ATI RN
NCLEX Questions and Answers in Community Health Nursing Questions
Question 1 of 5
What information is most important to keep in mind when caring for a pregnant adolescent?
Correct Answer: B
Rationale: The correct answer is B because limited knowledge can lead to pregnancy complications in pregnant adolescents. Having adequate knowledge about prenatal care, nutrition, and potential risks is crucial for ensuring a healthy pregnancy. Incorrect choices: A: Not all adolescent pregnancies are high risk. Risk factors vary based on individual circumstances. C: While some pregnant adolescents may struggle with proper nutrition, it is not a general rule. D: Socioeconomic status can influence health outcomes, but it is not the most important factor in caring for pregnant adolescents.
Question 2 of 5
A mother confides to the community health nurse (CHN) that her live-in boyfriend pushed her 2-year-old child because he was crying too much. She begs the CHN not to tell anyone because her boyfriend has agreed to take anger management classes. What should the CHN do?
Correct Answer: D
Rationale: The correct answer is D: Report the incident to the child protection agency. The CHN has a legal and ethical duty to protect the child from harm. Reporting to the child protection agency ensures the child's safety and well-being. The boyfriend's behavior of pushing a child is abusive and potentially dangerous. Ignoring the situation could lead to further harm to the child. Abiding by the mother's wishes (choice A) would prioritize confidentiality over the child's safety. Arranging counselling for the boyfriend (choice B) does not address the immediate risk to the child. Advicing the mother to take the child away (choice C) may not guarantee the child's safety if the boyfriend is not held accountable for his actions. Reporting to the child protection agency is the most appropriate and responsible action to safeguard the child's welfare.
Question 3 of 5
Community health nurses (CHNs) have been advised by the medical director to give injections of hepatitis A immunoglobulin to selected susceptible persons in the event of a hepatitis A epidemic. What outcome will be the result?
Correct Answer: D
Rationale: The correct answer is D: Passive immunization. In this scenario, the administration of hepatitis A immunoglobulin provides temporary protection by transferring pre-formed antibodies from an immune individual to a susceptible person. This process does not stimulate the individual's immune system to produce its antibodies, hence it is considered passive immunization. This approach is effective for providing immediate protection against hepatitis A in susceptible persons during an outbreak. A: Active immunization involves administering a vaccine to stimulate the individual's immune system to produce antibodies. B: Long-lasting immunity usually results from active immunization, not passive immunization. C: Natural immunity typically occurs after an individual has been exposed to and recovered from a specific infection, not through passive immunization.
Question 4 of 5
For what reason should the school nurse recommend that an HIV-infected child not be allowed to attend school?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which statement made by a seminar participant indicates that the speaker needs to further clarify teaching about environmental principles?
Correct Answer: C
Rationale: The correct answer is C because the statement "The solution to pollution is prosecution" oversimplifies the complex issue of environmental pollution. It implies that legal action alone can solve environmental problems, ignoring the importance of prevention, education, and sustainable practices. In contrast, choices A, B, and D reflect a better understanding of environmental principles by acknowledging interconnectedness, the concept of waste disposal, and the dynamic nature of environmental solutions.