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RN exams community health practice questions, set 37

RN exams · community health

RN exams community health practice questions set 37

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

Which best describes the reason why so many Americans are obese?

  1. A. Culture requires eating at celebrations and holidays.
  2. B. For many people, caloric intake is more than needed for their physical activity.
  3. C. Physical education is no longer a required subject in most elementary and secondary schools.
  4. D. The expected portion size in restaurants has vastly increased over time.
Show answer and rationale

Correct answer: B — For many people, caloric intake is more than needed for their physical activity.

The correct answer is B: "For many people, caloric intake is more than needed for their physical activity." This is a significant contributing factor to obesity in America. When individuals consume more calories than their body requires for energy expenditure, the excess calories get stored as fat, leading to weight gain and obesity. While cultural practices like eating at celebrations and holidays (A) and larger portion sizes in restaurants (D) can play a role, ultimately, the imbalance between caloric intake and physical activity is a fundamental cause of obesity. While the reduction in physical education requirements in schools (C) may impact overall physical activity levels, the primary issue lies in the excess calories consumed compared to what is expended through activity.

Question 2

A nurse is assessing a child who has heart failure. Which of the following findings should the nurse expect?

  1. A. Polyphagia
  2. B. Polyuria
  3. C. Polydipsia
  4. D. Bradypnea
Show answer and rationale

Correct answer: B — Polyuria

The correct answer is B: "Polyuria." Heart failure can lead to decreased cardiac output, which can result in reduced kidney perfusion and impaired fluid excretion. This can cause an increase in urine production, leading to polyuria. Polyphagia (excessive hunger) is not typically associated with heart failure but can be seen in conditions like diabetes. Polydipsia (excessive thirst) is also not a common finding in heart failure. Bradypnea (abnormally slow breathing) is not directly related to heart failure; tachypnea (rapid breathing) may be more commonly seen due to the body's compensatory mechanisms trying to improve oxygenation. Therefore, in a child with heart failure, the nurse should expect to see polyuria as a result of decreased cardiac output affecting kidney function.

Question 3

A nurse is providing discharge teaching to the parents of a child who has juvenile idiopathic arthritis (JIA). Which of the following instructions should the nurse include?

  1. A. Encourage physical activity.
  2. B. Apply ice packs to the affected joints.
  3. C. Restrict fluid intake.
  4. D. Limit the child\'s protein intake.
Show answer and rationale

Correct answer: A — Encourage physical activity.

The correct answer is A: 'Encourage physical activity.' Juvenile idiopathic arthritis (JIA) is a condition that causes joint inflammation in children. Physical activity is important for maintaining joint function, muscle strength, and overall health in children with JIA. It can help improve range of motion, reduce stiffness, and prevent muscle atrophy. Encouraging physical activity also promotes cardiovascular health and mental well-being. Ice packs can be used for pain relief, but it is essential to promote movement through physical activity to prevent complications. Restricting fluid intake or limiting protein intake is not necessary for managing JIA. Therefore, the most appropriate instruction for the nurse to include in discharge teaching is to encourage physical activity.

Question 4

What condition of the rural environment provides increased opportunities for teaching?

  1. A. Because people primarily work on family farms, they visit neighbors more often.
  2. B. Involvement in rural community activities provides more contact with community residents than in urban areas.
  3. C. Nursing responsibilities include activities of primary, secondary, and tertiary prevention.
  4. D. The increased illnesses and injuries of rural residents require that they see nurses more often.
Show answer and rationale

Correct answer: B — Involvement in rural community activities provides more contact with community residents than in urban areas.

The correct answer is B because involvement in rural community activities provides more contact with community residents than in urban areas. This is true because rural communities tend to be smaller and more tightly knit, leading to increased opportunities for teaching through interactions with a diverse range of community members. A is incorrect because the frequency of visiting neighbors is not necessarily linked to increased opportunities for teaching. C is incorrect as it refers to nursing responsibilities rather than the condition of the rural environment. D is incorrect as increased illnesses and injuries do not necessarily translate to increased opportunities for teaching, as teaching opportunities are more related to community involvement and interactions.

Question 5

Which public health initiative in the 1960s was a key factor in reducing smoking-related deaths in the United States?

  1. A. The National Cancer Act
  2. B. The Surgeon General's Report on Smoking and Health
  3. C. The creation of the National Health Service
  4. D. The Clean Air Act
Show answer and rationale

Correct answer: B — The Surgeon General's Report on Smoking and Health

The correct answer is B: The Surgeon General's Report on Smoking and Health. This report, released in 1964, provided clear evidence of the link between smoking and health issues, leading to increased public awareness and support for anti-smoking initiatives. The report also prompted the government to implement policies such as warning labels on cigarette packages and bans on tobacco advertising. The other choices are incorrect because: A: The National Cancer Act focused on cancer research and treatment, not specifically on smoking-related deaths. C: The creation of the National Health Service in the UK did not directly impact smoking-related deaths in the United States. D: The Clean Air Act primarily aimed to reduce air pollution, not specifically smoking-related deaths.

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Question 6

How does managed care (MC) attempt to control costs of care?

  1. A. By encouraging families to use the point of service list of individual practice associates
  2. B. By requiring families to choose a care provider from the MC network and not allowing access to other services without their provider"â„¢s permission
  3. C. By moving Medicaid-eligible families onto state Medicare enrollment
  4. D. By refusing permission for families to use urgent care or emergency department services
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Question 7

What statistic do countries use to compare the success of their health care systems?

  1. A. Attack rate
  2. B. Infant mortality rate
  3. C. Cause-specific morbidity rate
  4. D. Cause-specific mortality rate
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Question 8

Which type of policy is the public health nurse engaging in when trying to reduce the speed limit around a community playground?

  1. A. Social policy
  2. B. Nursing policy
  3. C. Health policy
  4. D. Public policy
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Question 9

Freedom of choice in one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle?

  1. A. Information dissemination about the need for family planning
  2. B. Support of research and development in family planning methods
  3. C. Adequate information for couples regarding the different methods
  4. D. Encouragement of couples to take family planning as a joint responsibility
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Question 10

Which method will the nurse use when teaching a client who is an auditory learner?

  1. A. Pictures and images
  2. B. Videos
  3. C. Interactive activities
  4. D. Discussion
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Question 11

Which public health service best represents secondary prevention?

  1. A. Administering the influenza vaccine to a community of seniors
  2. B. Initiating an infant car seat safety screening program for parents in low-income housing
  3. C. Starting a rehabilitation clinic for middle-aged adults residing in low-income housing
  4. D. Setting up a support group for teenage mothers of infants with Down syndrome
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Question 12

The Sentrong Sigla Movement has been launched to improve health service delivery. Which of the following is/are true of this movement?

  1. A. This is a project spearheaded by local government units
  2. B. It is a basis for increasing funding from local government units
  3. C. It encourages health centers to focus on disease prevention and control
  4. D. Its main strategy is certification of health centers able to comply with standards
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Question 13

Which nursing action is crucial to increase client adherence to a health education program?

  1. A. Establishing a positive nurse–client relationship
  2. B. Emphasizing how important it is to follow the program
  3. C. Creating a motivational contract with the client
  4. D. Using innovative teaching strategies
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Question 14

A 72-year-old patient has the medical diagnosis of delirium secondary to anticholinergic medication toxicity. Family members are very anxious and express their concerns about the patient's condition. What information should serve as the basis for the nurse's reply?

  1. A. Provide education and information regarding the medical diagnosis, delirium secondary to anticholinergic medication toxicity.
  2. B. Reassure the family that the patient will recover fully.
  3. C. Suggest that the family consider nursing home placement.
  4. D. None of the above.
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Question 15

Which of the following agencies has the most influence on the health and welfare of US citizens?

  1. A. Agency for Healthcare Research and Quality (AHRQ)
  2. B. Centers for Disease Control and Prevention (CDC)
  3. C. US Department of Health and Human Services (USDHHS)
  4. D. World Health Organization (WHO)
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About these RN exams community health questions

RN exams community health practice questions, set 37 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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