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RN exams community health practice questions, set 46

RN exams · community health

RN exams community health practice questions set 46

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

  1. A. Hyperactivity
  2. B. Irritability
  3. C. High-pitched cry
  4. D. Nasal flaring
Show answer and rationale

Correct answer: E

The correct answer is E: Neck stiffness. Meningitis is an inflammation of the protective membranes covering the brain and spinal cord. Neck stiffness is a classic sign of meningitis in both children and adults. It is caused by irritation of the meninges and can be assessed by attempting to passively flex the child's neck forward, resulting in resistance and pain. This finding, along with other symptoms like fever, headache, and altered mental status, should prompt further evaluation and treatment for suspected meningitis. Hyperactivity, irritability, high-pitched cry, and nasal flaring are not specific signs of meningitis and may be present in a variety of other conditions.

Question 2

A nurse is caring for a child who has acute gastroenteritis. Which of the following actions is the nurse\'s priority?

  1. A. Initiate isolation precautions.
  2. B. Monitor intake and output.
  3. C. Monitor capillary refill time.
  4. D. Obtain a stool specimen.
Show answer and rationale

Correct answer: C — Monitor capillary refill time.

The correct answer is C: 'Monitor capillary refill time.' When caring for a child with acute gastroenteritis, monitoring capillary refill time is the nurse's priority. Capillary refill time is an important indicator of tissue perfusion and hydration status. In a child with gastroenteritis, dehydration is a common concern due to fluid loss from vomiting and diarrhea. Monitoring capillary refill time helps assess peripheral perfusion and can indicate early signs of dehydration. While the other options are important in the care of a child with gastroenteritis, monitoring capillary refill time takes precedence as it directly assesses the child's hydration and perfusion status.

Question 3

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

  1. A. Desquamation of the skin
  2. B. Koplik spots
  3. C. Strawberry tongue
  4. D. Jaundice
Show answer and rationale

Correct answer: C — Strawberry tongue

The correct answer is C: 'Strawberry tongue.' Kawasaki disease is an acute febrile illness that primarily affects young children. One of the classic signs of Kawasaki disease is the presence of a 'strawberry tongue,' which appears as a bright red and swollen tongue with prominent taste buds. Desquamation of the skin, seen in toxic shock syndrome or scarlet fever, is not typically associated with Kawasaki disease. Koplik spots are small white spots with a blueish center seen in measles, while jaundice is a yellowing of the skin and eyes typically seen in liver disorders. Therefore, the nurse should expect to find a 'strawberry tongue' in a child with Kawasaki disease.

Question 4

A nurse is using Pender’s model to explain what influences individuals to pursue health promotion activities. Which factors would be examined?

  1. A. A belief that one can change one’s behaviors
  2. B. Environmental choices possible
  3. C. Fear of negative consequences if action is not taken
  4. D. The rewards one believes will result if action is taken
Show answer and rationale

Correct answer: A — A belief that one can change one’s behaviors

In Pender's Health Promotion Model, the concept of self-efficacy is central. Self-efficacy refers to a person's belief in their capability to successfully perform a behavior to achieve a desired outcome. Option A, 'A belief that one can change one's behaviors,' directly relates to self-efficacy and is a key factor in influencing individuals to engage in health promotion activities. Options B, C, and D are not specific to Pender's model and do not directly address the self-efficacy component, making them less relevant in this context. Understanding and fostering self-efficacy can empower individuals to take control of their health behaviors and make positive changes.

Question 5

A nurse reported an outbreak of flu-like symptoms in a neighborhood. Which term best describes what has happened?

  1. A. An outbreak
  2. B. A pandemic
  3. C. An epidemic
  4. D. An endemic
Show answer and rationale

Correct answer: C — An epidemic

The correct answer is C: 'An epidemic.' An epidemic refers to the rapid spread of a disease within a specific community or region, such as the flu-like symptoms reported in a neighborhood by the nurse. An outbreak (option A) is a sudden increase in occurrences of a disease in a particular time and place. A pandemic (option B) is a global outbreak of a disease affecting a large number of people. Endemic (option D) refers to the constant presence and/or usual prevalence of a disease within a specific population or geographic area. In this scenario, the term 'epidemic' best describes the situation where the flu-like symptoms have spread within a specific neighborhood.

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Question 6

Which ethical belief would be most helpful in the current health care crisis?

  1. A. Emphasis should be on individual and corporation freedom in the marketplace.
  2. B. Emphasis should be on individual autonomy and freedom of choice.
  3. C. Emphasis should be on social justice and collective responsibility.
  4. D. Emphasis should be on the effectiveness of technology in resolving problems.
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Question 7

A nurse is teaching a parent about preventing urinary tract infections (UTIs) in their child. Which of the following instructions should the nurse include?

  1. A. Encourage the child to use bubble baths.
  2. B. Teach the child to wipe from front to back.
  3. C. Encourage the child to drink plenty of fluids.
  4. D. Encourage the child to hold urine as long as possible.
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Question 8

Which variable has a major influence on a community’s health?

  1. A. Behavior choices made by persons in the community
  2. B. Number of health care providers and hospitals in the community
  3. C. Quality of the public safety officers (police officers, firefighters, etc.)
  4. D. The number and credentials of public health officials in the community
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Question 9

What change could most effectively lead to a longer life span in Americans?

  1. A. Parenting and sexual behavior classes in all public school systems
  2. B. Legislation restricting alcohol and drug use
  3. C. Notably reducing speed limits on all state and federal highways, and changing the age limit for driving to 21 years of age
  4. D. The belief that smoking is shameful and disgusting, as well as expensive, becoming the social norm
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Question 10

Why are high-risk and vulnerable subpopulations identified by public health nurses before deciding on appropriate interventions?

  1. A. It is easiest to make improvements among these groups.
  2. B. Populations are not homogeneous, and resources are limited.
  3. C. Such groups are most vocal about their needs and wants.
  4. D. These groups are often recipients of special funding.
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Question 11

Based on statistics, which group is probably more physically active?

  1. A. A group of adults living in the southern U.S. states
  2. B. A group of elderly mall walkers
  3. C. A group of high school graduates employed in blue collar occupations
  4. D. A group of highly paid college graduates
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Question 12

Which best describes why a nurse should use epidemiology when assessing community health?

  1. A. To identify possible causes and risk factors associated with community health problems
  2. B. To evaluate the effectiveness of health services and programs
  3. C. To plan, implement, and evaluate services and programs
  4. D. To conduct research on the factors influencing health and disease
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Question 13

A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

  1. A. Reviewing the most recent hospital patient data collected by the local college of nursing
  2. B. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community
  3. C. Evaluating the results of the most recent community-wide screening program before planning for the next community health program
  4. D. Giving testimony to the state legislature on a new health and safety bill
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Question 14

Which best describes why nurses often refer to Healthy People 2020 when giving community health education?

  1. A. The document is very complete and complex, containing many statistics and suggestions.
  2. B. The document summarizes crucial national health objectives and strategies to meet them.
  3. C. The document is easily accessible on the Internet for use.
  4. D. The document includes detailed instructions for care.
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Question 15

After completing a master’s degree, a nurse took a course in marketing. Should the agency reimburse the nurse’s tuition costs?

  1. A. No, courses taken for personal enjoyment are not eligible.
  2. B. No, courses taken outside the professional’s responsibilities are not eligible.
  3. C. Yes, the nurse is demonstrating professional commitment by continuing education.
  4. D. Yes, the nurse could use such information in social marketing for the agency.
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About these RN exams community health questions

RN exams community health practice questions, set 46 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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