NUR 206 Community Exam 2 Examplify

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Sample questions from NUR 206 Community Exam 2 Examplify

This material has 75 questions with answers and rationales. Here are the first 5.

1. 1.During a home visit to a 3-day-old infant in a remote community, the visiting nurse finds the caregiver sleepy and unsure when the infant last fed. The infant is difficult to arouse, has a weak suck, and has had one wet diaper in 12 hours. Temperature is 36.2 C, HR 148/min, RR 42/min, and SpO2 98% on room air. Which action is the priority?

   • A.Ask the caregiver to record feeding times and wet diapers for the next day.
   • B.Contact the local public health nurse to arrange a weight check within 48 hours.
   • C.Arrange immediate emergency evaluation while maintaining the infant's warmth.
   • D.Teach the caregiver to offer smaller, more frequent feedings and reassess tomorrow.

   Rationale: Lethargy, poor feeding, hypothermia, and markedly reduced urine output in a newborn suggest potentially serious illness and require immediate evaluation; the remote location makes arranging transport promptly especially important. Feeding education and tracking may be useful after urgent assessment but are not safe substitutes for it. A routine weight check delays evaluation of the current warning signs.

2. 2.At a community clinic, the parent of a 4-year-old child who recently entered temporary housing says, "We moved twice, and I do not know which vaccines she has had." The child is afebrile and appears well; the parent has no immunization records. Which response best improves continuity of care?

   • A.Ask the parent to estimate the dates and document the estimated doses as complete.
   • B.Restart the entire vaccine series because the records are unavailable.
   • C.Delay vaccination until the family has stable housing and can locate all records.
   • D.Use the immunization registry and available records to verify doses, then plan catch-up vaccination based on the findings.

   Rationale: Verifying available records and using an age-appropriate catch-up plan supports prevention without unnecessary doses or delay. Vaccine series generally do not need to be restarted solely because of an extended interval, so restarting everything is not the best first step. Housing instability is a reason to make care accessible, not to defer it, and estimated doses should not be documented as verified.

3. 3.During a school-based assessment of a 12-year-old student with cerebral palsy, the student uses a communication device and arrives late because the wheelchair-accessible bus route is unreliable. The student's caregiver reports missed appointments but has consistently followed the home exercise plan. Which initial nursing action best addresses both risk and community strengths?

   • A.Refer the student to a residential program because missed appointments indicate that home care is inadequate.
   • B.Meet with the student using the communication device and, with consent, map existing supports and transportation barriers with the family and school.
   • C.Develop a new exercise plan before exploring the student's current resources.
   • D.Focus the assessment on the caregiver's failure to maintain the appointment schedule.

   Rationale: Accessible communication and a collaborative assessment identify the student's priorities, existing strengths, and the specific transportation barrier before planning action. The caregiver's consistent use of the exercise plan is a meaningful resource, not evidence of inadequate care. A residential referral or replacement exercise plan does not address the reason appointments are being missed.

4. 4.Refer to the client's chart. A 17-year-old living in a rural community attends a mobile health clinic with a grandparent waiting outside. The client asks to speak privately and says, "I use pills at parties sometimes, and I do not want to be judged." Which actions are appropriate? Select all that apply.

   • A.Explain the limits of confidentiality before asking further questions.
   • B.Use a brief, validated substance-use screening approach and ask about the client's readiness for change.
   • C.Tell the grandparent the disclosed information immediately so the family can supervise the client.
   • D.Ask what pills the client takes, how often, and whether the client has had any symptoms or overdose events.
   • E.Ask permission to discuss safer-use measures and offer naloxone information when clinically appropriate.

   Answer and rationale are in the full material.

5. 5.A 22-year-old with asthma visits a rural community clinic after missing two follow-up appointments. The client says the nearest clinic is 70 miles away, the only car is used by a family member for work, and the client has been rationing the controller inhaler. The client has no distress; RR is 18/min and SpO2 is 97% on room air. Which plan best addresses the access problem while supporting continuity?

   • A.Ask about the client's preferences and explore options such as telehealth follow-up, medication delivery, and local pharmacy coordination.
   • B.Advise the client to use the controller inhaler only when wheezing to reduce the need for refills.
   • C.Schedule all follow-up visits at the distant clinic and emphasize that attendance is the client's responsibility.
   • D.Refer the client to emergency services because missed appointments create an immediate respiratory emergency.

   Answer and rationale are in the full material.