Skip to document
This is a Premium Document. Some documents on Studocu are Premium. Upgrade to Premium to unlock it.

RN Community Health Online Practice 2019 B

ATI
Course

Professional development Nursing (NUR4861)

24 Documents
Students shared 24 documents in this course
Academic year: 2021/2022
Uploaded by:
Anonymous Student
This document has been uploaded by a student, just like you, who decided to remain anonymous.
Florida Atlantic University

Comments

Please sign in or register to post comments.

Related Studylists

mental healthTestsCaps

Preview text

 RN Community Health Online Practice 2019 B

1- A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take?

Use an N95 respirator.

A client who has active tuberculosis requires airborne precautions to prevent the spread of droplet nuclei smaller than 5 microns. The nurse should wear an N95 respirator when administering medication to prevent transmission of the infection.

2- A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching?

"I will increase the amount of red meat and milk in my child's diet."

Children should receive adequate amounts of iron and calcium in their diets to prevent lead absorption from their environment.

3-A community health nurse is teaching a client who is overweight about steps to take to begin an exercise program. The nurse should identify that which of the following statements is an indication that the client understands the teaching?

"I will see my doctor before beginning an exercise program.".

The client should see their provider before beginning an exercise program. The client should receive a complete physical exam and obtain approval for exercise.

4-A home health nurse is visiting an older adult client and notes that unwashed dishes are piled up and newspapers cover the front steps. Which of the following questions should the nurse ask the client to determine if the client is socially isolated?

"How often do you have visitors come to see you?"

The nurse should ask this question because it addresses the issue of social isolation by

determining the frequency of contact between the client and others.

5- A school nurse is conducting visual acuity testing for a school-age child

using a Snellen letter chart. Which of the following actions should the nurse

take?

Allow the child to keep her glasses on during the testing.

When using the Snellen letter chart to assess a school-age child's visual acuity, the nurse should allow the child to keep her glasses on during the test.

6-Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following information should the community health nurse assess first?

The need for the program

When using the nursing process, the nurse should first assess the need for the mobile meals program. This action allows the nurse to collect data on the client, which is the community, and meets the first step of program planning. The needs of the community will determine all other steps of the planning process.

7- A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients who have experienced violence. Which of the following statements by a nurse indicates an understanding of the teaching?

"I should determine whether a client who has been sexually assaulted requires a rape kit examination."

Clients who report sexual assault within a certain time frame should undergo a rape kit examination. In some cases, collection must be obtained within 24 hr of the occurrence. However, the time frame can vary based on the type of assault. The nurse should also provide information regarding support groups and resources for clients who were sexually assaulted.

8- A public health nurse is working in a community that has a population of 24,096. There are 2,096 existing cases of heart disease within the population. The nurse can determine which of the following from this information?

Prevalence proportion

The prevalence proportion can be calculated by using the number of people who were affected at a given time and the total population.

9- A nurse on the scene following a mass casualty explosion is triaging a client who has a large, open occipital wound and the following findings: respiratory rate 6/min, agonal pattern; capillary refill time 4 seconds; nonresponsive to painful stimuli. Which of the following actions should the nurse take?

Turn the client to left semi-Fowler's position and begin assessing the next client.

Principles of triage indicate that clients who have extensive injuries and a low- probability of survival do not receive treatment. Therefore, the nurse should provide only comfort measures before moving on to assess the next client.

10- A nurse in a county health department is caring for a client who states, "I've been drinking too much in the evenings since my friend died last year." Which of the following responses should the nurse make?

"Can I give you some information about Alcoholics Anonymous?"

17- A nurse is planning to teach a community group about the meningococcal vaccine. The nurse should identity that which of the following clients should receive the vaccine?

A client who is moving into a college dormitory

Individuals living in crowded areas, such as dormitories, should receive the meningococcal vaccine.

18-A community health nurse is working with a community where the incidence of violence has increased. Which of the following actions should the nurse take as a tertiary prevention strategy?

Provide victims of violence with referral information to crisis lines.

Referring victims of violence to available community resources is a tertiary prevention strategy. The community health nurse should be aware of all available community resources.

19- A community health nurse is made aware that several children, who are from the same family and did not receive immunizations, have contracted measles. Which of the following actions should the nurse take?

Report this information to the state health department.

The CDC lists measles as a nationally notifiable disease. Requirements for reporting diseases are state mandated, rather than federally mandated. Therefore, the nurse should report this occurrence to the state health department, which then determines if it will report to the CDC.

20- A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Implement an exercise program for clients who have hypertension.

The nurse should implement tertiary prevention strategies for clients who have hypertension to promote the highest level of functioning possible, which can include regular exercise to maintain an active lifestyle.

21- A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant?

Tetanus, diphtheria, pertussis (Tdap)

The nurse should include that a client who is pregnant should receive the Tdap vaccine between 27 and 36 weeks of gestation.

22- A school nurse is notified that a school-age child has pertussis. Which of the following actions should the school nurse take? (Select all that apply.)

Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present is correct.

Encourage family members to obtain prophylactic treatment is correct. I

Check the immunization status of the child's classmates is correct.

23- A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first?

Help the client obtain a provider for prenatal care.

The client is an adolescent and experiencing an unplanned pregnancy, which are factors that place the client and fetus at risk for complications. Therefore, when using the safety/risk reduction approach to client care, the first action the nurse should take is to assist the client in obtaining prenatal care.

24- A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first?

A client who has a new onset of confusion and slurred speech

When using the urgent vs. nonurgent approach to client care, the nurse should determine that acute changes in mental status and speech might indicate the client is experiencing a neurological problem that requires immediate intervention. Therefore, the nurse should assess this client first.

25- A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for tuberculosis (TB). The nurse should use information from which of the following resources to assist with this process?

Migrant Clinicians Network (MCN)

Migrant workers frequently change locations and move from job to job. This can interfere with the client adhering to the 6 to 12 month TB treatment plan. The MCN is a tracking program developed so that health care providers can access prior provider information and maintain TB treatment continuity for these clients.

Was this document helpful?
This is a Premium Document. Some documents on Studocu are Premium. Upgrade to Premium to unlock it.

RN Community Health Online Practice 2019 B

Course: Professional development Nursing (NUR4861)

24 Documents
Students shared 24 documents in this course
Was this document helpful?

This is a preview

Do you want full access? Go Premium and unlock all 5 pages
  • Access to all documents

  • Get Unlimited Downloads

  • Improve your grades

Upload

Share your documents to unlock

Already Premium?
RN Community Health Online Practice 2019 B
1- A nurse is preparing to administer medication to a client who has active
tuberculosis. Which of the following precautionary measures should the nurse
take?
Use an N95 respirator.
A client who has active tuberculosis requires airborne precautions to prevent the spread
of droplet nuclei smaller than 5 microns. The nurse should wear an N95 respirator when
administering medication to prevent transmission of the infection.
2- A nurse is providing education regarding lead exposure to a group of clients
who live in a housing development built in 1968. Which of the following client
statements indicates an understanding of the teaching?
"I will increase the amount of red meat and milk in my child's diet."
Children should receive adequate amounts of iron and calcium in their diets to prevent
lead absorption from their environment.
3-A community health nurse is teaching a client who is overweight about
steps to take to begin an exercise program. The nurse should identify that
which of the following statements is an indication that the client understands
the teaching?
"I will see my doctor before beginning an exercise program.".
The client should see their provider before beginning an exercise program. The client
should receive a complete physical exam and obtain approval for exercise.
4-A home health nurse is visiting an older adult client and notes that
unwashed dishes are piled up and newspapers cover the front steps. Which of
the following questions should the nurse ask the client to determine if the
client is socially isolated?
"How often do you have visitors come to see you?"
The nurse should ask this question because it addresses the issue of social isolation by
determining the frequency of contact between the client and others.
5- A school nurse is conducting visual acuity testing for a school-age child
using a Snellen letter chart. Which of the following actions should the nurse
take?
Allow the child to keep her glasses on during the testing.

Why is this page out of focus?

This is a Premium document. Become Premium to read the whole document.