HESI Community Health Exam Questions and Answers with Complete Solutions Graded A
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Course
HESI Community Health
Institution
HESI Community Health
The community health nurses is counseling a group of 14 year olds about safe sexual practices. Which health teaching strategy would be most effective for the nurse to use with this age group?
A.Encourage group members to describe personal experiences in practicing safe sex
B. Provide the group ...
HESI Community Health Exam Questions and
Answers with Complete Solutions Graded A
2024-2025
The community health nurses is counseling a group of 14 year olds about safe sexual
practices. Which health teaching strategy would be most effective for the nurse to use
with this age group?
A.Encourage group members to describe personal experiences in practicing safe sex
B. Provide the group with statistical data about behaviors leading to venereal diseases
C. Tell the group that for aids prevention abstinence is the best safe sex practice
D. Role play situations in which the adolescent is rewarded for practicing safe sex
D. Role play situations in which the adolescent is rewarded for practicing safe sex
A young adult man goes to an emergency treatment area after finishing a marathon run.
He is weak dizzy and remains thirsty after drinking a pint of a flavored sports drink.
What action should the nurse implement first?
A. Instruct the runner that a urine sample is needed
B. Send for the automatic external defibrillator
C. Determine if there are friends or family nearby
D. Give the runner another pint of fluids to drink
D. Give the runner another pint of fluids to drink
An older adult male who fractured his right hip is discharged to home one week
following an arthroplasty. Which adjustment to the clients home environment is most
important for the home health nurse to implement?
A. Lower the temperature on the clients water heater
B. Encourage the client to wear rubber soled shoes
C. Ensure that an elevated toilet seat is installed
D. Leave motion activated light in the living room
C. Ensure that an elevated toilet seat is installed
The nurse is caring for four clients in a women's health clinic. Which client should the
nurse assess for risk for pelvic inflammatory disease?
A. 30 year old with endometriosis
B. 40 year old with leiomyoma
C. 50 year old perimenopause
D. 20 year old with gonorrhea
D. A 20 year old with gonorrhea
The nurse is teaching a group of adults at a health fair about healthy life style choices.
Which information is most important for the nurse to emphasize?
A. Completely stop the use of cigarette and tobacco products
B. Eat a diet high in fruits vegetables and whole grains
HESI Community Health Exam
, HESI Community Health Exam
C. Avoid the midday sun and use sunscreen
D. Perform monthly self examination of breasts and testes
A. Completely stop the use of cigarette and tobacco products
The school nurse who is reviewing immunization records of students who will start
kindergarten within the next month notes that most of the students have only received
on does of the measles mumps rubella vaccine. Which intervention should the nurse
implement?
A. Note in the student records that the second dose of the MMR vaccine should be
administered prior to entering first grade
B. Send notices home with the children on the first day of class advising that MMR
vaccine series must be completed
C. Contact kindergarten parents to remind them that the second dose of MMR is due at
eh start of the school year
D. Speak at the next parent teacher association meeting to teach parents the benefits of
immunizing their children
B. Send notices home with the children on the first day of class advising that MMR
vaccine series must be completed
A middle aged male client presents for his annual health visit at a community clinic. He
is 5 ft 10 in tall weighs 250 pounds, and works as an accountant. He smokes at least
one pack of cigarettes every day for the last 15 years. Which secondary prevention
measure should the nurse recommend the client to follow?
A. Compliance with antihypertensive and lipid lowering agents.
B. Increase physical activity and diet low in saturated fat
C. Smoking cessation
D. Blood pressure and lipid screening
D. Blood pressure and lipid screening
A male high school student is referred to the school nurse because he lost
consciousness during gymnastics class. His neurological vital signs are with normal
limits, and his blood pressure is 100/62. He is 6 ft 3 in tall wighs 135 pound and his
body mass index is 16.9. which assessment data should the nurse obtain first?
A. Serial bp reading every 30 minutes
B. Twenty-four hour diet recall
C. Use of performance enhancing drugs
D. Recent exposure to allergens
B. Twenty-four hour diet recall
The nurse is planning to implement a health education program on breast screening for
Hispanic women at a community center. Which component of the teaching plan best
provides culturally competent care?
A. Provide handouts and brochures in the English and Spanish languages
B. Ask a Hispanic breast cancer survivor to present the educational class
C. Include treatment modalities with survival statistics for Hispanic women
D. Design flyers that target Hispanic women encouraging their attendance
HESI Community Health Exam
, HESI Community Health Exam
A. Provide handouts and brochures in the English and Spanish
The nurse is planning a health education program for 10-year old. Which setting is most
likely to increase the preadolescent's participation in the program?
A. The school classroom
B. Community center
C. Home of one of the children
D. A local place of worship
A. The school classroom
The public health nurse receives grant funding to implement primary prevention
strategies for migrant farm workers and their families. Which action should the nurse
plan to include?
A. Teach a class in providing first aid for heat exhaustion
B. Organize free community wide tuberculosis screenings
C. Distribute brochures on measures to avoid pesticide exposure
D. Ask a physical therapist to speak about managing low back pain
C. Distribute brochures on measures to avoid pesticide exposure
The parish nurse notes that an elderly male client has had a 5 lbs weight loss since his
check up one month ago. The client has good hygiene, still drives a car and lives alone.
To which agency should the nurse refer this client?
A. The adult day care center
B. The social security administration office
C. The women infant and children office
D. The senior citizen center
D. The senior citizen center
The nurse is screening for hypertension at a local health fair. One of the community
residents has a blood pressure reading of 138/80. Which interventions should the nurse
implement for this client? (Select all that apply)
A. Obtain another blood pressure to verify the first reading
B. Ask the client about any current antihypertensive medications
C. Recommend further evaluation for possible pre-hypertension
D. Encourage the client to keep doing whatever you are doing
E. Assess clients life style and other risk factors for hypertension
A. Obtain another blood pressure to verify the first reading
B. Ask the client about any current antihypertensive medications
C. Recommend further evaluation for possible pre-hypertension
Which intervention should the nurse implement to help prevent client from getting a
vector born infectious disease?
A. Demonstrate the correct way to remove ticks imbedded in the skin
B. Discuss the importance of wearing insect repellent when camping
C. Instruct the client to drink only bottled water when traveling abroad
D. Encourage the client to get immunizations prior to international travel
HESI Community Health Exam
, HESI Community Health Exam
B. Discuss the importance of wearing insect repellent when camping
The nurse is working with parent teacher organization to increase safety for children
walking to and from a nearby elementary school. Which action should the nurse include
to help achieve this goal?
A. Advise the residents to keep their porch lights on during hours that children are
walking to and from school
B. Help the residents plan a campaign to remind people driving
through the school zone to wear seatbelts at all times
C. Lead a discussion about the benefits of designated safe houses located throughout
the school neighborhood
D. Encourage residents with older homes along the school route to get their homes
inspected for excessive lead levels
C. Lead a discussion about the benefits of designated safe houses located throughout
the school neighborhood
The nurse is working with the family of a child with cerebral palsy. In order to help the
nurse understand the connections among family members, resources and agencies in
the community with assessment data gathering tool is best for the nurse to use?
A. Genogram
B. Ecomap
C. Medical record
D. Family tree
B. Ecomap
Due to a limited supply the local health department needs to prioritize the distribution of
influenza vaccinations. In determining which individuals should receive the limited
available vaccine, which person should the public health nurse ask to return to the clinic
later when more vaccine is available?
A. An 80 year old resident in an Alzheimer's unit
B. A 65 year old aide working in a nursing home
C. A 60 year old client with diabetes and agoraphobia
D. An 8 year old girl with poorly controlled asthma
C. A 60 year old client with diabetes and agoraphobia
The community health nurse determines that the average family income of a certain
community is 67k per a year with a range of 27k to 102k based on this demographic
information what additional information is important for the nurse to assess?
A. Interventions focused on college educated individuals
B. Characteristics of families in the upper middle class
C. The frequency of incomes above and below the average
D. The reliability of such a high average family income
C. The frequency of incomes above and below the average
After assessing the health needs of an elementary school, the nurse determines that an
increased incidence of bicycle injuries is a priority problem. The nurse develops a 2
month program with the goal to eliminate bicycle injuries in the school. The program
HESI Community Health Exam
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