community health hesi prac ce ques ons
The community health nurses is counseling a group of 14 year olds about safe sexual
prac ces. Which health teaching strategy would be most effec ve for the nurse to use with
this age group?
a. Encourage group members to describe personal experiences in prac cing safe sex
b. Provide the group with sta s cal data about behaviors leading to venereal diseases
C. Tell the group that for aids preven on abs nence is the best safe sex prac ce
D. Role play situa ons in which the adolescent is rewarded for prac cing safe sex
D. Role play situa ons in which the adolescent is rewarded for prac cing safe sex
A young adult man goes to an emergency treatment area a&er finishing a marathon run. He
is weak dizzy and remains thirsty a&er drinking a pint of a flavored sports drink. What ac on
should the nurse implement first?
a. Instruct the runner that a urine sample is needed
b. Send for the automa c 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 mo on ac vated 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. A 30 year old with endometriosis
b. A 40 year old with leiomyoma
c. A 50 year old perimenopause
d. A 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
informa on is most important for the nurse to emphasize?
,a. Completely stop the use of cigare6e 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 examina on of breasts and testes
a. Completely stop the use of cigare6e and tobacco
The school nurse who is reviewing immuniza on records of students who will start
kindergarten within the next month notes that most of the students have only received one
does of the measles mumps rubella vaccine. Which interven on 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 no ces 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 associa on mee ng to teach parents the benefits of
immunizing their childre
b. Send no ces 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 &
10 in tall weighs 250 pounds, and works as an accountant. He smokes at least one pack of
cigare6es every day for the last 15 years. Which secondary preven on measure should the
nurse recommend the client to follow?
a. Compliance with an hypertensive and lipid lowering agents.
b. Increase physical ac vity and diet low in saturated fat
c. Smoking cessa on
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 gymnas cs class. His neurological vital signs are with normal limits, and his blood
pressure is 100/62. He is 6 & 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 educa on 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 educa onal class
c. Include treatment modali es with survival sta s cs for Hispanic women
d. Design flyers that target Hispanic women encouraging their a6endance
a. Provide handouts and brochures in the English and Spanish languages
The nurse is planning a health educa on program for 10-year old. Which se?ng is most
likely to increase the preadolescent's par cipa on 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 preven on strategies
for migrant farm workers and their families. Which ac on should the nurse plan to include?
a. Teach a class in providing first aid for heat exhaus on
b. Organize free community wide tuberculosis screenings
c. Distribute brochures on measures to avoid pes cide exposure
d. Ask a physical therapist to speak about managing low back pain
c. Distribute brochures on measures to avoid pes cide 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, s ll 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 administra on office
c. The women infant and children office
d. The senior ci zen center
d. The senior ci zen 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 interven ons 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 an hypertensive medica on
c. Recommend further evalua on for possible pre-hypertension
d. Encourage the client to keep doing whatever you are doin
e. Assess clients life style and other risk factors for hypertension
The community health nurses is counseling a group of 14 year olds about safe sexual
prac ces. Which health teaching strategy would be most effec ve for the nurse to use with
this age group?
a. Encourage group members to describe personal experiences in prac cing safe sex
b. Provide the group with sta s cal data about behaviors leading to venereal diseases
C. Tell the group that for aids preven on abs nence is the best safe sex prac ce
D. Role play situa ons in which the adolescent is rewarded for prac cing safe sex
D. Role play situa ons in which the adolescent is rewarded for prac cing safe sex
A young adult man goes to an emergency treatment area a&er finishing a marathon run. He
is weak dizzy and remains thirsty a&er drinking a pint of a flavored sports drink. What ac on
should the nurse implement first?
a. Instruct the runner that a urine sample is needed
b. Send for the automa c 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 mo on ac vated 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. A 30 year old with endometriosis
b. A 40 year old with leiomyoma
c. A 50 year old perimenopause
d. A 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
informa on is most important for the nurse to emphasize?
,a. Completely stop the use of cigare6e 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 examina on of breasts and testes
a. Completely stop the use of cigare6e and tobacco
The school nurse who is reviewing immuniza on records of students who will start
kindergarten within the next month notes that most of the students have only received one
does of the measles mumps rubella vaccine. Which interven on 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 no ces 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 associa on mee ng to teach parents the benefits of
immunizing their childre
b. Send no ces 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 &
10 in tall weighs 250 pounds, and works as an accountant. He smokes at least one pack of
cigare6es every day for the last 15 years. Which secondary preven on measure should the
nurse recommend the client to follow?
a. Compliance with an hypertensive and lipid lowering agents.
b. Increase physical ac vity and diet low in saturated fat
c. Smoking cessa on
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 gymnas cs class. His neurological vital signs are with normal limits, and his blood
pressure is 100/62. He is 6 & 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 educa on 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 educa onal class
c. Include treatment modali es with survival sta s cs for Hispanic women
d. Design flyers that target Hispanic women encouraging their a6endance
a. Provide handouts and brochures in the English and Spanish languages
The nurse is planning a health educa on program for 10-year old. Which se?ng is most
likely to increase the preadolescent's par cipa on 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 preven on strategies
for migrant farm workers and their families. Which ac on should the nurse plan to include?
a. Teach a class in providing first aid for heat exhaus on
b. Organize free community wide tuberculosis screenings
c. Distribute brochures on measures to avoid pes cide exposure
d. Ask a physical therapist to speak about managing low back pain
c. Distribute brochures on measures to avoid pes cide 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, s ll 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 administra on office
c. The women infant and children office
d. The senior ci zen center
d. The senior ci zen 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 interven ons 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 an hypertensive medica on
c. Recommend further evalua on for possible pre-hypertension
d. Encourage the client to keep doing whatever you are doin
e. Assess clients life style and other risk factors for hypertension
