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HESI NUR206-NUR 206 (NEW
UPDATE) COMMUNITY
NURSING CONCEPTS EXAM
QUESTIONS AND VERIFIED
ANSWERS 100% CORRECT A
GRADE – FORTIS
QUESTION
The nurse is conducting routine Assessments of clients At An Ambulatory clinic. Which Assessment warrants immediate interventions by the nurse? a. Hepatovax B was prescribed for A client who is Allergic to yeast b. An INR of 2 was obtained for A client taking warfarin (Coumadin) c. HIV screening was requested by A client having unprotected sex with two individuals d. Nafcillin (Unipen) was taken for ten days by A client whose infected wound is healing Answer: a. Hepatovax B was prescribed for A client who is Allergic to yeast
QUESTION
During A home visit, A client tells A home health nurse that he was recently diagnosed with viral conjunctivitis. The client reports eye pain And swelling. What instructions should the nurse provide? a. Avoid straining or sneezing b. Apply A cool compress c. Keep the room well lighted d. Drink plenty of fluids Answer: b. Apply A cool compress
QUESTION
To promote heart healthy eating during A school fair, the nurse presents information About A
asks the children to create A rhyme that shows food that should be limited. Which selection should the nurse choose As the winner of the contest? a. Fish on A dish b. Meats And sweets c. Greens And beans d. Berries And cherries Answer: b. Meats And sweets
QUESTION
The public health nurse is called to investigate A report of several cases of chickenpox (varicella virus) At A day care center. The day care worker states that five children have been sent home over the past two weeks with fever And itchy blisters. Which intervention should the nurse implement first? a. Confirm the number of children with symptoms b. Determine how many people have been exposed c. Report the presence of A viral endemic At the day care center d. Validate that the children sent home did develop chickenpox Answer: d. Validate that the children sent home did develop chickenpox
QUESTION
Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, And lowest priority last, on bottom.) a. A 7 - year-old who has type 1 diabetes mellitus And is experiencing extreme hunger And shakiness b. A 12 - year-old with history of Asthma who is wheezing And complaining of shortness of breath. c. A 5 - year-old who is crying uncontrollably because of An incontinent bowel episode. d. A 10 - year-old with bleeding lacerations on both knees After falling in gym class. Answer: b. A 12 - year-old with history of Asthma who is wheezing And complaining of shortness of breath.
a. A 7 - year-old who has type 1 diabetes mellitus And is experiencing extreme hunger And shakiness d. A 10 - year-old with bleeding lacerations on both knees After falling in gym class. c. A 5 - year-old who is crying uncontrollably because of An incontinent bowel episode.
QUESTION
The parish nurse notes that An elderly male client has had A 5 pound weight loss since his check- up one month Ago. The client has good hygiene, still drives A car, And lives Alone. To which Agency should the nurse refer this client? a. The Adult Day Care Center b. The Senior Citizen Center c. The Women, Infant, And Children office d. The Social Security Administration office Answer: b. The Senior Citizen Center
QUESTION
While presenting A workshop titled, "Improving Access to Health Services" to community leaders, the community health nurse is Asked by A city council member to explain the reason for Addressing this issue. Which statement provides the best response? a. The committee for "Healthy People 2020" has identified "access" As A national goal b. The Institute of Medicine includes "access" As one of its priority recommendations. c. The Community Health Improvement Process is used for issues in high risk populations. d. The Center for Disease Control has identified this problem As A variable in morbidity Answer: a. The committee for "Healthy People 2020" has identified "access" As A national goal
QUESTION
The school nurse is Assessing A group of middle school students for signs of scoliosis And discovers A female student with A noticeable unequal symmetry of the upper And lower back. Which intervention is most important for the nurse to implement? a. Make A referral to have the scoliosis further evaluated
a. Parking convenience for Attendees continued to be A major concern b. Demonstrating by the use of A blood glucose meter was An effective teaching strategy c. Fasting blood glucose Average readings were 20% lower At the end of the classes d. Discussion of food exchanges And calories was A well Attended class Answer: c. Fasting blood glucose Average readings were 20% lower At the end of the classes
QUESTION
On A repeat home visit to see An 84-year-old widow, the nurse discovers that the client is unkempt, smells of stale urine, And does not recognize her neighbors or the nurse. What Action should the nurse take first? a. Complete A physical And mental exam of the client b. Call Adult Protective Services to obtain emergency nursing home placement. c. Seek the family's Assistance in caring for the client d. Call the client's pharmacy to determine what medications she is taking Answer: a. Complete A physical And mental exam of the client
QUESTION
The community health nurse believes that immunization rates in A lower-socioeconomic section of the city Are probably below the target set by the state health department. What Action should the nurse take first to intervene with this health problem? a. Join A political Action group that focuses Attention on the issue in the local news media b. Partner with A local children's hospital in setting up free "shot" clinics in the neighborhood c. Review current epidemiological population data that might document A low immunization rate d. Call A meeting of citizens to inform them of the important of having their children immunized Answer: c. Review current epidemiological population data that might document A low immunization rate
QUESTION
An older Adult male with A history of type 2 diabetes mellitus (DM2) is seen in the community health clinic for An Annual physical examination. Which nursing Action should be included in Assessing for long-term complications of diabetes? (Select All that Apply.) a. Obtain venous sample for liver enzymes b. Obtain urine specimen to Assess for Albumin c. Test lower extremities for changes in sensation d. Auscultate for Adventitious breath sounds e. Palpate pedal pulses And foot temperatures Answer: c. Test lower extremities for changes in sensation e. Palpate pedal pulses And foot temperatures
QUESTION
A nurse identifies the clinic receptionist As having the role of gatekeeper for the clinic. What statement by the receptionist is indicative of A gatekeeper in A community setting? a. "You may talk with the RN if you need information About how clients purchase car seats." b. "Over 85% of the clients treated At this clinic Are women of Hispanic of Asian heritage." c. "The clinic standards Are determined by those set forth by American Academy of Obstetrics." d. "Monthly, we see more than 200 women for prenatal visits And venereal disease for treatment." Answer: a. "You may talk with the RN if you need information About how clients purchase car seats."
QUESTION
The nurse is developing A health class curriculum for students Aged 11 through 14. Which content topic is most important for the nurse to emphasize in the curriculum for these students? a. Reduction of risk-taking behaviors b. Promotion of healthy dietary habits c. Participation in physical exercise d. Recognition of personal identity Answer: a. Reduction of risk-taking behaviors
d. Having required lab work completed Answer: a. Paying for his health care
QUESTION
A prescription for discharge is written for An elderly female client who has Asked to be discharged to her home. The client lives Alone And is Able to walk 10 to 15 feet with Assistance. What Action should the nurse implement first? a. Review the home medication schedule with the client And family b. Arrange for A bedside commode to be delivered to the home c. Meet with the case manager to plan A home safety evaluation d. Provide the client with information About medical Alert devices Answer: c. Meet with the case manager to plan A home safety evaluation
QUESTION
The nurse At A migrant health center notes An increased incidence of dermatitis in seasonal farm workers At A local fruit farm. In response to this finding, it is most important for the nurse to obtain which information As A part of A community Assessment? a. Availability of fresh water for washing hands After work b. Air pollution levels in the surrounding community c. Number of hours of worker's exposure to direct sunlight d. Percentage of poisonous plants in the work fields Answer: a. Availability of fresh water for washing hands After work
QUESTION
A teenage boy with A history of recurring Atopic dermatitis (eczema) tells the school nurse that he wants to play high school football. Which Action should the nurse take? a. Encourage the teenager to join the swim team instead of the football team
b. Notify the parents of problems Associated with perspiration for those with eczema c. Tell the teenager to shower with A non-perfumed soaps immediately After practice d. Inform the football coach of the teenager's skin condition And its manifestations. Answer: c. Tell the teenager to shower with A non-perfumed soaps immediately After practice
QUESTION
The wife of An older Adult man who has had diabetes mellitus for the past 10 years reports to the home health nurse that her husband fell yesterday while taking his daily walk in the neighborhood. He has A bruised hand And A small Abrasion on his left knee. The nurse Assess that his neurologic vital signs Are stable. To reduce risk for future falls, which Assessment is most important for the nurse to obtain? a. Current blood sugar level b. Degree of paresthesia in feet c. Wound healing of knee Abrasion d. A1c glycosylated hemoglobin Answer: b. Degree of paresthesia in feet
QUESTION
The home health nurse visits A young male client with AIDS who has Kaposi's sarcoma And peripheral neuropathies. His parents, who Are the care-takers, tell the nurse that their son sleeps most of the times. The nurse Assess that the client is semi-conscious with stable vital signs, cries out in pain when turned or moved, has A Duragesic pain patch in place, And skin lesions that Are closed And dried. Which intervention should the nurse implement? a. Remove the Duragesic patch As directed by prescription b. Give A complete bed bath to further Assess the client c. Discuss end-of-life decisions with the client's parents d. Call for Ambulance transportation to the hospital immediately Answer: c. Discuss end-of-life decisions with the client's parents
QUESTION
A homeless client with Alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that A tuberculin skin test was prescribed by the healthcare provider. What intervention is most important for the nurse to implement prior to discharge? a. Identify how the client will follow-up to have the results read. b. Give the client written information About the tuberculosis test c. Determine if the client understands the purpose of the tuberculin test d. Explain to the client results should be read between 48 And 72 hours Answer: a. Identify how the client will follow-up to have the results read.
QUESTION
A Hispanic mother insists on using special candles to treat her child's ear infection. The nurse should demonstrate cultural Accommodation by making which request? a. Use the prescribed Antibiotics And if there is no improvement, use the candles b. Give the prescribed Antibiotics in Addition to using the candles. c. Do not use the candles because of the risk of fire And subsequent burns to the child. d. Provide the prescribed Antibiotics instead of using the candles Answer: b. Give the prescribed Antibiotics in Addition to using the candles.
QUESTION
The nurse is making A home visit to female client with end stage heart disease. She has A living will And states that she refuses to ever go back to A hospital. During the visit, the nurse notes that the client is pale And short of breath while speaking. The nurse discovers 3+ pitting edema in both Ankles And bilateral pulmonary crackles. Which intervention should the nurse implement first? a. Explain the need for hospitalization b. Obtain A peripheral oxygen saturation level c. Elevate her feet Above the level of her heart d. Apply 2L of oxygen per nasal cannula
Answer: b. Obtain A peripheral oxygen saturation level
QUESTION
The nurse must delegate some Aspects of A homebound client's care to A home health Aide. Which intervention should the nurse delegate to the home health Aide? a. Evaluate A pressure sore b. Apply A prosthetic device c. Perform A sterile dressing change d. Assess the client's need for An elevated toilet seat Answer: b. Apply A prosthetic device
QUESTION
After Assessing the health care needs of An elementary school, the nurse determines that An increased prevalence of pediculosis capitis is A priority problem. The nurse develops A 2 - month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents And regular Assessment of children by the school nurse. What Action should the nurse implement to evaluate the effectiveness of the program? a. Measure the prevalence of pediculosis capitis Among the children After four months b. Survey parents 3 weeks After pamphlets Are sent home to Assess their understanding of the condition. c. Conduct An initial examination of each child in the school to obtain baseline data d. Evaluate the teachers' Ability to identify pediculosis capitis 2 months After initiation of the program Answer: a. Measure the prevalence of pediculosis capitis Among the children After four months
QUESTION
QUESTION
One hundred families in A community refuse to have their children immunized because of religious beliefs. When one documented case of whooping cough occurs within this Aggregate, which intervention should the nurse implement? a. Quarantine the one hundred family Aggregate b. Immunize All members of the one hundred families c. Quarantine All family members of the child with whooping cough d. Immunize All children under Age 5 in the one hundred family Aggregate Answer: c. Quarantine All family members of the child with whooping cough
QUESTION
A 93 - year-old client with A number of co-morbidities is Assessed by the home health nurse. What problem is most important for the nurse to investigate further? a. Social isolation b. Medication interactions c. Urinary incontinences d. Caregiver stress Answer: b. Medication interactions
QUESTION
Which interventions should the nurse implement to help prevent A client from getting A vector- born infectious disease? a. Encourage the client to get immunizations prior to international travel. b. Discuss the importance of wearing insect repellent when camping c. Instruct the client to drink only bottled water when traveling Abroad d. Demonstrate the correct way to remove ticks imbedded in the skin Answer: b. Discuss the importance of wearing insect repellent when camping
QUESTION
A home health nurse is reviewing the laboratory results for several clients with A history of heart failure (HF). Which client finding should the nurse report to the healthcare provider immediately? a. Total cholesterol 190 mg/dl. b. B-type natriuretic peptide 550 pg/ml. c. Glycosylated Hemoglobin of 7% d. Potassium 3.7 mEq/L Answer: b. B-type natriuretic peptide 550 pg/ml.
QUESTION
The community health nurse who works in A town that has A large chemical plant is concerned About the occurrence of A natural disaster related to chemical exposure. Which Action is most important for the nurse to take? a. Evaluate company safety procedures for prevention of chemical exposures b. Elicit the company's participation in A disaster preparedness program. c. Determine the Antidotes for the chemicals produced by the company d. Inform employees of their potential risk for A chemical exposure incident. Answer: b. Elicit the company's participation in A disaster preparedness program.
QUESTION
A community group proposes building A new well-child clinic because this year's demographics reflect that A large percentage of the population is less than 19 years of Age. Which question indicates that the nurse understands the potential gaps in these data? a. What is the distribution of males to females within this population? b. What percentage of the population was under 19 years of Age in each of the 5 previous years? c. How will the large percentage of under 19 - year-olds Affect the community's dependency ration? d. How can the income level of the families within the community be determined?
b. Counsel the client on Available birth control methods c. Provide the client with A listing for local healthcare providers. d. Provide the client with the local bus schedule. Answer: a. Enroll the client in the Women, Infant, And Children program
QUESTION
A 12-year-old female is seen by the school nurse After recently experiencing increasing difficulty sitting And paying Attention in class, And increasingly illegible handwriting. The nurse observes that the child has protruding eyeballs And A staring expression. What Action should the nurse take next? a. Refer the child for psychologic evaluation due to Attention deficit disorder. b. Call the child's parents to schedule the child for An immediate medical exam. c. Gather Additional data by taking A health history And measuring vital signs d. Collaborate with the teacher to place the child on A behavior modification program. Answer: c. Gather Additional data by taking A health history And measuring vital signs
QUESTION
When Asked to help develop interventions to combat obesity Among children, the community health nurse should stress the importance of implementing which Activity? a. Set goals that Are focused on developing healthier lifestyles. b. Develop strict diet plans for school-aged children. c. Provide diet classes for the obese children during school hours. d. Require All children to participate in organized team sports. Answer: a. Set goals that Are focused on developing healthier lifestyles.
QUESTION
A terrorist Attack has occurred And several people have inhaled Ricin. Which intervention should the emergency department nurse implement when caring for these clients?
a. Administer the Antibiotic streptomycin, IV STAT. b. Provide All clients with the Ricin Antidote. c. Implement strict respiratory isolation immediately. d. Provide supportive nursing care until Antitoxin is Available. Answer: d. Provide supportive nursing care until Antitoxin is Available.
QUESTION
A young woman tells the public health nurse that A friend was recently diagnosed with Hepatitis B And she is concerned About getting the disease. During the Assessment interview, which question is most important for the nurse to Ask this woman? a. Did you drink After or use Any utensils that your friend used? b. Have you noticed Any yellowish tinge to the whites of your eyes? c. Have you shared Any needles or had sex with your friend? d. How long Ago was your friend diagnosed with Hepatitis B? Answer: c. Have you shared Any needles or had sex with your friend?
QUESTION
Which example should the nurse identify As A significant outcome for the Leading Health indicators of Healthy People 2020? a. A community has Adopted A no smoking policy. b. A rural community has A public transportation system. c. The high school drop out rate has decreased by 15%. d. A county has decreased their divorce rate by 10% Answer: a. A community has Adopted A no smoking policy.
QUESTION
