Community Nursing NCLEX Questions
Question A community nurse is planning a health promotion seminar for a local community center focused on cardiovascular health. Which of the following topics should be prioritized to have the greatest impact on reducing the risk of cardiovascular disease in the general population?
A) Advanced cardiac life support techniques
B) The impact of pet ownership on blood pressure
C) Stress management techniques
D) Dietary approaches to stop hypertension (DASH diet)
E) The benefits of cosmetic surgery on self-esteem
Correct Answer: D) Dietary approaches to stop hypertension (DASH diet)
Rationale: The DASH diet is directly linked to reducing high blood pressure and cholesterol, which are major risk factors for cardiovascular disease. Emphasizing dietary changes can have a broad impact on the community’s health by addressing these common risk factors. This approach is supported by evidence showing that diet plays a crucial role in cardiovascular health. Focusing on manageable lifestyle changes like diet can empower individuals to take control of their health, leading to significant community-wide benefits.
Question A community nurse is conducting a workshop on the prevention of type 2 diabetes in a high-risk population. Which of the following strategies should the nurse emphasize as most effective for preventing type 2 diabetes?
A) Regular screening for diabetes in overweight adults
B) Introduction of high-intensity interval training (HIIT) sessions
C) Daily consumption of dietary supplements
D) Adoption of a plant-based diet
E) Promotion of annual flu vaccinations
Correct Answer: A) Regular screening for diabetes in overweight adults
Rationale: Early identification of prediabetes through regular screening, especially in overweight adults, allows for timely interventions that can prevent the progression to type 2 diabetes. This strategy is critical in high-risk populations where the prevalence of obesity is a significant concern. Screening facilitates early lifestyle interventions, education, and potentially medication to manage blood sugar levels. This proactive approach is essential in community health to reduce the burden of type 2 diabetes.
Question In assessing a community’s health needs, a nurse identifies a high prevalence of asthma, especially among children. Which of the following interventions would most effectively reduce asthma exacerbations in this community?
A) Distribution of air purifiers to families with asthmatic children
B) Regular asthma education sessions for parents and teachers
C) Free distribution of inhaled corticosteroids
D) Implementation of a smoking cessation program
E) Annual flu vaccinations for all community members
Correct Answer: B) Regular asthma education sessions for parents and teachers
Rationale: Education on asthma management, including trigger avoidance and proper use of medications, is fundamental in reducing exacerbations. This approach empowers caregivers and educators with the knowledge to create a supportive environment for children with asthma. Regular sessions ensure that new community members receive timely information, and ongoing education can adapt to emerging best practices. This strategy addresses both immediate and long-term needs by fostering a community-wide understanding of asthma care.
Question A community nurse is evaluating the effectiveness of a new program aimed at reducing teenage pregnancy rates. Which of the following indicators would be the most direct measure of the program’s success?
A) Decrease in the rate of teenage sexual activity
B) Increase in the use of birth control among teenagers
C) Reduction in the number of teenage pregnancies
D) Improved attendance at sexual education classes
E) Increase in the average age of first-time mothers
Correct Answer: C) Reduction in the number of teenage pregnancies
Rationale: The most direct measure of a program aimed at reducing teenage pregnancy is the actual reduction in the number of these pregnancies. This outcome directly reflects the program’s effectiveness in achieving its primary goal. While other indicators, such as increased use of birth control or attendance at education classes, are important, they are indirect measures that contribute to the ultimate objective. A decline in teenage pregnancies directly demonstrates the program’s impact on the community’s health.
Question A community nurse is developing a program to address the high prevalence of hypertension among adults in a rural area. Which of the following interventions would likely be the most effective in reaching this population?
A) Establishing a mobile clinic to offer blood pressure screenings
B) Organizing a social media campaign on the importance of regular exercise
C) Distributing pamphlets on hypertension at local grocery stores
D) Hosting a series of webinars on healthy eating habits
E) Implementing a community gardening project to promote healthy eating
Correct Answer: A) Establishing a mobile clinic to offer blood pressure screenings
Rationale: In rural areas, access to healthcare services can be a significant barrier to managing conditions like hypertension. A mobile clinic addresses this barrier by bringing services directly to the community, making it easier for residents to get screened. This approach can identify individuals with hypertension who may be unaware of their condition, facilitating early intervention. Additionally, the mobile clinic can provide education and resources, making it a comprehensive strategy for addressing hypertension in rural communities.
Question A community nurse is planning an intervention to increase vaccination rates among a population with low immunization coverage. Which of the following strategies would be most effective in improving vaccination rates in this community?
A) Implementing a reminder and recall system
B) Offering vaccinations exclusively at local health departments
C) Increasing the price of vaccines to fund public health initiatives
D) Promoting vaccine efficacy and safety through billboards
E) Mandating vaccination for school attendance
Correct Answer: A) Implementing a reminder and recall system
Rationale: Implementing a reminder and recall system has been shown to effectively increase vaccination rates in communities with low coverage. This strategy directly engages individuals by reminding them of upcoming vaccinations and recalling them if they miss scheduled appointments. It is a proactive approach that can address barriers such as forgetfulness or lack of awareness about vaccination schedules. By personalizing communication, this method can significantly enhance the likelihood of individuals completing their vaccinations.
Question In a community with a high rate of obesity, a community nurse wants to implement a program to encourage physical activity. Which of the following approaches would likely be most effective in engaging the community?
A) Organizing competitive weight-loss challenges
B) Providing discounted gym memberships
C) Creating a community-wide step count challenge with incentives
D) Offering personalized fitness coaching
E) Distributing free wearable fitness trackers to monitor progress
Correct Answer: C) Creating a community-wide step count challenge with incentives
Rationale: A community-wide step count challenge with incentives leverages the power of social motivation and rewards to encourage participation in physical activity. This approach is inclusive, allowing individuals of all fitness levels to participate, and can foster a sense of community and collective achievement. Incentives serve as tangible motivators, while the challenge aspect introduces an element of fun and competition without focusing solely on weight loss. Such a program can effectively promote a healthy lifestyle change across a diverse population.
Question A community nurse is working in an area with a high prevalence of skin cancer. Which of the following educational topics should be prioritized to most effectively reduce the incidence of skin cancer in this community?
A) The importance of annual skin cancer screenings
B) Techniques for self-examination of skin for early detection of cancer
C) The history and types of skin cancer
D) The role of genetics in skin cancer risk
E) Sun protection strategies, including the use of sunscreen and protective clothing
Correct Answer: E) Sun protection strategies, including the use of sunscreen and protective clothing
Rationale: Sun protection strategies directly address the primary modifiable risk factor for skin cancer: exposure to ultraviolet (UV) radiation. By prioritizing education on the use of sunscreen and protective clothing, the nurse can effectively reduce the community’s exposure to harmful UV rays, thereby lowering the incidence of skin cancer. This approach is proactive and preventative, focusing on simple, everyday actions that individuals can take to protect themselves. Emphasizing sun protection can have a significant impact on community health by preventing skin cancer before it starts.
Question To address the issue of elder isolation in a community, a community nurse plans to launch a program that connects older adults with local volunteers. Which of the following program features would most likely ensure the success of this initiative?
A) A focus on technology training for older adults
B) Regular home visits by volunteers
C) Creation of a senior-only social networking site
D) One-time events for seniors to meet volunteers
E) A newsletter detailing community events
Correct Answer: B) Regular home visits by volunteers
Rationale: Regular home visits by volunteers directly address the issue of elder isolation by providing consistent social interaction and support. This approach creates meaningful, ongoing relationships between older adults and volunteers, which can significantly reduce feelings of loneliness and isolation. Home visits also allow volunteers to assess the needs of the elderly in a personal setting, offering tailored support and connection to community resources. This strategy is effective because it combines social support with a personal touch, making it more impactful than one-time events or indirect forms of communication.
Question A community nurse is involved in disaster planning for a region prone to hurricanes. Which of the following interventions would be most critical in preparing the community for an upcoming hurricane season?
A) Developing an emergency communication plan to broadcast via social media
B) Conducting annual hurricane drills for community members
C) Distributing hurricane preparedness kits to all households
D) Organizing community clean-up days to reduce debris that could cause injury
E) Establishing evacuation routes and shelters
Correct Answer: E) Establishing evacuation routes and shelters
Rationale: Establishing clear evacuation routes and shelters is essential in preparing for hurricanes, as it addresses the immediate safety needs of the community during an emergency. This intervention ensures that residents know where to go and how to get there safely if evacuation becomes necessary. It also provides a structured response plan that can significantly reduce chaos and panic during a disaster.
Aeromedical evacuation (AE) allows us to move casualties rapidly to a medical treatment facility.
• War
• Domestic crises
• Response to acts of terrorism
The transfer and evacuation of the victim should be coordinated between the referring and the receiving provider. The receiving provider will evaluate current information about the patient’s clinical status and make recommendations.
Modes of Transportation
Civilian emergencies services use air ambulance.
Military may use: Rotary Wing, Fixed Wing or Commercial Aircraft
Transportation of the patient should include the following:
• Casualties from a chemical warfare event should be decontaminated by the designated chemical biological Hazmat team.
• Initial Stabilization, fluid resuscitation, wound care and pain management
• Physician to Physician contact
• Patient data collection (complete the transfer sheet)
• Stabilization of Associated Injuries (control bleeding and trauma)
• Medical and History (cause, date and time of burn)
AMPLE history
A – allergies M –medications P – previous illness and past medical history L – last meal or drink E – events preceding injury
• Send all documentation, lab results, diagnostic studies
Common Pitfalls ·
Failure to perform proper casualty triage
· Airway compromise, (respiratory distress)
· Inadequate ventilation due to over sedation
· Airway compromise during endotracheal intubation due to tracheal edema caused by inhalation injury or endotracheal tube obstruction)
· Under and Over-resuscitation
· Failure to adjust fluid rate based on physiologic response
· Overestimation of burn size
· Bolus IV fluid
· Missed injuries Hypothermia
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