LATEST UPDATED HESI COMMUNITY
HEALTH EXAM | COMPREHENSIVE
QUESTION BANK WITH ANSWERS AND
RATIONALES.
Subject:
Community Health Nursing — epidemiology, disease
prevention (primary, secondary, tertiary), health
promotion, vulnerable populations, disaster
management, program planning and evaluation,
cultural competence, and Healthy People 2020/2030
objectives.
1. 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?
A. Teach farm workers not to smoke around farm
equipment
B. Work with legislators to mandate safe tractor
design
C. Translate written vehicle instructions into picture
format
,D. Provide rehabilitation services to injured farm
hands
**Correct Answer:** B
**Rationale:** The agent is the farm machinery itself;
mandating safe design addresses the agent.
2. The public health nurse is creating a plan to
increase state funding for a local health clinic. Which
strategy is likely to be most effective in obtaining
funding for the clinic?
A. Run the health clinic economically and advertise
the services
B. Organize concerned citizens to write letters and
telephone state representatives
C. Describe to the media the valuable services
provided by the clinic
D. Engage a professional lobbyist to persuade
Congress of the clinic's value
**Correct Answer:** D
**Rationale:** Professional lobbyists have expertise
in influencing legislative funding decisions.
3. The nurse is documenting the medical history of a
young adult male client who was recently diagnosed
,with Type 1 DM. He smokes 2 packs of cigarettes
daily and his father died of a heart attack at age 45.
Which annual screening is most important for the
nurse to include?
A. Peripheral neuropathy
B. Retinopathy
C. Renal insufficiency
D. Hyperlipidemia
**Correct Answer:** D
**Rationale:** Smoking and family history of early
heart attack increase cardiovascular risk.
4. A nurse is planning a nutrition class for a group of
senior citizens at a community center and wants to
emphasize the amount and types of fat in some foods
versus others. What is the best teaching method for
the nurse to use?
A. Ask each senior to bring a food for others to taste,
then estimate fat content
B. Display posters with foods and tell seniors about
the fat content
C. Determine foods most often eaten by this group
and discuss the nutritional panel of each product
, D. Show a movie about cooking with foods that are
low in fat but delicious
**Correct Answer:** C
**Rationale:** Relating teaching to familiar foods
increases relevance and learning.
5. A prescription for discharge is written for an
elderly female client who has asked to be discharged
to her home. The client lives alone and is able to walk
10 to 15 feet with assistance. What action should the
nurse implement first?
A. Arrange for a bedside commode to be delivered to
the home
B. Meet with the case manager to plan a home safety
evaluation
C. Provide the client with information about medical
alert devices
D. Review the home medication schedule with the
client and family
**Correct Answer:** B
**Rationale:** Home safety evaluation identifies risks
before discharge.
HEALTH EXAM | COMPREHENSIVE
QUESTION BANK WITH ANSWERS AND
RATIONALES.
Subject:
Community Health Nursing — epidemiology, disease
prevention (primary, secondary, tertiary), health
promotion, vulnerable populations, disaster
management, program planning and evaluation,
cultural competence, and Healthy People 2020/2030
objectives.
1. 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?
A. Teach farm workers not to smoke around farm
equipment
B. Work with legislators to mandate safe tractor
design
C. Translate written vehicle instructions into picture
format
,D. Provide rehabilitation services to injured farm
hands
**Correct Answer:** B
**Rationale:** The agent is the farm machinery itself;
mandating safe design addresses the agent.
2. The public health nurse is creating a plan to
increase state funding for a local health clinic. Which
strategy is likely to be most effective in obtaining
funding for the clinic?
A. Run the health clinic economically and advertise
the services
B. Organize concerned citizens to write letters and
telephone state representatives
C. Describe to the media the valuable services
provided by the clinic
D. Engage a professional lobbyist to persuade
Congress of the clinic's value
**Correct Answer:** D
**Rationale:** Professional lobbyists have expertise
in influencing legislative funding decisions.
3. The nurse is documenting the medical history of a
young adult male client who was recently diagnosed
,with Type 1 DM. He smokes 2 packs of cigarettes
daily and his father died of a heart attack at age 45.
Which annual screening is most important for the
nurse to include?
A. Peripheral neuropathy
B. Retinopathy
C. Renal insufficiency
D. Hyperlipidemia
**Correct Answer:** D
**Rationale:** Smoking and family history of early
heart attack increase cardiovascular risk.
4. A nurse is planning a nutrition class for a group of
senior citizens at a community center and wants to
emphasize the amount and types of fat in some foods
versus others. What is the best teaching method for
the nurse to use?
A. Ask each senior to bring a food for others to taste,
then estimate fat content
B. Display posters with foods and tell seniors about
the fat content
C. Determine foods most often eaten by this group
and discuss the nutritional panel of each product
, D. Show a movie about cooking with foods that are
low in fat but delicious
**Correct Answer:** C
**Rationale:** Relating teaching to familiar foods
increases relevance and learning.
5. A prescription for discharge is written for an
elderly female client who has asked to be discharged
to her home. The client lives alone and is able to walk
10 to 15 feet with assistance. What action should the
nurse implement first?
A. Arrange for a bedside commode to be delivered to
the home
B. Meet with the case manager to plan a home safety
evaluation
C. Provide the client with information about medical
alert devices
D. Review the home medication schedule with the
client and family
**Correct Answer:** B
**Rationale:** Home safety evaluation identifies risks
before discharge.
