Question 1

According to NDHS 2016, what percentage of rural household have their toilet facility in their own yard?

Accepted Answer

Answer reason: This is a factual public-health statistic from the NDHS 2016 report related to sanitation access in rural households. Such data are used to assess community health needs and plan health promotion and disease-prevention interventions (e.g., reducing diarrheal disease via improved sanitation). Among the provided choices, 84% is the NDHS 2016 value for rural households having a toilet facility in their own yard.
Category reason: The question tests knowledge of sanitation coverage as a population health indicator, which aligns with health promotion and prevention concepts rather than bedside clinical management.

Question 2

A community nurse is planning a health camp in a low-income area. What is the first step?

Accepted Answer

Answer reason: Planning community-based interventions starts with assessing the population to identify priority health needs, available resources, barriers to access, and cultural considerations. This ensures the camp’s services match actual community problems and avoids misallocation of limited resources. Funding, logistics, and volunteers are organized after needs and objectives are clarified from the assessment.
Category reason: This question tests the sequence of planning a community health promotion activity, emphasizing assessment as the first step in implementing disease-prevention and health-promotion services.

Question 3

A community health nurse is applying the principles of public health. Which of the following actions demonstrates the primary focus of community health nursing?

Accepted Answer

Answer reason: B. Teaching a group of teens about the dangers of vaping Community health nursing primarily emphasizes population-focused prevention and health promotion rather than direct individual treatment. Providing education to reduce vaping addresses primary prevention by decreasing risk behaviors in a defined community group. The other options are largely individual, restorative, or treatment-focused interventions rather than broad preventive public health action.
Category reason: The item tests community/public health nursing’s emphasis on prevention and health education for populations, which aligns with Health Promotion-Disease Prevention.

Question 4

A nurse is teaching a patient with type 2 diabetes mellitus about blood glucose management. Which of the following statements by the patient indicates a need for further education?

Accepted Answer

Answer reason: Medical nutrition therapy remains a core part of type 2 diabetes management regardless of whether the patient uses oral agents, insulin, or lifestyle changes alone. Oral medications lower glucose through specific mechanisms, but they do not offset sustained excess carbohydrate intake or poor overall dietary patterns. Misunderstanding this increases risk for persistent hyperglycemia and long-term complications, so it signals a need for additional teaching.
Category reason: This item tests patient education about self-management behaviors (diet, monitoring, exercise) to prevent disease complications, which fits Health Promotion-Disease Prevention.

Question 5

A nurse is teaching a female client how to prevent recurrent urinary tract infections. Which of the following statements by the client indicates a need for further teaching?

Accepted Answer

Answer reason: C. I will take my antibiotics until I feel better. Stopping antibiotics early promotes incomplete eradication of bacteria and increases risk of relapse and antimicrobial resistance, both of which contribute to recurrent UTIs. Teaching should emphasize taking the full prescribed course even if symptoms resolve. The other statements reflect appropriate preventive measures (perineal hygiene, adequate hydration when not contraindicated, and postcoital voiding to reduce bacterial ascent).
Category reason: This item tests client education to prevent recurrent infection through correct self-care behaviors and adherence, which is health promotion and disease prevention nursing teaching.

Question 6

A nurse is preparing to discharge a patient with newly diagnosed hypertension. Which of the following statements by the patient indicates a need for further teaching?

Accepted Answer

Answer reason: C. I can stop my medication once my blood pressure returns to normal. Antihypertensive therapy is typically long-term because blood pressure control reflects ongoing management rather than cure, and stopping medications commonly leads to rebound or recurrence of hypertension. Hypertension is often asymptomatic, so feeling well or seeing normal readings does not mean treatment is no longer needed. Teaching should reinforce adherence, ongoing monitoring, and lifestyle measures to reduce cardiovascular risk.
Category reason: This item tests discharge teaching and prevention-focused self-management for a chronic condition (medication adherence, monitoring, lifestyle changes), which aligns with health promotion and disease prevention in NCLEX.

Question 7

A nurse is providing education to a patient diagnosed with GERD. Which of the following statements by the patient indicates a need for further teaching?

Accepted Answer

Answer reason: These beverages can worsen reflux symptoms by increasing gastric acidity and/or decreasing lower esophageal sphincter tone, so they are commonly recommended to be limited or avoided as part of lifestyle modification. GERD medications (e.g., PPIs/H2 blockers/antacids) reduce acid exposure but do not reliably prevent reflux triggers from causing symptoms. The other statements reflect standard nonpharmacologic teaching to reduce nighttime and postprandial reflux.
Category reason: This item assesses patient education and evaluation of understanding of lifestyle modifications for GERD, which aligns with health promotion/disease prevention teaching in a nursing context.

Question 8

In Nepal, community based maternal care is mainly provided by?

Accepted Answer

Answer reason: In Nepal’s primary health-care system, FCHVs are the key community-level cadre delivering health promotion and basic maternal/newborn services (e.g., counseling, antenatal/postnatal support, referral). TBAs may still be present in communities but are not the main formal providers within the government community-based program structure. MCHWs are facility- or outreach-based workers, whereas the “mainly” community-based maternal care channel emphasizes the volunteer network embedded in households and villages.
Category reason: This question targets community-based maternal health service delivery and prevention-focused public health roles in pregnancy, aligning best with health promotion and disease prevention in maternal care.

Question 9

A nurse is teaching a community group about skin cancer prevention. Which of the following statements by a participant indicates a need for further teaching?

Accepted Answer

Answer reason: D. I only need to wear sunscreen on sunny days UV radiation can penetrate clouds and is also present during overcast weather, so protection is needed whenever outdoors. Sunscreen should be applied daily when exposed to daylight and reapplied as recommended, especially with sweating or swimming. Relying on sunshine alone to determine use increases cumulative UV exposure and skin cancer risk.
Category reason: This question tests community teaching for prevention behaviors (sun protection, avoidance of tanning beds, self-skin exams), which is health promotion and disease prevention education.

Question 10

Strategies of Leprosy eradication program includes all of the following except

Accepted Answer

Answer reason: Leprosy eradication strategies emphasize early case detection, prompt initiation of MDT, and prevention of disability with rehabilitation to reduce transmission and long-term morbidity. Effective programs integrate services into general health care and community-based delivery to improve access, adherence, and stigma reduction. A centralized, dedicated-hospital model is contrary to these public health principles because it can delay diagnosis/treatment and reduce coverage in endemic communities.
Category reason: This item tests community-level disease control measures (screening, early treatment with MDT, and disability prevention/rehabilitation) which are core elements of health promotion and disease prevention in population health nursing.

Question 11

The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact?

Accepted Answer

Answer reason: Early and consistent prenatal care is the most evidence-based, high-impact intervention to reduce both maternal and infant morbidity and mortality by enabling screening, risk stratification, and timely treatment of conditions such as hypertension/preeclampsia, diabetes, anemia, infections, and substance use. It also supports prevention strategies (e.g., immunizations, folic acid supplementation, smoking cessation counseling) and facilitates appropriate referrals to high-risk obstetric services. Compared with the other options, it directly targets the leading preventable contributors to adverse pregnancy outcomes at a population level.
Category reason: This question focuses on population-level strategies to prevent maternal and infant deaths through prenatal care and prevention measures, which aligns with health promotion and disease prevention in the childbearing period.

Question 12

A nurse is caring for a client with a new diagnosis of type 2 diabetes mellitus. Which intervention should the nurse prioritize?

Accepted Answer

Answer reason: This is a key self-management skill that helps the client control postprandial glucose and supports long-term prevention of complications. For a new type 2 diabetes diagnosis, first-line nursing priorities emphasize lifestyle education (meal planning, weight management, activity) and safe understanding of glucose control strategies. Immediate insulin is not routinely required unless there is severe hyperglycemia or acute metabolic decompensation. A pancreas CT is not a standard initial step, and recommending a high-protein diet is not an appropriate primary, evidence-based diabetes teaching priority compared with balanced carbohydrate management.
Category reason: This question asks the nurse to prioritize an education/intervention for a newly diagnosed client, focusing on disease prevention and self-management rather than testing biomedical mechanisms.

Question 13

A nurse is planning a teaching session for parents of preschool children. Which statement explains why the nurse should include information about morbidity and mortality?

Accepted Answer

Answer reason: Morbidity and mortality data describe how often diseases occur and how often they lead to death, which helps target prevention and screening efforts. For parents of preschool children, this supports teaching focused on conditions most likely to affect this age group and on populations with higher risk. Using these data improves the relevance of anticipatory guidance and helps prioritize education on preventable injuries and illnesses.
Category reason: This question focuses on using population health data to guide parent education and prevention priorities for preschool children, which aligns with health promotion and disease prevention in growth and development.

Question 14

Which is the primary goal of community health nursing?

Accepted Answer

Answer reason: B. To enhance the capacity of individuals, families and communities to cope with their health needs. Community health nursing primarily aims to empower people at the individual, family, and community levels to manage and improve their own health. This includes building self-care skills, strengthening community resources, and supporting prevention and health promotion through participation and education. The other options are narrower (supporting medicine, productivity, or maternal-child focus) and do not capture the broader empowerment and capacity-building mission.
Category reason: This question asks about the overarching goal of community health nursing, which centers on promoting health and preventing disease at the population level, aligning best with Health Promotion-Disease Prevention.

Question 15

CHN is a community-based practice. Which best explains this statement?

Accepted Answer

Answer reason: A. The service is provided in the natural environment of people. Community-based nursing focuses on delivering care where clients live, work, and socialize, allowing assessment and interventions in real-life contexts. Providing services in the client’s usual setting supports health promotion, risk reduction, and tailored education based on environmental and social determinants. The other options describe important aspects of community health nursing (resource linkage, resource-based planning, and priority setting) but do not define what makes the practice “community-based.”.
Category reason: The item tests the concept of delivering nursing services within the community setting to support prevention and health promotion rather than a specific biomedical mechanism, which aligns with Health Promotion–Disease Prevention.

Question 16

Which is the primary goal of community health nursing?

Accepted Answer

Answer reason: Community health nursing emphasizes empowerment and capacity-building so people can identify problems, make informed decisions, and manage health needs using available resources. This aligns with a population-focused approach that strengthens self-care, resilience, and community participation rather than merely extending medical services. While disease prevention and health promotion are key strategies, the overarching goal is enabling individuals, families, and communities to function at their highest level of health. The other choices are narrower (service supplementation, productivity focus, or national development framing) and do not best capture the primary goal.
Category reason: This item asks about the overarching goal of community health nursing, which centers on health promotion and disease prevention at the individual, family, and community levels—consistent with the Health Promotion-Disease Prevention leaf.

Question 17

CHN is a community-based practice. Which best explains this statement?

Accepted Answer

Answer reason: A. The service is provided in the natural environment of people. Community-based practice means care is delivered where people live, work, and socialize, emphasizing real-life contexts that influence health behaviors and outcomes. This approach supports accessibility, culturally appropriate interventions, and prevention-focused care tailored to the community setting. The other choices describe important steps in community health nursing (assessment/diagnosis, resource use, priority setting) but do not define what makes the practice “community-based.”.
Category reason: This item tests the defining feature of community-based nursing care delivery and health promotion in real-world community settings rather than institutional care, aligning with Health Promotion-Disease Prevention.

Question 18

The PNP is following a 15-year-old male adolescent with consistent blood pressure readings of 132 to 138/84 to 86 mm Hg, which is classified as significant hypertension. After performing a workup, the PNP determines that the adolescent has primary hypertension. The most judicious recommendation for therapy is?

Accepted Answer

Answer reason: A) Diet and exercise counseling and referral to a specialist First-line management of primary hypertension in adolescents is lifestyle modification, especially healthy diet and regular physical activity, with counseling to support adherence. Referral is appropriate because “significant” or persistent hypertension in a teenager warrants specialist evaluation to confirm staging, assess target-organ effects, and guide further management. Option B is not tailored to primary HTN (a “diabetic” diet is not indicated without diabetes) and is overly prescriptive. Option C is incomplete because family history assessment is part of evaluation, not the primary therapy recommendation, and option D inappropriately starts drug therapy and restricts activity without clear indication.
Category reason: This question asks for the most appropriate therapeutic recommendation for an adolescent with primary hypertension, focusing on lifestyle counseling and appropriate referral—core health promotion and disease-prevention nursing management.

Question 19

The nurse is preparing to educate a patient regarding administration of enoxaparin injections. Which of the following questions would be most appropriate for the nurse to ask the patient?

Accepted Answer

Answer reason: ?" Assessing a client’s learning preferences supports individualized teaching, improves comprehension, and increases adherence to self-injection technique and safety steps. This open-ended question helps the nurse select appropriate methods (demonstration, return-demonstration, written instructions, video) and evaluate readiness without assuming access to technology or availability of a support person. The other options are either narrow, not directly related to assessing learning needs, or prematurely move to performing the skill before confirming the best teaching approach and understanding.
Category reason: This item tests nursing patient education and tailoring teaching strategies to promote safe self-care, which aligns with health promotion and disease prevention within Health Promotion and Maintenance.

Question 20

A diabetic patient asks why they should avoid smoking. The best response is?

Accepted Answer

Answer reason: Smoking accelerates atherosclerosis and endothelial injury, which worsens both microvascular (retinopathy, nephropathy, neuropathy) and macrovascular (coronary artery disease, stroke, peripheral arterial disease) complications already associated with diabetes. This statement is accurate, clinically meaningful, and supports risk-reduction counseling. The other options are either incomplete, less directly relevant to the key diabetes-related risk, or incorrect and misleading.
Category reason: This is patient education focused on preventing diabetes-related complications through lifestyle risk reduction, which fits Health Promotion-Disease Prevention.

Question 21

A nurse is teaching a client with type 2 diabetes about dietary management. Which food should the client limit to control blood glucose levels?

Accepted Answer

Answer reason: B) Sugary beverages They contain rapidly absorbed simple sugars with little to no fiber, causing quick postprandial glucose spikes and making glycemic control more difficult in type 2 diabetes. Replacing sugar-sweetened drinks with water or unsweetened alternatives reduces high glycemic load without compromising nutrient intake. The other options are generally compatible with diabetes meal planning when portion-controlled (whole grains) or are low in carbohydrate (lean protein, nonstarchy vegetables).
Category reason: This item tests diet teaching and lifestyle counseling to prevent hyperglycemia and support chronic disease management, which aligns with health promotion and disease prevention education rather than detailed biomedical mechanisms.

Question 22

To evaluate a woman's understanding about the use of diaphragm for family planning, Nurse Trish asks her to explain how she will use the appliance. Which response indicates a need for further health teaching?

Accepted Answer

Answer reason: e" Diaphragms with spermicide should be used with every act of intercourse regardless of where the client is in her menstrual cycle, because ovulation timing can vary and pregnancy can occur with any unprotected exposure. The “middle of the cycle” is generally higher fertility, but limiting use to that time reflects misunderstanding and increases pregnancy risk. The other statements reflect correct teaching: inspect for damage, refitting may be needed with significant weight change, and leave in place at least 6 hours postcoitus.
Category reason: This question tests client education about correct contraceptive use and prevention of unintended pregnancy, which fits health promotion and disease prevention in nursing care.

Question 23

A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy?

Accepted Answer

Answer reason: Primary health care strategies emphasize prevention and early identification at the point of first contact, allowing timely counseling, lifestyle interventions, and referral when indicated. Routine screening (e.g., BMI/waist assessment and risk-factor review) is population-level and upstream compared with planning for inpatient equipment, perioperative training, or postoperative complication teaching. The other options focus on tertiary care needs after complications or advanced disease rather than preventing progression and comorbidities.
Category reason: This question asks for a primary health care strategy aimed at prevention and early detection in routine care settings, which aligns with health promotion and disease prevention rather than biomedical science content.

Question 24

Dana asks about female condoms. Which of the following is true with regards to female condoms?

Accepted Answer

Answer reason: B. She should insert the condom before any penile penetration Female condoms are a barrier method and must be placed prior to genital contact to effectively reduce pregnancy and STI risk. They do not release hormones, so weight gain from hormonal exposure is not expected. They are designed for single use only and should not be reused due to tearing and contamination risk. Spermicide is not required and may increase irritation for some users, so routine coating is not recommended.
Category reason: This question tests patient teaching about correct use of a contraceptive barrier method, which is health promotion and disease prevention education rather than foundational biomedical science.

Question 25

A client says she heard from a friend that you should stop having periods once you are on the “pill.” The most appropriate response would be?

Accepted Answer

Answer reason: A. “The pill prevents the uterus from making such uncomfortable lining, that is why periods may often be scant or skipped occasionally.” Combined oral contraceptives thin the endometrial lining and can reduce menstrual flow; some users experience light bleeding or occasional missed withdrawal bleeding without it being inherently harmful. This response provides accurate teaching and reassurance while normalizing a common effect of hormonal contraception. Option B is unsafe as routine guidance (clients should generally continue pills and evaluate pregnancy if bleeding is absent as instructed, especially after missed pills), C is inaccurate because monthly bleeding is not guaranteed and does not necessarily indicate misuse, and D is false and fear-inducing.
Category reason: This item tests client education about expected effects of oral contraceptives and health teaching to prevent misconceptions, which fits Health Promotion-Disease Prevention.

Question 26

Scenario: A patient with hypertension says, “I stop taking the pills when I feel better.” Q. What is the best response by the nurse?

Accepted Answer

Answer reason: Hypertension is often asymptomatic, so feeling better does not mean blood pressure is controlled. Daily adherence maintains steady antihypertensive effect and reduces long-term risks such as stroke, myocardial infarction, heart failure, and kidney disease. This response uses therapeutic communication and patient education to assess barriers, correct misconceptions, and support sustained self-management. The other options normalize nonadherence or imply PRN use, which is unsafe for chronic blood pressure control.
Category reason: This item focuses on patient education and behavior change to prevent complications of a chronic condition, which aligns with health promotion and disease prevention.

Question 27

A nurse is teaching a client how to prevent osteoporosis. Which statement by the client indicates a need for further teaching?

Accepted Answer

Answer reason: Osteoporosis prevention focuses on optimizing bone mineral density through adequate calcium and vitamin D intake along with lifestyle measures. Dairy products are a common dietary source of calcium (and often vitamin D when fortified), so limiting them can reduce calcium intake and increase osteoporosis risk. Weight-bearing exercise, smoking cessation, and regular sunlight exposure (for vitamin D synthesis) are all appropriate preventive measures.
Category reason: This question tests client education on lifestyle and nutrition strategies to prevent disease (osteoporosis), which is health promotion and disease prevention.

Question 28

Exclusive breastfeeding should be continued up to?

Accepted Answer

Answer reason: Exclusive breastfeeding is recommended because breast milk alone provides adequate nutrition and immune protection for most infants early in life. The standard public health guidance is exclusive breastfeeding for about the first 6 months, after which complementary foods are introduced while breastfeeding continues. This timing balances nutritional needs (iron/energy) that begin to exceed what exclusive breast milk can provide with ongoing benefits of breastfeeding. Options shorter than 6 months stop exclusivity before the recommended minimum, and longer durations of exclusivity can risk inadequate micronutrient intake without complementary feeding.

Question 29

Which day is observed as World No Smoking Day?

Accepted Answer

Answer reason: Tobacco use is a leading preventable cause of morbidity and mortality, so a dedicated annual day is used globally to drive cessation efforts and policy advocacy. The World Health Organization observes World No Tobacco Day on May 31 each year, making this date the recognized observance. Other listed dates correspond to different international days (e.g., June 5 is World Environment Day), so they are not correct for smoking cessation awareness.

Question 30

Basic unit of the society :-

Accepted Answer

Answer reason: Many health promotion and disease prevention interventions are planned and evaluated at the family level (e.g., nutrition practices, immunization adherence, sanitation habits, and support during illness). An individual is important for care delivery but is not typically defined as the basic unit of society in public health/nursing theory. PHC and country represent health system and political units rather than the core social structure that shapes daily living and health behaviors.

Question 31

Method used for diagnosing community health problem?

Accepted Answer

Answer reason: A survey systematically collects data on symptoms, behaviors, access, and perceived needs across a defined community, allowing nurses and public health teams to diagnose priority problems and plan interventions. Laboratory tests diagnose conditions in individuals and are not efficient as a primary method for defining a community-level problem. Camps and health education are intervention strategies rather than diagnostic/assessment methods.

Question 32

CALORIE INTAKE OF 1 YEAR CHILD PER KC IS?

Accepted Answer

Answer reason: A common nursing nutrition rule-of-thumb for a 1-year-old is approximately 100 kcal/kg/day to support normal growth and activity. The larger values listed would substantially exceed typical pediatric caloric needs and would not be used as standard guidance. Therefore, the best estimate among the choices is 100 kcal/kg.

Question 33

Which among the following is a “Health promotion nursing diagnosis”?

Accepted Answer

Answer reason: This option explicitly reflects a positive health state and willingness to strengthen self-management. By contrast, hyperthermia and impaired memory are actual (problem-focused) diagnoses, and risk for falls is a risk diagnosis focused on preventing harm. Therefore the health-promotion diagnosis is the one framed as readiness to enhance functioning.

Question 34

Exclusive Breastfeeding Is Recommend For -?

Accepted Answer

Answer reason: Introducing water, other liquids, or complementary foods earlier increases the risk of diarrhea and can displace breast milk intake. At around 6 months, iron and energy needs rise and complementary feeding is added while breastfeeding continues. Options like 1 month or 9 months do not align with standard public health/WHO guidance for the exclusive phase, and 1 year refers to continued (not exclusive) breastfeeding.

Question 35

The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic treatment for illnesses. What should be the focus of the nurse’s response?

Accepted Answer

Answer reason: Patient education should accurately describe the core modality so the public can make informed, safe choices and seek appropriate providers. Spinal manipulation/adjustment is the defining focus of chiropractic practice for symptom management, especially for musculoskeletal complaints. Options like electrical energy fields and mind-body balance describe other complementary approaches (e.g., therapeutic touch, meditation) rather than chiropractic.

Question 36

Under Integrated management of neonatal and childhood illness care is rendered to?

Accepted Answer

Answer reason: The program is structured into two age-specific algorithms because danger signs, feeding assessment, and illness classifications differ in young infants versus older children. It covers young infants from birth up to 2 months, and children from 2 months up to 5 years. Options that include only newborns or extend to 8 years do not match the IMNCI age scope and would misalign with the guideline-based approach.

Question 37

You are educating the parents of a 12-year-old, who was recently treated for sickle cell crisis, on ways to prevent further sickle cell crises in the future. Which statement by the parents demonstrates they understood your instructions?

Accepted Answer

Answer reason: ” Sickle cell crises are triggered by conditions that promote hypoxia and dehydration, which increase RBC sickling and vaso-occlusion. High altitude lowers oxygen availability and can precipitate a crisis, so avoiding high-altitude travel is an appropriate prevention strategy. Limiting fluids is incorrect because maintaining good hydration helps reduce blood viscosity and decreases sickling risk. Cold exposure can cause vasoconstriction and worsen ischemic pain, and routine vaccinations should be kept up to date to reduce infection-triggered crises.

Question 38

Which is the primary goal of community health nursing?

Accepted Answer

Answer reason: This goal prioritizes maintaining and improving overall community well-being rather than treating established disease after it occurs. Curative care and hospital-based services are important but are not the central emphasis of community/public health nursing. Research may support practice, but it is a means to improve community outcomes, not the primary goal tested here.

Question 39

One focus for current health care is?

Accepted Answer

Answer reason: This aligns with evidence that preventing disease decreases morbidity, improves quality of life, and reduces health-system costs compared with treating established illness. Symptom management and identification of disease processes are important but are more reactive, focusing on existing conditions (secondary/tertiary care). Increasing provision of nursing services is a system-level input, not the overarching care focus compared with prevention-oriented models.

Question 40

Providing families with information on normal growth and development and nurturing child rearing practices before the child enters that stage of development is known as?

Accepted Answer

Answer reason: The stem describes preparing families ahead of the child’s next stage with guidance on normal growth and supportive child-rearing practices, which matches this concept precisely. This approach is central to pediatric health maintenance visits and reduces risk by improving caregiver readiness and early recognition of concerns. A common distractor is evidence-based practice, which refers to using research to guide clinical decisions, not stage-specific preventive counseling. Morbidity refers to illness burden and is not a teaching strategy.

Question 41

A nurse is educating a client with gout about dietary choices. Which of the following foods should the nurse recommend?

Accepted Answer

Answer reason: Sardines are a classic high-purine food and are associated with gout flares, so they should be avoided. Red wine (alcohol) can precipitate attacks and is not recommended as a preferred choice. Decaffeinated coffee is a low-purine beverage and is generally acceptable within a gout-friendly diet compared with the other options listed.

Question 42

The nurse instructs a patient about Kegel exercises to manage urinary stress incontinence. Which of the following statements, if made by the patient to the nurse, indicates that teaching is effective?

Accepted Answer

Answer reason: Effective Kegel teaching is demonstrated when the patient can correctly identify and isolate the pelvic floor muscles used to support the urethra and bladder neck. The “stop passing gas” cue targets the anal sphincter/pelvic floor contraction, which is the same muscle group strengthened to improve stress incontinence. Holding the breath is incorrect because it increases intra-abdominal pressure and encourages use of accessory muscles rather than isolating the pelvic floor. Sitting is not required because Kegels can be performed in various positions, and doing them longer than prescribed does not ensure correct technique and may promote fatigue or misuse.

Question 43

The nurse is caring for a 15-year-old female with a urinary tract infection. Which of the following fluids will the nurse encourage to decrease the risk of developing a future urinary tract infection?

Accepted Answer

Answer reason: coli to the uroepithelium, lowering the likelihood of colonization. Encouraging this fluid fits the goal of decreasing future infection risk as part of patient teaching. In contrast, ginger ale, pineapple juice, and milk do not have evidence-based, UTI-specific antiadherence effects and are not standard preventive recommendations. Adequate overall hydration is also important, but among the listed choices, this is the most directly linked to UTI prevention.

Question 44

Teaching for a client with chronic obstructive pulmonary disease (COPD) should include which of the following topics?

Accepted Answer

Answer reason: COPD clients are at high risk for infectious exacerbations, and early recognition enables timely evaluation and treatment to prevent hypoxemia and respiratory failure. Teaching should focus on warning signs such as increased sputum volume or purulence, fever/chills, worsening dyspnea, and decreased exercise tolerance so the client can seek care promptly. Increasing oxygen independently can worsen hypercapnia in some COPD patients and should be provider-directed and titrated to target saturation. Self-treating infections without medical evaluation is unsafe because it can delay appropriate antibiotics, steroids, or further assessment when deterioration occurs.

Question 45

The nurse is preparing to teach a discipline class for parents of pre-schoolers. The nurse will be guided by which of the following principles?

Accepted Answer

Answer reason: This principle aligns with developmentally appropriate parenting by using consistent limits, positive reinforcement, and guidance to build the child’s ability to regulate behavior independently. Harsh punishment is not the most effective approach and can increase fear, aggression, and power struggles rather than learning. Also, punishment does not increase unwanted behavior; it is intended to decrease it, and discipline is broader than punishment because it includes instruction and skill-building.

Question 46

An important intervention for infants who have developmental disabilities is to?

Accepted Answer

Answer reason: Prompt referral to stimulation and early intervention services (e.g., PT/OT/speech, family-centered coaching) can reduce secondary delays and support adaptive skill acquisition. This is a supportive, evidence-based nursing intervention that empowers caregivers and optimizes development rather than promoting hopelessness. Institutionalization is not a first-line nursing intervention and is inconsistent with family-centered care. While follow-up evaluation can be appropriate, waiting until age 2 risks missing a critical window for developmental gains.

Question 47

Which statement regarding bottle mouth caries requires further teaching?

Accepted Answer

Answer reason: Putting an infant to bed with a bottle increases exposure time and decreases salivary flow during sleep, which worsens decay risk rather than reducing it. Teaching focuses on avoiding bedtime bottles with anything other than water and establishing early oral hygiene. The other statements align with prevention concepts and typical epidemiology of early childhood caries.

Question 48

Nursing care of children focuses on improving the quality of care by:

Accepted Answer

Answer reason: A holistic environment supports normal development by integrating nutrition, safety, stimulation, family-centered care, and anticipatory guidance rather than focusing only on single diseases. The other options are narrower public-health or treatment goals that contribute to child health but do not fully capture the overarching aim of pediatric nursing. Quality care in children prioritizes optimizing growth and developmental outcomes across settings (home, school, community) while preventing illness and complications.

Question 49

You are providing a home health care assessment for a very low income mother with three young children under 5 who all appear to be at nutritional risk. Which program would you refer them to in an attempt to reduce the risk and safeguard the health of this family?

Accepted Answer

Answer reason: This directly addresses the scenario’s primary risk—undernutrition in a mother and three children under 5—and offers immediate food assistance plus monitoring/referral. Medicaid and CHIP are primarily health insurance programs and do not directly provide nutrition supplementation as the core service. The Division of Maternal and Child Health supports broader public health initiatives but is less direct and actionable for immediate nutrition support than WIC.

Question 50

Which of the following is the most appropriate example of anticipatory guidance for a 16-year old who has been hospitalized for an ankle fracture?

Accepted Answer

Answer reason: For a 16-year-old, injury prevention and risk reduction related to beginning or increased driving is a high-priority topic with major morbidity and mortality implications. This aligns with adolescent developmental tasks and common preventable harms (e.g., distracted driving, seat belt use, impaired driving). Puberty counseling is typically earlier adolescence, and while smoking and social media are relevant, they are less directly “upcoming” and broadly expected compared with driving safety at this age.

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According to NDHS 2016, what percentage of rural household have their toilet facility in their own yard?

A community nurse is planning a health camp in a low-income area. What is the first step?

A community health nurse is applying the principles of public health. Which of the following actions demonstrates the primary focus of community health nursing?

A nurse is teaching a patient with type 2 diabetes mellitus about blood glucose management. Which of the following statements by the patient indicates a need for further education?

A nurse is teaching a female client how to prevent recurrent urinary tract infections. Which of the following statements by the client indicates a need for further teaching?

A nurse is preparing to discharge a patient with newly diagnosed hypertension. Which of the following statements by the patient indicates a need for further teaching?

A nurse is providing education to a patient diagnosed with GERD. Which of the following statements by the patient indicates a need for further teaching?

In Nepal, community based maternal care is mainly provided by?

A nurse is teaching a community group about skin cancer prevention. Which of the following statements by a participant indicates a need for further teaching?

Strategies of Leprosy eradication program includes all of the following except

The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact?

A nurse is caring for a client with a new diagnosis of type 2 diabetes mellitus. Which intervention should the nurse prioritize?

A nurse is planning a teaching session for parents of preschool children. Which statement explains why the nurse should include information about morbidity and mortality?

Which is the primary goal of community health nursing?

CHN is a community-based practice. Which best explains this statement?

Which is the primary goal of community health nursing?

CHN is a community-based practice. Which best explains this statement?

The nurse is preparing to educate a patient regarding administration of enoxaparin injections. Which of the following questions would be most appropriate for the nurse to ask the patient?

A diabetic patient asks why they should avoid smoking. The best response is?

A nurse is teaching a client with type 2 diabetes about dietary management. Which food should the client limit to control blood glucose levels?

To evaluate a woman's understanding about the use of diaphragm for family planning, Nurse Trish asks her to explain how she will use the appliance. Which response indicates a need for further health teaching?

A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy?

Dana asks about female condoms. Which of the following is true with regards to female condoms?

A client says she heard from a friend that you should stop having periods once you are on the “pill.” The most appropriate response would be?

Scenario: A patient with hypertension says, “I stop taking the pills when I feel better.” Q. What is the best response by the nurse?

A nurse is teaching a client how to prevent osteoporosis. Which statement by the client indicates a need for further teaching?

Exclusive breastfeeding should be continued up to?

Which day is observed as World No Smoking Day?

Basic unit of the society :-

Method used for diagnosing community health problem?

CALORIE INTAKE OF 1 YEAR CHILD PER KC IS?

Which among the following is a “Health promotion nursing diagnosis”?

Exclusive Breastfeeding Is Recommend For -?

The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic treatment for illnesses. What should be the focus of the nurse’s response?

Under Integrated management of neonatal and childhood illness care is rendered to?

You are educating the parents of a 12-year-old, who was recently treated for sickle cell crisis, on ways to prevent further sickle cell crises in the future. Which statement by the parents demonstrates they understood your instructions?

Which is the primary goal of community health nursing?

One focus for current health care is?

Providing families with information on normal growth and development and nurturing child rearing practices before the child enters that stage of development is known as?

A nurse is educating a client with gout about dietary choices. Which of the following foods should the nurse recommend?

The nurse instructs a patient about Kegel exercises to manage urinary stress incontinence. Which of the following statements, if made by the patient to the nurse, indicates that teaching is effective?

The nurse is caring for a 15-year-old female with a urinary tract infection. Which of the following fluids will the nurse encourage to decrease the risk of developing a future urinary tract infection?

Teaching for a client with chronic obstructive pulmonary disease (COPD) should include which of the following topics?

The nurse is preparing to teach a discipline class for parents of pre-schoolers. The nurse will be guided by which of the following principles?

An important intervention for infants who have developmental disabilities is to?

Which statement regarding bottle mouth caries requires further teaching?

Nursing care of children focuses on improving the quality of care by:

You are providing a home health care assessment for a very low income mother with three young children under 5 who all appear to be at nutritional risk. Which program would you refer them to in an attempt to reduce the risk and safeguard the health of this family?

Which of the following is the most appropriate example of anticipatory guidance for a 16-year old who has been hospitalized for an ankle fracture?

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