HESI COMMUNITY HEALTH [2026] | VERIFIED SOLUTIONS |
UPDATED ACTUAL QUESTIONS | STEP-BY-STEP ANSWERS |
COMPLETE EXAM PREP
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? -✓✓ANSWER: Gather
additional data by taking a health history and measuring vital signs
2. When asked to help develop interventions to combat obesity among children,
the community health nurse should stress the importance of implementing which
activity? -✓✓ANSWER: Set goals that are focused on developing healthier
lifestyles
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? -✓✓ANSWER: Provide supportive nursing care until antitoxin is
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? -✓✓ANSWER: "Have you shared any needles or had sex with your
friend?"
5. Which example should the nurse identify as a significant outcome for the
Leading Health indicators of Healthy People 2020? -✓✓ANSWER: A community
has adopted a no smoking policy
,6. Which intervention should the public health nurse implement when attempting
to address one of the leading health indicators of Healthy People 2020? -
✓✓ANSWER: Design and implement a no smoking campaign at the local high
school
7. Lillian Wald was a significant person in the history of American Nursing. Which
contributions can be attributed to her? (Select all) -✓✓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 result of 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 the nurse provide? -
✓✓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? -
✓✓ANSWER: Conduct a windshield survey of the geographic areas served by 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? -✓✓ANSWER: Low
immunization 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 most important for the nurse to
make? -✓✓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 exposure? (Select all) -
✓✓ANSWER: -Pneumonic plague
-Smallpox
13. An occupational health nurse is reviewing a 20-year-old trend in the United
States that has resulted in an increase in certain medical conditions due to the
rapid expansion of an urban industrial workforce. Which medical conditions are
specifically identified with this trend? -✓✓ANSWER: -Asthma
-Lung cancer
14. Which presentation of an infectious disease is acquired through an indirect
transmission? -✓✓ANSWER: Malaria following exposure in a mosquito-infested
area
15. What action is best for the community health nurse to take if the nurse
suspects that an infant is being physically abused? -✓✓ANSWER: Follow agency
protocols to report suspected abuse
16. The nursing education coordinator is creating employee orientation materials
for staff nurses who plan to work at a clinic that serves a lower socioeconomic
neighborhood. What information should the educator include regarding the
clinic's client population? (Select all) -✓✓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? -✓✓ANSWER: Primary prevention
18. During an initial clinic visit, the nurse is taking the history for a client who
wants to confirm her pregnancy. The client's last child has a history of low-birth-
weight (LBW). Which additional finding is most important for the nurse to
consider? -✓✓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 nurse implement?
-✓✓ANSWER: Schedule home visits that take place during the daylight hours
20. Which topic should the nurse include in planning a primary prevention class
for adolescents? -✓✓ANSWER: Suicide risks and prevention
21. 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? -✓✓ANSWER: Skin testing for
tuberculosis
22. 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
UPDATED ACTUAL QUESTIONS | STEP-BY-STEP ANSWERS |
COMPLETE EXAM PREP
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? -✓✓ANSWER: Gather
additional data by taking a health history and measuring vital signs
2. When asked to help develop interventions to combat obesity among children,
the community health nurse should stress the importance of implementing which
activity? -✓✓ANSWER: Set goals that are focused on developing healthier
lifestyles
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? -✓✓ANSWER: Provide supportive nursing care until antitoxin is
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? -✓✓ANSWER: "Have you shared any needles or had sex with your
friend?"
5. Which example should the nurse identify as a significant outcome for the
Leading Health indicators of Healthy People 2020? -✓✓ANSWER: A community
has adopted a no smoking policy
,6. Which intervention should the public health nurse implement when attempting
to address one of the leading health indicators of Healthy People 2020? -
✓✓ANSWER: Design and implement a no smoking campaign at the local high
school
7. Lillian Wald was a significant person in the history of American Nursing. Which
contributions can be attributed to her? (Select all) -✓✓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 result of 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 the nurse provide? -
✓✓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? -
✓✓ANSWER: Conduct a windshield survey of the geographic areas served by 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? -✓✓ANSWER: Low
immunization 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 most important for the nurse to
make? -✓✓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 exposure? (Select all) -
✓✓ANSWER: -Pneumonic plague
-Smallpox
13. An occupational health nurse is reviewing a 20-year-old trend in the United
States that has resulted in an increase in certain medical conditions due to the
rapid expansion of an urban industrial workforce. Which medical conditions are
specifically identified with this trend? -✓✓ANSWER: -Asthma
-Lung cancer
14. Which presentation of an infectious disease is acquired through an indirect
transmission? -✓✓ANSWER: Malaria following exposure in a mosquito-infested
area
15. What action is best for the community health nurse to take if the nurse
suspects that an infant is being physically abused? -✓✓ANSWER: Follow agency
protocols to report suspected abuse
16. The nursing education coordinator is creating employee orientation materials
for staff nurses who plan to work at a clinic that serves a lower socioeconomic
neighborhood. What information should the educator include regarding the
clinic's client population? (Select all) -✓✓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? -✓✓ANSWER: Primary prevention
18. During an initial clinic visit, the nurse is taking the history for a client who
wants to confirm her pregnancy. The client's last child has a history of low-birth-
weight (LBW). Which additional finding is most important for the nurse to
consider? -✓✓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 nurse implement?
-✓✓ANSWER: Schedule home visits that take place during the daylight hours
20. Which topic should the nurse include in planning a primary prevention class
for adolescents? -✓✓ANSWER: Suicide risks and prevention
21. 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? -✓✓ANSWER: Skin testing for
tuberculosis
22. 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
