a disaster triage plan with a local hospital
d. Organizing a mass casualty drill for community members
Answer: d. Organizing a mass casualty drill for community members
50. A nurse is working in an occupational health setting. Which of the following is a primary
prevention activity for the nurse?
a. Demonstrating proper body mechanics
b. Conducting smoking cessation classes
c. Developing health surveillance programs
d. Processing workers compensation claims
Answer: a. Demonstrating proper body mechanics
51. A community health nurse is providing screening for lipid disorders. Which of the following
is the primary goal of this activity?
a. Promotion of appropriate lifestyle changes
b. Early detection of disease
c. Client enrolment in prevention programs
d. Identification of family history of medical problems
Answer: b. Early detection of disease
52. A nurse is providing teaching to client who has a confirmed case of tuberculosis. Which of
the following statements by the client indicates teaching has been effective?
a. I will be contagious until I have completed the full medication regimen
b. I will be take medication daily for at least 6 months
c. I will have a repeat tuberculin skin test in 6 weeks
d. I will need to have a special HEPA filter installed in my home

Answer: b. I will be take medication daily for at least 6 months
53. A home health nurse is providing teaching to a client who has chronic obstructive disease and
is experiencing weight loss. Which of the following should the nurse include in the teaching?
a. Begin meals with high calorie foods
b. Use the prescribed bronchodilators after meals
c. Drink additional fluids with meals
d. Eat high carbohydrates, low protein foods
Answer: a. Begin meals with high calorie foods
54. A community health nurse has recognized an outbreak of influenza at a local school. Which
of the following actions is secondary level of preventions?
a. Checking for possible exposure to influenza
b. Recommending annual influenza vaccines
c. Instructing about proper hand hygiene
d. Sending febrile children home from school
Answer: a. Checking for possible exposure to influenza
55. A nurse working in an assisted care facility is developing a disaster plan. Which of the
following is the first action the nurse should take?
a. Identify materials needed for staff and resident education
b. Determine potential environmental health hazards
c. Develop response strategies specific to older adults
d. Verify dates of the annual community wide mass casualty drill
Answer: b. Determine potential environmental health hazards
56. A nurse is caring for a client who asks, “Can I decide not to continue with chemotherapy?
The nurse response, “this is your choice and ill support whatever decision you make. “The
nurse’s response is an example of which of the following ethical principles?
a. Nonmaleficience
b. Beneficence

c. Veracity
d. Autonomy
Answer: d. Autonomy
57. Community health clinic nurse manager is reviewing incidence rate of chlamydia in the state.
In a given year 3,144 new cases were reported and the population was estimated at 325, 986.
Which of the following is the incidence rate in the state for the year?
a. About 10 reported cases per 1,000 population
b. About 1 reported case per 10,000 population
c. About 3 reported cases per 10,000 population
d. About 300 reported cases 100,000 population
Answer: b. About 1 reported case per 10,000 population
58. A nurse is caring for a client who is having difficulty performing activities of daily living.
The nurse is functioning in which of the following roles when arranging for an occupational
therapist to visit the client.
a. Nurse consultant
b. Case manager
c. Clinician
d. Administrator
Answer: b. Case manager
59. A nurse is teaching the family of a client who was recently admitted to hospice care about
pain management. Which of the following statements by the clients’ partner indicates in
understanding of the teaching?
a. I will avoid giving breakthrough medication as the progression toward death
b. I will give her the lowest dose possible to prevent dependency
c. I will plan to give long acting pain medication to her on a regular basis
d. Once she is taking the maximum dosage of pain medicines, it means death is near
Answer: c. I will plan to give long acting pain medication to her on a regular basis

60. Upon performing routine screenings, a school nurse identifies three classrooms with students
who have pediculosis. Using principles of epidemiology, which of the following is the next
action the nurse should take?
a. Calculate the incidence rate among students in the school
b. Search the CDC database to determine the typical incidence rate for this age group
c. Review class rosters to determine whether a common host exists in the three classrooms.
d. Provide education to the parents of children who are infected
Answer: c. Review class rosters to determine whether a common host exists in the three
classrooms.