Community HESI - 2025 May
A 93-year-old client with a number of co-morbidities is assessed by the home health nurse.
What problem is most important for the nurse to investigate further?
a. Social isolation
b. Medication interactions
c. Urinary incontinences
d. Caregiver stress - ANS - b. Medication interactions
\A community group proposes building a new well-child clinic because this year's demographics
reflect that a large percentage of the population is less than 19 years of age. Which question
indicates that the nurse understands the potential gaps in these data?
a. What is the distribution of males to females within this population?
b. What percentage of the population was under 19 years of age in each of the 5 previous
years?
c. How will the large percentage of under 19-year-olds affect the community's dependency
ratio?
d. How can the income level of the families within the community be determined? - ANS - b.
What percentage of the population was under 19 years of age in each of the 5 previous years?
\A community health nurse is applying for a federal grant to support a smoking cessation
educational program. In which order should the nurse prioritize these nursing activities? Arrange
in order, top to bottom.
a. Select and train the data collection personnel
b. Review and analyze the data
c. Consider pros and cons of different methods of data gathering
d. Determine the target aggregate that will be served by the program - ANS - d. Determine the
target aggregate that will be served by the program
c. Consider pros and cons of different methods of data gathering
a. Select and train the data collection personnel
b. Review and analyze the data
\A graduate nursing student requests information, including laboratory findings and chest x-ray
results, about all clients with symptoms of h1n1 who have been seen during the last month in a
community health clinic. Which action should the charge nurse take?
a. Ask if permission has been obtained from the research committee
b. Ask the student to sign a standard waiver form
c. Obtain written authorization from clients to release the information
d. Provide the information for research purposes only - ANS - c. Obtain written authorization
from clients to release the information
, \A male migrant farm worker who lives in a mobile home with several other workers visits the
migrant health care center. He reports increasing episodes of dizziness headaches abdominal
cramps and difficulty breathing what nursing action has the highest priority?
a. Gather information about client's recent exposure to pesticides
b. Obtain a blood sample to assess for lead paint exposure
c. Determine the number and age of persons living in the mobile home
d. Ask about the length of his workday and frequency of rest breaks - ANS - a. Gather
information about clients recent exposure to pesticides
\A male migrant farm worker who lives in a mobile home with several other workers visits the
Migrant Health Care Center. He reports increasing episodes of dizziness, headaches,
abdominal cramps, and difficulty breathing. What nursing action has the highest priority?
a. Ask about the length of his workday and frequency of rest breaks
b. Gather information about the client's recent exposure to pesticides
c. Determine the number and age of persons living in the mobile home
Obtain a blood sample to assess for possible lead pain exposure - ANS - b. Gather information
about the client's recent exposure to pesticides
\A newly hired school nurse conducts a "windshield" survey of the geographic area served by
the school. Which method is best for the nurse to use to objectively validate the findings
obtained?
a. Obtain mortality data for the geographic area
b. Talk with teachers about their concerns for the students
c. Discuss with the PTA board their perception of school events
d. Review the previous school nurse's anecdotal documents. - ANS - a. Obtain mortality data for
the geographic area
\A nurse designs a series of four weekly classes for clients with Type 2 diabetes. Which
information should the nurse use as an outcome evaluation for the classes?
a. Parking convenience for attendees continued to be a major concern
b. Demonstrating by the use of a blood glucose meter was an effective teaching strategy
c. Fasting blood glucose average readings were 20% lower at the end of the classes
d. Discussion of food exchanges and calories was a well attended class - ANS - c. Fasting
blood glucose average readings were 20% lower at the end of the classes
\A nurse has started a group for senior citizens in a church setting. The group decides that their
first project will be to begin a program for home-bound members. Which program outcome is the
best measure of the project's effectiveness?
a. Average annual income for the home bound members
b. Number of home-bound seniors who are visited
c. Calls received showing interest in the program
d. Number of church members who are over 65 - ANS - b. Number of home-bound seniors who
are visited
A 93-year-old client with a number of co-morbidities is assessed by the home health nurse.
What problem is most important for the nurse to investigate further?
a. Social isolation
b. Medication interactions
c. Urinary incontinences
d. Caregiver stress - ANS - b. Medication interactions
\A community group proposes building a new well-child clinic because this year's demographics
reflect that a large percentage of the population is less than 19 years of age. Which question
indicates that the nurse understands the potential gaps in these data?
a. What is the distribution of males to females within this population?
b. What percentage of the population was under 19 years of age in each of the 5 previous
years?
c. How will the large percentage of under 19-year-olds affect the community's dependency
ratio?
d. How can the income level of the families within the community be determined? - ANS - b.
What percentage of the population was under 19 years of age in each of the 5 previous years?
\A community health nurse is applying for a federal grant to support a smoking cessation
educational program. In which order should the nurse prioritize these nursing activities? Arrange
in order, top to bottom.
a. Select and train the data collection personnel
b. Review and analyze the data
c. Consider pros and cons of different methods of data gathering
d. Determine the target aggregate that will be served by the program - ANS - d. Determine the
target aggregate that will be served by the program
c. Consider pros and cons of different methods of data gathering
a. Select and train the data collection personnel
b. Review and analyze the data
\A graduate nursing student requests information, including laboratory findings and chest x-ray
results, about all clients with symptoms of h1n1 who have been seen during the last month in a
community health clinic. Which action should the charge nurse take?
a. Ask if permission has been obtained from the research committee
b. Ask the student to sign a standard waiver form
c. Obtain written authorization from clients to release the information
d. Provide the information for research purposes only - ANS - c. Obtain written authorization
from clients to release the information
, \A male migrant farm worker who lives in a mobile home with several other workers visits the
migrant health care center. He reports increasing episodes of dizziness headaches abdominal
cramps and difficulty breathing what nursing action has the highest priority?
a. Gather information about client's recent exposure to pesticides
b. Obtain a blood sample to assess for lead paint exposure
c. Determine the number and age of persons living in the mobile home
d. Ask about the length of his workday and frequency of rest breaks - ANS - a. Gather
information about clients recent exposure to pesticides
\A male migrant farm worker who lives in a mobile home with several other workers visits the
Migrant Health Care Center. He reports increasing episodes of dizziness, headaches,
abdominal cramps, and difficulty breathing. What nursing action has the highest priority?
a. Ask about the length of his workday and frequency of rest breaks
b. Gather information about the client's recent exposure to pesticides
c. Determine the number and age of persons living in the mobile home
Obtain a blood sample to assess for possible lead pain exposure - ANS - b. Gather information
about the client's recent exposure to pesticides
\A newly hired school nurse conducts a "windshield" survey of the geographic area served by
the school. Which method is best for the nurse to use to objectively validate the findings
obtained?
a. Obtain mortality data for the geographic area
b. Talk with teachers about their concerns for the students
c. Discuss with the PTA board their perception of school events
d. Review the previous school nurse's anecdotal documents. - ANS - a. Obtain mortality data for
the geographic area
\A nurse designs a series of four weekly classes for clients with Type 2 diabetes. Which
information should the nurse use as an outcome evaluation for the classes?
a. Parking convenience for attendees continued to be a major concern
b. Demonstrating by the use of a blood glucose meter was an effective teaching strategy
c. Fasting blood glucose average readings were 20% lower at the end of the classes
d. Discussion of food exchanges and calories was a well attended class - ANS - c. Fasting
blood glucose average readings were 20% lower at the end of the classes
\A nurse has started a group for senior citizens in a church setting. The group decides that their
first project will be to begin a program for home-bound members. Which program outcome is the
best measure of the project's effectiveness?
a. Average annual income for the home bound members
b. Number of home-bound seniors who are visited
c. Calls received showing interest in the program
d. Number of church members who are over 65 - ANS - b. Number of home-bound seniors who
are visited
