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RN exams community health practice questions, set 44

RN exams · community health

RN exams community health practice questions set 44

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 has begun to lobby with politicians for changes to the health care system. Why is this involvement important?

  1. A. Nurses, as central characters in several popular TV series, are currently very visible in American media.
  2. B. Nurses are primarily responsible for managing the various units in our health care system.
  3. C. Nurses are the largest segment of health care providers.
  4. D. Nurses are the only group that is employed both inside and outside of hospitals.
Show answer and rationale

Correct answer: C — Nurses are the largest segment of health care providers.

The correct answer is C: 'Nurses are the largest segment of health care providers.' This statement is important because nurses make up the largest workforce within the healthcare system, providing direct patient care across various settings such as hospitals, clinics, nursing homes, and community health centers. Their collective voice and advocacy are crucial in influencing policy changes that impact the quality of patient care and the working conditions of healthcare professionals. By actively engaging in lobbying efforts with politicians, nurses can ensure that their perspectives and expertise are considered in shaping healthcare policies and reforms, ultimately leading to better outcomes for both patients and healthcare providers.

Question 2

Which assumption makes Orem’s theory difficult to use?

  1. A. That nurses will always be caring for families and groups
  2. B. That clients are able to control their environment
  3. C. That clients recognize the need for nursing intervention
  4. D. That teaching clients self-care is the primary goal of nursing practice
Show answer and rationale

Correct answer: B — That clients are able to control their environment

The correct answer is B because Orem's theory of self-care deficit assumes that clients are able to control their environment and actively participate in their own self-care. This assumption may be difficult to apply in practice as not all clients have the ability or resources to fully control their environment. While caring for families and groups (option A) is a component of nursing, it is not the primary reason Orem's theory is challenging. The assumption that clients recognize the need for nursing intervention (option C) is a common aspect of many nursing theories and not unique to Orem's theory. Teaching clients self-care (option D) is indeed a key aspect of Orem's theory but not the primary reason it may be difficult to use.

Question 3

A nurse is completing a health history with a client. Which question would be most important to include?

  1. A. How many alcoholic drinks do you have in a day?
  2. B. How many sexual partners have you had in the past month?
  3. C. What nonprescription drugs do you take on a routine basis?
  4. D. What kinds of tobacco do you use daily?
Show answer and rationale

Correct answer: D — What kinds of tobacco do you use daily?

When completing a health history with a client, it is crucial for a nurse to inquire about tobacco use due to its significant impact on overall health. Tobacco use is a major risk factor for various health conditions, including heart disease, lung disease, and cancer. By understanding the client's tobacco habits, the nurse can assess their risk factors and provide appropriate interventions or support for smoking cessation. This information is important for developing a comprehensive care plan and promoting the client's well-being. In comparison, while questions about alcohol consumption, sexual activity, and nonprescription drug use are also relevant, tobacco use is particularly critical due to its widespread health implications.

Question 4

What responsibility does the American Nurses Association (ANA) Code of Ethics require of the nurse beyond giving excellent care to patients?

  1. A. Accept longer work schedules to ensure that professional care is always available to clients.
  2. B. Recognize the need for experienced nurses to mentor new graduates to help increase and expand the number of professionals available.
  3. C. Support health legislation to improve accessibility and cost of health care.
  4. D. Volunteer to work overtime as needed to ensure maximum quality of care.
Show answer and rationale

Correct answer: C — Support health legislation to improve accessibility and cost of health care.

The correct answer is C. The American Nurses Association (ANA) Code of Ethics not only emphasizes providing excellent care to patients but also stresses the importance of advocating for the improvement of health care accessibility and cost. By supporting health legislation, nurses can help create a healthcare system that benefits both patients and providers. This responsibility goes beyond individual patient care and aligns with the broader advocacy role that nurses play in promoting the well-being of society as a whole. Options A, B, and D focus more on individual actions within the healthcare setting, while option C highlights the broader societal impact that nurses can have through advocacy and support for health legislation.

Question 5

A nurse is attempting to convince a client to use safety devices at work and home. The client is reluctant. Which factor should the nurse emphasize?

  1. A. Lack of knowledge is a significant barrier to taking action.
  2. B. Reluctance is often due to fear of the unknown.
  3. C. Safety devices will decrease the chance of injury or death.
  4. D. It is important to use safety devices at work and at home.
Show answer and rationale

Correct answer: D — It is important to use safety devices at work and at home.

The correct answer is D because emphasizing the importance of using safety devices at both work and home highlights the universal need for protection. By emphasizing the importance of safety devices in both environments, the nurse can convey the message that prevention is crucial in all aspects of life, not just in one setting. This approach helps the client understand that safety measures are essential for overall well-being and injury prevention. Options A and B focus more on the client's mindset and understanding, while option C provides a general benefit of safety devices. However, option D is the most comprehensive and impactful choice as it stresses the importance of using safety devices in all areas of the client's life.

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Question 6

A nurse is using the theory of planned behavior when working with a client to change her behavior and improve her health. Which consideration should be made by the nurse?

  1. A. If environmental limitations may prevent the person from acting
  2. B. The availability of needed environmental supports for the client
  3. C. The client’s belief about factors that may facilitate or impede the behavior
  4. D. If the suggested behavior is actually the most effective approach
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Question 7

A nurse is providing discharge teaching to the parent of a child who has nephrotic syndrome. Which of the following instructions should the nurse include?

  1. A. Monitor the child\'s weight weekly.
  2. B. Restrict the child\'s sodium intake.
  3. C. Administer aspirin to the child daily.
  4. D. Administer diuretics to the child daily.
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Question 8

Which best describes why risk reduction is of such importance in the United States today?

  1. A. Families suffer when family members die from avoidable causes.
  2. B. Risk reduction activities will decrease insurance costs to individuals and their employers.
  3. C. The leading causes of death are all related to lifestyle choices.
  4. D. Risk reduction can decrease the ongoing rise in national health care expenditures.
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Question 9

A nurse is caring for a newborn who is 1 hr. old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.1°C (97°F). Which of the following actions should the nurse take?

  1. A. Give the newborn a warm bath.
  2. B. Apply a cap to the newborn\'s head.
  3. C. Reposition the newborn.
  4. D. Obtain an oxygen saturation level.
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Question 10

A nurse is providing teaching to the parent of an infant who has diaper dermatitis. Which of the following instructions should the nurse include?

  1. A. Apply talcum powder with each diaper change.
  2. B. Use cloth diapers instead of disposable diapers.
  3. C. Apply zinc oxide ointment to the affected area.
  4. D. Clean the area with hydrogen peroxide before applying ointment.
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Question 11

A nurse is caring for a child who has a burn injury. Which of the following findings indicates the child is experiencing septic shock?

  1. A. Increased urine output
  2. B. Decreased heart rate
  3. C. Decreased temperature
  4. D. Increased blood pressure
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Question 12

A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?

  1. A. Administer pancreatic enzymes with meals and snacks.
  2. B. Perform chest physiotherapy twice daily.
  3. C. Administer bronchodilators after chest physiotherapy.
  4. D. Increase the child\'s salt intake during hot weather.
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Question 13

A nurse is teaching a parent about the use of a metered-dose inhaler (MDI) for their child who has asthma. Which of the following instructions should the nurse include?

  1. A. Shake the inhaler well before use.
  2. B. Hold the breath for 5 to 10 seconds after inhaling the medication.
  3. C. Exhale forcefully after inhaling the medication.
  4. D. Wait 1 minute between puffs if an additional puff is needed.
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Question 14

A nurse is caring for a child who has epiglottitis. Which of the following actions should the nurse take?

  1. A. Perform throat culture.
  2. B. Obtain a sputum culture.
  3. C. Monitor oxygen saturation.
  4. D. Insert a nasopharyngeal airway.
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Question 15

Which assumption of the Health Belief Model (HBM) is problematic?

  1. A. People have both free will and access to health resources.
  2. B. People listen to the advice given by health care professionals.
  3. C. People are influenced by health messages given over media channels.
  4. D. People make what they perceive as rational decisions in a given situation.
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About these RN exams community health questions

RN exams community health practice questions, set 44 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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