COMMUNITY HEALTH HESI TEST BANK | COMPLETE QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | VERIFIED ANSWERS | NEWEST VERSION 2026
Question 1
A 12-year-old female is seen by the school nurse after recently experiencing 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 nurse take
next?
A) Refer the child for an ADHD evaluation immediately
B) Suggest the parents limit the child's screen time
C) Gather additional data by taking a health history and measuring vital signs
D) Inform the teacher that the child is being defiant
E) Perform a vision screening to check for myopia
Correct Answer: C) Gather additional data by taking a health history and measuring vital
signs
Rationale: The combination of protruding eyeballs (exophthalmos), a staring expression,
and behavioral changes (agitation/inattention) are classic signs of hyperthyroidism
(Grave’s disease) rather than ADHD. Before making a referral or assumption, the nurse
must gather objective data, such as heart rate (tachycardia is common) and a more detailed
history of physical symptoms like heat intolerance or weight loss, to provide a concise
report to the parents and physician.
Question 2
When asked to help develop interventions to combat obesity among school-aged children, which
focus should the community health nurse prioritize?
A) Implementing strict calorie-counting programs for students
B) Establishing a reward system using low-fat snacks
C) Setting goals that are focused on developing healthier lifestyles
D) Mandating that all overweight children join a competitive sports team
E) Focusing solely on rapid weight loss over a three-month period
Correct Answer: C) Setting goals that are focused on developing healthier lifestyles
Rationale: For the pediatric population, the focus should not be on "dieting" or restrictive
caloric intake, which can interfere with growth and lead to eating disorders. Instead,
community health interventions should focus on sustainable lifestyle modifications, such as
increased physical activity and improved nutritional choices, which benefit the entire
family and the community.
Question 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?
A) Administer the specific Ricin vaccine within 2 hours
B) Provide supportive nursing care until antitoxin is available
, 2
C) Intubate all patients regardless of respiratory status
D) Administer a large dose of broad-spectrum antibiotics
E) Perform a gastric lavage on all patients who inhaled the toxin
Correct Answer: B) Provide supportive nursing care until antitoxin is available
Rationale: Ricin is a highly toxic protein derived from castor beans. Currently, there is no
widely available human antitoxin or vaccine for Ricin poisoning. Treatment is strictly
supportive, focusing on managing respiratory distress, providing fluids for dehydration,
and monitoring for organ failure.
Question 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. Which question is most important for the nurse
to ask this woman during the assessment?
A) "How long have you known this friend?"
B) "Did your friend have a fever or jaundice when you saw them?"
C) "Have you shared any needles or had sex with your friend?"
D) "Do you know if your friend has been vaccinated?"
E) "What did you eat the last time you were with your friend?"
Correct Answer: C) "Have you shared any needles or had sex with your friend?"
Rationale: Hepatitis B (HBV) is transmitted through blood and body fluids. The primary
routes of transmission are sexual contact and contaminated needles. While Hep A is fecal-
oral (food-borne), assessing the patient's exposure to blood or sexual fluids is critical for
determining the risk of HBV transmission.
Question 5
Which of the following should a community health nurse identify as a significant positive
outcome for the Leading Health Indicators of Healthy People 2020?
A) A local gym has increased its membership fees
B) A community has adopted a no-smoking policy
C) The number of pharmacies in the area has doubled
D) More people are purchasing organic produce at high-end markets
E) The local hospital has opened a new wing for surgery
Correct Answer: B) A community has adopted a no-smoking policy
Rationale: Healthy People 2020 Leading Health Indicators include Tobacco use as a
primary focus. Policy changes at the community level, such as "No Smoking" ordinances,
are high-impact interventions that reduce environmental exposure to carcinogens and
promote overall respiratory health.
Question 6
A public health nurse is attempting to address one of the leading health indicators of Healthy
People 2020. Which intervention is most appropriate?
, 3
A) Distributing pamphlets about the history of nursing
B) Design and implement a no-smoking campaign at the local high school
C) Organizing a fundraiser for a new hospital lobby
D) Teaching a class on how to use a thermometer
E) Providing free coffee to teachers at the local school
Correct Answer: B) Design and implement a no-smoking campaign at the local high school
Rationale: Addressing leading health indicators involves targeted primary prevention.
Tobacco use is a major indicator, and targeting adolescents at a high school is an effective
way to prevent the initiation of a lifelong habit that leads to chronic disease.
Question 7
Lillian Wald was a pioneer in American nursing. Which of the following 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) Established a committee that was the forerunner of the NLN
D) Instituted a sliding scale fee for service
E) Invented the first mechanical ventilator
Correct Answer: A, B, C, D) 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
Rationale: Lillian Wald is considered the founder of American public health nursing. She
established the Henry Street Settlement, provided nursing to workers (occupational
health), created the sliding scale to ensure the poor could afford care, and was instrumental
in professionalizing nursing organizations.
Question 8
A male client is brought to the emergency department following a motorcycle accident. He was
not wearing a helmet and states he has no intention of ever wearing one. According to the
Transtheoretical Model (TTM), which response should the nurse provide?
A) "You are acting very irresponsibly and need to change."
B) "Wearing a helmet or not is certainly an individual decision."
C) "I will have to report you to the police for not wearing a helmet."
D) "Here is a brochure on the types of helmets you can buy today."
E) "Why do you want to die so young?"
Correct Answer: B) "Wearing a helmet or not is certainly an individual decision."
Rationale: The client is in the "Precontemplation" stage of the TTM, where they have no
intention of changing behavior. In this stage, the nurse should avoid being judgmental or
pushy, as it can cause the client to withdraw. Acknowledging their autonomy (Option B)
builds rapport, which may allow for future educational opportunities.
, 4
Question 9
After accepting a position as a school nurse in an elementary school, what is the best strategy to
obtain an initial overview of the student body and the community they live in?
A) Read the previous nurse’s personal notes
B) Interview the principal and the school board
C) Conduct a windshield survey of the geographic areas served by the school
D) Review the standardized test scores of all the students
E) Call the local police department to ask about crime rates
Correct Answer: C) Conduct a windshield survey of the geographic areas served by the
school
Rationale: A windshield survey is a primary community assessment tool. By physically
driving through the neighborhood, the nurse can observe environmental hazards, housing
conditions, access to grocery stores, parks, and potential barriers to health, providing a
holistic view of the factors affecting the students.
Question 10
A nurse is organizing a community action group in a low-income neighborhood with many
recent African immigrants. Which problem should the nurse address first?
A) The lack of high-speed internet in the library
B) Low immunization rate of children
C) The need for a community garden
D) Improving the aesthetic appearance of the local park
E) Organizing a neighborhood watch program
Correct Answer: B) Low immunization rate of children
Rationale: When prioritizing health problems, the nurse must address issues that pose an
immediate threat to life or have the potential for a widespread outbreak. Low
immunization rates in a vulnerable population (immigrants/low income) can lead to the
rapid spread of vaccine-preventable diseases, making it the highest priority.
Question 11
An elderly, recently widowed female client is being discharged after a stroke. She uses a walker
and lives alone. Which referral is most important for the nurse to make to ensure her safety and
nutrition?
A) A local senior center for bingo nights
B) A gym membership for weightlifting
C) Meals-on-Wheels
D) A grief support group
E) A library book delivery service
Correct Answer: C) Meals-on-Wheels
Rationale: While social support is important, meeting basic physiological needs is the
ANSWERS | GRADED A+ | VERIFIED ANSWERS | NEWEST VERSION 2026
Question 1
A 12-year-old female is seen by the school nurse after recently experiencing 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 nurse take
next?
A) Refer the child for an ADHD evaluation immediately
B) Suggest the parents limit the child's screen time
C) Gather additional data by taking a health history and measuring vital signs
D) Inform the teacher that the child is being defiant
E) Perform a vision screening to check for myopia
Correct Answer: C) Gather additional data by taking a health history and measuring vital
signs
Rationale: The combination of protruding eyeballs (exophthalmos), a staring expression,
and behavioral changes (agitation/inattention) are classic signs of hyperthyroidism
(Grave’s disease) rather than ADHD. Before making a referral or assumption, the nurse
must gather objective data, such as heart rate (tachycardia is common) and a more detailed
history of physical symptoms like heat intolerance or weight loss, to provide a concise
report to the parents and physician.
Question 2
When asked to help develop interventions to combat obesity among school-aged children, which
focus should the community health nurse prioritize?
A) Implementing strict calorie-counting programs for students
B) Establishing a reward system using low-fat snacks
C) Setting goals that are focused on developing healthier lifestyles
D) Mandating that all overweight children join a competitive sports team
E) Focusing solely on rapid weight loss over a three-month period
Correct Answer: C) Setting goals that are focused on developing healthier lifestyles
Rationale: For the pediatric population, the focus should not be on "dieting" or restrictive
caloric intake, which can interfere with growth and lead to eating disorders. Instead,
community health interventions should focus on sustainable lifestyle modifications, such as
increased physical activity and improved nutritional choices, which benefit the entire
family and the community.
Question 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?
A) Administer the specific Ricin vaccine within 2 hours
B) Provide supportive nursing care until antitoxin is available
, 2
C) Intubate all patients regardless of respiratory status
D) Administer a large dose of broad-spectrum antibiotics
E) Perform a gastric lavage on all patients who inhaled the toxin
Correct Answer: B) Provide supportive nursing care until antitoxin is available
Rationale: Ricin is a highly toxic protein derived from castor beans. Currently, there is no
widely available human antitoxin or vaccine for Ricin poisoning. Treatment is strictly
supportive, focusing on managing respiratory distress, providing fluids for dehydration,
and monitoring for organ failure.
Question 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. Which question is most important for the nurse
to ask this woman during the assessment?
A) "How long have you known this friend?"
B) "Did your friend have a fever or jaundice when you saw them?"
C) "Have you shared any needles or had sex with your friend?"
D) "Do you know if your friend has been vaccinated?"
E) "What did you eat the last time you were with your friend?"
Correct Answer: C) "Have you shared any needles or had sex with your friend?"
Rationale: Hepatitis B (HBV) is transmitted through blood and body fluids. The primary
routes of transmission are sexual contact and contaminated needles. While Hep A is fecal-
oral (food-borne), assessing the patient's exposure to blood or sexual fluids is critical for
determining the risk of HBV transmission.
Question 5
Which of the following should a community health nurse identify as a significant positive
outcome for the Leading Health Indicators of Healthy People 2020?
A) A local gym has increased its membership fees
B) A community has adopted a no-smoking policy
C) The number of pharmacies in the area has doubled
D) More people are purchasing organic produce at high-end markets
E) The local hospital has opened a new wing for surgery
Correct Answer: B) A community has adopted a no-smoking policy
Rationale: Healthy People 2020 Leading Health Indicators include Tobacco use as a
primary focus. Policy changes at the community level, such as "No Smoking" ordinances,
are high-impact interventions that reduce environmental exposure to carcinogens and
promote overall respiratory health.
Question 6
A public health nurse is attempting to address one of the leading health indicators of Healthy
People 2020. Which intervention is most appropriate?
, 3
A) Distributing pamphlets about the history of nursing
B) Design and implement a no-smoking campaign at the local high school
C) Organizing a fundraiser for a new hospital lobby
D) Teaching a class on how to use a thermometer
E) Providing free coffee to teachers at the local school
Correct Answer: B) Design and implement a no-smoking campaign at the local high school
Rationale: Addressing leading health indicators involves targeted primary prevention.
Tobacco use is a major indicator, and targeting adolescents at a high school is an effective
way to prevent the initiation of a lifelong habit that leads to chronic disease.
Question 7
Lillian Wald was a pioneer in American nursing. Which of the following 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) Established a committee that was the forerunner of the NLN
D) Instituted a sliding scale fee for service
E) Invented the first mechanical ventilator
Correct Answer: A, B, C, D) 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
Rationale: Lillian Wald is considered the founder of American public health nursing. She
established the Henry Street Settlement, provided nursing to workers (occupational
health), created the sliding scale to ensure the poor could afford care, and was instrumental
in professionalizing nursing organizations.
Question 8
A male client is brought to the emergency department following a motorcycle accident. He was
not wearing a helmet and states he has no intention of ever wearing one. According to the
Transtheoretical Model (TTM), which response should the nurse provide?
A) "You are acting very irresponsibly and need to change."
B) "Wearing a helmet or not is certainly an individual decision."
C) "I will have to report you to the police for not wearing a helmet."
D) "Here is a brochure on the types of helmets you can buy today."
E) "Why do you want to die so young?"
Correct Answer: B) "Wearing a helmet or not is certainly an individual decision."
Rationale: The client is in the "Precontemplation" stage of the TTM, where they have no
intention of changing behavior. In this stage, the nurse should avoid being judgmental or
pushy, as it can cause the client to withdraw. Acknowledging their autonomy (Option B)
builds rapport, which may allow for future educational opportunities.
, 4
Question 9
After accepting a position as a school nurse in an elementary school, what is the best strategy to
obtain an initial overview of the student body and the community they live in?
A) Read the previous nurse’s personal notes
B) Interview the principal and the school board
C) Conduct a windshield survey of the geographic areas served by the school
D) Review the standardized test scores of all the students
E) Call the local police department to ask about crime rates
Correct Answer: C) Conduct a windshield survey of the geographic areas served by the
school
Rationale: A windshield survey is a primary community assessment tool. By physically
driving through the neighborhood, the nurse can observe environmental hazards, housing
conditions, access to grocery stores, parks, and potential barriers to health, providing a
holistic view of the factors affecting the students.
Question 10
A nurse is organizing a community action group in a low-income neighborhood with many
recent African immigrants. Which problem should the nurse address first?
A) The lack of high-speed internet in the library
B) Low immunization rate of children
C) The need for a community garden
D) Improving the aesthetic appearance of the local park
E) Organizing a neighborhood watch program
Correct Answer: B) Low immunization rate of children
Rationale: When prioritizing health problems, the nurse must address issues that pose an
immediate threat to life or have the potential for a widespread outbreak. Low
immunization rates in a vulnerable population (immigrants/low income) can lead to the
rapid spread of vaccine-preventable diseases, making it the highest priority.
Question 11
An elderly, recently widowed female client is being discharged after a stroke. She uses a walker
and lives alone. Which referral is most important for the nurse to make to ensure her safety and
nutrition?
A) A local senior center for bingo nights
B) A gym membership for weightlifting
C) Meals-on-Wheels
D) A grief support group
E) A library book delivery service
Correct Answer: C) Meals-on-Wheels
Rationale: While social support is important, meeting basic physiological needs is the
