NCLEX COMMUNITY HEALTH PROCTORED EXAM 2021 CHAPTER 1 GRADED A

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A nurse manager at a community agency is developing an orientation program for newly hired nurses, when discussing the differences between community based and community oriented nursing the nurse sh... ould include which of the following situations as examples of community based. Select all that apply :  a home health nurse performing wound care for a client who is immobile  a school nurse teaching a student who has asthma about medication 2. A nurse is advocating for local leaders to place a newly community health clinic in the area of the city which has fewer resources than others. The nurse is advocating for the leaders for which ethical principle ?  Distributive justice 3.The nurse is preparing an education program for disease transmission for employers of a local day care center, when discussing the epidemiological triangle, the nurse should include which of the following factors as agents?  Toxins  Bacteria 4. Which of the following situations is considered as the use of primary prevention?  Administering vaccines to employees at a local grade school 5. A community health nurse is conducting an education program on various environmental pollutants; the nurse should emphasize that patients who have which of the following disorders are especially vulnerable to high ozone effects?  Patients with Asthma 6. An older adult client who lives alone tells the nurse that he is unable to drive himself to the store and is afraid to cook on the stove, which community resources should the nurse recommend?  Meals on wheel 7. The nurse is educating community members about preparing for disaster, which of the following supplies should the nurse instruct the members to include in their kits?  Matches  Clean clothing  Personal identification  Prescriptive medication 8. A school nurse is assessing a child for pediculosis capitis (lice), which of the following manifestations should the nurse reorganize as indication of this condition?  Firmly has attached white particles on the hair. 9. The nurse is teaching about the risk factors for developing stroke with a group of older adults, which of the following non-modifiable risk factors should the nurse include in the teaching?  Race 10. A nurse is preparing an educational program on cultural perspectives in nursing, the nurse should include which of the following factors are influenced by an individual’s culture (SATA) ?  Family structure  View about illness  Nutritional practices  Healthcare interactions 11. The public health nurse is using the IPREPARE mnemonic to assess a client's potential environmental exposure, which of the following questions should the nurse ask when assessing for A in the pneumonic?  What do you like to do for fun (A is Activities)? 12. The nurse is conducting health screening at a statewide health fair and identifies several clients who required referral to the healthcare provider. Which of the statements by the client indicates a barrier to accessing care?  I can’t miss work and the local after-hours clinics are no longer in operation. 13. A school nurse is scheduling visits with a physical therapist for students who have cerebral palsy, in which of the following roles is the nurse functioning.  as a case manager 14.The school nurse is planning health promotion and disease prevention activities for the upcoming school year in which following situation is the nurse planning a secondary prevention strategy?  Routinely checking the students for lice throughout the year. 15. A nurse at the community clinic is conducting a well child visit with a pre-school age child the nurse should identify which of the following manifestations as a possible indication of child neglect? (SATA)  Underweight  Poor hygiene 16. A community health nurse is developing an education program on substance use disorder for a group of adolescents, which of the following information should the nurse include when discussing nicotine and smoking ?  Tolerance to nicotine develops quickly 17. A nurse at an urban community health agency is speaking to city leaders about the homeless population, which of the following groups should the nurse include as the fastest growing segment of the homeless population?  Families with children 18. When discussing modes of disease transmission, the public health nurse should include which of the following illnesses as airborne?  Influenza 19. A newly hired public health nurse is becoming familiar with the levels of disaster management, which of the following actions is a component of disaster prevention?  Identifying community vulnerabilities. 20. A nurse case manager at an acute care facility is conducting an initial visit with a patient to identify the need to prioritize discharge, after developing a working relationship with the patient the nurse engaged in the referral process, which of the following actions should the nurse take first?  Identify those referrals that the patient needs. 21. A nurse is planning a presentation about HIV for a church base group, which of the following info about HIV transmission should the nurse include?  It is primarily transmitted through direct contact with infected body fluids 22. While everyone exposed to the environmental hazards is at risk for developing adverse health effects and diseases, those most at risk are?  Infants and small children within the community 23. A nurse is teaching a community Education course about the physical complications related to substance use disorder, which of the following findings should the nurse identify as the primary cause of liver cirrhosis?  Alcohol 24. A nurse in a community Clinic is assessing an older adult client for manifestations of dehydration, which of the following findings should the nurse expect?  Furrows in the tongue 25. A community. a health nurse is reviewing the levels of disease prevention, which of the following activities is an example of tertiary prevention?  Providing treatment for clients who have COPD disease 26. A nurse is preparing to teach about communicable disease, during which of the following stages is the period in which the disease is contagious?  Communicability period 27. A nurse working in a community health center preparing a flow sheet detailing essential screenings according to age group, at which developmental stage on the chart should the nurse add scoliosis screening?  Pre- adolescents /adolescents 28. A nurse is preparing an in-service for an annual skill fair at a local community medical facility about fire safety, placing the steps in order in which they should be performed in case of fire emergency. (SATA)  Rescue the patient  Activate the Alarm  Confine the fire  Extinguish the fire (RACE) 29. A home health nurse is assessing an older adult client, who reports falling a couple of times over the past weeks, which of the findings should the nurse suspect contributing to the fall ?  Client takes Alprazolam 30. A home health nurse is conducting a home safety assessment for an older adult client, which of the following findings should the nurse identify as a safety risk for the client. (SATA)  Water heater thermometer of 54.4 degrees Celsius (130 degrees F)  Throw rugs 31. A home health nurse is speaking to a group of acute care nurses about domestic violence, which of the following statements by one of the acute care nurses indicates a need for clarification?  I have heard that abusers think of themselves as important and have high self esteem 32. A home health nurse drives up to the house of a client who has schizophrenia with manic episodes, the client is sitting on his front pouch with a shotgun in his arm, which of the following actions should the nurse take.  Keep driving in the path that is going away from the client’s house 33. A nurse is presenting a community based program about HIV and AIDS, a client asked the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of the initial symptoms?  Flu like symptoms and night sweats 34. A group of nurses are discussing risk factors for transmission of HIV from clients, which of the following individuals should the nurse identify as being at greater risk for contracting HIV.  Phlebotomist who collects blood from client who have HIV 35. A nurse is providing home safety information for an older adult client who uses a cane, which of the following statements should the nurse include in teaching?  You should advance your weak leg forward to the cane then move your strong leg. 36. A school nurse receives a call that some children and teachers report being exposed to an undetermined nauseous gas odor presenting in the classroom and are experiencing dizziness, which of the following actions should the nurse take. (SATA)  Have students evacuate from the class  Establish a triage area in the schools parking lot 37. A charge nurse is discussing the phase of community response to disaster with nursing staff, which of the following statements indicates an understanding of the heroic phase of disaster response?  Personnels are willing to work in dangerous conditions to provide assistance 38. A community health nurse is developing a pamphlet about breast self-examination for a local health fair, which of the following instructions should they include?  Breast can be examined in the shower with soapy hands 39. A public health nurse is assessing an older adult client who lives with a family member, the nurse identifies several bruises in various stages of healing. The client and the family members explain that the bruises are as a result of clumsiness, however, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first ?  Report findings to a supervisor 40. A community health nurse in a peds unit is reviewing the history of a 12yr client which of the following immunizations should the nurse expect to receive Meningococcal conjugate?  The CDC recommends administering the meningococcal vaccine to children who are 11 through 12yrs and giving booster dose at 16 41. A nurse in the peds clinic is caring for a child with iron deficiency anemia, and a new prescription for ferrous sulphate tabs, which of the following instructions should the nurse include to the parents regarding the administration?  give with orange juice 42. A nurse at the community health clinic is examining a patient who is experiencing alcohol withdrawal, which of the following findings should the nurse identify as a manifestation of withdrawal?  Diaphoresis 43. The public health nurse is providing an educational program to new staff members regarding the disease which are identified as nationally notifiable disease and therefore must be reported on the state and local regulations, which of the following diseases should the nurse included in the program? (SATA)  Mumps  Smallpox  Gonorrhea  Salmonellosis 44. The public health nurse is providing education to a group of new staff as the defense mechanism which prevents exposure and the spread of disease, she is discussing the term herd immunity. Which of the following statements is the most accurate definition of the term herd immunity?  It is protection due to the immunity of most community members making exposure to the disease unlikely. 45. A community health nurse is planning a change project to improve the delivery of care in the community, she is aware that various theories of care guide nursing practices in the comm. Which of the following community health nursing theories would be appropriate for the nurse to use to guide the development of her proposed project?  Pender’s health promotion model 46. A group of students are studying principles which guide community health nursing, which of the following are important principles to consider when providing community health nursing practice. (SATA)  Ethics  Advocacy  Use of evidence based practice  Professional collaboration and communication 47. The best definition of the term epidemiology is?  The study of health-related trends in the population for the purposes of disease prevention, health maintenance and health protection. 48. a nurse working for a home health agency is assessing an adult older male client, which of the following findings is the priority for the nurse to address?  Dysphagia 49. The nurse is speaking at a senior community center about the risk factors contributing to the development of cardiovascular diseases. Which of the following factors should the nurse include as a modifiable risk factor?  Cigarette smoking 50. A nurse is working with an interdisciplinary disease committee to develop a community wide emergency response plan in the event of a non- biological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?  Office of the emergency management (OEM) [Show More]

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