PROCTORED EXAM V1&V2
A Community health nurse is providing teaching about nutrition guidelines to a
groupadolescents. Which of the following Information should the nurse include in
teaching?
A. Adolescents have a decrease need for calcium due to high milk intake
B appetite naturally increases during the Adolescent years
C 75% of adult bone mass is developed during the Adolescent years
D empty calories provide 70% of the total calories consumed by adolescents
2.An occupational health nurse is caring for a client who does not speak the same language as
the nurse. Which of the following actions should the nurse take first?
Validate the clients Understanding of communicated
information
2. determine the client’s primary language
Use common words and phrases when speaking to the client
Obtain a translator that is the same gender
3.A case manager is caring for a client who is being discharged following total hip
arthroplasty.Which of the following actions is an example of the nurse functioning in The
Negotiator role.
providing social service with the list of needed referrals
reporting safety concerns to the Home Health agency
discuss payment options with various pharmacies
schedule appointments for physical therapy services
A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing.
Which of the following clients should the nurse manager include as an example of a client
who might manifest a false positive reading.
A client who has lived in a country where tuberculosis is endemic
B a client who has undergone radiation therapy within last 3 years
C a client who has acquired immune deficiency syndrome
D. a client who has received the Bacille Calmette-Guerin vaccine within the last 10 years
5.A A school nurse is planning primary prevention activities for the new school year. Which of
the following should the nurse include ? Select all that apply
1.Lobbying 4 funding for health promotion efforts
recommending a seating arrangement for a child in a body cast
3.teaching a class about the risks of cigarette smoking
Create a plan of care for children who have a diagnosis of diabetes mellitus
Organizing a program to promote skateboard safety
6 A recently hired occupational health nurse is assessing hazards in the work environment.
Which of the following actions will help the nurse detect physical hazards?
Identify industrial toxins that are present in the environment
measure noise levels at various locations in the facility
track rates of illness caused by infection among employees
survey workers about job-related emotional stress
7.Hospice nurse is planning care for a client who follows traditional American Indian practices.
Which of the following actions should the nurse take?
Discuss safe use of herbal medications
provide direct eye contact when communicating with the client’s family
face the clients bed towards the east
develop a list of appropriate hot and cold food choices
8.A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement?
1.provide coffee and snacks during the meetings
avoid discussing the traumatic event experienced by the veterans
teach the clients to practice deep breathing exercises
change the meeting sites frequently
9.A group of technicians from a local automotive repair shop presents to an urgent care clinic
with reports of dizziness, headaches, and nausea. After Providing need to care for the clients
which of the following government agencies should the nurse notified to follow up on these
report ?
1.OSHA
Center for Disease Control
Environmental Protection Agency
4 Department of Health and Human Services
10A nurse is providing teaching to a 50 year old female client. Which of the following statement
should the nurse include in teaching?
You should have your fasting blood glucose level checked every 6 years
You should have your hearing screen every 5 years
you should have complete eye examination every two years until the age of 64
you should have your stool tested for blood every other year until the age of 74
11.A nurse is caring for a client who asks, “can I decide not to continue with chemotherapy?”
The nurse responses, this is your choice, and I’ll support whatever decision you make. The
nurses response is example of which of the following ethical principles?
1.beneficence
2.Nonmaleficence
3.Veracity
4.autonomy
12.A nurse manager that clinic is reviewing the preventive services offered to clients. Which of
the following activities should the nurse identify as secondary prevention activity?
Advocate 4 laws that prohibit texting while
driving
provide a smoking cessation class
refer a client who is recovering from substance abuse disorder to a social service program
and hers are pregnant client to participate in prenatal care
13.An occupational health nurse is discussing how promotion with a client who has a history
ofobesity. Which of the following comment indicates the client is using rationalization as a
copingmechanism?
I am obese because it is in my genes
I know you don’t like me because I’m obese
I have lots of health problems from being obese
I have difficulty resisting the items in vending machine
14.A home health nurse is evaluating an older client. Which of the following assessment findings
should the nurse report as a possible indicator of elder abuse?
The client attends Alcoholics Anonymous meetings
the client exhibits extreme thirst
the client receives in home meal delivery
The client reports that his son no longer visits
A nurse in a Health Department is participating in immunization clinic. The nurse should
identify that which of the following children requires an alteration in the standard immunization
schedule?
1.An 18 month old toddler who has failure to thrive
a three year old toddler has leukemia
a four-month-old infant who has Down
syndrome
4. a 12 month old infant who has sickle cell
disease
16.The partner of an older adult client who has Alzheimer’s disease reports that he is not eating.
The home health aide tells the nurse that the client partner refuses to assist the client with
feeding. The partner insist that the client feed himself without help. Which of the following is
the priority action of the nurse should take?
1.Determine the client’s ability to self feed