Practice Questions

40. A home care patient with a chronic respiratory condition (e.g., severe asthma) is prescribed an inhaled corticosteroid and a long-acting beta-agonist (LABA). They report using their rescue inhaler (SABA) frequently. What medicinal adjustment might be indicated by the physician?

A. Discontinuation of all inhalers
B. Adjustment of the maintenance inhaled corticosteroid/LABA regimen
C. Increasing the SABA dose
D. Switching to oral steroids without assessment
nmdcat.online BS Nursing
Jun 6, 2026

39. A community health nurse is coordinating a mass vaccination campaign. What is a critical logistical consideration for effective delivery?

A. Randomly selecting vaccination sites
B. Ensuring adequate vaccine supply, cold chain management, trained personnel, and efficient patient flow
C. Lack of public awareness
D. Limited operating hours
nmdcat.online BS Nursing
Jun 6, 2026

38. A community health nurse is designing a health promotion program for a multi-ethnic community. What is the most effective approach to ensure cultural relevance and community engagement?

A. Using a one-size-fits-all approach
B. Involving community leaders, cultural brokers, and designing programs that respect cultural beliefs and practices
C. Providing information only in English
D. Ignoring traditional health practices
nmdcat.online BS Nursing
Jun 6, 2026

37. A community health nurse is addressing the impact of climate change on community health. Which critical health issue is directly linked to climate change?

A. Increased incidence of allergies
B. Heat-related illnesses, vector-borne diseases, and respiratory problems due to air pollution
C. Decreased risk of natural disasters
D. Colder winters
nmdcat.online BS Nursing
Jun 6, 2026

36. A community health nurse is providing home-based wound care for a patient with a pressure ulcer who is bed-bound. What is the most critical clinical intervention to promote wound healing and prevent further breakdown?

A. Keeping the patient in the same position
B. Regular repositioning, pressure redistribution surfaces, proper wound care, and adequate nutrition
C. Using harsh antiseptic solutions
D. Limiting fluid intake
nmdcat.online BS Nursing
Jun 6, 2026

35. A community health nurse is conducting a root cause analysis following a cluster of vaccine-preventable diseases in a community. What is the critical goal of this analysis?

A. To blame individuals for not vaccinating
B. To identify underlying factors contributing to the problem beyond immediate symptoms
C. To stop all vaccinations
D. To make a research paper only
nmdcat.online BS Nursing
Jun 6, 2026

34. A home care patient with diabetes has a new order for insulin pens. What is the technical instruction for administering insulin with a pen?

A. Insert needle without cleaning skin
B. Prime the pen, dial the correct dose, inject into subcutaneous tissue, and hold for 5-10 seconds
C. Reinsert the same needle multiple times
D. Inject into muscle tissue
nmdcat.online BS Nursing
Jun 6, 2026

32. A community experiences a major industrial accident with a potential for widespread chemical exposure. What is the immediate public health action for community health nurses?

A. Conducting research on chemical properties
B. Initiating rapid assessment of exposure, decontamination procedures, and establishing communication channels
C. Telling residents to ignore warnings
D. Advising outdoor activities
nmdcat.online BS Nursing
Jun 6, 2026

31. A community health nurse is advocating for policies to reduce childhood lead poisoning. What is a critical primary prevention strategy that policy can support?

A. Providing chelation therapy for all children
B. Lead abatement programs in older housing and strict regulations on lead-containing products
C. Treating symptoms of lead poisoning
D. Monitoring blood lead levels only after exposure
nmdcat.online BS Nursing
Jun 6, 2026
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