2023 – 2024 HESI Community Exam
Test Bank – All Q&As Brand NEW Guaranteed A++
- During a two-week postoperative follow-up home visit, a female client who had gastric bypass surgery exhibits abdominal tenderness, shoulder pain, and
describes feelings of malaise. Her vital signs are: temperature 101.8°F, blood
pressure 100/50, heart rate 104 beats/minute, and respirations18 breaths/minute.
Which action should the nurse take?
a. Determine the client’s current oxygen saturation rate.
b. Instruct the client to drive to the hospital for admission
c. Recheck the client’s vital signs in 30 minutes
d. Have the client transported via ambulance to the hospital - An older man has become increasingly forgetful, frequently eats large
quantities of food from refrigerator, and cannot remember when he takes his
medications. He has limited mobility to weight-related osteoarthritis in bothknees.
When assisting the client’s wife with a plan care for the home, whichinterventions
should the nurse suggest? (Select all that apply.)
a. Request a referral for motorized wheelchair to assist with mobility.
b. Keep a variety of fresh fruits and vegetables that are easily accessible.
c. Put medications into a container that organized the pills by the day and
time.
d. Encourage participation in televised exercise classes to help strengthen
muscles
- The school nurse is assessing heights, weights, and body mass indexed(BMI)
of the students who are entering high school. Because a majority of thestudents
are found to be overweight, the nurse plans to develop a programthat addresses
obesity in this age population. Before initiating this program,what additional
information is most important for the nurse to obtain?
a.The history of obesity education in the community
b.The level of parental concern regarding childhood obesity
c.The demographic data for the student population
d.An activity report from the physical education department - The epidemiological triad can be used to frame strategies for the preven-tion
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 - The public health nurse is creating a plan to increase state funding fora local
health clinic.Which strategy is likely to be most effective in obtainingfunding for
the clinic?
a. Run the health clinic economically and advertise the services the clinic
provides
b. Organize concerned citizens to write letters and telephone state representatives
c. Described to the media the valuable services provided by the communityclinic
d. Engage a professional lobbyist to persuade Congress of the local clinic’s
value - The nurse is documenting the medical history of a young adult male clientwho was recently diagnosed with Type 1 diabetes mellitus (DM). He smokes2 packs
of cigarettes daily and his father died of a heart attack at the age of
45.Which annual screening is most important for the nurse include?
a. Peripheral neuropathy
b. Renal insufficiency
c. Retinography
d. Hyperlipidemia - The nurse provides teaching to a group of evacuees in a mass casualty
center after a natural flooding disaster.Which information should the nurse
including in the teaching plan?
2023 – 2024 HESI Community Health Exam V1 (Version 1)
Guaranteed A+ Test Bank Actual Questions and Answers, Complete 100%
1) Factors that influence an Occupational health nurse’s role in the workplace…
Skill level
Role perception
Commitment to the company occupational health and safety program
2)An Advanced practice nurse who provides workers with primary care services
with an emphasis on the diagnosis and management of common acute
illness/injuries and stable chronic diseases
Clinician Nurse practitionerDirects care for clients with occupational and nonoccupational injuries and illness.
3) Case Manager
Coordinate quality health services to meet an individual specifichealth care need
in a cost effective manner
4) Nurse Consultant
Serve as a resource persons to other occupational and enviromental health
nurses, management, members of the occupational healthteam, and related
organizations and agencies.
5) Health Promotion Specialist
Occupational health nurse who develops andnonitors goals and strategies
6) Nurse Manager
Provides structure and direction for the development, im- plementation, and
evaluation of an effective, high quality nursing program, and communicates and
interprets the occupational health program to management andother members of
the occupational health team, sets goals, formulates policy, andmanages health
service.
7) Researcher Nurse
Support and expand the knowledge base that provides afoundation for practice
8) Health Educator Nurse
Teach and prepare nursing students to function in thehealthcare arena.
9) Health Promotion Specialist
Develops primary, secoundary, and tertiary pre-vention programs within the
worksite.
10) Carbon Monoxide Poisoning
2023 – 2024 HESI Community Health Exam V2 (Version 2)
Guaranteed A+ Test Bank Actual Questions and Answers, Complete 100%
1) The community health nurses is counseling a group of 14 year olds about
safe sexual practices. Which health teaching strategy would be mosteffective for
the nurse to use with this age group?
A.Encourage group members to describe personal experiences in practicingsafe
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
2)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
3)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
4) 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
5) The nurse is teaching a group of adults at a health fair about healthylife
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
C. Avoid the midday sun and use sunscreen
D. Perform monthly self examination of breasts and testes
6) The school nurse who is reviewing immunization records of students whowill
start kindergarten within the next month notes that most of the studentshave 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 thatMMR
vaccine series must be completed
C. Contact kindergarten parents to remind them that the second dose of MMRis
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
7)A middle aged male client presents for his annual health visit at a commu-nity
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
8)A male high school student is referred to the school nurse because he lost
consciousness during gymnastics class. His neurological vital signs arewith
normal limits, and his blood pressure is 100/62. He is 6 ft 3 in tall wighs135
pound and his body mass index is 16.9. which assessment data shouldthe 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
9) The nurse is planning to implement a health education program on breast
screening for Hispanic women at a community center. Which component ofthe
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
10) 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
11) The public health nurse receives grant funding to implement primary
prevention strategies for migrant farm workers and their families. Whichaction
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
12) The parish nurse notes that an elderly male client has had a 5 lbs weightloss
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
13) The nurse is screening for hypertension at a local health fair. One ofthe
community residents has a blood pressure reading of 138/80. Which
interventions should the nurse implement for this client? (Select all thatapply)
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
2023 – 2024 HESI Community Health Practice Exam
Test Bank – All Q&As Brand NEW Guaranteed A++
1)A client presents at a community-based clinic with complaints of short- ness of
breath, headache, dizziness, and nausea. During the assessment, the nurse
learns that the client is a migrant worker who often uses a gaso- line-powered
pressure washer to clean equipment and farm buildings.Whichtype of poisoning is
the most likely etiology of this client’s symptoms?
a. asbestos
b. silica dust
c. histoplasmosis
d. carbon monoxide
2) The nurse is conducting a process evaluation of a prevention education
program for older adults who are risk for substance abuse. Which data source
provides the information the nurse needs to conduct this process evaluation?
a. client’s score on an alcohol screening instrument
b. results of a urine drug and alcohol screen
c. most recent community census data
d. documentation of client education in the nursing record
3)A 17-year old unmarried, pregnant client with drug addiction is a high school
dropout, homeless, and has a history of past abuse arrives at the clinic for her
first prenatal visit. Which findings should the nurse documentas health risk
factors for the client? (Select all that apply)
a. age
b. school dropout
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
g. unmarried: a. age
4) The nurse is designing a community health project based on a report
provided by the World Health Organization that describes healthcare problems in the United States. Which healthcare issue should the nurse give the
highest priority when planning the project?
a. overuse of diagnostic technology
b. government-based health insurance
c. the neonatal and infant mortality rates
d. number of people without access to healthcare
5) The nurse working in a community health clinic that serves recent Somali
immigrants notes that most mothers refuse to give permission for routine
immunizations of their preschoolers. Which individual is likely to have the most
influential on these women’s perceptions about their children’s health-care
needs?
a. husbands
b. clinic healthcare provider
c. older females
d. tribal chief
6) The community health nurse is planning a series of educational courses about
the healthcare system and meeting healthcare needs for the communi-ty center.
Which adjunct issue should the nurse address for a group of olderadults.
a. peer concerns
b. adult daycare
c. retirement issues
d. vocational concerns
2023 – 2024 HESI Prep Community Health Exam
Test Bank – All Q&As Brand NEW Guaranteed A++
- Jennifer is a community health nurse in a large metropolitan area. Accord-ing to
the American Nurses Association’s Code of Ethics (2001), communityhealth
nurses must align themselves with public health programs that pro- mote and
preserve the health of populations by influencing:
socioeconomic issues.
psychosocial issues.
sociocultural issues.
developmental issues. - Mary is a nursing student doing her senior project in community health. Part of
her assignment is to conduct an activity that illustrates “social health”within a group
in her community. The most appropriate activity for Mary to organize would be a:
neighborhood block party.
food bank in a local church.
community yard sale.
school fundraiser for the school band. - It has been estimated that individual behaviors and environmental factorsare
responsible for what percentage of all premature deaths in the United States?
20%
40%
50%
70% - Early public health nurse Lillian Wald and her associates were successfulin
addressing health and disease in the immigrant community by:
supporting political activities to improve social and environmental condi- tions of
immigrant families.
administering bedside nursing care to immigrants and their families. teaching the
immigrant family members to provide health care in the home.obtaining and
administering medications to the immigrants and their fam- ily members
- Disease prevention activities protect people from disease and the effectsof
disease. An example of primary disease prevention is:
teaching people with diabetes how to prevent complications.
administering vaccines to children before kindergarten. checking
the skin of farm workers for signs of skin cancer.
identifying and testing individuals exposed to someone with tuberculosis.- - Every 10 years, the U.S. Department of Health and Human Services publishes a national prevention initiative titled Healthy People. One of the new
objectives for Healthy People 2020 is to:
achieve access to preventive services of all Americans.
improve the nation’s ability to prevent, prepare for, respond to, and recoverfrom
a major health incident.
reduce health disparities among Americans.
increase independence of older Americans. - Which of the following is an example of “community health nursing” ratherthan
“community-based nursing”?
2023 Community Health HESI cheat sheet
New Full Exam TEST BANK Questions and Answers Included
1)Ancathosis Nigricans
Correct Answer – a skin condition characterized by dark, thick, velvetyskin in
armpits, groin, or neck; checking for lice and notice dark patch
2)Anthrax
Correct Answer – bacterial infection from coming in contact with spores from
infectedanimals or animal products think of sheep and animal hides; multiple
routes forinfection; treated with Cipro
3)Prioritizing home care: a) COPD pt with SOB b) pt who refuses to eat ordrink
c) pt with CHF who has gained 3 lbs
Correct Answer – pt who has CHF and gained 3 lbs
4)Battering communication
Correct Answer – have the child leave the room and question thewoman about
the abuse since it does not pertain to the child being abused
5)Breast Cancer Risks
Correct Answer – age 55+; direct family member; personal history; white;
overweight; nulliparity; pregnant after 30; smoking; HRT; menstrual before 12 or
menopause after 55
6) COBRA
Correct Answer – means that after losing job you can still have same health
insurance for a certain amount of time, however the monthly cost of maintaining it
sky rockets;already lost job so pretty hard to afford the cost and usually end up
losing it anyway.Main concern of COBRA pt is being able to pay for expenses
7) Ethnicity with highest risk for diabetes
Correct Answer – Native Americans
8) Ethnicity with highest risk for cardiovascular disease
Correct Answer – African Americans
9) Diabetes A1C
Correct Answer – to determine effectiveness of program to decrease rates of
diabetes in a community, compare A1C
10) Cholera
Correct Answer – In a disaster situation, the priority is treating with fluid and
electrolytereplacement
11) DisasterTriage Color System
2023 Community Health HESI Exam
Test Bank – All Q&As Brand NEW Guaranteed A++
1) #1 cause of death in infants
Correct answer: Suffocation
2)Sudden Infant Death Syndrome
Correct answer: Unexplained death, normally during sleep, ofa seemingly healthy
baby – less than a year old
3) Most significant cause of illness in infants and children
Correct answer: Infection
4)Vertical Transmission of Infection
Correct answer: Passage of a disease-causing agent (pathogen) from mother
to baby during the period immediately before and afterbirth.
Transmission might occur across the placenta, in the breast milk, or through direct
contact during or after birth. For example, HIV can be a vertically transmitted
pathogen. Also known as perinatal transmission.
5) Risks for childhood obesity are related to what?
Correct answer: Obesity in the parents
6) Obesity rates higher in what populations?
Correct answer: Native Americans, Hispanics,Blacks
Lower socioeconomic groups in urban settings as well.
7) #1 cause of death in 1-24 yr olds
Correct answer: Injuries and Accidents
8) Toddlers experience a lot of
Correct answer: falls, poisonings, MVA
9) Lead poisoning has detrimental effects on what system?
Correct answer: Neuro
Can decrease IQ. If on WIC, they will provide extra foods high in calcium and iron.
10) Lead Poisoning Therapy: Chelation Therapy + a diet high in calcium, vit c,
iron
Do not want BLL greater than 5
11)Infant Mortality Rate
Correct answer: The measure most commonly used around the worldas an
indicator of overall health and availability of health services.
of infants less than a year old who die / # of live births in same year
12) Who has the lowest injury/ death rate?
Correct answer: School aged children
But bad at judging speed/ distance = high risk for bike and pedestrian accidents
13) Vision Screening in young children
Correct answer: Match shapes or colors
14) Second leading cause of death between 15-24 yr olds
Correct answer: Suicide
Community health programs for adolescents should focus on suicide prevention
15)Before developing a smoking programs for adolescents
Correct answer: You first want todetermine the incidence of smoking among the
teenagers in the community
16) Menomune Vaccine
Correct answer: Given to patients under the age of 30
Prevents Meningococcal Bacteria
17) Discharge teaching for Menomune Vaccine
Correct answer: Give tylenol
Watch for s/s of reaction – fever, sob, seizures
18) Immunization rates
Correct answer: Amount of people that get scheduled vaccines.
2023 Community Health HESI EXIT Exam V1 (Version 1)
(ACTUAL TEST ) Questions and Answers (Solved)
1) While discussing the science of nursing, the nurse identifies the domainof
nursing theory. Which linkages should the nurse provide to describe nursing’s
paradigm?
A.The person, the environment or situation, and health
B. Stress reduction, self-care, and a systems model
C. Curative care, restorative care, and terminal care
D. Self-actualization, fundamental needs, and belonging
2)A terrorist attack has occurred and several people have inhaled Ricin.
Which intervention should the emergency department nurse implementwhen
caring for these clients?
A. Administer the antibiotic streptomycin, IV STAT
B. Provide all clients with the Ricin antidote
C. Implement strict respiratory isolation immediately
D. Provide supportive nursing care until antitoxin is available
3) Which topic should the nurse include in planning a primary preventionclass
for adolescents?
A. Risk factors for heart disease
B. Dietary management of obesity
C. Suicide risks and prevention
D. Coping with stressful situations
4) The nurse administers a booster dose of DTaP vaccine to an infant.Whichlevel
of prevention is the nurse implementing?
A. Primary prevention
B.Tertiary prevention
C. Secondary prevention
D. Primary nursing
5) 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?
A. Skin testing for tuberculosis
B. Glucose monitoring for diabetes
C. Blood work for cardiovascular disease
D. Height and weight for altered nutrition
6)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?
A. High rate of unemployment
B. Low immunization rate of children
C. Provision of substandard health care
D. Access to bilingual care providers
7) 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 saysshe
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?
A.The child’s behavior was not acceptable
2023 Community Health HESI EXIT Exam V2 (Version 2)
Test Bank – All Q&As Brand NEW Guaranteed A++
1) What are the top 4 health risks for infants in order?
Correct answer: Suffocation, MVA, Homicide, SIDS
2) What is the significant cause of illness in infants and children?
Correct answer: Infection
3) What are the top health risks for children?
Correct answer: Obesity, injuries/Accidents, Sui- cide, Acute and Chronic Illness
4) Obesity
Correct answer: Obesity: healthy people objectives have addressed youth
fitness and obesity. Defined by BMI
Risk for childhood obesity were related to obesity in the parents
Higher in NA, Hispanic, and AA
Lower socioeconomic groups in urban settings have higher rates
5) Injuries and Accidents
Correct answer: #1 cause from 1 to 24 years
6) Health Risks for Toddlers
Correct answer: Large # falls, poisons, MVA
7) Health Risks for School Age Children
Correct answer: lowest injury death rate, diff. with judging speed and distance,
placing at risk for pedestrian and bicycle accidents
8) Health Risks for Adolescents
Correct answer: injury accounts for 75% of all deaths and risk taking becomes
more conscious at this time especially among males
9)Suicide
Correct answer: 2nd leading cause of death among 15 to 24. 3rd leading cause
for 10 to 24.
10) Health Risk: Acute Illness
Correct answer: also a significant cause of illness in children
11) Health Risk: Chronic Health Problems
Correct answer: improved medical technology has increased the number of
children surviving with chronic health problems. Examples: Down Syndrome,
spina bifida, cerebral palsy, asthma, diabetes, con- genital heart disease,
cancer, hemophilia, broncopulmonary dysplasia, and AIDS
12) What has been very successful in preventing selected immunizations?
Correct answer: Routine immunizations
13) What is essential for health growth and development and prevention of
disease?
Correct answer: Nutrition
14) Health Risks in Women
Correct answer: Longer life expectancy than men
More likely to have acute and chronic conditions that require more services
Women of color are more statistically more likely to have poor health outcomes
because of poor understanding of health, lack of access to health care, and lifestyle practices.
15) What are the top two causes of death in women
Correct answer: Heart then lung
16) Health Risks in Men
Correct answer: Life expectancy of men in the US is one of the lowest in the
developed countries
Men engage in more risk-taking behaviors than women
Men tend to avoid diagnosis and treatment of illnesses that may result in serious
health problems
17)What gender has shorter life span and higher infant mortality rate?
Correct answer: Males
18) Which gender has a longer life expectancy? Why?
Correct answer: Women, because men tend to avoid diagnosis and treatment of
illnesses that may result in serious health problems
2023 Community Health HESI Study Guide
A++ Exam with All New Qs & As – Guaranteed Pass!
- Ethnocentric
Correct answer : tendency to believe others think the same was as “they do,” have
the same world view, culture - #1 cause of death in ages 1-3 (toddler)
Correct answer : Drowning - additional education for parents of toddler
Correct answer : proper chemical storagestair gates - pregnant teen
Correct answer : referral to prenatal care, encourage prenatal vitamins
do NOT tell parents or arrange child care or teach breast feeding - Nightingale’s 10 Canons
Correct answer : 1. ventilation and warming - light and noise
- cleanliness of the pt area
- health of houses
- bed and bedding
- personal cleanliness
- variety
- offering hope and advice
- food
- observation
- Epidemiological triad
Correct answer : agent–host—environment - Hepatovax B allergy
Correct answer : if allergic to yeast, will be allergic to hep b vaccine ie dontget it - MMR Booster
Correct answer : Second booster of MMR at 4-6 years of age - Greatest predictor of Hep B
Correct answer : Multiple sexual contacts are associated with therisk of Hep B - Hep C
Correct answer : People can become infected with the Hepatitis C virus
during suchactivities as:
-Sharing needles, syringes, etc to inject drugs
-Needle-stick injuries in health care settings
-Being born to a mother who has Hepatitis C
Less commonly, a person can also get Hepatitis C virus infection through:
- Sharing personal care items that may have come in contact with another person’s
blood, such as razors or toothbrushes
-Having sexual contact with a person infected with the Hepatitis C virus
- risk of transmission from sexual contact is believed to be low.
Hepatitis C virus can survive outside the body at room temperature, on environmental surfaces, for up to 3 weeks.
- Sx of Hep C infection
Correct answer : -70%-80% of people with acute Hepatitis C do not haveany
symptoms.
-Some people, however, can have mild to severe symptoms soon after being
infected, including:
Fever
Fatigue
Joint pain
Loss of appetite
Nausea
Vomiting
Abdominal pain
*Dark urine
*Clay-colored bowel movements
*Jaundice (yellow color in the skin or eyes)
*strong indicators of liver damage - Factors that influence an Occupational health nurse’s role in the workplace…
Correct answer : Commitment to the company occupational health and safety
program,Skill Level, Role Perception - Clinician Nurse practitioner
Correct answer : An Advanced practice nurse who provides workers with
primary care services with an emphasis on the diagnosis and man-agement of
common acute illness/injuries and stable chronic diseases
Directs care for clients with occupational and non-occupational injuries and illness.
- Case Manager
Correct answer : registered nurse who establishes a provider network, recommends treatment plans that assure quality and efficacy while controlling costs,
monitors outcomes, and maintains communication among all involved. - Nurse Manager
Correct answer : registered nurse who functions in a comprehensive executiverole
to set goals, formulate policy, and direct and evaluate the health service. - Health Educator Nurse
Correct answer : A registered nurse who teaches and prepares nurs-ing students to function as expert clinicians/practitioners, administrators, educa- tors,
researchers, or consultants to the work site. - Nurse Consultant
Correct answer : Serve as a resource persons to other occupational and
environmental health nurses, management, members of the occupational health
team, and related organizations and agencies. - Health Promotion Specialist
Correct answer : Occupational health nurse who develops andmonitors goals
and strategies
Develops primary, secondary, and tertiary prevention programs within the work
site.
2023 Community Health HESI Study Guide TEST BANK
Guaranteed A+ Test Bank Actual Questions and Answers, Complete 100%
1)A 12-year-old female is seen by the school nurse after recently ex- periencing
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 nursetake next?
Correct answer: Gather additional data by taking a health history and
measuring vitalsigns
2) When asked to help develop interventions to combat obesity among children,
the community health nurse should stress the importance of im- plementing
which activity?
Correct answer: Set goals that are focused on developing healthierlifestyles
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 antitoxinis 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 yourfriend?”
5)Which example should the nurse identify as a significant outcome for theLeading
Health indicators of Healthy People 2020?
Correct answer: A community has adopteda no smoking policy
6) Which intervention should the public health nurse implement when attempting
to address one of the leading health indicators of Healthy People2020?
Correct answer: Design and implement a no smoking campaign at the local
high school
7) LillianWald 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 resultof 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 thenurse
provide?
Correct answer: “Wearing a helmet or not is certainly an individual decision.”
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 servedby
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: Lowimmunization 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 mostimportant 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 expo-sure?
Correct answer: -Pneumonic plague
-Smallpox
13) An occupational health nurse is reviewing a 20-year-old trend in theUnited
States that has resulted in an increase in certain medical conditionsdue to the
rapid expansion of an urban industrial workforce. Which medicalconditions 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 nursesuspects
that an infant is being physically abused?
Correct answer: Follow agency protocolsto report suspected abuse
16) The nursing education coordinator is creating employee orientationmaterials
for staff nurses who plan to work at a clinic that serves a lower so-cioeconomic
neighborhood. What information should the educator include regarding the
clinic’s client population?
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
18) During an initial clinic visit, the nurse is taking the history for a clientwho
wants to confirm her pregnancy. The client’s last child has a history oflow-birthweight (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 nurseimplement?
Correct answer: Schedule home visits that take place during the daylight hours
20)Which topic should the nurse include in planning a primary preventionclass for
adolescents?
Correct answer: Suicide risks and prevention
21) The nurse is working in a community clinic that serves a population
2023 Community Health Nursing HESI Prep Test
A++ Exam with All New Qs & As – Guaranteed Pass!
- Humanistic Nursing Theory
Correct answer: studies the existence of reality of nursing - Transcultural Nursing
Correct answer: comparison of differing cultures to understand theirsimilarities
and their differences across human groups - Culture
Correct answer: set of values, beliefs and traditions that are held by a specific
group ofpeople and that are handed down, generation to generation - Leininger
Correct answer: 1. cultural preservation or maintenance - cultural care accommodations or negotiation
- cultural care re-patterning or restructuring
- Nightingale’s 10 Canons
Correct answer: 1. ventilation and warming - light and noise
- cleanliness of the pt area
4.health of houses
- bed and bedding
- personal cleanliness
- variety
- offering hope and advice
- food
- observation
- Primary prevention
Correct answer: patient assessment and intervention to identify and re-duce
possible risk factors - Secondary prevention
Correct answer: detection of symptoms that are a reaction to stressors,
appropriately prioritizing interventions, and treatments that reduce the toxic effects
of stressors - Health
Correct answer: seen as a dynamic, positive state and not just absence of
disease - 5 A’s of Health Care Access
Correct answer: availability, accessibility, affordability, acceptabil-ity, and
accommodation - Market justice
Correct answer: people are only entitled to what they can earn; the focus is on
individual responsibility “minimal collective action and freedom from collective
obligations except with respect to others fundamental rights - Vulnerable populations
Correct answer: low income, less education, homelessness, militaryveterans,
immigrants, prisoners, migrant and seasonal farm workers and their families,
chronic illness, mental illness - social determinants
Correct answer: are the circumstances in which people are born; growup, live,
work, and age as well as the systems put in place to deal with illness - Health disparities
Correct answer: difference in health outcomes between populations, social,
demographic and geographic - Health inequities
Correct answer: modifiable associate with social inequalities and are considered unfair - Leininger- Transcultural Nursing
Correct answer: requires an awareness of self, sensitivityto others, respectful
dialogue