HESI COMMUNITY HEALTH RN EXIT 2024
/COMMUNITY HEALTH RN HESI EXIT EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS/
GRADED A+
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 - Correct
Answer - 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 - Correct Answer - C. Lead a discussion about the
benefits of designated safe houses located throughout the school neighborhood
pg. 1
,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 - Correct Answer - B. Ecomap
The public health nurse is working in an agriculture-based community near the United
States Mexico border. Which aggregate should the nurse identify as the highest need
for local public health services?
A. Migrant workers who plant and harvest field crops
B. School aged children who are not bilingual
C. Elderly population in the community who are on fixed incomes
D. Adolescents who are exposed to intense sun and hot environments - Correct Answer
- A. Migrant workers who plant and harvest field crops
A teenage boy with a history of recurring atopic dermatitis tells the school nurse that he
wants to play high school football. Which action should the nurse take?
A. Encourage the teenager to join the swim team instead of the football team
B. Notify the parents of the problems associated with perspiration for those with eczema
C. Tell the teenager to shower with a non-perfumed soaps immediately after practice
D. Inform the football coach of the teenager’s skin condition and its manifestations -
Correct Answer - C. Tell the teenager to shower with a non-perfumed soaps immediately
after practice
A male migrant farm worker who lives in a mobile home with several other workers visits
the migrant health care center. He reports increasing episodes of dizziness headaches
abdominal cramps and difficulty breathing what nursing action has the highest priority?
pg. 2
,A. Gather information about client’s recent exposure to pesticides
B. Obtain a blood sample to assess for lead paint exposure
C. Determine the number and age of persons living in the mobile home
D. Ask about the length of his workday and frequency of rest breaks - Correct Answer -
A. Gather information about client’s recent exposure to pesticides
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 - Correct Answer - 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 - Correct Answer - 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
includes educational pamphlets sent home to parents and two educations sessions by
the school nurse. Which action should the nurse implement to evaluate the
effectiveness of the program?
pg. 3
, A. Compare the incidence of bicycle injuries at the beginning and end of the program
B. Determine the type of bicycle injuries each child sustained before conducting the
sessions
C. Conduct an initial survey of the children to determine their knowledge of bicycle
safety
D. Survey parents after one month to assess their understanding of the educational
pamphlet - Correct Answer - A. Compare the incidence of bicycle injuries at the
beginning and end of the program
The community health nurse who works in a gulf coast town that caters to tourists is
presenting a class to residents and business owner of the town on disaster
management. Which content is most important for the nurse be included in this class?
A. Hurricane preparedness for families and businesses
B. Available evacuation routes from the town
C. Methods used to treat water to ensure it is safe to drink
D. Actions to be taken during a tornado - Correct Answer - C. Methods used to treat
water to ensure it is safe to drink
The home health nurse is evaluating client who is receiving enteral feedings by
nasogastric NG tube. Which assessment finding indicates to the nurse that a change to
the client’s nutrition may be warranted for this client?
A. Ulceration of .5 cm at left nares NG tube insertion site
B. Intestinal migration of NG tube verified by aspirate ph. of 7.1
C. Residual volume of 25 ml after each scheduled feeding
D. Nausea occurs after each instillation of NG feeding - Correct Answer - D. Nausea
occurs after each instillation of NG feeding
The epidemiological triad can be used to frame strategies for the prevention of farm
machinery injuries. Which action should the nurse take to focus on the agent?
pg. 4
/COMMUNITY HEALTH RN HESI EXIT EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS/
GRADED A+
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 - Correct
Answer - 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 - Correct Answer - C. Lead a discussion about the
benefits of designated safe houses located throughout the school neighborhood
pg. 1
,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 - Correct Answer - B. Ecomap
The public health nurse is working in an agriculture-based community near the United
States Mexico border. Which aggregate should the nurse identify as the highest need
for local public health services?
A. Migrant workers who plant and harvest field crops
B. School aged children who are not bilingual
C. Elderly population in the community who are on fixed incomes
D. Adolescents who are exposed to intense sun and hot environments - Correct Answer
- A. Migrant workers who plant and harvest field crops
A teenage boy with a history of recurring atopic dermatitis tells the school nurse that he
wants to play high school football. Which action should the nurse take?
A. Encourage the teenager to join the swim team instead of the football team
B. Notify the parents of the problems associated with perspiration for those with eczema
C. Tell the teenager to shower with a non-perfumed soaps immediately after practice
D. Inform the football coach of the teenager’s skin condition and its manifestations -
Correct Answer - C. Tell the teenager to shower with a non-perfumed soaps immediately
after practice
A male migrant farm worker who lives in a mobile home with several other workers visits
the migrant health care center. He reports increasing episodes of dizziness headaches
abdominal cramps and difficulty breathing what nursing action has the highest priority?
pg. 2
,A. Gather information about client’s recent exposure to pesticides
B. Obtain a blood sample to assess for lead paint exposure
C. Determine the number and age of persons living in the mobile home
D. Ask about the length of his workday and frequency of rest breaks - Correct Answer -
A. Gather information about client’s recent exposure to pesticides
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 - Correct Answer - 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 - Correct Answer - 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
includes educational pamphlets sent home to parents and two educations sessions by
the school nurse. Which action should the nurse implement to evaluate the
effectiveness of the program?
pg. 3
, A. Compare the incidence of bicycle injuries at the beginning and end of the program
B. Determine the type of bicycle injuries each child sustained before conducting the
sessions
C. Conduct an initial survey of the children to determine their knowledge of bicycle
safety
D. Survey parents after one month to assess their understanding of the educational
pamphlet - Correct Answer - A. Compare the incidence of bicycle injuries at the
beginning and end of the program
The community health nurse who works in a gulf coast town that caters to tourists is
presenting a class to residents and business owner of the town on disaster
management. Which content is most important for the nurse be included in this class?
A. Hurricane preparedness for families and businesses
B. Available evacuation routes from the town
C. Methods used to treat water to ensure it is safe to drink
D. Actions to be taken during a tornado - Correct Answer - C. Methods used to treat
water to ensure it is safe to drink
The home health nurse is evaluating client who is receiving enteral feedings by
nasogastric NG tube. Which assessment finding indicates to the nurse that a change to
the client’s nutrition may be warranted for this client?
A. Ulceration of .5 cm at left nares NG tube insertion site
B. Intestinal migration of NG tube verified by aspirate ph. of 7.1
C. Residual volume of 25 ml after each scheduled feeding
D. Nausea occurs after each instillation of NG feeding - Correct Answer - D. Nausea
occurs after each instillation of NG feeding
The epidemiological triad can be used to frame strategies for the prevention of farm
machinery injuries. Which action should the nurse take to focus on the agent?
pg. 4
