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Community Health Nursing-I
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Community Health Nursing-I
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55. A community health nurse is educating a family about managing their child’s asthma. What is a critical teaching point regarding the use of a spacer with an inhaler?
A.
A spacer is not necessary for children
✓
B.
A spacer helps improve medication delivery to the lungs and reduces side effects
✓
C.
A spacer should be used only with rescue inhalers
✓
D.
A spacer increases the amount of medication wasted
✓
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BS Nursing
Jun 6, 2026
43. A community health nurse is performing a school health screening. A student reports feeling persistently sad, isolated, and having difficulty concentrating in class. What is the most appropriate initial action?
A.
Tell them to cheer up
✓
B.
Refer them immediately to a psychiatrist without assessment
✓
C.
Conduct a brief mental health screening and refer for further evaluation if indicated
✓
D.
Ignore their complaints
✓
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Jun 6, 2026
44. When conducting a home visit for a client with a chronic illness, what is the critical component of the nurse’s role?
A.
Telling the client what to do
✓
B.
Empowering the client and family to manage their illness and promote self-care
✓
C.
Doing all the care for the client
✓
D.
Criticizing the client's self-care habits
✓
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Jun 6, 2026
45. A community health nurse is preparing for a health fair. What is the most effective way to engage community members and identify their health priorities?
A.
Only offer freebies
✓
B.
Conduct pre-fair surveys and involve community leaders in planning
✓
C.
Post flyers without any community input
✓
D.
Focus only on the nurse's preferred health topics
✓
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Jun 6, 2026
46. A home health patient with chronic pain is prescribed opioid analgesics. What is the most critical aspect of medication management to ensure safety in the home?
A.
Encourage sharing medication with family members
✓
B.
Ensure safe storage, educate on overdose signs, and proper disposal of unused medication
✓
C.
Advise taking double doses for severe pain
✓
D.
Leave medications in an unlocked cabinet
✓
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Jun 6, 2026
47. A community health nurse is performing an ear assessment during a school health screening. What technical instrument is used to visualize the tympanic membrane?
A.
Ophthalmoscope
✓
B.
Otoscope
✓
C.
Laryngoscope
✓
D.
Stethoscope
✓
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Jun 6, 2026
32. A community health nurse is working with a family struggling with food insecurity. What is the most appropriate initial action?
A.
Tell them to grow their own food
✓
B.
Connect them with local food banks, SNAP benefits, and other nutritional assistance programs
✓
C.
Advise them to eat less
✓
D.
Recommend they purchase expensive organic food
✓
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Jun 6, 2026
33. A community health nurse is performing a vision screening at a school. What is the technical chart used for this purpose?
A.
Snellen chart
✓
B.
EKG machine
✓
C.
Sphygmomanometer
✓
D.
Otoscope
✓
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Jun 6, 2026
34. A community health nurse is teaching a community group about the warning signs of stroke. What mnemonic is commonly used to remember these signs?
A.
STOP
✓
B.
RACE
✓
C.
FAST
✓
D.
CPR
✓
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Jun 6, 2026
35. A community health nurse is assessing the effectiveness of a childhood obesity prevention program. What is the most objective outcome measure?
A.
Parent satisfaction with the program
✓
B.
Changes in children's Body Mass Index (BMI) and physical activity levels
✓
C.
Number of participants
✓
D.
Child's favorite color
✓
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Jun 6, 2026
36. A home health patient with chronic heart failure has sudden weight gain, increased ankle swelling, and worsening shortness of breath. What is the immediate nursing action?
A.
Encourage increased fluid intake
✓
B.
Administer diuretics as ordered (if PRN) and notify the physician of fluid overload symptoms
✓
C.
Tell the patient to rest and monitor
✓
D.
Advise the patient to eat more salty foods
✓
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Jun 6, 2026
37. A community health nurse is conducting an epidemiological investigation of a disease outbreak. What is the primary goal of this investigation?
A.
To blame someone for the outbreak
✓
B.
To identify the cause, source, and mode of transmission of the disease to control its spread
✓
C.
To make a research publication
✓
D.
To collect demographic data only
✓
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Jun 6, 2026
38. A community health nurse is planning a secondary prevention program. Which activity is an example of secondary prevention?
A.
Providing hospice care
✓
B.
Conducting mammograms for early detection of breast cancer
✓
C.
Administering vaccines
✓
D.
Providing long-term rehabilitation
✓
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Jun 6, 2026
39. A community health nurse is providing education on safe water practices in a rural area. What is a key technical method for making water safe for consumption if there is no boiling option?
A.
Adding sugar to the water
✓
B.
Filtering water through a cloth only
✓
C.
Using chemical disinfectants like chlorine tablets or SODIS (Solar Water Disinfection)
✓
D.
Storing water in open containers
✓
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Jun 6, 2026
40. A home care patient with hypertension is prescribed an antihypertensive medication. They complain of dizziness when standing up quickly. What medicinal advice should the nurse provide?
A.
Stop taking the medication immediately
✓
B.
Get up slowly from sitting or lying positions to prevent orthostatic hypotension
✓
C.
Increase fluid intake significantly
✓
D.
Double the medication dose
✓
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Jun 6, 2026
41. A community health nurse is conducting a health education session for new mothers. What is a critical teaching point regarding infant feeding during the first six months?
A.
Introduce solid foods from birth
✓
B.
Exclusive breastfeeding or formula feeding is recommended for the first six months
✓
C.
Introduce cow's milk early
✓
D.
Give water frequently
✓
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Jun 6, 2026
42. A community experiences a sudden power outage due to a storm. What is the immediate public health concern regarding food safety?
A.
Overheating of food
✓
B.
Spoilage of refrigerated and frozen foods due to lack of power
✓
C.
Lack of culinary variety
✓
D.
Running out of snack foods
✓
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Jun 6, 2026
30. A community health nurse is managing a client with newly diagnosed latent tuberculosis (TB) infection. The client is prescribed Isoniazid. What is a medicinal teaching point the nurse should emphasize?
A.
Stop the medication when symptoms resolve
✓
B.
Take the medication only when feeling unwell
✓
C.
Take the medication for the full prescribed duration (e.g., 6-9 months) to prevent active TB disease
✓
D.
The medication is only for active TB
✓
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Jun 6, 2026
31. A community experiences a sudden, severe heatwave. What is the most urgent public health message the nurse should disseminate?
A.
Encourage outdoor activities
✓
B.
Advise residents to stay hydrated, seek cool places, and check on vulnerable neighbors
✓
C.
Suggest wearing heavy clothing
✓
D.
Recommend closing all windows
✓
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Jun 6, 2026
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