PNC Clinical Procedures & Protocols 3

Question 1

A parish nurse is teaching proper hand hygiene. According to CDC guidelines, how long should alcohol-based hand rub be rubbed into the hands?

Accepted Answer

Until the product has evaporated and hands are dry

Answer

The CDC recommends rubbing alcohol-based hand rub over all hand surfaces until the product has completely evaporated, which typically takes 20–30 seconds.

Question 2

During a community health screening, a parish nurse finds a client with a total cholesterol of 215 mg/dL. How should this result be classified?

Accepted Answer

Borderline high

Answer

According to NCEP/AHA guidelines, a total cholesterol of 200–239 mg/dL is classified as borderline high and warrants lifestyle counseling and follow-up.

Question 3

A parish nurse is assisting a congregation member who reports chest pain. After calling 911, which action is appropriate while waiting for EMS?

Accepted Answer

Have the client chew one adult aspirin (325 mg) if not allergic and no contraindications

Answer

Chewing aspirin immediately during a suspected heart attack inhibits platelet aggregation and may reduce myocardial damage; this is recommended unless allergic or contraindicated.

Question 4

When applying a topical medication during a home visit, the parish nurse should:

Accepted Answer

Wear gloves to prevent absorption of the medication

Answer

Gloves must be worn when applying topical medications to prevent accidental absorption of the drug through the nurse's skin.

Question 5

A parish nurse is educating a client with hypertension about the DASH diet. Which food group should be significantly increased?

Accepted Answer

Fruits, vegetables, and low-fat dairy

Answer

The DASH diet emphasizes increased intake of fruits, vegetables, whole grains, and low-fat dairy, and is proven to lower blood pressure.

(PNC) Parish Nurse Certification Practice Test

(PNC) Parish Nurse Certification Practice Test

PNC Clinical Procedures & Protocols 3