ACTUALIZED HESI
COMMUNITY HEALTH EXAM
TEST QUESTIONS AND
ANSWERS
The54community54health54nurses54is54counseling54a54group54of541454year54olds54about54safe54sexual54
practices.54Which54health54teaching54strategy54would54be54most54effective54for54the54nurse54to54use5
4with54this54age54group?
A.Encourage54group54members54to54describe54personal54experiences54in54practicing54safe54sex
B.54Provide54the54group54with54statistical54data54about54behaviors54leading54to54venereal54diseases
C.54Tell54the54group54that54for54aids54prevention54abstinence54is54the54best54safe54sex54practice
D.54Role54play54situations54in54which54the54adolescent54is54rewarded54for54practicing54safe54sex54-
54CORRECT54ANSWER54-
D.54Role54play54situations54in54which54the54adolescent54is54rewarded54for54practicing54safe54sex
A54young54adult54man54goes54to54an54emergency54treatment54area54after54finishing54a54marathon54r
un.54He54is54weak54dizzy54and54remains54thirsty54after54drinking54a54pint54of54a54flavored54sports54dri
nk.54What54action54should54the54nurse54implement54first?
A.54Instruct54the54runner54that54a54urine54sample54is54needed
B.54Send54for54the54automatic54external54defibrillator
C.54Determine54if54there54are54friends54or54family54nearby
D.54Give54the54runner54another54pint54of54fluids54to54drink54-54CORRECT54ANSWER54-
D.54Give54the54runner54another54pint54of54fluids54to54drink
,An54older54adult54male54who54fractured54his54right54hip54is54discharged54to54home54one54week54follo
wing54an54arthroplasty.54Which54adjustment54to54the54clients54home54environment54is54most54importa
nt54for54the54home54health54nurse54to54implement?
A.54Lower54the54temperature54on54the54clients54water54heater
B.54Encourage54the54client54to54wear54rubber54soled54shoes
C.54Ensure54that54an54elevated54toilet54seat54is54installed
D.54Leave54motion54activated54light54in54the54living54room54-54CORRECT54ANSWER54-
C.54Ensure54that54an54elevated54toilet54seat54is54installed
The54nurse54is54caring54for54four54clients54in54a54women's54health54clinic.54Which54client54should54the
54nurse54assess54for54risk54for54pelvic54inflammatory54disease?
A.543054year54old54with54endometriosis
B.544054year54old54with54leiomyoma
C.545054year54old54perimenopause
D.542054year54old54with54gonorrhea54-54CORRECT54ANSWER54-D.54A542054year54old54with54gonorrhea
The54nurse54is54teaching54a54group54of54adults54at54a54health54fair54about54healthy54life54style54choice
s.54Which54information54is54most54important54for54the54nurse54to54emphasize?
A.54Completely54stop54the54use54of54cigarette54and54tobacco54products
B.54Eat54a54diet54high54in54fruits54vegetables54and54whole54grains
C.54Avoid54the54midday54sun54and54use54sunscreen
D.54Perform54monthly54self54examination54of54breasts54and54testes54-54CORRECT54ANSWER54-
A.54Completely54stop54the54use54of54cigarette54and54tobacco54products
,The54school54nurse54who54is54reviewing54immunization54records54of54students54who54will54start54kind
ergarten54within54the54next54month54notes54that54most54of54the54students54have54only54received54o
n54does54of54the54measles54mumps54rubella54vaccine.54Which54intervention54should54the54nurse54im
plement?
A.54Note54in54the54student54records54that54the54second54dose54of54the54MMR54vaccine54should54be54ad
ministered54prior54to54entering54first54grade
B.54Send54notices54home54with54the54children54on54the54first54day54of54class54advising54that54MMR54v
accine54series54must54be54completed
C.54Contact54kindergarten54parents54to54remind54them54that54the54second54dose54of54MMR54is54due5
4at54eh54start54of54the54school54year
D.54Speak54at54the54next54parent54teacher54association54meeting54to54teach54parents54the54benefits54
of54immunizing54their54children54-54CORRECT54ANSWER54-
B.54Send54notices54home54with54the54children54on54the54first54day54of54class54advising54that54MMR54
vaccine54series54must54be54completed
A54middle54aged54male54client54presents54for54his54annual54health54visit54at54a54community54clinic.54H
e54is54554ft541054in54tall54weighs5425054pounds,54and54works54as54an54accountant.54He54smokes54at54le
ast54one54pack54of54cigarettes54every54day54for54the54last541554years.54Which54secondary54prevention54
measure54should54the54nurse54recommend54the54client54to54follow?
A.54Compliance54with54antihypertensive54and54lipid54lowering54agents.
B.54Increase54physical54activity54and54diet54low54in54saturated54fat
C.54Smoking54cessation
D.54Blood54pressure54and54lipid54screening54-54CORRECT54ANSWER54-
D.54Blood54pressure54and54lipid54screening
A54male54high54school54student54is54referred54to54the54school54nurse54because54he54lost54consciousne
ss54during54gymnastics54class.54His54neurological54vital54signs54are54with54normal54limits,54and54his54bl
ood54pressure54is54100/62.54He54is54654ft54354in54tall54wighs5413554pound54and54his54body54mass54inde
x54is5416.9.54which54assessment54data54should54the54nurse54obtain54first?
A.54Serial54bp54reading54every543054minutes
B.54Twenty-four54hour54diet54recall
, C.54Use54of54performance54enhancing54drugs
D.54Recent54exposure54to54allergens54-54CORRECT54ANSWER54-B.54Twenty-four54hour54diet54recall
The54nurse54is54planning54to54implement54a54health54education54program54on54breast54screening54for5
4Hispanic54women54at54a54community54center.54Which54component54of54the54teaching54plan54best54pr
ovides54culturally54competent54care?
A.54Provide54handouts54and54brochures54in54the54English54and54Spanish54languages
B.54Ask54a54Hispanic54breast54cancer54survivor54to54present54the54educational54class
C.54Include54treatment54modalities54with54survival54statistics54for54Hispanic54women
D.54Design54flyers54that54target54Hispanic54women54encouraging54their54attendance54-
54CORRECT54ANSWER54-A.54Provide54handouts54and54brochures54in54the54English54and54Spanish
The54nurse54is54planning54a54health54education54program54for5410-
year54old.54Which54setting54is54most54likely54to54increase54the54preadolescent's54participation54in54th
e54program?
A.54The54school54classroom
B.54Community54center
C.54Home54of54one54of54the54children
D.54A54local54place54of54worship54-54CORRECT54ANSWER54-A.54The54school54classroom
The54public54health54nurse54receives54grant54funding54to54implement54primary54prevention54strategie
s54for54migrant54farm54workers54and54their54families.54Which54action54should54the54nurse54plan54to54
include?
A.54Teach54a54class54in54providing54first54aid54for54heat54exhaustion
B.54Organize54free54community54wide54tuberculosis54screenings
C.54Distribute54brochures54on54measures54to54avoid54pesticide54exposure
COMMUNITY HEALTH EXAM
TEST QUESTIONS AND
ANSWERS
The54community54health54nurses54is54counseling54a54group54of541454year54olds54about54safe54sexual54
practices.54Which54health54teaching54strategy54would54be54most54effective54for54the54nurse54to54use5
4with54this54age54group?
A.Encourage54group54members54to54describe54personal54experiences54in54practicing54safe54sex
B.54Provide54the54group54with54statistical54data54about54behaviors54leading54to54venereal54diseases
C.54Tell54the54group54that54for54aids54prevention54abstinence54is54the54best54safe54sex54practice
D.54Role54play54situations54in54which54the54adolescent54is54rewarded54for54practicing54safe54sex54-
54CORRECT54ANSWER54-
D.54Role54play54situations54in54which54the54adolescent54is54rewarded54for54practicing54safe54sex
A54young54adult54man54goes54to54an54emergency54treatment54area54after54finishing54a54marathon54r
un.54He54is54weak54dizzy54and54remains54thirsty54after54drinking54a54pint54of54a54flavored54sports54dri
nk.54What54action54should54the54nurse54implement54first?
A.54Instruct54the54runner54that54a54urine54sample54is54needed
B.54Send54for54the54automatic54external54defibrillator
C.54Determine54if54there54are54friends54or54family54nearby
D.54Give54the54runner54another54pint54of54fluids54to54drink54-54CORRECT54ANSWER54-
D.54Give54the54runner54another54pint54of54fluids54to54drink
,An54older54adult54male54who54fractured54his54right54hip54is54discharged54to54home54one54week54follo
wing54an54arthroplasty.54Which54adjustment54to54the54clients54home54environment54is54most54importa
nt54for54the54home54health54nurse54to54implement?
A.54Lower54the54temperature54on54the54clients54water54heater
B.54Encourage54the54client54to54wear54rubber54soled54shoes
C.54Ensure54that54an54elevated54toilet54seat54is54installed
D.54Leave54motion54activated54light54in54the54living54room54-54CORRECT54ANSWER54-
C.54Ensure54that54an54elevated54toilet54seat54is54installed
The54nurse54is54caring54for54four54clients54in54a54women's54health54clinic.54Which54client54should54the
54nurse54assess54for54risk54for54pelvic54inflammatory54disease?
A.543054year54old54with54endometriosis
B.544054year54old54with54leiomyoma
C.545054year54old54perimenopause
D.542054year54old54with54gonorrhea54-54CORRECT54ANSWER54-D.54A542054year54old54with54gonorrhea
The54nurse54is54teaching54a54group54of54adults54at54a54health54fair54about54healthy54life54style54choice
s.54Which54information54is54most54important54for54the54nurse54to54emphasize?
A.54Completely54stop54the54use54of54cigarette54and54tobacco54products
B.54Eat54a54diet54high54in54fruits54vegetables54and54whole54grains
C.54Avoid54the54midday54sun54and54use54sunscreen
D.54Perform54monthly54self54examination54of54breasts54and54testes54-54CORRECT54ANSWER54-
A.54Completely54stop54the54use54of54cigarette54and54tobacco54products
,The54school54nurse54who54is54reviewing54immunization54records54of54students54who54will54start54kind
ergarten54within54the54next54month54notes54that54most54of54the54students54have54only54received54o
n54does54of54the54measles54mumps54rubella54vaccine.54Which54intervention54should54the54nurse54im
plement?
A.54Note54in54the54student54records54that54the54second54dose54of54the54MMR54vaccine54should54be54ad
ministered54prior54to54entering54first54grade
B.54Send54notices54home54with54the54children54on54the54first54day54of54class54advising54that54MMR54v
accine54series54must54be54completed
C.54Contact54kindergarten54parents54to54remind54them54that54the54second54dose54of54MMR54is54due5
4at54eh54start54of54the54school54year
D.54Speak54at54the54next54parent54teacher54association54meeting54to54teach54parents54the54benefits54
of54immunizing54their54children54-54CORRECT54ANSWER54-
B.54Send54notices54home54with54the54children54on54the54first54day54of54class54advising54that54MMR54
vaccine54series54must54be54completed
A54middle54aged54male54client54presents54for54his54annual54health54visit54at54a54community54clinic.54H
e54is54554ft541054in54tall54weighs5425054pounds,54and54works54as54an54accountant.54He54smokes54at54le
ast54one54pack54of54cigarettes54every54day54for54the54last541554years.54Which54secondary54prevention54
measure54should54the54nurse54recommend54the54client54to54follow?
A.54Compliance54with54antihypertensive54and54lipid54lowering54agents.
B.54Increase54physical54activity54and54diet54low54in54saturated54fat
C.54Smoking54cessation
D.54Blood54pressure54and54lipid54screening54-54CORRECT54ANSWER54-
D.54Blood54pressure54and54lipid54screening
A54male54high54school54student54is54referred54to54the54school54nurse54because54he54lost54consciousne
ss54during54gymnastics54class.54His54neurological54vital54signs54are54with54normal54limits,54and54his54bl
ood54pressure54is54100/62.54He54is54654ft54354in54tall54wighs5413554pound54and54his54body54mass54inde
x54is5416.9.54which54assessment54data54should54the54nurse54obtain54first?
A.54Serial54bp54reading54every543054minutes
B.54Twenty-four54hour54diet54recall
, C.54Use54of54performance54enhancing54drugs
D.54Recent54exposure54to54allergens54-54CORRECT54ANSWER54-B.54Twenty-four54hour54diet54recall
The54nurse54is54planning54to54implement54a54health54education54program54on54breast54screening54for5
4Hispanic54women54at54a54community54center.54Which54component54of54the54teaching54plan54best54pr
ovides54culturally54competent54care?
A.54Provide54handouts54and54brochures54in54the54English54and54Spanish54languages
B.54Ask54a54Hispanic54breast54cancer54survivor54to54present54the54educational54class
C.54Include54treatment54modalities54with54survival54statistics54for54Hispanic54women
D.54Design54flyers54that54target54Hispanic54women54encouraging54their54attendance54-
54CORRECT54ANSWER54-A.54Provide54handouts54and54brochures54in54the54English54and54Spanish
The54nurse54is54planning54a54health54education54program54for5410-
year54old.54Which54setting54is54most54likely54to54increase54the54preadolescent's54participation54in54th
e54program?
A.54The54school54classroom
B.54Community54center
C.54Home54of54one54of54the54children
D.54A54local54place54of54worship54-54CORRECT54ANSWER54-A.54The54school54classroom
The54public54health54nurse54receives54grant54funding54to54implement54primary54prevention54strategie
s54for54migrant54farm54workers54and54their54families.54Which54action54should54the54nurse54plan54to54
include?
A.54Teach54a54class54in54providing54first54aid54for54heat54exhaustion
B.54Organize54free54community54wide54tuberculosis54screenings
C.54Distribute54brochures54on54measures54to54avoid54pesticide54exposure
