HESI Community Health Practice
A 16-year old female client returns to the clinic because she is pregnant for the third time by a
new boyfriend. Which vaccine should the nurse plan to administer?
a. MMR
b. Hepatitis B
c. Human papillomavirus
d. Pneumococcal - ANS - b. hepatitis B
\A 17-year old unmarried, pregnant client with drug addiction is a high school dropout,
homeless, and has a history of past abuse arrives at the clinic for her first prenatal visit. Which
findings should the nurse document as health risk factors for the client? (Select all that apply)
a. age
b. school dropout
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
g. unmarried - ANS - a. age
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
\A client is suspected of being poisoned and presents with symmetric, descending flaccid
paralysis, blurred vision, double vision, and dry mouth. The nurse should consider these
findings consistent with which potential bioterrorism agent?
a. ricin
b. botulism toxin
c. sulfur mustard
d. yersinia pestis - ANS - b. botulism toxin
\A client presents at a community-based clinic with complaints of shortness of breath,
headache, dizziness, and nausea. During the assessment, the nurse learns that the client is a
migrant worker who often uses a gasoline-powered pressure washer to clean equipment and
farm buildings. Which type of poisoning is the most likely etiology of this client's symptoms?
a. asbestos
b. silica dust
c. histoplasmosis
d. carbon monoxide - ANS - d. carbon monoxide
, \A community health nurse is conducting a neighborhood discussion group about disaster
planning. What information regarding transmission of anthrax should the nurse provide to the
group?
a. infection is acquired when anthrax spores enter a host
b. mature anthrax bacterial live dormant on inanimate objects
c. spores cannot survive for extended periods outside a living host
d. anthrax is transmitted by respiratory droplets from person to person - ANS - a. infection is
acquired when anthrax spores enter a host
\A community health nurse is planning to implement an outreach program for a community
group. Which criteria should the nurse clarify about the program when examining sources for
funding?
a. focuses on multiple health problems and concerns
b. identifies populations and individuals in need of healthcare services
c. evaluations variations in health services and health status among populations
d. offers healthcare services to community members in local factories, schools, and churches -
ANS - d. offers healthcare services to community members in local factories, schools, and
churches
\A female adult walks into a local community health clinic and tells the nurse that she is
homeless and cannot seem to find help. Which statement indicates to the nurse that a client is
feeling separated from society and helpless?
a. "I'm feeling really isolated from everyone and scared."
b. "I feel like I cannot get enough food to live any longer."
c. "I know that I will always be poor so what's the use of trying?"
d. "People like me are never respected, no matter how well we do." - ANS - a. "I'm feeling really
isolated from everyone and scared."
\A female client makes routine visits to a neighborhood community health center. The nurse
notes that this client often presents with facial bruising, particularly around the eyes. The nurse
discusses prevention of domestic violence with the client even though the client does not admit
to being battered. What level of prevention has the nurse applied in this situation?
a. primary prevention
b. secondary prevention
c. tertiary prevention
d. health promotion - ANS - b. secondary prevention
\The community health nurse is planning a series of educational courses about the healthcare
system and meeting healthcare needs for the community center. Which adjunct issue should the
nurse address for a group of older adults.
a. peer concerns
b. adult daycare
c. retirement issues
A 16-year old female client returns to the clinic because she is pregnant for the third time by a
new boyfriend. Which vaccine should the nurse plan to administer?
a. MMR
b. Hepatitis B
c. Human papillomavirus
d. Pneumococcal - ANS - b. hepatitis B
\A 17-year old unmarried, pregnant client with drug addiction is a high school dropout,
homeless, and has a history of past abuse arrives at the clinic for her first prenatal visit. Which
findings should the nurse document as health risk factors for the client? (Select all that apply)
a. age
b. school dropout
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
g. unmarried - ANS - a. age
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
\A client is suspected of being poisoned and presents with symmetric, descending flaccid
paralysis, blurred vision, double vision, and dry mouth. The nurse should consider these
findings consistent with which potential bioterrorism agent?
a. ricin
b. botulism toxin
c. sulfur mustard
d. yersinia pestis - ANS - b. botulism toxin
\A client presents at a community-based clinic with complaints of shortness of breath,
headache, dizziness, and nausea. During the assessment, the nurse learns that the client is a
migrant worker who often uses a gasoline-powered pressure washer to clean equipment and
farm buildings. Which type of poisoning is the most likely etiology of this client's symptoms?
a. asbestos
b. silica dust
c. histoplasmosis
d. carbon monoxide - ANS - d. carbon monoxide
, \A community health nurse is conducting a neighborhood discussion group about disaster
planning. What information regarding transmission of anthrax should the nurse provide to the
group?
a. infection is acquired when anthrax spores enter a host
b. mature anthrax bacterial live dormant on inanimate objects
c. spores cannot survive for extended periods outside a living host
d. anthrax is transmitted by respiratory droplets from person to person - ANS - a. infection is
acquired when anthrax spores enter a host
\A community health nurse is planning to implement an outreach program for a community
group. Which criteria should the nurse clarify about the program when examining sources for
funding?
a. focuses on multiple health problems and concerns
b. identifies populations and individuals in need of healthcare services
c. evaluations variations in health services and health status among populations
d. offers healthcare services to community members in local factories, schools, and churches -
ANS - d. offers healthcare services to community members in local factories, schools, and
churches
\A female adult walks into a local community health clinic and tells the nurse that she is
homeless and cannot seem to find help. Which statement indicates to the nurse that a client is
feeling separated from society and helpless?
a. "I'm feeling really isolated from everyone and scared."
b. "I feel like I cannot get enough food to live any longer."
c. "I know that I will always be poor so what's the use of trying?"
d. "People like me are never respected, no matter how well we do." - ANS - a. "I'm feeling really
isolated from everyone and scared."
\A female client makes routine visits to a neighborhood community health center. The nurse
notes that this client often presents with facial bruising, particularly around the eyes. The nurse
discusses prevention of domestic violence with the client even though the client does not admit
to being battered. What level of prevention has the nurse applied in this situation?
a. primary prevention
b. secondary prevention
c. tertiary prevention
d. health promotion - ANS - b. secondary prevention
\The community health nurse is planning a series of educational courses about the healthcare
system and meeting healthcare needs for the community center. Which adjunct issue should the
nurse address for a group of older adults.
a. peer concerns
b. adult daycare
c. retirement issues
