HESI COMMUNITY HEALTH EXAM V2 (VERSION 2)
• The nurse is working with the family of a child with cerebral palsy. In order tohelp the nurse
understand the connections among family members,
resources and agencies in the community with assessment data gatheringtool isbest for the nurse to
use?
A. Genogram
B. Ecomap
C. Medical record
D. Family tree
• Due to a limited supply the local health department needs to prioritize the distribution of
influenza vaccinations. In determining which individuals should receive the limited available
vaccine, which person should the publichealth nurse
ask to return to the clinic later when more vaccine is available?
A. An 80 year old resident in an Alzheimer's unit
B. A 65 year old aide working in a nursing home
C. A 60 year old client with diabetes and agoraphobia
D. An 8 year old girl with poorly controlled asthma
• The community health nurse determines that the average family incomeof a certain community
is 67k per a year with a range of 27k to 102k based on this demographic information what additional
information is important for the nurse toassess?
A. Interventions focused on college educated individuals
B. Characteristics of families in the upper middle class
C. The frequency of incomes above and below the average
D. The reliability of such a high average family income
• After assessing the health needs of an elementary school, the nurse determines that an
increased incidence of bicycle injuries is a priority problem. The nurse develops a 2 month program
with the goal to eliminatebicycle injuriesin the school. The program includes educational pamphletssent
home to parentsand two educations sessions by the school nurse. Which action should the nurse
implement to evaluate the effectiveness of the program?
,A. Compare the incidence of bicycle injuries at the beginning and end of theprogram
B. Determine the type of bicycle injuries each child sustained before con-
ducting the sessions
C. Conduct an initial survey of the children to determine their knowledge ofbicycle safety
D. Survey parents after one month to assess their understanding of the edu-cational pamphlet
• The community health nurse who works in a gulf coast town that caters to tourists is presenting a
class to residents and business owner of the town on disaster management. Which content is most
important for the nurse beincluded in this class?
A. Hurricane preparedness for families and businesses
B. Available evacuation routes from the town
C. Methods used to treat water to ensure it is safe to drink
D. Actions to be taken during a tornado
• The home health nurse is evaluating client who is receiving enteral feedingsby nasogastric NG
tube. Which assessment finding indicates to thenurse that a change to the clients nutrition may be
warranted for this client?
A. Ulceration of .5 cm at left nares NG tube insertion site
B. Intestinal migration of NG tube verified by aspirate ph of 7.1
C. Residual volume of 25 ml after each scheduled feeding
D. Nausea occurs after each instillation of NG feeding
• The epidemiological triad can be used to frame strategies for the preven-tion of farm machinery
injuries. Which action should the nurse take to focus on the agent?
A. Teach farm workers not to smoke around farm equipment
B. Translate written vehicle instructions into picture format
C. Provide rehabilitation services to injured farm hands
D. Work with legislators to mandate safe tractor design
• A community hit by a hurricane has suffered mass destruction and flood- ing. Sewage facilities
are non functioning and the area is contaminated with human excreta. The nurse is developing a plan
of care for clients diagnosedwith choleraafter an outbreak. Which intervention has the highest priority?
A. Administer prophylactic antibiotics as prescribed
, B. Provide fluid and electrolyte replacement
C. Isolate all infectious diarrhea victims
D. Administer cholera vaccine
• A prescription for discharge is written for an elderly female client who has asked to be
discharged to her home. The client lives alone and is able to walk 10-15 feet with assistance. Which
action should the nurse implementfirst?
A. Arrange for a bedside commode to be delivered to the home
B. Meet with case manager to plan a home safety evaluation
C. Provide the client with information about medical alert devices
D. Review the home medication schedule with the client and family
• Which expected outcome statement is most relevant to the plan of carefor an elderly female
client who has a nursing problem of "altered nutritionless thanbody requirements related to social
isolation" and lives alone in her own home?
A. Client will participate in daily meals at a senior nutrition center
B. Client will describe a menu of well balanced meals
C. Client understands the need for placement in a long-term care facility
D. Client will receive well-balanced diet from meals on wheels
• A 4-year old near drowning victim who is severely disabled due to anoxiathatoccurred during
the incident is being transferred to a long term care facility. When helping the parents select a
treatment center for their child, which factorshould the nurse encourage the parents to consider?
A. Proximity of the facility to their home
B. How many children are residents of the facility
C. What type of home schooling is available at the facility
D. Availability of medical care for emergencies
• An older male client refuses a recommended annual influenza vaccina- tion because it made
him sick last year. He tells nurse the nurse that he willtake his prescription for Amantadine if he
develops symptoms of the flu.
Which response should the nurse provide?
A. Since the client received the vaccine last year this plan should be support-ed
• The nurse is working with the family of a child with cerebral palsy. In order tohelp the nurse
understand the connections among family members,
resources and agencies in the community with assessment data gatheringtool isbest for the nurse to
use?
A. Genogram
B. Ecomap
C. Medical record
D. Family tree
• Due to a limited supply the local health department needs to prioritize the distribution of
influenza vaccinations. In determining which individuals should receive the limited available
vaccine, which person should the publichealth nurse
ask to return to the clinic later when more vaccine is available?
A. An 80 year old resident in an Alzheimer's unit
B. A 65 year old aide working in a nursing home
C. A 60 year old client with diabetes and agoraphobia
D. An 8 year old girl with poorly controlled asthma
• The community health nurse determines that the average family incomeof a certain community
is 67k per a year with a range of 27k to 102k based on this demographic information what additional
information is important for the nurse toassess?
A. Interventions focused on college educated individuals
B. Characteristics of families in the upper middle class
C. The frequency of incomes above and below the average
D. The reliability of such a high average family income
• After assessing the health needs of an elementary school, the nurse determines that an
increased incidence of bicycle injuries is a priority problem. The nurse develops a 2 month program
with the goal to eliminatebicycle injuriesin the school. The program includes educational pamphletssent
home to parentsand two educations sessions by the school nurse. Which action should the nurse
implement to evaluate the effectiveness of the program?
,A. Compare the incidence of bicycle injuries at the beginning and end of theprogram
B. Determine the type of bicycle injuries each child sustained before con-
ducting the sessions
C. Conduct an initial survey of the children to determine their knowledge ofbicycle safety
D. Survey parents after one month to assess their understanding of the edu-cational pamphlet
• The community health nurse who works in a gulf coast town that caters to tourists is presenting a
class to residents and business owner of the town on disaster management. Which content is most
important for the nurse beincluded in this class?
A. Hurricane preparedness for families and businesses
B. Available evacuation routes from the town
C. Methods used to treat water to ensure it is safe to drink
D. Actions to be taken during a tornado
• The home health nurse is evaluating client who is receiving enteral feedingsby nasogastric NG
tube. Which assessment finding indicates to thenurse that a change to the clients nutrition may be
warranted for this client?
A. Ulceration of .5 cm at left nares NG tube insertion site
B. Intestinal migration of NG tube verified by aspirate ph of 7.1
C. Residual volume of 25 ml after each scheduled feeding
D. Nausea occurs after each instillation of NG feeding
• The epidemiological triad can be used to frame strategies for the preven-tion of farm machinery
injuries. Which action should the nurse take to focus on the agent?
A. Teach farm workers not to smoke around farm equipment
B. Translate written vehicle instructions into picture format
C. Provide rehabilitation services to injured farm hands
D. Work with legislators to mandate safe tractor design
• A community hit by a hurricane has suffered mass destruction and flood- ing. Sewage facilities
are non functioning and the area is contaminated with human excreta. The nurse is developing a plan
of care for clients diagnosedwith choleraafter an outbreak. Which intervention has the highest priority?
A. Administer prophylactic antibiotics as prescribed
, B. Provide fluid and electrolyte replacement
C. Isolate all infectious diarrhea victims
D. Administer cholera vaccine
• A prescription for discharge is written for an elderly female client who has asked to be
discharged to her home. The client lives alone and is able to walk 10-15 feet with assistance. Which
action should the nurse implementfirst?
A. Arrange for a bedside commode to be delivered to the home
B. Meet with case manager to plan a home safety evaluation
C. Provide the client with information about medical alert devices
D. Review the home medication schedule with the client and family
• Which expected outcome statement is most relevant to the plan of carefor an elderly female
client who has a nursing problem of "altered nutritionless thanbody requirements related to social
isolation" and lives alone in her own home?
A. Client will participate in daily meals at a senior nutrition center
B. Client will describe a menu of well balanced meals
C. Client understands the need for placement in a long-term care facility
D. Client will receive well-balanced diet from meals on wheels
• A 4-year old near drowning victim who is severely disabled due to anoxiathatoccurred during
the incident is being transferred to a long term care facility. When helping the parents select a
treatment center for their child, which factorshould the nurse encourage the parents to consider?
A. Proximity of the facility to their home
B. How many children are residents of the facility
C. What type of home schooling is available at the facility
D. Availability of medical care for emergencies
• An older male client refuses a recommended annual influenza vaccina- tion because it made
him sick last year. He tells nurse the nurse that he willtake his prescription for Amantadine if he
develops symptoms of the flu.
Which response should the nurse provide?
A. Since the client received the vaccine last year this plan should be support-ed
