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

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

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

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

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

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

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

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

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

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

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”

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

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?

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

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

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

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

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

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 vector-borne

illness, which of the following response indicated the teaching has been effective?

a. E. Coli

b. Lyme disease

c. Chicken pox

d. Pediculosis

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

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 husbands 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

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

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

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

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

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