Community Study Guide for Exam 2

Community Study Guide for Exam 2 1) A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements? A) B) C) D) “In my dreams, all I can see are the wounded reaching out and trying to grab me” “My child was born with a birth defect due to an exposure I had overseas” I killed four enemy soldiers with my bare hands and saved my entire battalion” “I check any room I enter because they enemy is still after me and could be hiding anywhere” 2) A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious odor presenting in the classrooms and experiencing dizziness. Which of the following actions should the nurse take? A) Have students evacuated from the school and establish a triage are in the school parking lot B) Arrange for client transportation to the nearest emergency department and tell the group triage will occur there C) More individuals who are reporting symptoms to one of the affected classrooms and create a triage area inside the room. D) Transport all children and school personnel to the nearest medical facility using school buses. 3) A correctional health nurse has hired a new RN, who asks “what is the primary goal of the correctional health nurse?” Which is the best response to the question? A) The primary goal is to maintain a safe, secure environment for the nurse B) The primary goal is to maintain a safe, secure and humane environment for the inmates C) The primary goal is to decrease the sexually transmitted infection rates in the facility D) The primary goal is to maintain cost effective care in the correctional facility 4) When a patient is on Warfarin, which of the following labs should be monitored? (Select all that apply) A) CBC with differential B) Electrolytes C) INR D) PT E) CRP 5) A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response? A) “Normalcy begins to return to the community” B) “Responders experience exhaustion due to extended relief efforts” C) “Survivors come together and share stories of survival” D) “Personnel are willing to work in dangerous conditions to provide assistance” 6) Which of the following is the primary role of all nurses? A) B) C) D) Patient teaching Patient communication Pain management Patient advocacy 7) A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which following actions should the nurse take? A) Mix the three medications together prior to administering B) Dilute each medication with 10 mL of tap water C) Flush the NG feeding tube with 30 mL of water immediately following medication administration D) Maintain the head of the in a flat position for 30 min following medication administration 8) The following items are rich in Vitamin K. (Select all that apply) A) B) C) D) E) Parsley Carrots Corn Kale Green Tea 9) A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address? A) B) C) D) Dysphagia Pruritus Urinary Hesitancy Swollen gums 10) A charge nurse is discussing staff nurses responsibilities in pre planning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? A) Identify community resources that are available B) Link victims with support agencies to help with food, clothing, shelter, and counseling needs. C) Assess survivors of a disaster for levels of psychological stress D) Evaluate the impact of a disaster on the community 11) A 68 year old man, who suffers from alcoholism, has his father die from alcoholism. Which kind of risk factor is Alcohol considered? A) B) C) D) Modifiable Non preventable Preventive Identifiable 12) The director of nursing in a retirement home is concerned about which illnesses being transmitted by airborne transmission? (Select all that apply) A) B) C) D) E) Chicken Pox for those patients, who do not have a history of this illness Covid 19 for those patients, who have not received the vaccine Botulism for those patients , who have not received the vaccine Measles for the patients born before 1957 Influenza for those who have not received the vaccine 13) A nurse is working with limited staff because of a severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take? A) B) C) D) Focus on providing care that prevents life-threatening emergencies Instruct the assistive personnel (AP) to focus on clients ADLS Reinforce discharge teaching to clients The primary responsibility is to shock additional unit supplies 14) When addressing an elderly group of women at the local community center regarding the risks associated with osteoporosis, which is the best statement for addressing the cause to this group? A) B) C) D) The lack of thyroid stimulating The lack of weight bearing exercise The lack of Progesterone The lack of bone density 15) A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take? A) B) C) D) Use a dosimeter to measure the level of radiation in the are before intervening Decontaminate victims before intervening Wait until the type of equipment needed is known Choose the highest level of protection equipment available 16) A community health nurse is training newly hired LPNS regarding portals of entry in the chain of infection. Which of the following items are portals of entry in the chain of infection? (Select all that apply) A) B) C) D) E) Urine Skin Ear canals Saliva Nasal membranes 17) Using the epidemiological triad, the soiled linen of a patient with clostridium difficile can be considered, which of the following? A) B) C) D) The environment The host The surveillance threat The agent 18) This is the most common form of advanced directive because its is specifically written by the client. A) B) C) D) Health Care surrogate Family Directive Health care Proxy Living will 19) The Point-in Time count occurs in which month? A) B) C) D) June February January September 20) A plane carrying 175 passengers has notified authorities that there is a potential for a crash landing. What is the proper term for this type of disaster? A) B) C) D) Suspended casualty Na-tech disaster Multiple Mass 21) Select all the following that are in the list of Category B biologic agents. (Select all that apply) A) B) C) D) E) Tsunami Typhus West Nile Virus Ricin Escherichia Coli 22) A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse while caring for this client? A) B) C) D) Protective Droplet Airborne Contact 23) Inmates experience multiple issues within a correctional facility. Which of the following problems are common in correctional facilities? Select all that apply. A) B) C) D) E) Sexually transmitted illness Substance abuse Depression HIV/AIDS Violence 24) The release of radiation from the Fukushima nuclear power plant during a tsunami is an example of which type of disaster? A) B) C) D) Bioterrostic Na-tech Natural Man Made 25) A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take? A) Place a black tag on the client’s upper body and attempt to help the next client in need B) Place a red tag on the client’s upper body and obtain immediate help from other personnel C) Start CPR D) Reposition the client’s upper airway a second time before assessing his respirations 26) A faith based community health nurse is preparing a disease prevention program for the daycare workers at the church daycare. Using the epidemiological triangle, which of the following items are agents? (Select all that Apply) A) B) C) D) E) Viruses Immunological suppression Modifiable risks Bacteria Toxins 27) A 16 year old has been placed in an adult correctional facility. The correctional health nurse knows which of the following are primary concerns for this teenager? Select all that apply A) B) C) D) E) Substance abuse Rape Depression Social isolation Further criminality 28) Taking just 1 round of antibiotics can result in the following infection that can be life threatening and known for foul smelling stools. A) B) C) D) Pseudomonas Aeruginosa Methicillin-resistant staphylococcus aureus Clostridium difficile Syncytial viral infection 29) This kind of map focuses on the locations of venues that could be dangerous to the community A) B) C) D) Disaster Risk Resource Emergency 30) A ________________ colored emergency triage tag represents people, who have minor injuries and do not need medical assistance A) B) C) D) Red Green Orange Black 31) A victim of a mass shooting has the following assessment: respirations= 30, decreased perfusion and is conscious. What color tag should this victim receive from first responders? A)Yellow B) Black dead C) Red D) Orange haz 32) A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following actions should the nurse take? A) B) C) D) Have the client's wife drive him to the hospital Place a red tag on the client’s upper body Place a yellow tag on the client’s upper body Perform a rapid head- to-toe assessment 33) A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous rifampin therapy. The nurse instruct the client that this medication can cause the following adverse effect? A) B) C) D) E) Staining of teeth Constipation Body secretions turning a red-orange color Black colored stools 34) A first responder, who inhaled the toxic fumes at ground zero on 9/11/2001 would be categorized as which type of victim? A) B) C) D) Tertiary First line Indirect Direct 35) This kind of injury is this is the most common cause of death in the United population of people aged 1-44 years old. A) B) C) D) Intentional Contralateral Accident Unintentional 36) Willow bark contains _______________, which can cause gastric bleeding, especially in a client on warfarin A) B) C) D) Sodium Salcin Vitamin K Opioids 37) A nurse is setting goals for a client who has AIDS and is at the end of life A) B) C) D) The client will verbalize an understanding of the mode of disease transmission The client will experience a weight gain of one to two pounds per week The client will receive medication to minimize episode of breakthrough pain The client will increase attendance at community social activities 38) A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicated an understanding of the teaching? A) B) C) D) “Disaster drills should be held on a regular basis” “ A licensed practical nurse can function as the incident commander” “ A physician must triage victims of a disaster in the emergency department” “An actual disaster can take the place of a disaster drill” 39) A nurse is working with an interdisciplinary disaster 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? A) B) C) D) Federal Emergency Management Agency (FEMA) U.S. Department of Homeland Secutiry (DHS) American Red Cross (ARC) Office of Emergency Management (OEM) 40) __________________ juice can increase the effects of Warfarin and should be discussed with the client prior to discharge A) Apple B) Cranberry C) Grape D) Orange 41) A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family’s disaster readiness supply kit or “go bag” (Select all that apply) A) B) C) D) E) Antibiotics Pencil and paper Whistle Household bleach Copies of insurance cards 42) A nurse in the emergency department is caring for an elderly client who collapsed on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions? Sodium 152 mEq/L Potassium 3.6 mEq/L Chloride 105 mEq/L A) B) C) D) Glucose 102 mg/dL BUN 18 mg/dL Creatinine 0.7 mg/dL Renal failure Syndrome of inappropriate antidiuretic hormone Low-protein diet Dehydration 43) A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Multiple clients are transported to the facility. Which of the following activities would be the lowest priority for the nurse? A) B) C) D) Maintaining a client tracking system Preventing cross-contamination of clients Transferring a client to the discharge location Performing concise client assessment 44) Which of the following are true statements regarding mental illness? Select all that apply A) B) C) D) E) Depression can frequently be a comorbidity associated with a serious physical disorder The economic impact of mental illness is negligible on the US economy Mental illness is one of the leading causes of disability in the U.S One in twelve Americans has some form of mental illness Depression is the most frequently diagnosed form of mental illness 45) A nurse at a community health clinic is developing a media campaign to educate the community on homelessness. Which of the following groups is the fastest growing segment of the homeless population? A) B) C) D) Women fleeing intimate partner violence Older adults Legal immigrants Families with Children 46) An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? A) Collaborate with physical therapists to develop programs for injured employees to return to work B) Teach plant workers about proper lifting technique C) Help plant workers identify signs of carpal tunnel syndrome D) Set up an influenza immunization campaign 47) It is important for a community health nurse to educate a client not to take the newly prescribed cardiac medication with which of the following juices? A) B) C) D) Mango Grape Grapefruit Apple 48) A nurse is assisting with field triage following a motor-vehicle crash involving a bus with multiple victims. The nurse assesses a child who has an open fracture of the femur. Which of the following actions should the nurse take? A) B) C) D) Place a yellow triage tag on the child Notify the emergency department of the child’s imminent arrival Perform a complete head-to-toe assessment Locate the child’s parents to obtain consent for treatment 49) A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care? A) A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site B) A client who has severe head injuries, respiratory rate 6/min, and is unresponsive C) A client who has a simple fracture of the femur, multiple scratches on both legs, and is crying hysterically D) A female who is pregnant at 20 weeks of gestation, has multiple cuts and abrasions, and is walking around 50) A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? A) B) C) D) A client experiencing a tension pneumothorax A client who has full-thickness burns over 80% of his body A client who has a closed upper extremity fracture A client who has agonal respirations 51) An elderly patient has been newly diagnosed with Methicillin-resistant Staphylococcus Aureus, _____________ precaution is needed for this client. A) B) C) D) Neutropenic Airborne Contact No precaution is needed 52) In hospice, _____________ is the most important concern in pain management A) B) C) D) Addiction to medication Medication Tolerance Breakthrough pain Apnea 53) A nurse is teaching a client about risk factors for osteoporosis. Which of the following factors should the nurse include in the teaching? (Select all that apply) A) B) C) D) E) Obesity Caffeine intake Secondhand smoke Sedentary lifestyle Aging 54) A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation? A) B) C) D) The client has become addicted to the medication The client developed a tolerance to the medication The client is experiencing episodes of confusion The client not been taking the medication properly 55) A community health nurse is developing strategies to improve mental health issues in the community. Which of the following is a tertiary health care strategy? A) B) C) D) Providing support programs for new parents Teaching a client, who has schizophrenia about medication interventions Providing support to a newly widowed women Screening a client whose parner recently died of suicide 56) If a school nurse discovers a child lives in the care with their partner, what is the next step regarding this situation A) The department of education in Washington, DC is notified of this child’s situation B) The principal is informed and the department of children and families is notified immediately C) The principal should be informed and the child is added to the federal list for homelessness D) The child is placed on the weekend back food program so they are provided meals on the weekend 57) A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following as a triage officer during the time of a disaster? A) B) C) D) Members of the Federal Emergency Management Agency (FEMA) Representatives from the American Red Cross Responding law enforcement officers Nurses and other emergency medical personnel 58) A nurse is assessing a client following a natural disaster who is experiencing difficulty sleeping due to a nightmare, feelings of survivor guilt, and difficulty concentrating. Which of the following diagnoses describe the client’s symptoms? A) B) C) D) Generalized anxiety disorder Histrionic personality disorder Post-traumatic stress syndrome Dissociative identity syndrome 59) Which of the following populations will a Community health nurse recognize as a vulnerable population? Select all that apply A) B) C) D) E) Immigrants and refugees Disabled adults The mentally ill Homeless families New college graduates 60) Anthrax is an example of which category of biologic agent? A) B) C) D) Category B Category A Category D Category C 61) Tuberculosis is an example of which category of biologic agent? A) B) C) D) Category B Category C None of these Category A 62) A nurse is reviewing treatment protocols for clients exposed to bioterrosim agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? A) B) C) D) Antrax Botulism Smallpox Plague 63) A nurse is caring for a client who has advanced lung cancer. The clients have recommended hospice services for the client. Which of the following statements by the client indicated a correct understanding of hospice care ? A) “ I should expect the hospice team to help me manage my dyspnea” B) “My oncologist will continue to look for a cure for my cancer while I am receiving hospice care” C) “ Hospice care services are available to patients who are terminally ill regardless of their life expectancy.” D) “ I will have to be admitted to a long-term care facility in order to receive hospice care.” 64) Homeless rates appear to be declining except for this aggregate. A) B) C) D) Ellderly women Women and their children Vietnam veterans Teenagers 65) A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients? A) A client who is recovering from a stroke and needs someone to provide care while his spouse is at work B) A client who has terminal cancer and needs assistance with pain management C) A client who has dementia and needs help with activities of daily living D) A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eyesight 66) A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (Select all that apply) A) B) C) D) E) Anthrax Hydrogen cyanide Sarin Smallpox Botulism 67) This agent aids in blood clotting and can be found in green leafy vegetables A) B) C) D) Carotene Vitamin K Heparin Vitamin B12 68 ) A nurse is leading a therapeutic group for clients at an outpatient mental health clinic. Which of the following client statements indicates a problem with role transition? A) “ If my husband had gone to the doctor like I told him to, he’d be alive today” B) “ I want to have an intimate relationship, but I end up breaking off relationships as soon as they begin” C) “ I am so angry with my husband's attitude. He thinks he knows everything” D) “ I just can't seem to find any energy to take care of my children since my husband divorced me” 69) The members of the senior center will be tested for hearing loss today. This is a _______________ form of intervention. A) B) C) D) Tertiary Modifiable Primary Secondary 70) 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 family member explains that the bruises are 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? A) B) C) D) Provide the client with a crisis hotline number Document the bruises in the clients chart Report the findings to a supervisor Discuss respite care with the clients family