COMMUNITY HEALTH EXIT HESI LATEST VERSION EXAM AND
BEST SYUDY GUIDE 2024-2025/ HESI EXIT COMMUNITY
HEALTH LATEST EXAM 2024-2025 //ALREADY GRADED A+
The nurse is making a home visit to female client with end stage heart disease. She has a living will and
states that she refuse to ever go back to a hospital. During the visit, the nurse notes that the client is
pale and short of breath while speaking. The nurse discovers 3+ pitting edema in both ankles and
bilateral pulmonary crackles. Which intervention should the nurse implement first?
A. Explain the need for hospitalization
B. Obtain a peripheral oxygen saturation level
C. Elevate her feet above the level of her heart
D. Apply 2L of oxygen per nasal cannula - ANSWER-B. Obtain a peripheral oxygen saturation level
The nurse must delegate some aspects of a homebound client's care to a home health aide. Which
intervention should the nurse delegate to the home health aide?
A. Evaluate a pressure sore
B. Apply a prosthetic device
C. Perform a sterile dressing change
D. Assess the client's need for an elevated toilet seat - ANSWER-B. Apply a prosthetic device
After assessing the health care needs of an elementary school, the nurse determines that an increased
prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the
goal to eradicate the condition in the school. The program includes educational pamphlets sent home to
parents and regular assessment of children by the school nurse. What action should the nurse
implement to evaluate the effectiveness of the program?
A. Measure the prevalence of pediculosis capitis among the children after four months
B. Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition.
C. Conduct an initial examination of each child in the school to obtain baseline data
D. Evaluate the teachers' ability to identify pediculosis capitis 2 months after initiation of the program -
ANSWER-A. Measure the prevalence of pediculosis capitis among the children after four months
The nurse is conducting routine assessments of clients at an ambulatory clinic. Which assessment
warrants immediate interventions by the nurse?
,A. Hepatovax B was prescribed for a client who is allergic to yeast
B. An INR of 2 was obtained for a client taking warfarin (Coumadin)
C. HIV screening was requested by a client having unprotected sex with two individuals
D. Nafcillin (Unipen) was taken for ten days by a client whose infected wound is healing - ANSWER-a.
Hepatovax B was prescribed for a client who is allergic to yeast
During a home visit, a client tells a home health nurse that he was recently diagnosed with viral
conjunctivitis. The client reports eye pain and swelling. What instructions should the nurse provide?
A. Avoid straining or sneezing
B. Apply a cool compress
C. Keep the room well lighted
D. Drink plenty of fluids - ANSWER-B. Apply a cool compress
To promote heart healthy eating during a school fair, the nurse presents information about a
"Mediterranean-based" approach to eating. To assess learning, the nurse sponsors a contest and asks
the children to create a rhyme that shows food that should be limited. Which selection should the nurse
choose as the winner of the contest?
A. Fish on a dish
B. Meats and sweets
C. Greens and beans
D. Berries and cherries - ANSWER-B. Meats and sweets
The public health nurse is called to investigate a report of several cases of chickenpox (varicella virus) at
a day care center. The day care worker states that five children have been sent home over the past two
weeks with fever and itchy blisters. Which intervention should the nurse implement first?
A. Confirm the number of children with symptoms
B. Determine how many people have been exposed
C. Report the presence of a viral endemic at the day care center
D. Validate that the children sent home did develop chickenpox - ANSWER-D. Validate that the children
sent home did develop chickenpox
,The parish nurse notes that an elderly male client has had a 5 pound weight loss 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 Senior Citizen Center
C. The Women, Infant, and Children office
D. The Social Security Administration office - ANSWER-B. The Senior Citizen Center
While presenting a workshop titled, "Improving Access to Health Services" to community leaders, the
community health nurse is asked by a city council member to explain the reason for addressing this
issue. Which statement provides the best response?
A. The committee for "Healthy People 2020" has identified "access" as a national goal
B. The Institute of Medicine includes "access" as one of its priority recommendations.
C. The Community Health Improvement Process is used for issues in high risk populations.
D. The Center for Disease Control has identified this problem as a variable in morbidity - ANSWER-A. The
committee for "Healthy People 2020" has identified "access" as a national goal
The school nurse is assessing a group of middle school students for signs of scoliosis and discovers a
female student with a noticeable unequal symmetry of the upper and lower back. Which intervention is
most important for the nurse to implement?
A. Make a referral to have the scoliosis further evaluated
B. Ask the student about her ability to participate in sports
C. Measure the degree of the thoracic and lumbar curvature
D. Review student's health record for a recent growth spurt - ANSWER-A. Make a referral to have the
scoliosis further evaluated
A newly hired school nurse conducts a "windshield" survey of the geographic area served by the school.
Which method is best for the nurse to use to objectively validate the findings obtained?
A. Obtain mortality data for the geographic area
B. Talk with teachers about their concerns for the students
C. Discuss with the PTA board their perception of school events
, D. Review the previous school nurse's anecdotal documents. - ANSWER-D. Review the previous school
nurse's anecdotal documents.
The local health department needs to prioritize the distribution of influenza vaccinations due to a
limited supply. In determining which individuals should receive the limited available vaccine, which
person should the public health nurse ask to return to the clinic later when more vaccine is available?
A. A 60-year-old with diabetes and agoraphobia
B. An 80-year-old resident in an Alzheimer's unit
C. A 65-year-old aide working in a nursing home.
D. An 8-year-old girl with poorly-controlled asthma - ANSWER-A. A 60-year-old with diabetes and
agoraphobia
A nurse designs a series of four weekly classes for client with Type 2 diabetes. Which information should
the nurse use as an outcome evaluation for the classes?
A. Parking convenience for attendees continued to be a major concern
B. Demonstrating by the use of a blood glucose meter was an effective teaching strategy
C. Fasting blood glucose average readings were 20% lower at the end of the classes
D. Discussion of food exchanges and calories was a well attended class - ANSWER-C. Fasting blood
glucose average readings were 20% lower at the end of the classes
On a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt,
smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse
take first?
A. Complete a physical and mental exam of the client
B. Call Adult Protective Services to obtain emergency nursing home placement.
C. Seek the family's assistance in caring for the client
D. Call the client's pharmacy to determine what medications she is taking - ANSWER-A. Complete a
physical and mental exam of the client
The community health nurse believes that immunization rates in a lower-socioeconomic section of the
city are probably below the target set by the state health department. What action should the nurse
take first to intervene with this health problem?
A. Join a political action group that focuses attention on the issue in the local news media
BEST SYUDY GUIDE 2024-2025/ HESI EXIT COMMUNITY
HEALTH LATEST EXAM 2024-2025 //ALREADY GRADED A+
The nurse is making a home visit to female client with end stage heart disease. She has a living will and
states that she refuse to ever go back to a hospital. During the visit, the nurse notes that the client is
pale and short of breath while speaking. The nurse discovers 3+ pitting edema in both ankles and
bilateral pulmonary crackles. Which intervention should the nurse implement first?
A. Explain the need for hospitalization
B. Obtain a peripheral oxygen saturation level
C. Elevate her feet above the level of her heart
D. Apply 2L of oxygen per nasal cannula - ANSWER-B. Obtain a peripheral oxygen saturation level
The nurse must delegate some aspects of a homebound client's care to a home health aide. Which
intervention should the nurse delegate to the home health aide?
A. Evaluate a pressure sore
B. Apply a prosthetic device
C. Perform a sterile dressing change
D. Assess the client's need for an elevated toilet seat - ANSWER-B. Apply a prosthetic device
After assessing the health care needs of an elementary school, the nurse determines that an increased
prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the
goal to eradicate the condition in the school. The program includes educational pamphlets sent home to
parents and regular assessment of children by the school nurse. What action should the nurse
implement to evaluate the effectiveness of the program?
A. Measure the prevalence of pediculosis capitis among the children after four months
B. Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition.
C. Conduct an initial examination of each child in the school to obtain baseline data
D. Evaluate the teachers' ability to identify pediculosis capitis 2 months after initiation of the program -
ANSWER-A. Measure the prevalence of pediculosis capitis among the children after four months
The nurse is conducting routine assessments of clients at an ambulatory clinic. Which assessment
warrants immediate interventions by the nurse?
,A. Hepatovax B was prescribed for a client who is allergic to yeast
B. An INR of 2 was obtained for a client taking warfarin (Coumadin)
C. HIV screening was requested by a client having unprotected sex with two individuals
D. Nafcillin (Unipen) was taken for ten days by a client whose infected wound is healing - ANSWER-a.
Hepatovax B was prescribed for a client who is allergic to yeast
During a home visit, a client tells a home health nurse that he was recently diagnosed with viral
conjunctivitis. The client reports eye pain and swelling. What instructions should the nurse provide?
A. Avoid straining or sneezing
B. Apply a cool compress
C. Keep the room well lighted
D. Drink plenty of fluids - ANSWER-B. Apply a cool compress
To promote heart healthy eating during a school fair, the nurse presents information about a
"Mediterranean-based" approach to eating. To assess learning, the nurse sponsors a contest and asks
the children to create a rhyme that shows food that should be limited. Which selection should the nurse
choose as the winner of the contest?
A. Fish on a dish
B. Meats and sweets
C. Greens and beans
D. Berries and cherries - ANSWER-B. Meats and sweets
The public health nurse is called to investigate a report of several cases of chickenpox (varicella virus) at
a day care center. The day care worker states that five children have been sent home over the past two
weeks with fever and itchy blisters. Which intervention should the nurse implement first?
A. Confirm the number of children with symptoms
B. Determine how many people have been exposed
C. Report the presence of a viral endemic at the day care center
D. Validate that the children sent home did develop chickenpox - ANSWER-D. Validate that the children
sent home did develop chickenpox
,The parish nurse notes that an elderly male client has had a 5 pound weight loss 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 Senior Citizen Center
C. The Women, Infant, and Children office
D. The Social Security Administration office - ANSWER-B. The Senior Citizen Center
While presenting a workshop titled, "Improving Access to Health Services" to community leaders, the
community health nurse is asked by a city council member to explain the reason for addressing this
issue. Which statement provides the best response?
A. The committee for "Healthy People 2020" has identified "access" as a national goal
B. The Institute of Medicine includes "access" as one of its priority recommendations.
C. The Community Health Improvement Process is used for issues in high risk populations.
D. The Center for Disease Control has identified this problem as a variable in morbidity - ANSWER-A. The
committee for "Healthy People 2020" has identified "access" as a national goal
The school nurse is assessing a group of middle school students for signs of scoliosis and discovers a
female student with a noticeable unequal symmetry of the upper and lower back. Which intervention is
most important for the nurse to implement?
A. Make a referral to have the scoliosis further evaluated
B. Ask the student about her ability to participate in sports
C. Measure the degree of the thoracic and lumbar curvature
D. Review student's health record for a recent growth spurt - ANSWER-A. Make a referral to have the
scoliosis further evaluated
A newly hired school nurse conducts a "windshield" survey of the geographic area served by the school.
Which method is best for the nurse to use to objectively validate the findings obtained?
A. Obtain mortality data for the geographic area
B. Talk with teachers about their concerns for the students
C. Discuss with the PTA board their perception of school events
, D. Review the previous school nurse's anecdotal documents. - ANSWER-D. Review the previous school
nurse's anecdotal documents.
The local health department needs to prioritize the distribution of influenza vaccinations due to a
limited supply. In determining which individuals should receive the limited available vaccine, which
person should the public health nurse ask to return to the clinic later when more vaccine is available?
A. A 60-year-old with diabetes and agoraphobia
B. An 80-year-old resident in an Alzheimer's unit
C. A 65-year-old aide working in a nursing home.
D. An 8-year-old girl with poorly-controlled asthma - ANSWER-A. A 60-year-old with diabetes and
agoraphobia
A nurse designs a series of four weekly classes for client with Type 2 diabetes. Which information should
the nurse use as an outcome evaluation for the classes?
A. Parking convenience for attendees continued to be a major concern
B. Demonstrating by the use of a blood glucose meter was an effective teaching strategy
C. Fasting blood glucose average readings were 20% lower at the end of the classes
D. Discussion of food exchanges and calories was a well attended class - ANSWER-C. Fasting blood
glucose average readings were 20% lower at the end of the classes
On a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt,
smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse
take first?
A. Complete a physical and mental exam of the client
B. Call Adult Protective Services to obtain emergency nursing home placement.
C. Seek the family's assistance in caring for the client
D. Call the client's pharmacy to determine what medications she is taking - ANSWER-A. Complete a
physical and mental exam of the client
The community health nurse believes that immunization rates in a lower-socioeconomic section of the
city are probably below the target set by the state health department. What action should the nurse
take first to intervene with this health problem?
A. Join a political action group that focuses attention on the issue in the local news media
