Community Health Nursing Exam 3 Practice

Question 1

A nurse is organizing a class to teach coping skills to pt/w a history of self-harm. What level of prevention is this?

Accepted Answer

Tertiary

Question 2

A nurse gets four calls.Which one should she respond to first?

Accepted Answer

Community center with rising suicide attempts

Question 3

Which of the following is an example of tertiary prevention?

Accepted Answer

B. Providing physical therapy to a stroke patient

Question 4

What’s a primary goal of chronic disease self-management (CDSM)?

Accepted Answer

· C. Empower patients to manage symptoms and medications

Question 5

Which group has the highest diabetes risk in the U.S.?

Accepted Answer

· C. American Indians/Alaska Natives

Question 6

The Haddon Matrix is best used to:

Accepted Answer

Identify points of prevention before, during, and after an injury event

Question 7

PH nurse is sent to interview families after a spike in meningitis cases in a local school. What type of surveillance?

Accepted Answer

Active

Question 8

What role do community health workers (CHWs) play in controlling NCDs?

Accepted Answer

· C. Educating and linking patients to resources

Question 9

A nurse says "that addict just wants drugs" Which response best reflects trauma-informed, person-first language?

Accepted Answer

We should say ‘person with a substance use disorder.’

Question 10

Which of the following are examples of indicated prevention for substance use? (Select all that apply)

Accepted Answer

Referring a college student with signs of binge drinking, Screening students who report frequent alcohol use, Providing group counseling to youth with early signs of misuse

Question 11

Which action best demonstrates cultural competence?

Accepted Answer

Partner with local faith-based leaders for outreach

Question 12

PH nurse responds to increased flu cases at urgent care. Several healthcare workers have tested + 4 flu, interventions?

Accepted Answer

Educate staff about hand hygiene and PPE, Offer flu vaccines to all clinic staff, Report the flu cases to the health department, Implement symptom screening for all visitors

Question 13

When does herd immunity occur?

Accepted Answer

Enough people are immune to protect the vulnerable

Question 14

A school nurse learns that a teacher has tested + for COVID-19. What should the nurse do next?

Accepted Answer

Teach students proper mask-wearing and distancing, Review close contact exposures and start contact tracing, Isolate symptomatic children immediately, Notify the local health department

Question 15

You’re planning a community health event. Which activity best fits secondary prevention?

Accepted Answer

B. Blood pressure screenings

Question 16

What are potential problems with passive surveillance? Select all that apply.

Accepted Answer

It requires fewer resources, The data may be incomplete or delayed, Some cases may go unreported

Question 17

Which of the following are examples of behavioral risk factors for NCDs?

Accepted Answer

· D. Poor nutrition, · A. Tobacco use, · C. Sedentary lifestyle

Question 18

Which actions should the RN do and not delegate?

Accepted Answer

Teach coping skills to a first-time teen group

Question 19

Which of the following tasks is appropriate for a nurse to delegate to a community health worker (CHW)?

Accepted Answer

Distributing educational brochures and directing participants to booths

Question 20

Which patient is most likely to require airborne precautions?

Accepted Answer

A child with chickenpox

Question 21

Which of the following are examples of primary prevention for NCDs?

Accepted Answer

B. Installing blood pressure monitors in workplaces, A. Educating youth on tobacco risks, D. Building sidewalks to encourage walking

Question 22

58. A nurse providing PrEP counseling to an at-risk patient is practicing:

Accepted Answer

· A. Primary prevention

Question 23

A traveler returns from sub-Saharan Africa & presents w/fever. nurse suspects malaria. What actions should nurse take?

Accepted Answer

Recommend follow-up for any household members with symptoms, Notify CDC about the travel-related case, Educate the patient about mosquito prevention, Ask about mosquito exposure

Question 24

Which best describes the role of the public health nurse in substance use prevention?

Accepted Answer

Collaborate with community to implement prevention programs

Question 25

PH nurse says, “We want to know not just how long ppl live, but how long they’re in good health.” Which tool do u use?

Accepted Answer

HALE

Question 26

Cohort study finds ppl exposed to 2ndhand smoke have a Relative Risk of 2.5 for developing asthma. wtf does this mean?

Accepted Answer

People exposed to secondhand smoke are 2.5x more likely to develop asthma

Question 27

A nurse is teaching a pt with T2DM how to monitor their glucose and adjust diet. This is an example of:

Accepted Answer

C. Tertiary prevention

Question 28

A pt is being discharged after treatment for IPV-related injuries. What is the nurse's most appropriate action?

Accepted Answer

Provide information on safe shelters and resources

Question 29

50. Which of the following are among the top causes of death in the U.S. related to NCDs?

Accepted Answer

D. Cancer, A. Heart disease, C. Stroke

Question 30

Which disease is most directly linked to tobacco use as a primary risk factor?

Accepted Answer

COPD

Question 31

Which of the following are examples of communicable diseases?

Accepted Answer

COVID-19, Influenza, Measles, Tuberculosis

Question 32

Which of the following are examples of primary prevention strategies to reduce injury? (Select all that apply)

Accepted Answer

Promoting seatbelt use through education, Teaching children how to swim, Hosting a fall prevention class for seniors

Question 33

Which of the following is most important to determine during an outbreak investigation?

Accepted Answer

The cause and mode of transmission

Question 34

43. Which statements about immunity are correct?

Accepted Answer

A. Passive immunity can come from breastfeeding, B. Active immunity lasts longer than passive immunity, E. Innate immunity develops after childhood infections

Question 35

Which STI is most likely to cause congenital infection?

Accepted Answer

Syphilis

Question 36

Which population-level factor most contributes to rising childhood obesity?

Accepted Answer

C. School lunch policies

Question 37

In a rural area children have severe diarrhea. The water is an untreated well. What actions should the nurse prioritize?

Accepted Answer

Recommend infant rotavirus vaccinations, Set up a temporary clean water station, Educate families on hand hygiene and safe water practices, Test the local water source for contamination

Question 38

A client reports they have a partner with HIV and want to avoid getting infected. Which nursing response is best?

Accepted Answer

You should consider taking PrEP to reduce your risk.

Question 39

Which program should receive priority for intervention?

Accepted Answer

An after-school program where two teens recently attempted suicide

Question 40

Which of the following actions help break the chain of infection at the level of the mode of transmission?

Accepted Answer

Placing a patient with TB in a negative pressure room, Teaching handwashing after bathroom use, Using insect repellent in malaria-endemic areas, Wearing gloves when providing wound care

Question 41

Which of the following would be examples of noncommunicable disease (NCD) outbreak monitoring? Select all that apply.

Accepted Answer

An asthma cluster in a school near a factory, A rise in heart attacks among shift workers, Lead poisoning among residents of an old apartment building

Question 42

Which of the following are harm reduction strategies for substance use? (Select all that apply)

Accepted Answer

Peer-led recovery groups, Medically supervised injection sites, Needle exchange programs, Naloxone (Narcan) distribution

Question 43

Which of the following are correctly matched infectious agents and diseases? Select all that apply.

Accepted Answer

HIV – Virus, Hookworm – Helminth, Tuberculosis – Bacteria

Question 44

What is a leading cause of NCD-related mortality worldwide?

Accepted Answer

Stroke

Question 45

Which of the following are indicators of health-related quality of life (HRQoL)?

Accepted Answer

· E. Chronic pain, · B. Emotional well-being, · A. Physical functioning, · D. Mental health

Question 46

What does a DALY represent?

Accepted Answer

C. A year lost to death or disability

Question 47

Which populations are especially vulnerable to the effects of substance use? (Select all that apply)

Accepted Answer

Homeless adults, People with mental illness, Pregnant teens, LGBTQ+ youth

Question 48

What is the correct formula for YLL (Years of Life Lost)?

Accepted Answer

· B. Number of deaths x standard life expectancy at age of death

Question 49

A nurse is caring for a hospitalized pt with active TB. Which action is most important to reduce the spread of disease?

Accepted Answer

Keeping the patient in a negative pressure isolation room

Question 50

Which population should she prioritize first based on public health risk and prevention?

Accepted Answer

A middle school reporting an increase in suicide-related emergency visits

Question 51

Which of the following is an example of an analytical epidemiology study?

Accepted Answer

Investigating if poor air quality increases asthma rates in a neighborhood

Question 52

The nurse explains that the R₀ (R-naught) of a disease is 3. What does this mean?

Accepted Answer

Each infected person will infect three others

Question 53

A local HD sees sudden spike in food poisoning cases after a community picnic. 1st step in an outbreak investigation?

Accepted Answer

Define the population at risk and collect data

Question 54

Which of the following would provide the most useful quantitative outcome measure?

Accepted Answer

Rate of ED visits for self-harm among youth

Question 55

What does HALE stand for?

Accepted Answer

· B. Health-Adjusted Life Expectancy

Question 56

2 groups over 10 yr 1 exposed to 2ndhand smoke and 1 not. Compare the rates of developing lung disease. this is an ex of

Accepted Answer

Analytical cohort

Question 57

Which of the following are community-based strategies to reduce NCDs?

Accepted Answer

E. Providing smoking cessation programs in churches, D. Limiting soda sales in schools, B. Mandating nutritional education in schools, A. Building bike lanes

Question 58

Which tasks can be delegated to a community health worker (CHW)? Select all that apply.

Accepted Answer

Hand out stress-relief tip flyers, Take vitals before screenings, Help teens fill out consent forms

Question 59

A nurse wears PPE when caring for a patient with C. diff. What other action is essential to prevent the spread?

Accepted Answer

Handwashing with soap and water

Question 60

Which of the following is a universal prevention strategy?

Accepted Answer

School-wide anti-drug education curriculum

Question 61

A nurse is educating a patient about how COVID-19 spreads. Which example reflects the portal of entry?

Accepted Answer

Inhaling virus through the nose

Question 62

Which of the following tasks can be safely delegated to an LPN/LVN? Select all that apply:

Accepted Answer

Reinforcing teaching on coping strategies, Monitoring vitals during a stress management activity, Administering a PHQ-9 depression screening tool

Question 63

A nurse is educating a sexually active teen about STIs. Which statement by the teen shows they need more education?

Accepted Answer

If I had chlamydia once, I can’t get it again.

Question 64

A client says, “I tested negative for syphilis 2 years ago. I don’t need to worry now.”What’s the nurse’s best response?

Accepted Answer

“It’s possible to get reinfected. Testing regularly is important.”

Community Health Nursing Exam 3 Practice

Questions 72

Community Health Nursing Exam 3 Practice

Questions 72