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RN exams community health practice questions, set 36

RN exams · community health

RN exams community health practice questions set 36

You think beyond the bed: populations, culture, and the referral that actually gets used. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the RN exams exam guide or more RN exams practice questions.

Five community health questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

  1. A. Acute care hospital nursing
  2. B. Community-based nursing
  3. C. Community health nursing
  4. D. Public health nursing
Show answer and rationale

Correct answer: B — Community-based nursing

The correct answer is B: Community-based nursing. In this scenario, the nurse is providing follow-up care to a patient in their home after discharge from the hospital. Community-based nursing involves providing healthcare services outside of traditional healthcare facilities, such as in patients' homes or community settings. This type of nursing focuses on individualized care, patient education, and promoting wellness in the community. Acute care hospital nursing (A) primarily involves caring for patients in a hospital setting during acute phases of illness or injury. Community health nursing (C) focuses on the health of populations and communities, often involving health promotion and disease prevention programs. Public health nursing (D) involves working at a broader level to promote public health and prevent disease in populations.

Question 2

A nurse is providing discharge teaching to the parents of a child who has cystic fibrosis. Which of the following instructions should the nurse include?

  1. A. Administer pancreatic enzymes with meals and snacks.
  2. B. Perform chest physiotherapy before meals.
  3. C. Encourage a high-protein diet.
  4. D. Avoid exposure to cigarette smoke.
Show answer and rationale

Correct answer: B — Perform chest physiotherapy before meals.

The correct answer is B: 'Perform chest physiotherapy before meals.' This instruction is crucial for a child with cystic fibrosis as chest physiotherapy helps to loosen and clear mucus from the airways, making it easier for the child to breathe and preventing complications such as respiratory infections. Administering pancreatic enzymes with meals and snacks (option A) is also important for aiding digestion due to pancreatic insufficiency in cystic fibrosis. While encouraging a high-protein diet (option C) can be beneficial, it is not the priority in this case. Avoiding exposure to cigarette smoke (option D) is a general health recommendation but is not directly related to managing cystic fibrosis. Therefore, the most essential instruction for the nurse to include in discharge teaching is performing chest physiotherapy before meals.

Question 3

Which statement best describes a weakness of early nursing theories?

  1. A. Many nurses did not know or understand the theoretical basis of nursing practice.
  2. B. Most nursing theories focused on microscopic individual concerns.
  3. C. The theories did not reflect the actual world of nursing practice.
  4. D. The theories had global applicability to nursing practice.
Show answer and rationale

Correct answer: B — Most nursing theories focused on microscopic individual concerns.

Option B is the correct answer because early nursing theories predominantly focused on individual patient care, often neglecting broader systemic issues within healthcare. These theories were criticized for being too narrow in scope and failing to address macro-level factors influencing nursing practice. While option A may be a valid concern, it is not the primary weakness of early nursing theories. Option C is also a reasonable consideration, but some early theories were based on real-world nursing experiences, even if they were limited in focus. Option D is incorrect as early nursing theories were often context-specific and did not have universal applicability. By understanding this weakness, nurses can appreciate the evolution of nursing theories to encompass a more holistic and comprehensive approach to healthcare delivery.

Question 4

What would be the proper term for the action of the school health nurse arranging for all the students in the elementary school to receive H1N1 immunizations?

  1. A. Health education
  2. B. Secondary prevention
  3. C. Specific protection
  4. D. Tertiary prevention
Show answer and rationale

Correct answer: C — Specific protection

The correct term for the action described in the question is 'specific protection.' Specific protection involves providing measures to prevent specific diseases or health conditions. In this case, arranging for all students in the elementary school to receive H1N1 immunizations is a form of specific protection aimed at protecting them from contracting the H1N1 virus. Health education (option A) focuses on providing information and promoting healthy behaviors, while secondary prevention (option B) involves early detection and intervention to prevent the progression of a disease. Tertiary prevention (option D) is aimed at managing and improving the quality of life for individuals already diagnosed with a disease or condition. Therefore, the most appropriate term for the scenario described is 'specific protection (option C).'

Question 5

Which best describes the purpose of screening?

  1. A. To identify disease early so treatment can begin promptly
  2. B. To prevent disease from occurring in the first place
  3. C. To determine the cause of disease
  4. D. To provide data for research studies
Show answer and rationale

Correct answer: A — To identify disease early so treatment can begin promptly

The purpose of screening is to identify disease early so that treatment can begin promptly. Screening tests are used to detect a disease or condition in its early stages, often before any symptoms are present. This allows for timely intervention and management, potentially improving outcomes and reducing complications. Preventing disease from occurring in the first place (option B) is more closely associated with primary prevention strategies such as vaccination and lifestyle modifications. Determining the cause of disease (option C) typically involves diagnostic tests and investigations after symptoms have already appeared. Providing data for research studies (option D) is not the primary purpose of screening, although screening programs may contribute to research by collecting data on disease prevalence and outcomes.

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Question 6

A nurse is providing teaching to the parents of a child who has congenital adrenal hyperplasia. Which of the following instructions should the nurse include?

  1. A. Administer glucocorticoids.
  2. B. Restrict the child\'s fluid intake.
  3. C. Monitor for dehydration.
  4. D. Administer antibiotics.
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Question 7

A nurse is caring for a child who has a diagnosis of intussusception. Which of the following findings should the nurse expect?

  1. A. Currant jelly stools
  2. B. Ribbon-like stools
  3. C. Clay-colored stools
  4. D. Steatorrhea
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Question 8

A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect?

  1. A. Projectile vomiting
  2. B. Diarrhea
  3. C. Abdominal distension
  4. D. Weight gain
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Question 9

A nurse is caring for a child who has suspected rheumatic fever. Which of the following findings should the nurse expect?

  1. A. Koplik spots
  2. B. Jaundice
  3. C. Erythema marginatum
  4. D. Petechiae
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Question 10

A 50-year-old woman comes to the clinic for her first mammogram. Which best describes the action of this client?

  1. A. Disease prevention
  2. B. Health improvement
  3. C. Health protection
  4. D. Primary health promotion
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Question 11

A nurse is providing discharge instructions to the parents of a child following a cardiac catheterization. Which of the following instructions should the nurse include?

  1. A. Keep the child\'s affected leg straight for 4 hours.
  2. B. Monitor the insertion site for signs of infection.
  3. C. Resume regular activities the day after the procedure.
  4. D. Administer aspirin for pain relief.
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Question 12

A nurse is using Healthy People 2020 as a guide to improve the health and well-being of the community. Which strategy would the nurse most likely implement?

  1. A. Address the root causes of health problems.
  2. B. Choose one of the 28 focal areas for emphasis in funding and media attention.
  3. C. Concentrate on the goals of improving the quality of life.
  4. D. Continue funding expansion of the health care system.
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Question 13

A nurse is teaching a parent about the administration of digoxin to their child. Which of the following instructions should the nurse include?

  1. A. Administer the medication with meals.
  2. B. Give an extra dose if the child vomits.
  3. C. Double the dose for missed doses.
  4. D. Administer the medication if the pulse is below 60 bpm.
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Question 14

Which nursing activity would be classified as secondary prevention?

  1. A. Providing early treatment
  2. B. Teaching clients how to use insulin
  3. C. Administering immunizations
  4. D. Identifying and treating persons with early stages of disease
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Question 15

A nurse wanted to publicize the number of new cases of Lyme disease that occurred last year. Which number would the nurse use?

  1. A. The attack rate
  2. B. The case fatality rate
  3. C. The incidence rate
  4. D. The prevalence rate
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About these RN exams community health questions

RN exams community health practice questions, set 36 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

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