HESI COMMUNITY EXAM
• An assessment conducted last year of the health needs of children who attended a middle
school indicated that bicycle injuries were a priorityproblem,so the nurse developed a bicycle
safety program. Six weeks after completion ofthe program, a survey was sent to parents and
students.Whichfinding is the best
indicator that the program was effective?
a. The number of students wearing bicycle helmets increased by 10%
b. 50% of the parents reported that their children are aware of bicycle safety
c. The number of students riding bicycles to school increased by 25%
d. 80% of the parents identified the need for an annual bicycle safety pro-gram
• The nurse is planning a series of health screening programs for elderlyAfrican-Americans. Which
health problem should the nurse target for this population?
a. Peripheral vascular disease
b. Sickle cell anemia
c. Decreased visual acuity
d. High blood pressure
• The nurse is serving on a medical center committee to update goals and protocols based on current
national standards. Which goal most directlyaddressesthe Healthy People 2020 initiative?
,a. Decrease incidence of professional boundary violations
b. Reduce emergency room wait times for indigent clients
c. Encourage the use of the 5 rights of delegation
d. Standardize communication for shift-to-shift report
• A homeless client with alcohol dependency will be dismissed from the emergency department
in 24 hours. The nurse notes that a tuberculin skin testwas prescribed by the healthcare provider.
What intervention is most importantfor the nurse to implement prior to discharge?
a. Identify how the client will follow-up to have the results read.
b. Give the client written information about the tuberculosis test
c. Determine if the client understands the purpose of the tuberculin test
d. Explain to the client results should be read between 48 and 72 hours
• A Hispanic mother insists on using special candles to treat her child'sear infection. The
nurse should demonstrate cultural accommodation by makingwhich request?
a. Use the prescribed antibiotics and if there is no improvement, use thecandles
b. Give the prescribed antibiotics in addition to using the candles.
c. Do not use the candles because of the risk of fire and subsequent burnsto thechild.
d. Provide the prescribed antibiotics instead of using the candles
• 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 thenurse 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
• 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
• After assessing the health care needs of an elementary school, the nursedetermines that an
increased prevalence of pediculosis capitis is apriority
problem. The nurse develops a 2-month program with the goal to eradicate thecondition in the
school. The program includes educational pamphlets sent home to parents and regular assessment
of children by the school nurse. Whataction should the nurse implement to evaluate
theeffectiveness of the program?
a. Measure the prevalence of pediculosis capitis among the children afterfour months
b. Survey parents 3 weeks after pamphlets are sent home to assess theirunderstanding of the
condition.
c. Conduct an initial examination of each child in the school to obtainbaseline data
• An assessment conducted last year of the health needs of children who attended a middle
school indicated that bicycle injuries were a priorityproblem,so the nurse developed a bicycle
safety program. Six weeks after completion ofthe program, a survey was sent to parents and
students.Whichfinding is the best
indicator that the program was effective?
a. The number of students wearing bicycle helmets increased by 10%
b. 50% of the parents reported that their children are aware of bicycle safety
c. The number of students riding bicycles to school increased by 25%
d. 80% of the parents identified the need for an annual bicycle safety pro-gram
• The nurse is planning a series of health screening programs for elderlyAfrican-Americans. Which
health problem should the nurse target for this population?
a. Peripheral vascular disease
b. Sickle cell anemia
c. Decreased visual acuity
d. High blood pressure
• The nurse is serving on a medical center committee to update goals and protocols based on current
national standards. Which goal most directlyaddressesthe Healthy People 2020 initiative?
,a. Decrease incidence of professional boundary violations
b. Reduce emergency room wait times for indigent clients
c. Encourage the use of the 5 rights of delegation
d. Standardize communication for shift-to-shift report
• A homeless client with alcohol dependency will be dismissed from the emergency department
in 24 hours. The nurse notes that a tuberculin skin testwas prescribed by the healthcare provider.
What intervention is most importantfor the nurse to implement prior to discharge?
a. Identify how the client will follow-up to have the results read.
b. Give the client written information about the tuberculosis test
c. Determine if the client understands the purpose of the tuberculin test
d. Explain to the client results should be read between 48 and 72 hours
• A Hispanic mother insists on using special candles to treat her child'sear infection. The
nurse should demonstrate cultural accommodation by makingwhich request?
a. Use the prescribed antibiotics and if there is no improvement, use thecandles
b. Give the prescribed antibiotics in addition to using the candles.
c. Do not use the candles because of the risk of fire and subsequent burnsto thechild.
d. Provide the prescribed antibiotics instead of using the candles
• 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 thenurse 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
• 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
• After assessing the health care needs of an elementary school, the nursedetermines that an
increased prevalence of pediculosis capitis is apriority
problem. The nurse develops a 2-month program with the goal to eradicate thecondition in the
school. The program includes educational pamphlets sent home to parents and regular assessment
of children by the school nurse. Whataction should the nurse implement to evaluate
theeffectiveness of the program?
a. Measure the prevalence of pediculosis capitis among the children afterfour months
b. Survey parents 3 weeks after pamphlets are sent home to assess theirunderstanding of the
condition.
c. Conduct an initial examination of each child in the school to obtainbaseline data
