“ COMMUNITY PUBLIC HEALTH NURSING-
FINAL AND HESI PREP ”LATEST EXAM SOLVED
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Community/Public Health Nursing-Final and HESI Prep: Practice Questions
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?
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
A. The person, the environment or situation, and health
A terrorist attack has occurred and several people have inhaled Ricin. Which
intervention should the emergency department nurse implement when caring
for these clients?
A. Administer the antibiotic streptomycin, IV STAT
B. Provide all clients with the Ricin antidote
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C. Implement strict respiratory isolation immediately
D. Provide supportive nursing care until antitoxin is available
D. Provide supportive nursing care until antitoxin is available
Which topic should the nurse include in planning a primary prevention class
for adolescents?
A. Risk factors for heart disease
B. Dietary management of obesity
C. Suicide risks and prevention
D. Coping with stressful situations
C. Suicide risks and prevention
The nurse administers a booster dose of DTaP vaccine to an infant. Which
level of prevention is the nurse implementing?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Primary nursing
A. Primary prevention
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
A. Skin testing for tuberculosis
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
B. Low immunization rate of children
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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?
A. The child's behavior was not acceptable
B. The purpose is to rid the body of disease
C. This method is commonly used for discipline
D. The temper tantrums are commonly managed using this method
B. The purpose is to rid the body of disease
Attendance at a community health clinic is rising and clients have long waits
for service. The charge nurse believes that a computer system would be
helpful in decreasing the time needed to conduct intake and exit processing.
What is the nest way for the nurse to introduce the idea of obtaining a
computer system for the clinic?
A. Ask the medical director to talk to the Board of Directors about obtaining
funds to implement a computer system
B. Send a signed letter to the editor of the local newspaper describing the
benefits to the community
C. Submit a written proposal to the Board of Directors about hardware and
software improvement needs
D. Meet informally with some Board members to enlist their support for the
idea of implementing a computer system
C. Submit a written proposal to the Board of Directors about hardware and software
improvement needs
Lillian Wald was a significant person in the history of American nursing. Which
contributions can be attributed to her? (Select all that apply)
A. Development of public health nursing practice
B. First nursing service for occupational health
C. Campaigned for laws to require registration for nurses
D. Established committee that was the forerunner of the NLN
E. Instituted a sliding scale fee for service
A. Development of public health nursing practice
B. First nursing service for occupational health
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D. Established committee that was the forerunner of the NLN
E. Instituted a sliding scale fee for service
The home health nurse is planning a visit with a client who has been
discharged home after a hospitalization. Which action should the nurse
implement?
A. Avoid creating barriers by wearing a name tag in the home
B. Schedule home visits that take place during the daylight hours
C. Ensure HIPAA laws are observed by avoiding visits with other home care
providers
D. Use a duplicate copy of the client's record to provide concurrent services
B. Schedule home visits that take place during the daylight hours
A 12-year-old female is seen by the school nurse after recently experiencing
increasing difficulty sitting still and paying attention in class, and increasingly
illegible handwriting. the nurse observes that the cild has protruding eyeballs
and a staring expression. What action should the nurse take next?
A. Refer the child for psychologic evaluation due to attention deficit disorder
B. Call the child's parents to schedule the child for an immediate medical exam
C. Gather additional data by taking a health history and measuring vital signs
D. Collaborate with the teacher to place the child on a behavior modification
program
C. Gather additional data by taking a health history and measuring vital signs
Which topic should the nurse include in planning a secondary prevention
project for the local retirement community?
A. Safety measures in the home
B. Adult immunization program
C. Rehabilitation after surgery
D. Vision and hearing screening
D. Vision and hearing screening
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 understanding
of the student body?
A. Review all of the health records of the students presently registered for
classes
B. talk with the current officers of the parent-teacher association