Nursing Exam Questions and Answers with Graded Responses for Various Health Scenarios, Exams of Nursing

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CMS REVIEW EXAM QUESTION AND ANSWERS GRADED

A 2024

 A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include? B. The client will walk for 30 min 5 days a week.  A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include? D. Breasts can be examined in the shower with soapy hands. . A community health nurse is conducting an educational program on various environmental pollutants. The nurse should emphasize that clients who have which of the following disorders are especially vulnerable to ozone effects? C. Asthma.  A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address? D. Dysphagia.  A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor? D. Cigarette smoking.  A school nurse is teaching a group of nurses newly hired to work in the school system about pediculosis capitis (head lice). Which of the following information is appropriate to include in the teaching? C. Nits that are shed into the environment are capable of hatching for up to 10 days.  An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on the stove. Which of the following community resources should the nurse recommend for this client? B. meals on wheels.  A nurse is working with an inter disciplinary disaster committee to develop a community-wide emergency response plan in the event of a non-biological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911? A. Office of Emergency Management (OEM)

 An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? C. Help plant workers identify signs of carpal tunnel syndrome.  A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching? D. “Unlike chicken pox, the vesicles of smallpox are more abundant on the face.”  A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? D. Smallpox.  A nurse is preparing to care for a client who has suspected exposure to plague as a result of bites from infected fleas. Which of the following actions should the nurse plan to take first? B. Initiate contact precautions.  A nurse is leading a therapeutic group for clients at an outpatient mental health clinic. Which of the following client statements indicates a problem with role transition? D. I just can't seem to find any energy to take care of my children since my husband divorced me."  A nurse is preparing to administer ciprofloxacin to a client. The nurse should identify that the medication is treatment for exposure to which of the following agents? D. Anthrax  A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? A. Flu-like symptoms  A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family’s disaster readiness supply kit or "go bag"? (Select all that apply.) Pencil and paper, Whistle, Copies of insurance cards, Household bleach  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 and Botulism.  A nurse is educating community members about how to prepare for a disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (Select all that apply.) Clean clothing, Personal identification, Matches and Prescription medications.  A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response? A. "Personnel are willing to work in dangerous conditions to provide assistance."  .A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching? A. "It is normal to have a white vaginal discharge."  A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? A. A client experiencing a tension pneumothorax  A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care? A. A client who has severe head injuries, respiratory rate 6/min, and is unresponsive  A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work. Which of the following is the appropriate action for the nurse to take? A. Place the clients in isolation.  .A nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following interventions should the nurse plan to use while caring for these clients? C. Initiate droplet precautions.  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?

C. Choose the highest level of protection equipment available.  A charge nurse is making a room assignment for a client with COPD, but notices that he has scabies. In which of the following rooms should the nurse place the client? D. A private room  A home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is coping effectively? B. Makes eye contact.  A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following information should the nurse include? C. Household members should take isoniazid for at least 6 months.  A case manager is developing a discharge plan for a client who has a spinal cord injury and is in a rehabilitation facility. Which of the following actions should the nurse take first? D. Determines the clients ability to perform self care.  A community health nurse is working in a healthcare clinic. Which of the following clients should the nurse assess first? D. A client who has onset of concussion a slurred speech.  A public health nurse is developing a presentation for local daycare providers about infectious childhood diseases. Which of the following statements should the nurse include? A. “RSV is spread through contact with respiratory secretions from an infected person”  A nurse in a rural community is planning education for a young adult who is a migrant farm worker. Which of the following actions should the nurse include? Provide environmental health information, Refer the client for a tuberculosis screening, provide info on skin cancer, recommend a dental health screening  A nurse is assessing the risk and benefits of meal delivery services for an older adult client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating? D. Beneficence.

 A nurse on the scene following a mass casualty explosion is triaging a client who has a large, open occipital wound and the following findings: respiratory rate 6/min, agonal pattern, capillary refill time 4.5 secs, nonresponsive to painful stimuli. Which of the following actions should the nurse take? A. Turn the client to the left semi-fowler's position and begin assessing the next client.  A community health nurse is assigned to lead a country-level environment task force. Which of the following activities should the nurse direct the task force to complete first? A. Review community specific epidemiological data.  A nurse in a rural health clinic is caring for a client who has heart failure. The client states, “I’m not going to take any more heart medicine.” Which of the following responses should the nurse make? B. Can you tell me more about your decision to stop your medication?  A community health nurse is discussing the concept of epidemiology with a coworker. Which of the following interventions should the nurse provide as an example of the use of the principles of epidemiology? B. Reviewing the county health records for data on cases of chickenpox.  .A public health nurse is providing information to a client who has alcohol use disorder and is asking about treatment. Which of the following statements should the nurse identify as an indication that the client understands the information? D. I can expect to get help with other aspects of my life while in treatment A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? A. food preferences.  A nurse is conducting an educational session at an assisted living facility for a group of clients who have osteoporosis. Which of the following statements should the nurse include in the teaching? C. increase your intake of green leafy vegtables.  A community health nurse is planning an education program for farmers about occupational health risks. Which of the following risks should the nurse include? A. Respiratory disorders.

 .A palliative care nurse is teaching a client who has cancer about the services that are available for the client. Which of the following statements should the nurse identify as an indication that the client understands the teaching? C. this type of care can help me with pain control.  A nurse is providing blood pressure screening for older adult clients at a local community center, which of the following should the nurse identify as increasing a client's risk for developing hypertension? C. AA race.  A nurse is planning to teach a community group about the meningococcal vaccine. The nurse should identify which of the following clients should receive the vaccine? D. client moving into college dorm.  .A community health nurse is teaching a client who is overweight about steps to take to begin an exercise program. The nurse should identify which of the following statements is an indication that the client understands that teaching? C. I will see my doctor before beginning. An exercise program.  A nurse is collecting demographic data as a part of a community assessment. Which of the following information should the nurse include? A. Racial distribution.  .A community health nurse is assessing a group of clients for risk factors of abusive behaviors. Which of the following findings should the nurse identify as a risk factor for developing violent behavior? A. A client states he witnessed his mother physically mistreat his father  A community health nurse is working to meet the health care needs of residents in a rural community. Which of the following characteristics should the nurse identify as a barrier to health care resources for the populations? D. Unavailability of outreach services.  A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first? B. A client who has diabetes mellitus and report a new erythema to the left foot

 A nurse is conducting a home visit with a female client who reports a history of intimate partner abuse. The nurse should identify which of the following findings places the client at greatest risk for domestic violence? B. The client states she is leaving her partner.  A nurse is a county health department is caring for a client who states, “I’ve been drinking too much in the evening since my mom died last year.” Which of the following responses should the nurse make? C. Can I give you some information about AA?  A school nurse is conducting hearing screening procedures in an elementary school. Which of the following instructions should the nurse provide when performing the Rinne test? C. After I place the tuning fork behind your ear, tell me when you no longer hear the sound.  A community health nurse has been contacted regarding a client diagnosis of influenza type A in an adult day care. Which of the following actions should the nurse take to assist in the prevention of an outbreak? A. Administer antiviral medication to clients at the facility.  A nurse is developing an educational program about bioterrorism and smallpox. The nurse should include in the teaching that the smallpox rash is expected to first appear in which of the following locations? A. Face  The daughter of a client who is terminally ill and at the end of life approaches a hospice nurse and asks what she can do to help relieve her father’s pan. Which of the following interventions should the nurse suggest? A. Give client a brief hand massage.  A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for tuberculosis. The nurse should use information from which of the following resources to assist with the process? B. Migrant Clinicians Network  A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to screen for tuberculosis. Which of the following actions should the nurse take? C. Inject 0.1 mL of purified protein derivative.

 A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8 hr at a time. Which of the following information is the priority for the nurse to include? B. Point and flex your toes periodically.  A school nurse is conducting visual acuity testing for a school-age child, Which of the following actions should the nurse take? A. Allow child to keep glasses on during test.  A community health nurse is developing a plan of care for a client who is hispanic. Which of the following actions should the nurse include in the plan? B. Use therapeutic touch  A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients for abuse. Which of the following statements by a nurse indicates an understanding of the teaching? D. I should refer a client for a rape kit examination if she reports sexual assault within the previous 24 hours  A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following actions should the nurse take first? A. Examine the clients oral mucous membranes.  A public health nurse is participating in a community planning committee for disaster preparedness for a local community that is at risk for hurricanes. Which of the following information should the nurse contribute to the plan? A. How to activate the local medical facility’s emergency-management plan

63. A community health nurse suspects an outbreak of scabies in the local area. Which of the following actions should the nurse take first? B. Determine the incidence rate.
64. A home health nurse is assessing an older adult client who is taking captopril to treat heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication? D. Dry cough.