Nurs Assessment Leadership and Community Health Exam Questions with Correct Answers, Exams of Nursing

Download Nurs Assessment Leadership and Community Health Exam Questions with Correct Answers and more Exams Nursing in PDF only on Docsity! NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+  A nurse is conducting a home visit with an older adult client. Which of the followingobservations should the nurse address to promote a safe environment? Loud volume of the television set Wall-to-wall carpet in the living roomLow chairs without armrests Use of indirect lighting  A case manager completes a history and physical assessment for a client who has COPD.Which of the following actions should the case manager take next? Identify the client's current health needs. Call the provider with a list of client concerns. Compile a list of community resources for the client.Refer the client to a COPD support group  A nurse manager is implementing a quality improvement project to reduce the number ofmethicillinresistant Staphylococcus aureus (MRSA) infections at the facility. Which of the following actions should the nurse manager take first? Develop a MRSA protocol for implementation.Provide educational in- service for staff. Evaluate outcomes resulting from interventions. Conduct a chart review to evaluate precipitating factors of clients who develop MRSA. NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+  A nurse manager is teaching a group of employees about standards for Quality and SafetyEducation for Nurses (QSEN). Which of the following statements by an employee shouldthe nurse manager identify as an example of the QSEN concept of quality improvement? "We should start tracking how soon clients are discharged after laparoscopic versus opensurgery." "We should be sure to log out of the computers immediately following documentation.""We should involve our clients' partners in care planning as much as possible." "We should provide change-of-shift report as a team, including the assistive personnel whoassisted with care.  A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and her family. Which of the following statements should the nurse include in theteaching? "Hospice care focuses on disease treatment and rehabilitation." "The provider will coordinate your health care needs while in hospice." "You must choose a family caregiver before being admitted into a hospice facility.""Hospice care continues to help families with grief after a death occurs."  A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality?(Select all that apply.) Log out of the computer terminal before leaving. Share passwords for computer NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ actions should the nurse take? NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ Administer emergency medications without performing CPR.Begin CPR. Call the provider for a do-not-resuscitate (DNR) order.Respect the client's wishes, and do not attempt CPR.  A staff nurse is challenging a shift assignment with the charge nurse. Which of the following statements made by the charge nurse is an example of smoothing as a strategyto resolve conflict? "If you accept this assignment today, I will let you choose your assignment tomorrow." "If you don't agree with the assignment, I will have to report your decision to the nursingsupervisor." “Let’s just focus on giving our client medications on time.” "You have a lot of experience, so I'm sure you're capable of these tasks."  A community nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include? Rubell a Pertus si s Influen z a Varicel l a  A nurse is receiving change-of-shift report on a group of clients. Which of the followingclients should the nurse assess first? NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ A client who has urolithiasis and reports severe ankle pain extending toward the abdomen NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ consultation by a nutritionist."  A nurse is preparing to administer the initial dose of ceftriaxone to a client who has endometritis. Which of the following statements by the client should cause the nurse tohold the medication and consult the provider? "I have a severe allergy to amoxicillin.""I get sick when I take diuretics." "I have a history of hearing problems.""I take prednisone for my asthma."  A charge nurse on a medical-surgical unit is preparing to delegate tasks to a licensed practical nurse (LPN). Which of the following tasks should the charge nurse delegate tothe LPN? Administering an oral antibiotic to a client Performing an admission assessment of a client Creating new teaching for a guardian of a toddlerAdministering IV conscious NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ sedation to a client  A nurse on a rehabilitation unit is creating a plan of care for a newly admitted client whohas difficulty swallowing following a stroke. Which of the following interprofessional team members should the nurse anticipate consulting regarding the client's condition?(Select all that apply.) ??? Speech-language pathologistOccupatio nal therapist Dietitian Psychologist Pharmac y technicia n  A forensic nurse is using the epidemiological triangle to explain factors that contribute toviolent behavior. Which of the following factors should the nurse identify as an environmental factor in the epidemiological triangle? Crowded living conditionsTraumatic brain injury Alzheimer's disease Impaired coping abilities  After signing an informed consent form, a client states, "I have NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ changed my mind and donot want to have the procedure." Which of the following actions should the nurse take? Suggest that family members discuss the importance of the surgery with the client. Notify the surgeon that the client wishes to withdraw informed consent for the procedure.Document the risks of refusing the procedure in the client's medical record. Discuss the benets of the procedure with the client  A home health nurse is teaching about chest physiotherapy (CPT) treatments with a clientwho has COPD. Which of the following client statements should the nurse identify as an indication that the teaching has been understood? "My coughing will decrease during CPT treatments." "CPT treatments will decrease my respiratory infections.""I will perform postural drainage after eating meals." "CPT treatments will help cure my COPD."  A public health nurse is developing guidelines for management of a botulism outbreak.Which of the following information should the nurse include? High-risk individuals should receive immunoglobulin E (IgE). Implement airborne precautions for clients who have botulism. Administer an aminoglycoside medication. Rinse skin with soap and water following exposure to the botulism toxin.  A county public health nurse is developing a list of interventions to NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ Document the client's statement in direct quotes in the medical record.Complete an incident report detailing the client scenario.  A nurse manager of a rural clinic is orienting a new employee. Which of the followinginformation should the nurse include as a characteristic of rural health? Lower maternal morbidity rates Reduced incidence of death from motor-vehicle crashesIncreased rates of chronic illness More frequent dental preventative care visits  A nurse at a local health department is caring for a client who is newly diagnosed withlisteriosis. Which of the following actions should the nurse plan to take? Provide the Centers for Disease Control (CDC) and Prevention with the client's information.Inform the client that they are required to have health department sta directly observe their treatment. Determine whether the condition is reportable under state requirements.Find out whether the condition is endemic in the client's neighborhood  A nurse working in a mobile health clinic is assessing a migrant farm worker. Which ofthe following findings should the nurse identify as the priority? Report of back pain associated with twisting at the waistAbsence of a dental health provider Lives in a home with 25 other NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ migrant workersReport of muscle twitching and skin rash  A school nurse is developing a teaching plan about testicular cancer for a group of clients.Which of the following information should the nurse include in the teaching? Perform a testicular self-examination weekly. Do not palpate the epididymis when performing a testicular self-examination. Expect testicles to be uniform in consistency when performing a testicular self- examination.Perform a testicular self-examination after a cool shower. NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+  A parent of a child who is terminally ill tells a nurse that she wants to take her childhome. Which of the following responses should the nurse make? "Your provider will be here later today." "I can give you information on what that would involve." "I understand how you feel. I felt the same way when my sister was terminally ill." NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ following amass casualty event. Which of the following clients should the nurse manager recommend? A client awaiting a screening colonoscopy later that day A client whose discharge was cancelled the prior day because they developed respiratory distressA client who is 6 hr postoperative following an open cholecystectomy A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity  A nurse manager on an acute care unit is preparing a staff presentation about promotingcost effective care. Which of the following strategies should the nurse plan to include inthe presentation? Change IV solution bags every 36 hr. Avoid the delegation of hygiene care to assistive personnel (AP).Wear sterile gloves when removing urinary retention catheters. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions.  A nurse is providing a report to an occupational therapist about a client who weighs 210lb and has a prescription for one-third weight bearing on the right leg to prevent injury and falls. How many kg of weight should the client bear on the right leg? (Round the answer to the nearest whole number. Use aleading zero if it applies. Do not use a trailingzero.) 49. 32kg kg NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ 50. A nurse in an emergency department is preparing change-of-shift report for an adult clientwho is transferring to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the report? (Select all thatapply.) The client has a do-not-resuscitate order. The client has a continuous IV of lactated Ringer's. The client was straight catheterized for 350 mL 2 hr ago.The client has Medicare insurance. The client lives in a one-story home 51. A nurse is reviewing the medical record of a client who has a new prescription for cimetidine. Which of the following laboratory findings should the nurse identify as thepriority to report to the provider? Sodium 140 mEq/L WBC count 9,000/mm3 Aspartate aminotransferase (AST) 50 units/LFasting glucose 105 mg/dL  An occupational health nurse is preparing to teach a health promotion class for workersat a warehouse. Which of the following statements should the nurse include? "Rub your hands together for at least 10 seconds when NURS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM QUESTIONS WITH CORRECT ANSWERS 2022/2023 GRADED A+ washing them.""Keep your abdominal muscles tightened when lifting objects." "Ensure that 20 percent or less of calories are from saturated fats." "Engage in aerobic exercise 2 to 4 days per week for 20 min."  A nurse is preparing an in-service about family violence for a group of newly licensednurses. Which of the following statements should the nurse include in the teaching? "Perpetrators of family-directed violence recognize their behavior as abnormal." "Female clients who experience partner violence are at greater risk for acute diseases.""The victim's risk for homicide is greatest when they decide to leave the relationship.""The level of violence of the events decreases over time."  A community health nurse is reviewing primary prevention strategies for West Nile viruswith a group of clients in a rural health clinic. Which of the following instructions shouldthe nurse include? Avoid exposure to deer ticks. Eliminate areas of standing water. Use a respiratory mask when cleaning bird coops.Plan outdoor activities after dusk