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RN exams community health practice questions, set 43

RN exams · community health

RN exams community health practice questions set 43

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 wants to engage an interpreter for a severely anxious 21-year-old male who immigrated to the United States 2 years ago. Of the four interpreters below who are available and fluent in the patient's language, which one should the nurse call?

  1. A. 65-year-old female professional interpreter
  2. B. 24-year-old male professional interpreter
  3. C. A member of the patient's family
  4. D. The patient's best friend
Show answer and rationale

Correct answer: B — 24-year-old male professional interpreter

The correct answer is B, the 24-year-old male professional interpreter, for several reasons. Firstly, a professional interpreter is trained in medical terminology and confidentiality, ensuring accurate communication. Secondly, being closer in age to the patient may help establish rapport and trust, especially with a young male patient experiencing anxiety. Additionally, using a neutral third-party interpreter avoids potential biases or conflicts of interest that could arise with a family member or friend. Therefore, choice B is the best option for effective communication and providing culturally sensitive care. Choices A, C, and D are incorrect because they do not offer the same level of professionalism, expertise, and neutrality required in this situation.

Question 2

In the Philippines, which condition is the most frequent cause of death associated by schistosomiasis?

  1. A. Liver cancer
  2. B. Liver cirrhosis
  3. C. Bladder cancer
  4. D. Intestinal perforation
Show answer and rationale

Correct answer: B — Liver cirrhosis

The correct answer is B: Liver cirrhosis. Schistosomiasis is caused by parasitic worms that infect the liver, leading to inflammation and scarring, which can progress to cirrhosis. This chronic liver damage is the most common cause of death associated with schistosomiasis in the Philippines. A: Liver cancer may develop as a complication of cirrhosis caused by schistosomiasis, but it is not the most frequent cause of death associated with the disease. C: Bladder cancer is associated with chronic infection of the urinary tract caused by schistosomiasis, but it is not the most common cause of death. D: Intestinal perforation can occur in severe cases of intestinal schistosomiasis, but it is not the most frequent cause of death compared to liver cirrhosis.

Question 3

The nurse is conducting a windshield survey of the community. Which aspect of the community will the nurse primarily focus on?

  1. A. The socioeconomic status of the population
  2. B. The physical environment and available resources
  3. C. The health care utilization patterns
  4. D. The level of health insurance coverage in the community
Show answer and rationale

Correct answer: B — The physical environment and available resources

The correct answer is B because in a windshield survey, the nurse primarily focuses on observing the physical environment and available resources within the community. This includes factors such as housing conditions, access to parks, grocery stores, healthcare facilities, transportation, and other community resources. By conducting this survey, the nurse can gather valuable information to assess the overall health and well-being of the community members. Incorrect answers: A: Socioeconomic status is important but not the primary focus of a windshield survey. C: Health care utilization patterns are important but not the main focus of a windshield survey. D: Health insurance coverage is relevant but not the main aspect observed in a windshield survey.

Question 4

Which scenario exemplifies the community health nurse's (CHN's) practice of secondary prevention to reduce environmental health risks?

  1. A. Collecting blood specimens from preschool children to check for lead levels
  2. B. Meeting with local government officials to request that the city clean up a contaminated vacant lot
  3. C. Referring a child diagnosed with toxic lead levels to a neurologist
  4. D. Teaching the parents of a 2-year-old about the dangers of lead-based paint in older homes
Show answer and rationale

Correct answer: A — Collecting blood specimens from preschool children to check for lead levels

The correct answer is A because collecting blood specimens from preschool children to check for lead levels is an example of secondary prevention, which aims to detect and treat health problems early. This action helps identify children at risk for lead exposure and allows for early intervention to prevent further health issues. Choice B is incorrect because meeting with local government officials to request cleanup is more of a primary prevention strategy aimed at preventing exposure to environmental hazards in the first place. Choice C is incorrect as it involves tertiary prevention, focusing on treatment and management of existing health problems. Choice D is incorrect as it pertains to primary prevention by educating parents about lead exposure risks.

Question 5

A nurse wants to engage an interpreter for a severely anxious 21-year-old male who immigrated to the United States 2 years ago. Of the four interpreters below who are available and fluent in the patient's language, which one should the nurse call?

  1. A. 65-year-old female professional interpreter
  2. B. 24-year-old male professional interpreter
  3. C. A member of the patient's family
  4. D. The patient's best friend
Show answer and rationale

Correct answer: B — 24-year-old male professional interpreter

The correct answer is B, the 24-year-old male professional interpreter, for several reasons. Firstly, a professional interpreter is trained in medical terminology and confidentiality, ensuring accurate communication. Secondly, being closer in age to the patient may help establish rapport and trust, especially with a young male patient experiencing anxiety. Additionally, using a neutral third-party interpreter avoids potential biases or conflicts of interest that could arise with a family member or friend. Therefore, choice B is the best option for effective communication and providing culturally sensitive care. Choices A, C, and D are incorrect because they do not offer the same level of professionalism, expertise, and neutrality required in this situation.

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Question 6

A patient who has AIDS expresses concern about telling others about the illness. Which response would be appropriate by the nurse?

  1. A. It would be best to tell everyone you know.'
  2. B. You should tell those who have a reason to know.'
  3. C. Your diagnosis will be discovered anyway by those you know.'
  4. D. Secrecy is a poor idea because it will erode your self-esteem.'
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Question 7

A nurse is studying the impact of the environment on health. Which would the nurse most likely explore?

  1. A. Environmental factors such as air and water quality
  2. B. Genetic predisposition
  3. C. Individual lifestyle choices
  4. D. Health care access and quality
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Question 8

A nurse is using the critical theoretical perspective in daily nursing practice. Which activity would the nurse most likely complete?

  1. A. Criticize health insurance programs as a barrier to health care.
  2. B. Expose social values underlying the health care system.
  3. C. Promote individual freedom and decision-making.
  4. D. Exert control over the client’s environment.
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Question 9

It is rumored that there is something in the workplace that is causing persons employed there to feel ill. Which action would be most appropriate for the nurse to take?

  1. A. Ask researchers to set up a study to confirm the health hazard in the environment.
  2. B. Assess the risk, including identifying any toxic substance.
  3. C. Confirm the extent to which the illness resulted from intergroup agreement on the illness and cause.
  4. D. Insist that the media not further spread stories of possible sick buildings until the truth of the situation can be studied.
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Question 10

A nurse is providing teaching to the parent of a child who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?

  1. A. Administer the medication with breakfast.
  2. B. Administer the medication at bedtime.
  3. C. Administer the medication before meals.
  4. D. Administer the medication every 4 hours.
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Question 11

A nurse is assessing a child who has suspected bacterial meningitis. Which of the following findings should the nurse expect?

  1. A. Hyperactivity
  2. B. Nuchal rigidity
  3. C. Jaundice
  4. D. Cyanosis
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Question 12

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

  1. A. Hypertension
  2. B. Hyperalbuminemia
  3. C. Edema
  4. D. Polyuria
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Question 13

A community health nurse is using the Health Belief Model (HBM) as a basis for providing client care. Which best describes the problems associated with using the HBM?

  1. A. It ignores the need to reduce health system barriers to action.
  2. B. It is extremely difficult to change the client’s belief system.
  3. C. It is the nurse’s responsibility to persuade clients to engage in the appropriate behavior.
  4. D. Clients do not have the knowledge to correctly analyze the seriousness of the disease or their susceptibility to it.
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Question 14

Which task will be most helpful in meeting the public health agency’s goals?

  1. A. Complete staff evaluations in preparation for individual meetings to plan their agency and individual goals for the next year.
  2. B. Actively participate in community agencies’ collaborative action plan to meet the community’s health goals for the year.
  3. C. Meet with the college of nursing faculty to finalize student objectives and schedules for the next semester.
  4. D. Teach a free course in healthful living for community residents.
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Question 15

A nurse is assessing a child who has type 1 diabetes mellitus. Which of the following findings is an indication of diabetic ketoacidosis (DKA)?

  1. A. Bradycardia
  2. B. Tachypnea
  3. C. Hypertension
  4. D. Weight gain
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About these RN exams community health questions

RN exams community health practice questions, set 43 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the RN exams exam guide.

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