NR436 Population Health & Community Nursing — Original Latest Version Study Set

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Sample questions from NR436 Population Health & Community Nursing — Original Latest Version Study Set

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

1. 1.During a home visit to a 72-year-old client receiving heart failure care, the RN reviews the telemonitoring record. Refer to the client's chart. Which action is the priority?

   • A.Arrange emergency transport to the hospital
   • B.Request a routine prescription for additional oral diuretic
   • C.Reinforce the prescribed sodium restriction
   • D.Schedule a follow-up visit for the next morning

   Rationale: The progression to dyspnea at rest, SpO2 86%, RR 30/min, and hypotension indicates acute cardiopulmonary instability requiring emergency transport. An oral diuretic prescription does not provide sufficiently rapid assessment or treatment for this deterioration. Sodium teaching and next-day reassessment are appropriate only after stabilization. In home care, new hypoxemia and hemodynamic instability require immediate escalation.

2. 2.At a community screening event, an RN supervises an experienced unlicensed assistive personnel (UAP). Four adults ages 40 to 68 are waiting, and one reports dizziness. Which task may the RN delegate to the UAP?

   • A.Interpret a client's cardiovascular risk score
   • B.Determine whether the dizzy client needs emergency evaluation
   • C.Obtain and record blood pressures using the established procedure
   • D.Teach a newly diagnosed client about antihypertensive adverse effects

   Rationale: Obtaining and recording routine blood pressures is a standardized task that an appropriately trained UAP can perform. Assessing dizziness and interpreting risk require nursing judgment. Initial medication teaching also requires a licensed nurse. The RN retains responsibility for interpreting findings and following up on abnormal results.

3. 3.Before discharge from a medical unit, a 58-year-old client with a new insulin prescription states, 'I cannot afford the pens, so I will use them every other day.' Blood glucose is 242 mg/dL. Which action best supports a safe transition?

   • A.Give the client a list of pharmacies and proceed with discharge
   • B.Collaborate with the prescriber, pharmacist, and social worker to obtain an affordable regimen
   • C.Document refusal of the prescribed treatment
   • D.Recommend reducing carbohydrate intake instead of taking insulin

   Rationale: An affordable, clinically appropriate regimen addresses the actual barrier to adherence and requires interprofessional coordination. The statement reflects an access problem rather than an informed refusal. Dietary changes do not replace prescribed insulin, and a pharmacy list alone does not verify access. Safe discharge planning includes confirming that essential treatments are obtainable.

4. 4.In an adolescent clinic, a 16-year-old requests sexually transmitted infection testing and asks that results not be shared with a parent. The adolescent denies coercion or immediate danger. Which response by the RN is best?

   • A.Promise that no information can ever be released
   • B.Require parental permission before discussing symptoms
   • C.Ask the parent to decide whether testing is necessary
   • D.Explain confidentiality and its limits after verifying applicable minor-consent laws

   Answer and rationale are in the full material.

5. 5.Following a commuter-train collision, a disaster triage RN assesses four adults at the scene using an established mass-casualty protocol. Which client should receive the immediate treatment designation?

   • A.A 36-year-old with RR 36/min who cannot follow simple commands
   • B.A 67-year-old with a closed wrist fracture, RR 20/min, and intact command following
   • C.A 25-year-old who can walk and has superficial forearm wounds
   • D.A 44-year-old who is apneic after airway repositioning

   Answer and rationale are in the full material.