ADVANCED COMMUNITY 45
HEALTH HESI (EXAM QUESTI 45 45 45
ONS AND ANSWERS )
45 45 45
1. A4512-year-
old45female45is45seen45by45the45school45nurse45after45recently45experiencing45increasing45difficulty45
sitting45and45paying45attention45in45class,45and45increasingly45illegible45handwriting.45The45nurse45ob
serves45that45the45child45has45protruding45eyeballs45and45a45staring45expression.45What45action45sh
ould45the45nurse45take45next?45-45CORRECT45ANSWER45-
Gather45additional45data45by45taking45a45health45history45and45measuring45vital45signs
2. When45asked45to45help45develop45interventions45to45combat45obesity45among45children,45the45co
mmunity45health45nurse45should45stress45the45importance45of45implementing45which45activity?45-
45CORRECT45ANSWER45-Set45goals45that45are45focused45on45developing45healthier45lifestyles
3. A45terrorist45attack45has45occurred45and45several45people45have45inhaled45Ricin.45Which45intervent
ion45should45the45emergency45department45nurse45implement45when45caring45for45these45clients?45
-45CORRECT45ANSWER45-Provide45supportive45nursing45care45until45antitoxin45is45available
4. A45young45woman45tells45the45public45health45nurse45that45a45friend45was45recently45diagnosed45wit
h45Hepatitis45B45and45she45is45concerned45about45getting45the45disease.45During45the45assessment45in
terview,45which45question45is45most45important45for45the45nurse45to45ask45this45woman?45-
45CORRECT45ANSWER45-"Have45you45shared45any45needles45or45had45sex45with45your45friend?"
5. Which45example45should45the45nurse45identify45as45a45significant45outcome45for45the45Leading45Hea
lth45indicators45of45Healthy45People452020?45-45CORRECT45ANSWER45-
A45community45has45adopted45a45no45smoking45policy
6. Which45intervention45should45the45public45health45nurse45implement45when45attempting45to45addr
ess45one45of45the45leading45health45indicators45of45Healthy45People452020?45-45CORRECT45ANSWER45-
Design45and45implement45a45no45smoking45campaign45at45the45local45high45school
,7. Lillian45Wald45was45a45significant45person45in45the45history45of45American45Nursing.45Which45cont
ributions45can45be45attributed45to45her?45(Select45all)45-45CORRECT45ANSWER45--
Development45of45Public45health45nursing45practice
-First45nursing45service45for45occupational45health
-Established45committee45that45was45the45forerunner45of45the45NLN
-Instituted45a45sliding45scale45fee45for45service
8. A45male45client45is45brought45to45the45emergency45department45as45the45result45of45a45motorcycle
45accident.45He45was45not45wearing45a45helmet45at45the45time45of45the45accident,45and45states45that
45he45has45no45intention45of45ever45wearing45one.45Within45the45framework45of45the45Transtheoretic
al45Model45(TTM),45which45response45should45the45nurse45provide?45-45CORRECT45ANSWER45-
"Wearing45a45helmet45or45not45is45certainly45an45individual45decision."
9. After45accepting45the45position45of45school45nurse45in45a45public45elementary45school,45what45stra
tegy45is45best45for45the45nurse45to45use45to45obtain45an45overview45of45the45student45body?45-
45CORRECT45ANSWER45-
Conduct45a45windshield45survey45of45the45geographic45areas45served45by45the45school
10. A45nurse45organizes45a45community45action45group45to45help45resolve45health45problems45in45a45l
ow45income45neighborhood45with45a45large45population45of45recent45immigrants45from45Africa.45What
45problem45should45the45nurse45address45first?45-45CORRECT45ANSWER45-
Low45immunization45rate45of45children
11. The45nurse45is45preparing45to45discharge45an45elderly,45recently45widowed45female45client45follo
wing45a45mild45stroke.45At45this45time45she45is45able45to45walk45with45the45aid45of45a45walker.45As45
part45of45the45discharge45planning,45what45referral45is45most45important45for45the45nurse45to45make
?45-45CORRECT45ANSWER45-Meals-on-Wheels
12. The45nurse45is45designing45a45bioterrorism45plan45for45a45community.45Which45agents45are45trans
mitted45person45to45person45via45respiratory45or45inhalation45exposure?45(Select45all)45-
45CORRECT45ANSWER45--Pneumonic45plague
-Smallpox
,13. An45occupational45health45nurse45is45reviewing45a4520-year-
old45trend45in45the45United45States45that45has45resulted45in45an45increase45in45certain45medical45cond
itions45due45to45the45rapid45expansion45of45an45urban45industrial45workforce.45Which45medical45condi
tions45are45specifically45identified45with45this45trend?45-45CORRECT45ANSWER45--Asthma
-Lung45cancer
14. Which45presentation45of45an45infectious45disease45is45acquired45through45an45indirect45transmissio
n?45-45CORRECT45ANSWER45-Malaria45following45exposure45in45a45mosquito-infested45area
15. What45action45is45best45for45the45community45health45nurse45to45take45if45the45nurse45suspect
s45that45an45infant45is45being45physically45abused?45-45CORRECT45ANSWER45-
Follow45agency45protocols45to45report45suspected45abuse
16. The45nursing45education45coordinator45is45creating45employee45orientation45materials45for45staff
45nurses45who45plan45to45work45at45a45clinic45that45serves45a45lower45socioeconomic45neighborhood.
45What45information45should45the45educator45include45regarding45the45clinic's45client45population?45
(Select45all)45-45CORRECT45ANSWER45--Most45of45the45clients45are45unemployed45or45disabled
-Access45to45mass45transit45may45be45an45issue
-Basic45physiologic45needs45of45this45population45are45often45unmet
17. The45nurse45administers45a45booster45dose45of45DTaP45(diphtheria,45tetanus,45and45pertussis)45v
accine45to45an45infant.45Which45level45of45prevention45is45the45nurse45implementing?45-
45CORRECT45ANSWER45-Primary45prevention
18. During45an45initial45clinic45visit,45the45nurse45is45taking45the45history45for45a45client45who45wa
nts45to45confirm45her45pregnancy.45The45client's45last45child45has45a45history45of45low-birth-
weight45(LBW).45Which45additional45finding45is45most45important45for45the45nurse45to45consider?4
5-45CORRECT45ANSWER45-African-American45ethnicity
19. The45home45health45nurse45is45planning45a45visit45with45a45client45who45has45been45discharged4
5home45after45hospitalization.45Which45action45should45the45nurse45implement?45-
45CORRECT45ANSWER45-Schedule45home45visits45that45take45place45during45the45daylight45hours
20. Which45topic45should45the45nurse45include45in45planning45a45primary45prevention45class45for
, 45adolescents?45-45CORRECT45ANSWER45-Suicide45risks45and45prevention
HEALTH HESI (EXAM QUESTI 45 45 45
ONS AND ANSWERS )
45 45 45
1. A4512-year-
old45female45is45seen45by45the45school45nurse45after45recently45experiencing45increasing45difficulty45
sitting45and45paying45attention45in45class,45and45increasingly45illegible45handwriting.45The45nurse45ob
serves45that45the45child45has45protruding45eyeballs45and45a45staring45expression.45What45action45sh
ould45the45nurse45take45next?45-45CORRECT45ANSWER45-
Gather45additional45data45by45taking45a45health45history45and45measuring45vital45signs
2. When45asked45to45help45develop45interventions45to45combat45obesity45among45children,45the45co
mmunity45health45nurse45should45stress45the45importance45of45implementing45which45activity?45-
45CORRECT45ANSWER45-Set45goals45that45are45focused45on45developing45healthier45lifestyles
3. A45terrorist45attack45has45occurred45and45several45people45have45inhaled45Ricin.45Which45intervent
ion45should45the45emergency45department45nurse45implement45when45caring45for45these45clients?45
-45CORRECT45ANSWER45-Provide45supportive45nursing45care45until45antitoxin45is45available
4. A45young45woman45tells45the45public45health45nurse45that45a45friend45was45recently45diagnosed45wit
h45Hepatitis45B45and45she45is45concerned45about45getting45the45disease.45During45the45assessment45in
terview,45which45question45is45most45important45for45the45nurse45to45ask45this45woman?45-
45CORRECT45ANSWER45-"Have45you45shared45any45needles45or45had45sex45with45your45friend?"
5. Which45example45should45the45nurse45identify45as45a45significant45outcome45for45the45Leading45Hea
lth45indicators45of45Healthy45People452020?45-45CORRECT45ANSWER45-
A45community45has45adopted45a45no45smoking45policy
6. Which45intervention45should45the45public45health45nurse45implement45when45attempting45to45addr
ess45one45of45the45leading45health45indicators45of45Healthy45People452020?45-45CORRECT45ANSWER45-
Design45and45implement45a45no45smoking45campaign45at45the45local45high45school
,7. Lillian45Wald45was45a45significant45person45in45the45history45of45American45Nursing.45Which45cont
ributions45can45be45attributed45to45her?45(Select45all)45-45CORRECT45ANSWER45--
Development45of45Public45health45nursing45practice
-First45nursing45service45for45occupational45health
-Established45committee45that45was45the45forerunner45of45the45NLN
-Instituted45a45sliding45scale45fee45for45service
8. A45male45client45is45brought45to45the45emergency45department45as45the45result45of45a45motorcycle
45accident.45He45was45not45wearing45a45helmet45at45the45time45of45the45accident,45and45states45that
45he45has45no45intention45of45ever45wearing45one.45Within45the45framework45of45the45Transtheoretic
al45Model45(TTM),45which45response45should45the45nurse45provide?45-45CORRECT45ANSWER45-
"Wearing45a45helmet45or45not45is45certainly45an45individual45decision."
9. After45accepting45the45position45of45school45nurse45in45a45public45elementary45school,45what45stra
tegy45is45best45for45the45nurse45to45use45to45obtain45an45overview45of45the45student45body?45-
45CORRECT45ANSWER45-
Conduct45a45windshield45survey45of45the45geographic45areas45served45by45the45school
10. A45nurse45organizes45a45community45action45group45to45help45resolve45health45problems45in45a45l
ow45income45neighborhood45with45a45large45population45of45recent45immigrants45from45Africa.45What
45problem45should45the45nurse45address45first?45-45CORRECT45ANSWER45-
Low45immunization45rate45of45children
11. The45nurse45is45preparing45to45discharge45an45elderly,45recently45widowed45female45client45follo
wing45a45mild45stroke.45At45this45time45she45is45able45to45walk45with45the45aid45of45a45walker.45As45
part45of45the45discharge45planning,45what45referral45is45most45important45for45the45nurse45to45make
?45-45CORRECT45ANSWER45-Meals-on-Wheels
12. The45nurse45is45designing45a45bioterrorism45plan45for45a45community.45Which45agents45are45trans
mitted45person45to45person45via45respiratory45or45inhalation45exposure?45(Select45all)45-
45CORRECT45ANSWER45--Pneumonic45plague
-Smallpox
,13. An45occupational45health45nurse45is45reviewing45a4520-year-
old45trend45in45the45United45States45that45has45resulted45in45an45increase45in45certain45medical45cond
itions45due45to45the45rapid45expansion45of45an45urban45industrial45workforce.45Which45medical45condi
tions45are45specifically45identified45with45this45trend?45-45CORRECT45ANSWER45--Asthma
-Lung45cancer
14. Which45presentation45of45an45infectious45disease45is45acquired45through45an45indirect45transmissio
n?45-45CORRECT45ANSWER45-Malaria45following45exposure45in45a45mosquito-infested45area
15. What45action45is45best45for45the45community45health45nurse45to45take45if45the45nurse45suspect
s45that45an45infant45is45being45physically45abused?45-45CORRECT45ANSWER45-
Follow45agency45protocols45to45report45suspected45abuse
16. The45nursing45education45coordinator45is45creating45employee45orientation45materials45for45staff
45nurses45who45plan45to45work45at45a45clinic45that45serves45a45lower45socioeconomic45neighborhood.
45What45information45should45the45educator45include45regarding45the45clinic's45client45population?45
(Select45all)45-45CORRECT45ANSWER45--Most45of45the45clients45are45unemployed45or45disabled
-Access45to45mass45transit45may45be45an45issue
-Basic45physiologic45needs45of45this45population45are45often45unmet
17. The45nurse45administers45a45booster45dose45of45DTaP45(diphtheria,45tetanus,45and45pertussis)45v
accine45to45an45infant.45Which45level45of45prevention45is45the45nurse45implementing?45-
45CORRECT45ANSWER45-Primary45prevention
18. During45an45initial45clinic45visit,45the45nurse45is45taking45the45history45for45a45client45who45wa
nts45to45confirm45her45pregnancy.45The45client's45last45child45has45a45history45of45low-birth-
weight45(LBW).45Which45additional45finding45is45most45important45for45the45nurse45to45consider?4
5-45CORRECT45ANSWER45-African-American45ethnicity
19. The45home45health45nurse45is45planning45a45visit45with45a45client45who45has45been45discharged4
5home45after45hospitalization.45Which45action45should45the45nurse45implement?45-
45CORRECT45ANSWER45-Schedule45home45visits45that45take45place45during45the45daylight45hours
20. Which45topic45should45the45nurse45include45in45planning45a45primary45prevention45class45for
, 45adolescents?45-45CORRECT45ANSWER45-Suicide45risks45and45prevention
