1) 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 is responsible for voluntarily reporting cases of this

disease to the Centers for Disease Control and Prevention?

a. State health department

b. Office of the Surgeon General

c. Local Red Cross chapter

d. Hospital infection control department

2) A case manager is completing discharge planning for a client who

has alcohol use disorder and cirrhosis of the liver. Which of the

following actions should the case manager take first?

a. Contact a social worker to assist the client with managing

finances.

b. Provide the client with information on self-help groups for

alcohol use disorder.

c. Arrange for a home health nurse to visit the client following

discharge.

d. Determine which home safety measures the client needs to

implement.

3) A nurse is providing teaching to a client about directives regarding

end-of-life care. Which of the following information should the nurse

include in the teaching?

a. The client can verbally choose a health care proxy if two

nurses witness the designation.

b. The client’s family has the authority to revoke the do-notresuscitate order at any time.

c. The living will is a legally binding contract between the

client and the provider.

d. The client can choose a non-family member as the

designated power of attorney.

4) A nurse in an antepartum clinic is reviewing the medical records of

four clients. Which of the following infectious conditions should the

nurse report to the Centers for Disease Control and Prevention?

a. Human papillomavirus

b. Bacterial vaginosis

c. Gonorrhea

d. Genital herpes simplex virus

5) A home health nurse is performing an eye assessment for an older

adult client. Which of the following findings is the priority for the

nurse to report to the provider?

a. Decreased near vision

b. Conjunctivitis

c. Hemianopsia

d. Increased sensitivity to glare

6) A home health nurse is caring for a client who has Clostridium

difficile infection. Which of the following actions should the nurse

take?

a. Obtain a surgical mask for the client to wear when away

from home.

b. Instruct the client to avoid the use of probiotics.

c. Use an alcohol-based hand sanitizer following care.

d. Clean the client’s bathroom with a diluted bleach solution.

7) 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. Arrange for a member of the client’s community to interpret

the teaching.

b. Have the client's daughter communicate information about

the procedure.

c. Identify the client’s spoken dialect prior to contacting an

interpreter.

d. Use professional terminology when providing education

prior to the procedure.

8) A parish 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. Assist the client and the client’s partner with finding an

affordable exercise program.

b. Discuss the benefits of eating a well-balanced diet with the

client’s family.

c. Ask family members about the impact of the disease on

relationships within the family.

d. Offer to accompany the client and the client’s partner during

health care provider visits.

9) A school nurse is planning primary prevention activities for the

school year. Which of the following actions should the nurse plan to

take?

a. Monitor the immunizations status of students.

b. Schedule hearing screenings for each grade level.

c. Provide referrals for students who have asthma.

d. Provide first aid for injured students.

10) 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. Engage the family in informal conversation.

b. Provide the family with information about respite care.

c. Educate the family regarding the progression of dementia.

d. Encourage the family to join a support group.