Commuinty Midterm - Practice questions PDF

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NURS 403/2020

1.A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? a.Meningococcal conjugate

2. Nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor? d. Cigarette smoking

3. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? c. Help plant workers identify signs of carpal tunnel syndrome

4. A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which of the following actions should the nurse take? a. Have students evacuated from the school and establish a triage area in the school parking lot.

5. The nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following interventions should the nurse plan to use while caring for these clients? c. Initiate droplet precautions

6. A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protection equipment (PPE) is needed. Which of the following actions should the nurse take? c. Choose the highest level of protection equipment available.

7. A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? d. A private room.

8. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? a. A client experiencing a tension pneumothorax

9. a nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care? c. A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site.

10. A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take? c. Place a black tag on the client’s upper body and attempt to help the next client in need.

11. A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)? a. Lyme disease

12. A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? a. Providing treatment for clients who have chronic obstructive pulmonary disease.

13. A charge nurse is discussing staff nurses’ responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? a. Identify community resources that are available.

14. A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? d. Smallpox

15. A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply) a. Smallpox is transmitted person to person d. Naturally occurring smallpox has been eradicated from the world. E. Smallpox is often confused with varicella.

16. A nurse is preparing to care for a client who has suspected exposure to plague as a result of bites from infected fleas. Which of the following actions should the nurse plan to take first? b. Initiate contact precautions.

17. A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching? a. It is normal to have a white vaginal discharge.

18. A nurse is preparing to administer ciprofloxacin to a client. The nurse identify that the medication is treated for exposure to which of the following agents? d. Antrax

19. A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? a. Flu-like symptoms.

20. A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

a. Information about a client can be disclosed to family members at any time.

21. A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take? B.- Apply 4 to 5 ml of liquid soap to the hands. 22. A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feeding. Which of the following actions should the nurse take? D.- Flush the NG feeding tube with 30 ml of water immediately following medication administration. 23.- a nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? A.- Tell the client to blow her nose gently before the instillation. 24.- A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take? A.- Suction two to three times with a 60-second pause between passes. 25.- The newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following action should the nurse take? a. Secure the restraints using a quick-release tie.

26.- A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take? B.- Remove the catheter and insert another into a different site. 27.- A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse`s priority? a.Move any clients in the immediate vicinity

28. A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client’s provider, who tells the nurse to restrain the client. If necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse? d. False imprisonment 29.- A nurse is inserting an IV catheter for an older client in preparation for an outpatient procedure. Which of the following veins should the nurse select? d.- Median vein in the forearm. 30. A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?

c. Turn the client on his side before starting oral care. 31. A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances? b. Blood 32.- A nurse is instructing a client who has a new diagnosis of Raynaud`s disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching? D.- I will take my medications at the first sign of an attack.

33.- A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realice that this finding is most likely an indication of which of the following conditions? C.- Atelectasis. 34. The nurse is assessing a client and discovers the infusion pump with the client’s total parenteral nutrition (TPN) solution is infusing. The nurse should monitor the client for which of the following conditions?

b. Shakiness and diaphoresis 35. A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia? d. The client who has a nasogastric (NG) tube to suction. 36.- A nurse is caring for a client who has an indwelling unitary catheter and notes bloodtinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? D.- Bladder infection 37.- A nurse is assessing a client`s cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III? D.- checking the pupillary response to light.

38.- A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client? B.- Protective. 39.- An assistive personnel (AP) reports a client`s vital signs as tympanic Temperature 37.1º C (98.8º F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure? A.- BP

40. A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client’s hospitalization. The client could rightfully sue the nurse for which of the following? c. Malpractice. 41. A nurse is caring for an older adult client who states, “I am afraid that I may fall white walking to the bathroom during the night.” Which of the following actions should the nurse take? c. Leave a nightlight on the client’s room. 42.- A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV infusion. Which of the following findings reported by the LPN indicated to the nurse the client has phlebitis at the IV insertion side? B.- The area surrounding the insertion site feels warm to the touch.

43.- A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes are consistent with which of the following conditions? Sodium 152 mEq/L Potassium 3.6 mEq/L Chloride 105 mEq/L Glucose 102 mg/dL

BUN 18 mg/dL Creatinine 0.7mg/dL C.- Dehydration. 44.- A nurse at an extended- care facility is instructing a class assistive personnel (AP) about client use of assistive devises during ambulation. Which of the following instruction should the nurse give the AP about the clients` use of a cane? A.- When the client moves, he should move the cane forward first. 45. The nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safety to the radiology department for a chest x-ray? b. Have the client wear a mask 46. A nurse is assisting with transferring a client from the bed to wheelchair. Which of the following actions should the nurse take? b. Lock the wheels of the bed and the wheelchair....