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HESI COMMUNITY HEALTH PROCTORED EXAM

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HESI

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Rasmussen College

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HESI COMMUNITY HEALTH PROCTORED EXAM VERSION 1 1. A nurse is talking to a client who asks for inform ation about hospice. Which of the following statements should the nurse make? A. "clients who require skilled nursing care at home qualify for hospice care" B. "one function of hospice is to provide teaching to clients about life -sustaining measures"C. "hospice assists clients to develop the skills they needed to care for themselves indep endently" D. "A component of hospice care is to control the client's manifest ations" 2. A school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following roles is the nurse functioning? A. direct caregiver B. consultant C. case manager D. counselor 3. An occup ational health nurse is consulting with senior management of a local industrial facility. When discussing work -related illness and injury, the nurse should include which of the following factors as phy sical agents? ( select all that apply ) A. noise B. age C. lighting D. virusesE. stress 4. A newly hired occup ational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following should the nurse determine when conducting a work site survey? A. work practices of employees B. past exposure to specific agents C. past jobs of individual employees D. length of time working in current role 5. A school nurse is planning health promotion and disease prevention activities for the upcoming scho ol year. In which of the following situ ations is the nurse planning a secondary prevention strategy? A. placing posters with images of appropriate hand hygiene near restrooms B. routinely checking students for pediculosis throughout the school year C. implementing age-appropriate injury prevention programs for each grade level D. working with a dietician to determine carbohydrate counts for students who have DMChapter 5 1. A nurse at a community clinic is conducting a well -child visit with a preschool -age child. The nurse should identify which of the following manifest ations as a possible indic ation of child neglect? ( Select all that apply ) A. underweight B. healing spiral fracture of the arm C. genital irrit ation D. burns on the palms of hands E. poor hygiene 2. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse identify as a manifest ation of withdrawal? A. decreased BP B. diaphoresis C. pinpoint pupils D. bradycardia 3. A community health nurse is developing an e ducation program on substance use disorders for a group of adolescents. Which of the following inform ation should the nurse include when discussing nicotine and smoking? A. smoking is the fifth -most preventable cause of death B. nicotine is a CNS depressant C. withdrawal effects from smoking are minimal D. tolerance to nicotine develops quickly 4. A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situ ations is the nurse impleme nting a tertiary prevention strategy? A. providing support programs for new parents B. screening a client whose partner recently died for suicide risk C. teaching a client who has schizophrenia about medic ation interactions D. discussing stress reduction techniques with employees at an industrial site 5. A nurse at an urban community health agency is developing an educ ation program for city leaders about homelessness. Which of the following should the nurse include as the fast est-growing segment of the homeless popul ation? A. families with children B. adolescent runaways C. intimate partner abuse survivors D. older adults Chapter 1 1. A nurse manager at a community agency is developing an orient ation program for newly hire d nurses. When discussing the differences between community -based and community -oriented nursing, the nurse should include which of the following as examples of community -based nursing? ( Select all that apply .) A. A home health nurse performing wound care for a client who is immobile B. An occup ational health nurse providing classes on body mechanics at a local industrial plant C. A school nurse teaching a student who has asthma about medic ations D. A parish nurse teaching class on low -sodium cooking techniques E. A mental health nurse discussing stress management techniques with a support group 2. A nurse is advoc ating for local community leaders to place a newly approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advoc ating for the leaders to uphold which of the following ethical principles? A. distributive justice B. fidelity C. respect for autonomy D. D. veracity 3. A nurse is preparing an educ ation program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following factors as agents? ( select all that apply ) A. resource availability B. ethnicity C. toxins D. bacteria E. altered immunity 4. A nurse is developing a community health education program for a group of clients who have a new diagnosis of DM. Which of the following learning strategies should the nurse include for clients who are auditory learners? A. showing inform ational videos B. providing equipment to practice hands -on skills C. supplying outlines for note -taking D. Facilit ating small group discussions 5. A community health nurse is implementing health programs with several popul ations in the local area. In which of the following situ ations is the nursing using primary prevention? A. Performing a home safety check at a client's home B. teaching healthy nutrition to clients who have HTN C. providing influenza immuniz ations to employees at a local preschool D. implementing a program to notify individuals exposed to a communicable disease Chapter 2 1. A nurse is preparing an educ ational program on cultural perspectives in nursing. The nurse should include that which of the following factors are influenced by an individual's culture? (select all that apply ) A. nutritional practices B. family structure C. health care interactions D. biological vari ations E. views about illness 2. A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? A. determine the client's perception of his current health status B. gather data about the client's cultural beliefs C. determine how the client's culture can affect the effectiveness of nursing actions D. gather inform ation about previous client interactions with the health care system 3. A nurse is using the I PREPARE mnemonic to assess a client's potential environmental exposures. Which of the following questions should the nurse ask when assessing for "A" in the mnemonic? A. "what do you like to do for fun?" B. "what year was you residence built?" C. "what jobs have you had in the past?" D. what industries are near where you live?" 4. A nurse is reviewing inform ation about the local health department to prepare for an interview. Which of the following services shoul d the nurse expect the local health department to provide? (select all that apply ) A. managing the women, infant, and children program B. providing educ ation to achieve community health goals C. coordin ating directives from state personnel D. reporting communicable diseases to the CDC E. licensing of registered nurses 5. A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a clie nt indicates a barrier to accessing health care? A. "I don't drive, and my son is only available to take me places in the mornings" B. "I can't take off during the day, and the local after -hours clinic is no longer in oper ation" C. "only one doctor in my town is a designated provider by my health maintenance organiz ation" D. "I would like to schedule an appointment with the local doctor in my town who speaks Spanish and English." Chapter 3 1. A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? ( select all that apply ) A. ethnicity of community members B. individuals who hold power within the community C. natural community boundaries D. prevalence of disease

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