NUR 206 Community Health Nursing Examplify Exam

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Sample questions from NUR 206 Community Health Nursing Examplify Exam

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At a county emergency operations center, a chemical spill has prompted evacuation of a nearby neighborhood. Which action should the public health nurse take first?

   • A.Identify residents who require immediate evacuation assistance, including people with mobility or medical needs.
   • B.Arrange follow-up appointments at the community clinic for all residents.
   • C.Begin documenting the names of all residents who leave the neighborhood.
   • D.Distribute written information about long-term environmental monitoring.

   Rationale: Identifying residents who cannot evacuate independently supports immediate life safety and helps responders prioritize assistance. Documentation is important but should not delay urgent evacuation needs. Long-term monitoring information and clinic appointments are appropriate after immediate hazards are addressed. In an emergency, prioritize actions that reduce imminent risk.

2. 2.During a home visit, the nurse evaluates a 74-year-old client recently discharged after a stroke. Which findings indicate a need to coordinate additional community services? Select all that apply.

   • A.The client cannot transfer from bed to chair without assistance.
   • B.A neighbor brings groceries twice a week, and the client can prepare simple meals.
   • C.The client reports missing doses because the medication labels are difficult to read.
   • D.The client accurately describes the purpose and schedule of each medication.
   • E.The client has no reliable transportation to scheduled follow-up appointments.

   Rationale: Difficulty transferring indicates a need to assess for personal care or rehabilitation support, and trouble reading medication labels calls for medication-management assistance. Lack of transportation is a barrier that may be addressed through community transportation or care coordination. A neighbor who brings groceries and the client's accurate medication understanding are protective findings, although they do not rule out other needs.

3. 3.At change of shift in a school-based health clinic, the nurse receives four requests for care. Which student should be assessed first?

   • A.A 16-year-old who needs a sports physical form signed before practice
   • B.An 8-year-old with a small abrasion and no active bleeding
   • C.A 12-year-old with asthma who is speaking in short phrases and has audible wheezing
   • D.A 15-year-old with a mild headache who asks for water

   Rationale: The student with asthma and difficulty speaking may have significant respiratory compromise and requires immediate assessment and intervention. A mild headache, a sports form, and a minor abrasion are lower priorities when no urgent symptoms are described. Community settings still require prioritization by severity and risk of deterioration. Address airway and breathing threats before routine needs.

4. 4.A parent of a 5-year-old tells the public health nurse that the child has not received routine immunizations because the family recently moved and has no insurance. Which response best supports continuity of care?

   • A.Advise the parent to wait until the child is enrolled in school.
   • B.Refer the family to a local immunization clinic that offers vaccines through a publicly funded program.
   • C.Tell the parent that immunizations must be obtained from a private pediatrician.
   • D.Recommend restarting the entire vaccine series because the family has moved.

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which actions should the nurse take to coordinate a safe plan for the client after today's community clinic visit? Select all that apply.

   • A.Advise the client to wait for the scheduled appointment in 2 weeks because the temperature has decreased.
   • B.Send the client's full chart to the client's employer to help arrange workplace accommodations.
   • C.Reconcile the medication list with the client and the discharge instructions before the client leaves.
   • D.Assess whether the client can obtain and use the prescribed inhaler, and connect the client with assistance if needed.
   • E.Arrange a same-day evaluation by the client's primary care provider for worsening shortness of breath and oxygen saturation of 91%.

   Answer and rationale are in the full material.