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    Exam Review

    1. Which of the following public health actions has been particularly instrumental in reducing childhood infectious diseases in the United States?
      A)Answering parents’ questions about the safety and importance of vaccines today
      B)Offering all immunizations to all children for a small fee
      C)Educational campaigns to all health care providers about the importance of immunizations whenever a child is seen
      D)"No shots, no school" legislation, which legally requires children be immunized before school
    2. A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first?
      A)Study the beliefs and traditions of persons living in other cultures.
      B)Complete a survey of all the various ethnicities represented in the nurse's community.
      C)Consider how the nurse's own personal beliefs and decisions are reflective of his or her culture.
      D)Invite a family from another culture to join the nurse for an event.
    3. For a bedridden Muslim patient, the nurse rearranges the room and moves the bed so that it faces toward Mecca for the patient's daily prayers. Which of the following is the nurse demonstrating through these actions?
      A)Imposition
      B)Brokering
      C)Awareness
      D)Accommodation
    4. Which formula should be used to calculate an incidence rate?
      A)Number of true negatives/number of true negatives + number of false positives.
      B)Number of new cases in a period of time/the total population x base multiple of 10.
      C)Number of true positives/number of true positives + number of false negatives.
      D)Number of new cases+ number old cases in a period of time/the total population x base multiple of 10.
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    Exam Review

    1. Complete the following sentence by using the list of options for the epidemiological triangle. The nurse is completing the epidemiological triangle and understands that ▾ Plasmodium is an example of an agent ▾ Human could represent a host, and ▾ Stagnant water is an example of environment.
      Dropdown 1:
      Option 1: rypanosoma
      Option 2: Plasmodium
      Option 3: Borrelia burgdorferi
      Dropdown 2:
      Option 1: Human
      Option 2: Mosquito
      Option 3: American Dog Tick
      Dropdown 3:
      Option 1: Stagnant water
      Option 2: Red blood cells
      Option 3: Bushes
    2. A public health nurse is struggling with moral distress. What are actions the nurse can take to handle moral distress? (Select all that apply)(SATA)
      A)Communicate concern with chain of command.
      B)Seek support from ethic committees.
      C)Be proactive.
      D)Examine ways to work toward addressing the stressors.
      E)Avoid discussing with others situations leading to moral distress.
    3. Which of the following statements about children and environmental hazards is correct?
      A)The incidence of asthma among children has been decreasing.
      B)Children are more susceptible to environmental toxins because of their smaller size.
      C)Children are more susceptible to cancer if they have a family history of the disease.
      D)The prevalence of autism is directly related to the increase in environmental toxins.
    4. The public health nurse understands that which of the following is an example of a vector borne disease?
      A)Hepatitis B
      B)Rocky Mountain spotted fever
      C)E. coli 0157:H7
      D)Anthrax
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    Exam Review

    1. The public health nurse understands that which of the following is an example of a vector borne disease?
      A)Hepatitis B
      B)Rocky Mountain spotted fever
      C)E. coli 0157:H7
      D)Anthrax
    2. A nurse advises a client with osteoporosis to have three servings of milk or dairy products daily. Which of the following levels of prevention is being used by the nurse?
      A)Tertiary prevention
      B)Secondary prevention
      C)Treatment, but not prevention
      D)Primary prevention
    3. Which of the following best describes the characteristic appearance of lesions of human papillomavirus (HPV)?
      A)Elevated growths with a "cauliflower" appearance
      B)Solitary growth with elevated borders and a central depression
      C)Thin-walled pustules that rupture to form honey-colored crusts
      D)Vesicles that ulcerate and crust within 1 to 4 days
    4. A client was clearly very relieved when an HIV test came back negative. "Thank goodness. I've had sex several times without a condom, and when one of my friends said he was sick, I think I panicked." Which of the following would be most important to emphasize to the client immediately?
      A)Abstinence is the only way to be certain you are HIV free.
      B)The test would not cover any recent infection, so if the client has had recent unprotected sex, the test should be repeated in 3 months.
      C)The test could be wrong and the client might still have an HIV infection.
      D)Sex should be restricted to one partner.
    Page 3 of 5

    Exam Review

    1. The student nurse understands that which of the following best describes the characteristic appearance of lesions of human papillomavirus (HPV)?
      A)Elevated growths with a "cauliflower" appearance
      B)Thin-walled pustules that rupture to form honey-colored crusts
      C)Vesicles that ulcerate and crust within 1 to 4 days
      D)Solitary growth with elevated borders and a central depression
    2. A nurse is investigating a bacterial illness that has caused a health problem in the community. Only some of the people exposed to the bacteria have become ill. Which of the following factors best explains why this would have happened?
      A)Successful interaction among the agent, host, and environment.
      B)Environmental factors
      C)Physical agent factors
      D)Chemical agent factors
    3. A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?
      A)Call the local hospital and arrange a referral.
      B)Attempt communication using an English-Spanish phrase book.
      C)Emphatically state, "No hablo Español" (I don't speak Spanish).
      D)Obtain an interpreter to translate.
    4. A nurse wants to have a better understanding of the physiological effects of selected chemicals. Which of the following individuals would provide the most useful information to the nurse?
      A)Toxicologist
      B)Chemist
      C)Epidemiologist
      D)Pharmacist
    Page 4 of 5

    Exam Review

    1. The public health nurse understands that under police power, the states can do which of the following?
      A)Allow patients to refuse medications
      B)Place someone on house arrest for not being compliant with their TB medication
      C)Allow patients to have advance directives in place
      D)Arrest someone for using illegal drugs
    2. The public health nurse understands the E. coli 0157:H7 is dangerous because it is hemorrhagic. The nurse knows that the greatest risk factor is which of the following?
      A)Poultry
      B)Water parks
      C)Petting zoos
      D)Carrots
    3. The newly hired public health nurse understands that which of the following is an example of moral distress?
      A)Having the knowledge and skill set needed to advocate for the patient, but not being able to act on it due to not having the authority to do so.
      B)Having the authority to call off a code, then realizing the decision was harmful to the patient.
      C)Having the authority to override a physician's order for pain medication.
      D)Having the knowledge and skill set needed to provide culturally competent care.
    4. A nurse administers an incorrect medication to a client. Following an assessment of the client, the nurse determines that the client has experienced no untoward effects as a result of the medication. The nurse does not complete an incident report because no harm came to the client. Which of the following ethical principles did the nurse violate?
      A)Veracity
      B)Autonomy
      C)Beneficence
      D)Confidentiality
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