1. A home health nurse is visiting a client who had a stroke 2 months ago. Which of the following findings should the nurse report to the interprofessional care team?

a. The client bears weights on her arm when using crutches

b. The client dresses her affected side first

c. The client coughs when swallowing her medications

d. The clients caregiver fills a pill organizer weekly.

2. A community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year, 3,144 new cases were reported and the

population was estimated at 325,986. Which of the following is the incidence rate in the state for the year?

a. About 10 reported cases per 1,000 population

b. About 300 reported cases per 100,000 population

c. About 1 reported case per 10,000 population

d. About 3 reported cases per 10,000 population

3. An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect?

a. Oliguria

b. Diplopia

c. Hypoglycemia

d. Dizziness

4. 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. The need for supplemental folic acid is greatest during the third trimester

b. Pregnant adolescents need to gain less weight than adult mothers

c. Caffeinated beverages should be replaced with caffeine-free beverages

d. The incidence of high birth weight infants is higher in adolescent pregnancy.

5. A client arrives at a mental health clinic and tells the nurse that she has no purpose in life. Which of the following is the nurse’s priority response?

a. How long have you been feeling this way?

b. Have you been thinking about harming yourself?

c. Tell me what is going on with you right now?

d. Do you really think your life has no purpose?

6. A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the

nurse implement?

a. Avoid discussing the traumatic events experienced by the veterans

b. Change the meeting sites frequently

c. Provide coffee and snacks during the meetings

d. Teach the clientsto practice deep breathing exercises

7. A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize that which of the following

is the host?

a. The virus

b. The school

c. The vaccine

d. The children

8. A nurse is discussing short- and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following

statements is appropriate for the nurse to include in the discussion?

a. You will being learning functional skills to replace defense mechanisms and behavioral while in treatment

b. You will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment

c. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal

d. Attending Al-Anon meeting will help you identify a role model to assist you with making needed changes.

9. A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?

a. You should have your hearing screened every 5 years

b. You should have a complete eye examination every 2 years until the age of 64

c. You should have your fasting blood glucose level checked every 6 years

d. You should have your stool tested for blood every other year until the age of 74.

10. 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 Center for Disease Control and Prevention?

a. Local Red Cross chapter

b. Hospital Infection Control Department

c. State health department

d. Office of the Surgeon General

11. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use?

a. Encourage enrollment and attendance at weight reduction programs

b. Measure the BMI of older adults at the community senior center

c. Educate children at a day care center about nutrition and exercise

d. Distribute health-risk appraisal questionnaires at community functions

12. The partner of an older adult client who has Alzheimers disease reports that he is not eating. The home health aid tells the nurse that the client’s partner refuses to

assist the client with feeding. The partner insists the client feed himself without help. Which of the following is the priority action the nurse should take?

a. Arrange for Meals on Wheels assistance

b. Determine the clients ability to self-feed

c. Refer the client’s partner to an Alzheimer’s support group.

d. Direct the home health aide to assist with meals

13. A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the

nurse include?

a. Middle eastern cultural practices include hiding pain from close family members.

b. Native American cultural practices include being outspoken about pain

c. Puerto Rican cultural practices include the view that the outspoken expressions of pain are shameful.

d. Chinese cultural practices include enduring pain to prevent family dishonor.

14. A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics asthe leading cause of death