HESI Prep: Practice Questions and answers
2024\2025 A+ Grade
A nurse in a clinic that provides direct care services to clients with tuberculosis would be classified as
practicing:
a. community-based nursing.
b. community-oriented nursing.
c. institutional nursing.
d. public health nursing.
- correct answer a. community-based nursing.
The nurse practicing as a community-based nurse is more likely to give direct care to people than are
nurses who practice from a community-oriented framework.
Jennifer is a nurse in a family medicine clinic. Today she is assessing Jose, a 4-year-old who is being seen
for an earache. The type of nursing Jennifer practices is:
a. community-oriented nursing.
b. community-based nursing.
c. public health nursing.
d. tertiary health nursing.
- correct answer b. community-based nursing.
In community-based nursing, the nurse focuses on "illness care" of individuals and families across the
life span.
,A school nurse teaches three middle school students with asthma conditions techniques to minimize
their incidence of bronchial spasms. This is an application of:
a. community-based nursing.
b. community-oriented nursing.
c. institutional nursing.
d. public health nursing.
- correct answer a. community-based nursing.
The goal of community-based nursing (CBN) is to manage acute or chronic conditions while promoting
self-care among individuals and families.
The public health nurse deals with the examination of a community setting to determine the
community's health status. Which of the following activities should be considered in the assessment
phase?
Select all that apply.
a. Assisting communities to implement and evaluate plans and projects.
b. Building constituencies to work with the community.
c. Collecting, analyzing, and disseminating information.
d. Evaluating the social, economic, and environmental characteristics of the population.
e. Questioning the availability of health services to the community
- correct answer c. Collecting, analyzing, and disseminating information.
d. Evaluating the social, economic, and environmental characteristics of the population.
e. Questioning the availability of health services to the community
In a federally funded preschool program such as Head Start, nursing services that include conducting
developmental-level screening for cognitive and psychomotor development of individual children would
most likely be considered community-oriented nursing care when:
a. individual results are compared with established standards for children of the same age group.
b. program characteristics are assessed for their effectiveness in making the school population healthier.
,c. referral is provided for a child identified with delayed psychomotor development.
d. treatment is initiated for a child with an identified learning disability.
- correct answer a. individual results are compared with established standards for children of the same
age group.
Within federally funded programs for preschool children, from a community-oriented nursing care
perspective, nursing services could be provided to individual children by conducting developmental-level
screening tests to evaluate each child's level of cognitive and psychomotor development in comparison
with established standards for children of the same age. This is population-focused service.
Public health nursing is a specialty with a distinct focus and scope of practice and requires a special
knowledge base different from other specialty areas of nursing. A public health nurse would first be
interested in:
a. drug treatments for diabetes.
b. populations with the highest rate of diabetes.
c. educational materials for individuals with diabetes.
d. new technology for diabetic care.
- correct answer b. populations with the highest rate of diabetes.
The primary focus that has differentiated public health nursing from other specialties has been the
emphasis on the population rather than on individuals or families.
A state agency has received multiple complaints regarding the availability of elder transportation
services to a specific county senior center. The state agency assigns a public health nurse to work with
the community to evaluate its program for elder transportation services to publicly sponsored elder care
programs. The public health core function applied is:
a. assurance.
b. policy development.
c. primary prevention.
d. public transportation.
- correct answer a. assurance.
, The public health core function of assurance focuses on the responsibility of public health agencies to be
sure that activities are appropriately carried out to meet public health goals and plans.
A nurse planning a smoking cessation clinic for adolescents in the local middle schools and high schools
is providing:
a. community-oriented care.
b. community-based care.
c. secondary care.
d. tertiary care.
- correct answer a. community-oriented care.
Community-oriented nurses emphasize health protection, maintenance, and promotion and disease
prevention, as well as self-reliance among clients.
In a community clinic that screens and treats individuals for cardiovascular disorders, the nurse
practicing public health/population-focused nursing would most likely ascertain:
a. a holistic treatment plan.
b. a specific clinical diagnosis.
c. individual dietary interventions for cardiovascular disorders.
d. the prevalence rate of cardiovascular disorders among various groups.
- correct answer d. the prevalence rate of cardiovascular disorders among various groups.
A community-oriented nurse has identified obesity as a problem in the middle school. The next step in a
population-focused practice is to make information available about the health of the middle school
students. This describes the public health core function of:
a. assessment.
b. assurance.
c. policy development.