Leadership and Community Pre-Assessment

Questions and answers

1. A nurse is reviewing the guidelines for reporting nationally notifiable infectious

diseases. Which of the following diseases should the nurse plan to report to the
Centers for Disease Control and Prevention (CDC)?
Lyme disease

2. A nurse is caring for four clients. After administering morning medications, she
realizes that nifedipine prescribed for one client was inadvertently administered
to another. Which of the following actions should the nurse take first?
Check the client's vital signs.

3. A community health nurse is reviewing information about infectious diseases with

the nurses on her team. The nurse should remind the team that which of the
following diseases are included in the list of nationally notifiable infectious
diseases? (select all that apply).
Chlamydia
Gonorrhea
Chancroid

4. A nurse is assigned a group of clients at the start of the shift. Which of the
following clients should the nurse plan to care for first?
A client asking about his PCA pump that contains morphine.

5. An assistive personnel (AP) reports to the nurse that a client who is 3 days
postoperative following an abdominal hysterectomy has a dressing that is
saturated with blood. Which of the following tasks should the nurse delegate to
the AP?
Obtain vital signs.

6. A nurse on a pediatric unit is caring for a child and his family. His parents define
family as a husband, wife, and child. This definition is which type of family form?
Nuclear family.

7. A nurse is teaching a class on torts. The nurse should include which of the
following situations as an example of negligence?
A nurse identifies the absence of peripheral pulsation in a casted extremity in the
early morning and reports it to the provider in the early afternoon.

8. A nurse is caring for a client whose family member requests to view the client's
medical record. Which of the following responses should the nurse make?
"The client must provide permission to share the records with you."
9. A nurse is among the first responders to a mass-casualty incident and does not
know what type of personal protective equipment (PPE) is needed. Which of the
following actions should the nurse take?
Choose the highest level of protection equipment available.

10. A nurse is caring for four clients who are postoperative from surgery 24 hr ago.
At 1200 the nurses assesses the clients. Which of the following clients is the
nurse's priority?
A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60
mm Hg

11. A nurse is providing instructions for a 52-year-old client who is schedule for a
colonoscopy. The client reports that he has not had the procedure before and is
very anxious about feeling pain during the procedure. Which of the following
responses by the nurse is appropriate?
"Before the examination, your provider will give you a sedative that will make you
sleepy."

12. A nurse is caring for an older adult client who is disoriented and has a history of
falls. Which of the following actions should the nurse take? (Select all that apply.)
Check on the client hourly
Instruct the client about the use of the call light
Apply an ambulation alarm to the client's leg

13. A nurse overhears two assistive personnel (AP) from the medical-surgical unit
discussing a hospitalized client while in the cafeteria. Which of the following is
the priority nursing action?
Quietly tell the APs that this is not appropriate.

14. A nurse in the emergency department is caring for a client who has extensive
partial and full-thickness burns of the head, neck and chest. While planning the
client's care, the nurse should identify which of the following risks as the priority
for assessment and intervention?
Airway obstruction

15. A charge nurse is working with assistive personnel (AP) who provides excellent
care to clients and is an effective team member. Which of the following actions
should the nurse take first to recognize the AP's contributions to client care?
Give positive feedback directly to the AP.

16. A charge nurse is preparing an educational session about addictive disorders for
nursing staff. Which of the following should the nurse include as an etiological
factor of addictive disorders? (select all that apply).
 Low self-esteem
Family history of addiction
Personality disorders

17. A nurse on a surgical unit is caring for a group of clients. Which of the following is
the priority action of the nurse?
Assessing a client who experiences unilateral calf pain when ambulating
18. A nurse is supervising a licensed practical nurse (PN) who is providing care to a
client who is postoperative. Which of the following statements by the client
requires the nurse to follow up with the PN?
"I have not received any of my medications today."

19. A nurse is planning to discharge a client who has quadriplegia to his home. The
nurse suggests that the family might needed respite care services. When a family
member asks how respite care can help, which of the following responses should
the nurse provide?
"Respite care allows the primary caregiver time away from day-to-day care
responsibilities."

20. A nurse is planning care for a client who has hepatitis B. Which of the following
interventions should the nurse include in the plan?
Encourage short periods of ambulation.

21. A nurse is caring for a group of clients. Which of the following clients should the
nurse refer to a social worker? (select all that apply.)
A client who requires placement in an assisted living facility.
A client who requests to secure an emergency notification system in the home.
A client who requests to get school assignments while hospitalized on a pediatric
unit.

22. A nurse is planning a staff education session regarding biological weapons of

mass destruction. Which of the following should he plan to include in the
session? (Select all that apply).
Smallpox
Anthrax
Botulism

23. A nurse is completing discharge teaching with a client. Of the following barriers to
learning the nurse identifies with this client, which should the nurse interpret as a
need to postpone the session?
Pain

24. A nurse in a long-term care facility enters the day room and finds the window
curtains on fire. Clients are panicking and the room is filling with smoke. Indicate
the emergency actions the nurse must take (Move the steps into the box on the
right, placing them in the order of performance. Use all the steps).
 Remove the clients from the room.
Activate the fire alarm.
Close the door.
Extinguish the fire.

25. A nurse is reinforcing teaching about self-care with a client who has pelvic
inflammatory disease. The client does not speak English. Which of the following
actions by the nurse is appropriate?
Seek assistance from a facility-approved interpreter.

26. A nurse is planning care for four clients and is assigning tasks to a licensed
practical nurse (LPN) and assistive personnel (AP). Which of the following should
the nurse assign to the LPN?
Reinforce teaching to a client to begin taking enoxaparin at home following a hip
arthroplasty.

27. A charge nurse allows two nurses who are arguing about who gets to go to lunch
first to go together. The charge nurse agrees to take care of both of the nurses'
clients while they are at lunch. The charge nurse is demonstrating which of the
followin types of conflict management?
Cooperating

28. A community health nurse is reviewing the levels of disease prevention. Which of
the following activities is an example of tertiary prevention?
Providing treatment for clients who have chronic obstructive pulmonary disease.

29. A nurse educator us discussing community mental health with a group of nursing
students. Which of the following sites should the educator identify as a source of
secondary prevention?
crisis center.

30. A nurse is teaching a newly licensed nurse about methods to reduce costs of
client care. Which of the following statements by the newly licensed nurse
indicates understanding of the teaching?
"I should encourage clients to receive an annual flu immunization."