Question 5
RN Capstone Leadership and Community Health. A nurse working in a mobile health clinic is assessing a client who is an agricultural worker. Which of the following findings should the nurse identify as the priority?
- Report of back pain associated with twisting at the waist
- Absence of a dental health provider
- Lives in a home with 25 other agricultural workers
- Report of muscle twitching and skin rash
Question 6
A community health nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include?
- Rubella
- Pertussis
- Influenza
- Varicella
Question 7
A nurse manager is planning to conduct a follow-up performance appraisal with a nurse who has had reports of unsafe practice due to not completing client care tasks. Which of the following actions should the nurse manager take?
- Schedule the meeting to occur at the nursing station
- Arrange seating to sit across from the nurse
- Tell the nurse they need to improve their client care delivery
- Ask the nurse how things have been going since the last meeting
Question 8
A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information?
- The advice of an expert nephrology nurse
- Retrospective chart reviews
- Facility critical pathway
- A recent peer-reviewed nursing research article
Question 9
A nurse manager is asked to select clients for early discharge from the unit following a mass casualty event. Which of the following clients should the nurse manager recommend?
- A client awaiting a screening colonoscopy later that day
- A client whose discharge was cancelled the prior day because they developed respiratory distress
- A client who is 6 hr postoperative following an open cholecystectomy
- A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity
Question 10
A nurse is planning an in-service for community members living in an area with a high poverty rate. Which of the following information about health risks should the nurse include in the teaching?
- Children are more resilient to the effects of poverty than adults.
- Minority groups living in poverty experience lower rates of chronic disease.
- Older adults are less likely to experience poverty due to receiving Social Security benefits.
- Adolescents living in poverty are more likely to be diagnosed with a conduct disorder.
Question 11 of 50
RN Capstone Leadership and Community Health. A nurse manager is preparing to complete staff performance appraisals. Which of the following principles should the nurse manager consider when completing the appraisals?
- [✓] Performance appraisals should be written in measurable terms.
- [ ] Appraisal objectives should be applicable to staff at every level.
- [ ] Performance appraisals should be based on the nurse manager’s preferences.
- [ ] Completed appraisals should be approved by a provider. RN Capstone Leadership and Community Health
Question 13 of 50
A nurse manager is leading a discussion on legal guidelines for the use of restraints. Which of the following information should the nurse include? RN Capstone Leadership and Community Health
- [ ] “You can place a client in a chair with a table or tray blocking them as an alternative to restraints.”
- [✓] “Monitoring the client less often than required can be considered negligence.”
- [ ] “Family members cannot file a lawsuit when restraints are used for clients who have a mental illness.”
- [ ] “Chemical restraints are allowed when there is a high client-to-nurse ratio.”
Question 14 of 50
A nurse is discussing organ donation with a newly licensed nurse. Which of the following statements should the nurse include in the teaching? (Select all that apply.)
- [ ] “To harvest a client’s organs, they must provide consent prior to death.”
- [ ] “The donor client’s provider will harvest the organs for donation.”
- [✓] “During admission, all clients over the age of 18 should be asked about their organ donor status.”
- [✓] “The National Organ Transplant Act prohibits the sale and purchase of organs.”
- [✓] “Documentation about the client’s organ donor preference is placed in the electronic medical record.”
Question 16 of 50
A nurse is caring for a newborn in the nursery following a circumcision. The newborn’s grandparent, who does not have an identification bracelet, requests to take the newborn to their guardian’s room. Which of the following actions should the nurse take?
- [ ] Check the newborn’s identification bracelet with the chart.
- [ ] Obtain permission from the newborn’s guardian.
- [✓] Respectfully deny the grandparent’s request.
- [ ] Review the newborn’s footprint record. RN Capstone Leadership and Community Health
Question 17 of 50
After signing an informed consent form, a client states, “I have changed my mind and do not want to have the procedure.” Which of the following actions should the nurse take?
- [ ] Suggest that family members discuss the importance of the surgery with the client.
- [✓] Notify the surgeon that the client wishes to withdraw informed consent for the procedure.
- [ ] Document the risks of refusing the procedure in the client’s medical record.
- [ ] Discuss the benefits of the procedure with the client.
Question 18 of 50
A forensic nurse is using the epidemiological triangle to explain factors that contribute to violent behavior. Which of the following factors should the nurse identify as an environmental factor in the epidemiological triangle?
- [✓] Crowded living conditions
- [ ] Traumatic brain injury
- [ ] Alzheimer’s disease
- [ ] Impaired coping abilities
Question 19 of 50
During an initial visit, a home health nurse is assessing a client who has cultural beliefs different than their own. Which of the following questions should the nurse ask to determine the client’s beliefs about environmental control?
- “Do you spend more time thinking about the past, present, or future?”
- “Who makes most of the decisions in your family group?”
- ✅ “What do you think you can do to affect your health status?”
- “Can you list any diseases that your parents or siblings have had?”
Question 20 of 50
A nurse in an emergency department is preparing change-of-shift report for an adult client who is transferring to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the report? (Select all that apply.)
- ✅ The client has a do-not-resuscitate (DNR) prescription.
- ✅ The client has a continuous IV of lactated Ringer’s.
- ✅ The client was straight catheterized for 350 mL 2 hr ago.
- The client has Medicare insurance.
- The client lives in a one-story home. RN Capstone Leadership and Community Health
