Which description fits community-based nursing care?
It addresses emotional, physical, social and environmental factors that affect health
✓
It focuses only on the condition named in the referral
It is delivered only inside hospitals and clinics
It follows one standard plan for every patient
Correct Answer
It addresses emotional, physical, social and environmental factors that affect health
Community-based care is holistic and patient-centered, looking beyond a single condition to the wider factors that shape a person's health. Focusing only on the condition named in the referral is too narrow for this approach. Being delivered only inside hospitals and clinics is incorrect, since it includes homes, schools and correctional facilities. Following one standard plan for every patient ignores the individual and cultural needs that community care is built around.
Category: Home Health Visits
Question 2
A home health nurse is scheduled to visit a new patient in an unfamiliar neighborhood. Which personal safety precaution is appropriate?
Parking in a narrow driveway where another car could block the exit
Telling a supervisor the address and expected length of the visit
✓
Leaving a laptop and bag in plain view on the car seat
Skipping identification so the visit feels less formal
Correct Answer
Telling a supervisor the address and expected length of the visit
Letting a supervisor or colleague know where the nurse will be and for how long means someone can respond if the nurse does not check in. Parking in a narrow driveway where another car could block the exit makes it hard to leave quickly. Leaving a laptop and bag in plain view on the car seat invites theft; belongings are kept secure and out of sight. Skipping identification is unsafe, because a badge or uniform shows the patient and neighbors who the nurse is.
Category: Home Health Visits
Question 3
When a home health nurse arrives, a large dog in the home is barking and lunging. What should the nurse do?
Enter quickly and begin the assessment
Offer the dog a treat to calm it
Ask the patient to secure the dog before entering
✓
Document the visit as completed without entering
Correct Answer
Ask the patient to secure the dog before entering
Keeping a safe distance from unfamiliar animals and asking the patient to restrain pets protects the nurse while still allowing care. Entering quickly and beginning the assessment exposes the nurse to a possible bite. Offering the dog a treat brings the nurse into close contact with an agitated animal. Documenting the visit as completed without entering would be a false record and leaves the patient without care.
Category: Home Health Visits
Question 4
Which entry in a home visit note follows documentation guidance?
Patient is lazy and will not walk enough
The home is a mess, and the patient does not care
Patient seems to be exaggerating the pain again
Patient states, "My leg throbs when I walk to the mailbox."
✓
Correct Answer
Patient states, "My leg throbs when I walk to the mailbox."
Home visit notes use objective, nonjudgmental language and, when possible, the patient's own words for symptoms. Calling the patient lazy is a judgment, not an observation. Describing the home as a mess and saying the patient does not care is subjective opinion rather than a factual description. Saying the patient seems to be exaggerating the pain judges the patient's report instead of recording it.
Category: Home Health Visits
Question 5
During the initial home visit, the nurse and family discuss what to do if the patient's condition suddenly worsens. What is the nurse creating?
An emergency plan with contact information and steps to take
✓
A record of the patient's billing information
A schedule for the home health aide's breaks
A list of the family's personal preferences for meals
Correct Answer
An emergency plan with contact information and steps to take
The initial visit includes building an emergency plan with the family that names whom to call and what steps to take, so they can respond quickly between visits. A record of billing information does not prepare the family for an emergency. A schedule for the home health aide's breaks is an agency matter, not patient safety planning. A list of meal preferences may be useful but does not address sudden changes in condition.
Category: Home Health Visits
Question 6
A patient in cardiac rehabilitation asks about diet. Which teaching fits this program?
Eating more processed foods for convenience
Limiting sodium and controlling portion sizes
✓
Adding salt to meals to keep blood volume up
Skipping meals to lose weight quickly
Correct Answer
Limiting sodium and controlling portion sizes
Cardiac rehabilitation includes nutrition teaching such as a low-sodium diet, portion control and management of weight and blood glucose to reduce future cardiac events. Eating more processed foods adds hidden sodium and fat. Adding salt to meals works against the low-sodium goal and can raise blood pressure. Skipping meals to lose weight quickly is unsafe and does not support steady energy for exercise.
Category: Rehabilitation Care
Question 7
Which rehabilitation team member builds an exercise program to improve a patient's strength, balance and walking?
Speech-language pathologist
Social worker
Physical therapist
✓
Dietitian
Correct Answer
Physical therapist
The physical therapist focuses on movement, using exercise and manual therapy to build strength, flexibility, balance and mobility. The speech-language pathologist treats communication and swallowing disorders. The social worker addresses psychosocial, financial and practical needs. The dietitian plans nutrition to support recovery.
Category: Rehabilitation Team
Question 8
A patient with foot drop after a stroke is fitted with a brace that holds the ankle in position so the patient can walk safely. Which type of device is this?
Prosthetic device
Pressure-relief device
Eating aid
Orthotic device
✓
Correct Answer
Orthotic device
An orthotic device supports or aligns an existing bone or joint to improve mobility and function, as an ankle brace does. A prosthetic device replaces a missing body part, such as an artificial leg. A pressure-relief device protects the skin from breakdown. An eating aid, such as a built-up utensil, helps with feeding rather than walking.
Category: Rehabilitation Team
Question 9
Which activity is an instrumental activity of daily living?
Managing medications
✓
Bathing
Dressing
Toileting
Correct Answer
Managing medications
Instrumental activities of daily living are more complex tasks needed to live independently, such as managing medications and finances, preparing meals and doing housework. Bathing, dressing and toileting are basic activities of daily living, the self-care tasks of everyday life.
Category: Rehabilitation Care
Question 10
A patient with weakness of the left arm after a stroke is relearning to put on a pullover shirt. Which technique does the nurse reinforce?
Putting the right arm into its sleeve first
Putting the left arm into its sleeve first
✓
Choosing snug shirts with small buttons
Having staff dress the patient to save energy
Correct Answer
Putting the left arm into its sleeve first
The weaker arm goes into the garment first and comes out last, because the stronger arm can then pull the shirt over the head and into place; occupational therapy teaches these adaptive techniques after a stroke. Putting the right arm in first leaves the weak left arm to work into a sleeve that is already pulled tight. Choosing snug shirts with small buttons makes dressing harder for a weak hand. Having staff dress the patient to save energy takes away practice that builds independence.
Category: Rehabilitation Care
Question 11
A patient with a spinal cord injury has lost autonomic control below the injury. Which care need follows directly from this change?
A low-protein diet
Restriction of all upper body exercise
A bladder and bowel management program
✓
Daily speech therapy
Correct Answer
A bladder and bowel management program
Autonomic disruption after spinal cord injury affects bladder and bowel function, so rehabilitation includes bladder and bowel management, infection prevention and skin protection. A low-protein diet would slow healing and does not address elimination. Restricting all upper body exercise works against the goal of functional independence. Daily speech therapy is not indicated by loss of autonomic control.
Category: Rehabilitation Care
Question 12
Which teaching belongs in pulmonary rehabilitation for a patient with chronic obstructive pulmonary disease?
Avoiding all physical exertion
Lying flat to make breathing easier
Stopping inhalers once breathing improves
Energy conservation and airway clearance techniques
✓
Correct Answer
Energy conservation and airway clearance techniques
Pulmonary rehabilitation teaches energy conservation, airway clearance such as effective coughing and huffing, and correct inhaler and oxygen use while building endurance. Avoiding all physical exertion leads to further loss of endurance. Lying flat usually makes breathing harder for these patients. Stopping inhalers once breathing improves can lead to a flare.
Category: Rehabilitation Care
Question 13
Why does the rehabilitation team reassess a patient's functional ability at regular intervals?
To track progress and adjust goals and interventions
✓
To meet a rule that bars any change to the plan
To decide which family member pays for care
To replace the need for patient input on goals
Correct Answer
To track progress and adjust goals and interventions
Regular reassessment shows how the patient is progressing and lets the team change goals and interventions as needs change. Barring any change to the plan defeats the purpose of reassessment. Deciding which family member pays for care is not the purpose of a functional assessment. Replacing patient input is incorrect, since involving patients in goal setting improves engagement.
Category: Rehabilitation Care
Question 14
In rehabilitation case management, which task belongs to the coordinator role?
Diagnosing and treating swallowing disorders
Scheduling appointments and ordering durable medical equipment
✓
Counseling the patient about grief after an injury
Prescribing the patient's medications
Correct Answer
Scheduling appointments and ordering durable medical equipment
As coordinator, the case manager schedules and follows up on appointments and orders durable medical equipment so the patient has what is needed for the transition home. Diagnosing and treating swallowing disorders is the speech-language pathologist's work. Counseling the patient about grief after an injury belongs to the psychologist or other mental health professional. Prescribing the patient's medications is the role of the physician or other prescriber.
Category: Transitions of Care
Question 15
Which task is part of an occupational health nurse's role?
Screening students' vision and hearing
Writing health plans for students with asthma
Checking the fit of workers' N95 respirators
✓
Coordinating hospice care at home
Correct Answer
Checking the fit of workers' N95 respirators
Occupational health nurses protect workers by checking mask fit, confirming vaccination status, teaching injury prevention and monitoring high-risk employees. Screening students' vision and hearing is a school nurse's task. Writing health plans for students with asthma is also school nursing. Coordinating hospice care at home belongs to hospice nursing.
Category: Community Care Settings
Question 16
A student with type 1 diabetes enrolls in a new school. Which document does the school nurse prepare?
A hospital discharge summary
A workers' compensation claim
A hospice plan of care
An individualized health plan
✓
Correct Answer
An individualized health plan
School nurses write individualized health plans for students with chronic conditions such as diabetes, asthma and allergies, outlining accommodations, interventions and emergency steps, and they train staff to follow them. A hospital discharge summary is written by the hospital team. A workers' compensation claim relates to workplace injury. A hospice plan of care is for end-of-life care.
Category: Community Care Settings
Question 17
What forms the foundation of nursing care for people experiencing homelessness?
Building trust over time
✓
Requiring a permanent address first
Treating only the most urgent injury
Referring every patient to a shelter
Correct Answer
Building trust over time
Care for people experiencing homelessness depends on building trust, which allows the nurse to address physical, mental and social needs together. Requiring a permanent address first creates a barrier to care. Treating only the most urgent injury ignores the mental health, substance use and chronic conditions that also need attention. Referring every patient to a shelter is one resource, not the foundation of care.
Category: Community Care Settings
Question 18
A patient who now uses a wheelchair is going home and wants to keep cooking. Which home modification helps?
Adding throw rugs to the kitchen floor
Lowering the kitchen countertops
✓
Storing pots and pans on the highest shelves
Mounting the microwave above the stove
Correct Answer
Lowering the kitchen countertops
The home safety assessment during discharge planning checks whether the home fits the patient's new mobility limits, and lowered countertops let a seated person reach the work surface. Adding throw rugs to the kitchen floor creates hazards for wheels and feet. Storing pots and pans on the highest shelves puts them out of reach from a seated position. Mounting the microwave above the stove puts hot food out of safe reach and over a burner.
Category: Transitions of Care
Question 19
Which outcome is a benefit of collaborative, interprofessional care?
More separate plans written by each discipline
Less involvement of the patient in decisions
Fewer duplicated services and fewer gaps in care
✓
Longer hospital stays for complex patients
Correct Answer
Fewer duplicated services and fewer gaps in care
When team members coordinate, they avoid repeating the same services, close gaps and use resources well, which prevents fragmented care. More separate plans written by each discipline is the fragmentation that collaboration prevents. Less involvement of the patient is wrong, since shared decision-making is part of the approach. Longer hospital stays are not a goal or expected benefit.
Category: Transitions of Care
Question 20
Which patient concern is best suited to a telehealth visit?
A deep cut on the hand that needs stitches
A wrist that may be broken after a fall
A child who has just had a seizure
A mild sore throat with no trouble breathing
✓
Correct Answer
A mild sore throat with no trouble breathing
Telehealth suits simple acute illnesses that need no suturing, x-ray or lab work. A deep cut that needs stitches requires hands-on wound repair. A wrist that may be broken needs an x-ray. A child who has just had a seizure needs in-person emergency evaluation.
Category: Community Care Settings