Community Health HESI Exam Study Guide Questions and Answers with Complete Solutions
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Course
Community Health HESI
Institution
Community Health HESI
1. A 12-year-old female is seen by the school nurse after recently experiencing increasing difficulty sitting and paying attention in class, and increasingly illegible handwriting. The nurse observes that the child has protruding eyeballs and a staring expression. What action should the nurse take ...
Community Health HESI Exam Study Guide
Questions and Answers with Complete
Solutions 2024-2025
1. A 12-year-old female is seen by the school nurse after recently experiencing
increasing difficulty sitting and paying attention in class, and increasingly illegible
handwriting. The nurse observes that the child has protruding eyeballs and a staring
expression. What action should the nurse take next? -Correct Answer ✔Gather
additional data by taking a health history and measuring vital signs
2. When asked to help develop interventions to combat obesity among children, the
community health nurse should stress the importance of implementing which activity? -
Correct Answer ✔Set goals that are focused on developing healthier lifestyles
3. A terrorist attack has occurred and several people have inhaled Ricin. Which
intervention should the emergency department nurse implement when caring for these
clients? -Correct Answer ✔Provide supportive nursing care until antitoxin is available
4. A young woman tells the public health nurse that a friend was recently diagnosed
with Hepatitis B and she is concerned about getting the disease. During the assessment
interview, which question is most important for the nurse to ask this woman? -Correct
Answer ✔"Have you shared any needles or had sex with your friend?"
5. Which example should the nurse identify as a significant outcome for the Leading
Health indicators of Healthy People 2020? -Correct Answer ✔A community has adopted
a no smoking policy
6. Which intervention should the public health nurse implement when attempting to
address one of the leading health indicators of Healthy People 2020? -Correct Answer
✔Design and implement a no smoking campaign at the local high school
7. Lillian Wald was a significant person in the history of American Nursing. Which
contributions can be attributed to her? (Select all) -Correct Answer ✔-Development of
Public health nursing practice
-First nursing service for occupational health
-Established committee that was the forerunner of the NLN
-Instituted a sliding scale fee for service
8. A male client is brought to the emergency department as the result of a motorcycle
accident. He was not wearing a helmet at the time of the accident, and states that he
has no intention of ever wearing one. Within the framework of the Transtheoretical
Model (TTM), which response should the nurse provide? -Correct Answer ✔"Wearing a
helmet or not is certainly an individual decision."
Community Health HESI Exam
,Community Health HESI Exam
9. After accepting the position of school nurse in a public elementary school, what
strategy is best for the nurse to use to obtain an overview of the student body? -Correct
Answer ✔Conduct a windshield survey of the geographic areas served by the school
10. A nurse organizes a community action group to help resolve health problems in a
low income neighborhood with a large population of recent immigrants from Africa.
What problem should the nurse address first? -Correct Answer ✔Low immunization rate
of children
11. The nurse is preparing to discharge an elderly, recently widowed female client
following a mild stroke. At this time she is able to walk with the aid of a walker. As part
of the discharge planning, what referral is most important for the nurse to make? -
Correct Answer ✔Meals-on-Wheels
12. The nurse is designing a bioterrorism plan for a community. Which agents are
transmitted person to person via respiratory or inhalation exposure? (Select all) -Correct
Answer ✔-Pneumonic plague
-Smallpox
13. An occupational health nurse is reviewing a 20-year-old trend in the United States
that has resulted in an increase in certain medical conditions due to the rapid expansion
of an urban industrial workforce. Which medical conditions are specifically identified with
this trend? -Correct Answer ✔-Asthma
-Lung cancer
14. Which presentation of an infectious disease is acquired through an indirect
transmission? -Correct Answer ✔Malaria following exposure in a mosquito-infested area
15. What action is best for the community health nurse to take if the nurse suspects that
an infant is being physically abused? -Correct Answer ✔Follow agency protocols to
report suspected abuse
16. The nursing education coordinator is creating employee orientation materials for
staff nurses who plan to work at a clinic that serves a lower socioeconomic
neighborhood. What information should the educator include regarding the clinic's client
population? (Select all) -Correct Answer ✔-Most of the clients are unemployed or
disabled
-Access to mass transit may be an issue
-Basic physiologic needs of this population are often unmet
17. The nurse administers a booster dose of DTaP (diphtheria, tetanus, and pertussis)
vaccine to an infant. Which level of prevention is the nurse implementing? -Correct
Answer ✔Primary prevention
Community Health HESI Exam
, Community Health HESI Exam
18. During an initial clinic visit, the nurse is taking the history for a client who wants to
confirm her pregnancy. The client's last child has a history of low-birth-weight (LBW).
Which additional finding is most important for the nurse to consider? -Correct Answer
✔African-American ethnicity
19. The home health nurse is planning a visit with a client who has been discharged
home after hospitalization. Which action should the nurse implement? -Correct Answer
✔Schedule home visits that take place during the daylight hours
20. Which topic should the nurse include in planning a primary prevention class for
adolescents? -Correct Answer ✔Suicide risks and prevention
21. The nurse is working in a community clinic that serves a population comprised
mainly of migrant families. In planning the use of resources for secondary prevention,
which activity should be the priority? -Correct Answer ✔Skin testing for tuberculosis
22. The nurse is assessing a Vietnamese child during a home health visit and identifies
round swellings on the child's back. The child's mother says she rubbed the edge of a
coin on her child's oiled skin. The nurse should recognize that this behavior is prompted
by which cultural belief? -Correct Answer ✔The purpose is to rid the body of disease
23. Which topic should the nurse include in planning a secondary prevention project for
the local retirement community? -Correct Answer ✔Vision and hearing screening
24. The nurse is planning a community-based project to reduce obesity in a school-
aged population. Which outcome statement best supports the goal for this population? -
Correct Answer ✔Within 2 years, students with a body mass index greater than 95% will
be reduced by 50%
25. While discussing the science of nursing, the nurse identifies the domain of nursing
theory. Which linkages should the nurse provide to describe nursing's paradigm? -
Correct Answer ✔The person, the environment or situation, and health
26. The nurse is developing a plan to provide quality health care for a certain
community. Data obtained from which resources should be helpful to the nurse in
developing a community healthcare plan for this community? (Select all) -Correct
Answer ✔-Census data
-Risk management data
-Budgeting process information
-Client-satisfaction surveys
-Changes in the community's demographic data
27. The nurse is teaching a community group about risks of cardiovascular disease.
Several clients ask the nurse to determine their risk. Which client should the nurse
Community Health HESI Exam
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