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A school nurse is developing a health risk screening protocol for use at an elementary school. Which information is most important for the nurse to include in this protocol?
- A. Long bone density testing.
- B. Annual flu vaccination status.
- C. Weight and height measurement.
- D. Serum total cholesterol level.
Correct Answer: C
Rationale: Weight and height measurements are essential for assessing growth, detecting malnutrition or obesity, and monitoring overall health in elementary students.
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A newly hired school nurse conducts a 'windshield' survey of the geographic area served by the school, Which method is best for the nurse to use to objectively validate the findings obtained?
- A. Review the previous school nurse's anecdotal documents.
- B. Obtain morbidity and mortality data for the geographic area.
- C. Talk with teachers about their concerns for the students.
- D. Discuss with the Parent/Teacher Association (PTA) board about their perception of school events.
Correct Answer: B
Rationale: Morbidity and mortality data provide objective, quantifiable evidence to validate windshield survey findings, offering insights into health trends and disease prevalence in the community.
During a substance abuse class at an elementary school, a student says, 'My Dad used to drink one beer a day. Now he drinks at least a six-pack every day.' What does this child's description of the father indicate?
- A. The parent's judgment is likely too impaired to provide care for the child.
- B. Since the parent is increasing his alcohol intake, it is likely that he will soon begin using other addicting drugs.
- C. The parent is exhibiting tolerance to alcohol and must increase the amount to achieve the desired effect.
- D. The child is denying that there is a problem of alcohol abuse in the family.
Correct Answer: C
Rationale: The increase from one beer to a six-pack daily suggests tolerance, where the parent needs more alcohol to achieve the same effect, a hallmark of developing alcohol dependency.
Tuberculosis (TB) screening at a federal prison reveals that two inmates have a positive skin test. Which action is most important for the nurse to take?
- A. Rescreen the entire prison population in 6 weeks.
- B. Start the two inmates on antitubercular medications.
- C. Refer the two Inmates for chest x-rays.
- D. Screen the prison guards for TB.
Correct Answer: C
Rationale: A chest x-ray is essential to determine if the positive skin test indicates active TB or latent infection, guiding appropriate treatment and preventing unnecessary medication use.
A school nurse identifies 15 new students with positive tuberculin tests among the 500 at-risk students tested. Which is the rate per 1,000 with new positive tests?
- A. 3/1,000.
- B. 30/1,000.
- C. 1.7/1,000.
- D. 15/1,000.
Correct Answer: B
Rationale: The rate is calculated as (15/500) * 1,000 = 30/1,000, accurately reflecting the proportion of students with positive tests per 1,000.
When assessing the health of a community, which is the most important information for the nurse to obtain?
- A. Mortality rate in the community.
- B. Expressed needs of community members.
- C. Life expectancy of clients in the community.
- D. Description of health problems by community leaders.
Correct Answer: B
Rationale: Expressed needs of community members provide direct insight into specific health concerns and priorities, ensuring interventions are relevant and effective.