ADVANCED COMMUNITY 47
HEALTH HESI (EXAM QUESTI 47 47 47
ONS AND ANSWERS )
47 47 47
1. A4712-year-
old47female47is47seen47by47the47school47nurse47after47recently47experiencing47increasing47difficulty47
sitting47and47paying47attention47in47class,47and47increasingly47illegible47handwriting.47The47nurse47ob
serves47that47the47child47has47protruding47eyeballs47and47a47staring47expression.47What47action47sh
ould47the47nurse47take47next?47-47CORRECT47ANSWER47-
Gather47additional47data47by47taking47a47health47history47and47measuring47vital47signs
2. When47asked47to47help47develop47interventions47to47combat47obesity47among47children,47the47co
mmunity47health47nurse47should47stress47the47importance47of47implementing47which47activity?47-
47CORRECT47ANSWER47-Set47goals47that47are47focused47on47developing47healthier47lifestyles
3. A47terrorist47attack47has47occurred47and47several47people47have47inhaled47Ricin.47Which47intervent
ion47should47the47emergency47department47nurse47implement47when47caring47for47these47clients?47
-47CORRECT47ANSWER47-Provide47supportive47nursing47care47until47antitoxin47is47available
4. A47young47woman47tells47the47public47health47nurse47that47a47friend47was47recently47diagnosed47wit
h47Hepatitis47B47and47she47is47concerned47about47getting47the47disease.47During47the47assessment47in
terview,47which47question47is47most47important47for47the47nurse47to47ask47this47woman?47-
47CORRECT47ANSWER47-"Have47you47shared47any47needles47or47had47sex47with47your47friend?"
5. Which47example47should47the47nurse47identify47as47a47significant47outcome47for47the47Leading47Hea
lth47indicators47of47Healthy47People472020?47-47CORRECT47ANSWER47-
A47community47has47adopted47a47no47smoking47policy
6. Which47intervention47should47the47public47health47nurse47implement47when47attempting47to47addr
ess47one47of47the47leading47health47indicators47of47Healthy47People472020?47-47CORRECT47ANSWER47-
Design47and47implement47a47no47smoking47campaign47at47the47local47high47school
,7. Lillian47Wald47was47a47significant47person47in47the47history47of47American47Nursing.47Which47cont
ributions47can47be47attributed47to47her?47(Select47all)47-47CORRECT47ANSWER47--
Development47of47Public47health47nursing47practice
-First47nursing47service47for47occupational47health
-Established47committee47that47was47the47forerunner47of47the47NLN
-Instituted47a47sliding47scale47fee47for47service
8. A47male47client47is47brought47to47the47emergency47department47as47the47result47of47a47motorcycle
47accident.47He47was47not47wearing47a47helmet47at47the47time47of47the47accident,47and47states47that
47he47has47no47intention47of47ever47wearing47one.47Within47the47framework47of47the47Transtheoretic
al47Model47(TTM),47which47response47should47the47nurse47provide?47-47CORRECT47ANSWER47-
"Wearing47a47helmet47or47not47is47certainly47an47individual47decision."
9. After47accepting47the47position47of47school47nurse47in47a47public47elementary47school,47what47stra
tegy47is47best47for47the47nurse47to47use47to47obtain47an47overview47of47the47student47body?47-
47CORRECT47ANSWER47-
Conduct47a47windshield47survey47of47the47geographic47areas47served47by47the47school
10. A47nurse47organizes47a47community47action47group47to47help47resolve47health47problems47in47a47l
ow47income47neighborhood47with47a47large47population47of47recent47immigrants47from47Africa.47What
47problem47should47the47nurse47address47first?47-47CORRECT47ANSWER47-
Low47immunization47rate47of47children
11. The47nurse47is47preparing47to47discharge47an47elderly,47recently47widowed47female47client47follo
wing47a47mild47stroke.47At47this47time47she47is47able47to47walk47with47the47aid47of47a47walker.47As47
part47of47the47discharge47planning,47what47referral47is47most47important47for47the47nurse47to47make
?47-47CORRECT47ANSWER47-Meals-on-Wheels
12. The47nurse47is47designing47a47bioterrorism47plan47for47a47community.47Which47agents47are47trans
mitted47person47to47person47via47respiratory47or47inhalation47exposure?47(Select47all)47-
47CORRECT47ANSWER47--Pneumonic47plague
-Smallpox
,13. An47occupational47health47nurse47is47reviewing47a4720-year-
old47trend47in47the47United47States47that47has47resulted47in47an47increase47in47certain47medical47cond
itions47due47to47the47rapid47expansion47of47an47urban47industrial47workforce.47Which47medical47condi
tions47are47specifically47identified47with47this47trend?47-47CORRECT47ANSWER47--Asthma
-Lung47cancer
14. Which47presentation47of47an47infectious47disease47is47acquired47through47an47indirect47transmissio
n?47-47CORRECT47ANSWER47-Malaria47following47exposure47in47a47mosquito-infested47area
15. What47action47is47best47for47the47community47health47nurse47to47take47if47the47nurse47suspect
s47that47an47infant47is47being47physically47abused?47-47CORRECT47ANSWER47-
Follow47agency47protocols47to47report47suspected47abuse
16. The47nursing47education47coordinator47is47creating47employee47orientation47materials47for47staff
47nurses47who47plan47to47work47at47a47clinic47that47serves47a47lower47socioeconomic47neighborhood.
47What47information47should47the47educator47include47regarding47the47clinic's47client47population?47
(Select47all)47-47CORRECT47ANSWER47--Most47of47the47clients47are47unemployed47or47disabled
-Access47to47mass47transit47may47be47an47issue
-Basic47physiologic47needs47of47this47population47are47often47unmet
17. The47nurse47administers47a47booster47dose47of47DTaP47(diphtheria,47tetanus,47and47pertussis)47v
accine47to47an47infant.47Which47level47of47prevention47is47the47nurse47implementing?47-
47CORRECT47ANSWER47-Primary47prevention
18. During47an47initial47clinic47visit,47the47nurse47is47taking47the47history47for47a47client47who47wa
nts47to47confirm47her47pregnancy.47The47client's47last47child47has47a47history47of47low-birth-
weight47(LBW).47Which47additional47finding47is47most47important47for47the47nurse47to47consider?4
7-47CORRECT47ANSWER47-African-American47ethnicity
19. The47home47health47nurse47is47planning47a47visit47with47a47client47who47has47been47discharged4
7home47after47hospitalization.47Which47action47should47the47nurse47implement?47-
47CORRECT47ANSWER47-Schedule47home47visits47that47take47place47during47the47daylight47hours
20. Which47topic47should47the47nurse47include47in47planning47a47primary47prevention47class47for
, 47adolescents?47-47CORRECT47ANSWER47-Suicide47risks47and47prevention
HEALTH HESI (EXAM QUESTI 47 47 47
ONS AND ANSWERS )
47 47 47
1. A4712-year-
old47female47is47seen47by47the47school47nurse47after47recently47experiencing47increasing47difficulty47
sitting47and47paying47attention47in47class,47and47increasingly47illegible47handwriting.47The47nurse47ob
serves47that47the47child47has47protruding47eyeballs47and47a47staring47expression.47What47action47sh
ould47the47nurse47take47next?47-47CORRECT47ANSWER47-
Gather47additional47data47by47taking47a47health47history47and47measuring47vital47signs
2. When47asked47to47help47develop47interventions47to47combat47obesity47among47children,47the47co
mmunity47health47nurse47should47stress47the47importance47of47implementing47which47activity?47-
47CORRECT47ANSWER47-Set47goals47that47are47focused47on47developing47healthier47lifestyles
3. A47terrorist47attack47has47occurred47and47several47people47have47inhaled47Ricin.47Which47intervent
ion47should47the47emergency47department47nurse47implement47when47caring47for47these47clients?47
-47CORRECT47ANSWER47-Provide47supportive47nursing47care47until47antitoxin47is47available
4. A47young47woman47tells47the47public47health47nurse47that47a47friend47was47recently47diagnosed47wit
h47Hepatitis47B47and47she47is47concerned47about47getting47the47disease.47During47the47assessment47in
terview,47which47question47is47most47important47for47the47nurse47to47ask47this47woman?47-
47CORRECT47ANSWER47-"Have47you47shared47any47needles47or47had47sex47with47your47friend?"
5. Which47example47should47the47nurse47identify47as47a47significant47outcome47for47the47Leading47Hea
lth47indicators47of47Healthy47People472020?47-47CORRECT47ANSWER47-
A47community47has47adopted47a47no47smoking47policy
6. Which47intervention47should47the47public47health47nurse47implement47when47attempting47to47addr
ess47one47of47the47leading47health47indicators47of47Healthy47People472020?47-47CORRECT47ANSWER47-
Design47and47implement47a47no47smoking47campaign47at47the47local47high47school
,7. Lillian47Wald47was47a47significant47person47in47the47history47of47American47Nursing.47Which47cont
ributions47can47be47attributed47to47her?47(Select47all)47-47CORRECT47ANSWER47--
Development47of47Public47health47nursing47practice
-First47nursing47service47for47occupational47health
-Established47committee47that47was47the47forerunner47of47the47NLN
-Instituted47a47sliding47scale47fee47for47service
8. A47male47client47is47brought47to47the47emergency47department47as47the47result47of47a47motorcycle
47accident.47He47was47not47wearing47a47helmet47at47the47time47of47the47accident,47and47states47that
47he47has47no47intention47of47ever47wearing47one.47Within47the47framework47of47the47Transtheoretic
al47Model47(TTM),47which47response47should47the47nurse47provide?47-47CORRECT47ANSWER47-
"Wearing47a47helmet47or47not47is47certainly47an47individual47decision."
9. After47accepting47the47position47of47school47nurse47in47a47public47elementary47school,47what47stra
tegy47is47best47for47the47nurse47to47use47to47obtain47an47overview47of47the47student47body?47-
47CORRECT47ANSWER47-
Conduct47a47windshield47survey47of47the47geographic47areas47served47by47the47school
10. A47nurse47organizes47a47community47action47group47to47help47resolve47health47problems47in47a47l
ow47income47neighborhood47with47a47large47population47of47recent47immigrants47from47Africa.47What
47problem47should47the47nurse47address47first?47-47CORRECT47ANSWER47-
Low47immunization47rate47of47children
11. The47nurse47is47preparing47to47discharge47an47elderly,47recently47widowed47female47client47follo
wing47a47mild47stroke.47At47this47time47she47is47able47to47walk47with47the47aid47of47a47walker.47As47
part47of47the47discharge47planning,47what47referral47is47most47important47for47the47nurse47to47make
?47-47CORRECT47ANSWER47-Meals-on-Wheels
12. The47nurse47is47designing47a47bioterrorism47plan47for47a47community.47Which47agents47are47trans
mitted47person47to47person47via47respiratory47or47inhalation47exposure?47(Select47all)47-
47CORRECT47ANSWER47--Pneumonic47plague
-Smallpox
,13. An47occupational47health47nurse47is47reviewing47a4720-year-
old47trend47in47the47United47States47that47has47resulted47in47an47increase47in47certain47medical47cond
itions47due47to47the47rapid47expansion47of47an47urban47industrial47workforce.47Which47medical47condi
tions47are47specifically47identified47with47this47trend?47-47CORRECT47ANSWER47--Asthma
-Lung47cancer
14. Which47presentation47of47an47infectious47disease47is47acquired47through47an47indirect47transmissio
n?47-47CORRECT47ANSWER47-Malaria47following47exposure47in47a47mosquito-infested47area
15. What47action47is47best47for47the47community47health47nurse47to47take47if47the47nurse47suspect
s47that47an47infant47is47being47physically47abused?47-47CORRECT47ANSWER47-
Follow47agency47protocols47to47report47suspected47abuse
16. The47nursing47education47coordinator47is47creating47employee47orientation47materials47for47staff
47nurses47who47plan47to47work47at47a47clinic47that47serves47a47lower47socioeconomic47neighborhood.
47What47information47should47the47educator47include47regarding47the47clinic's47client47population?47
(Select47all)47-47CORRECT47ANSWER47--Most47of47the47clients47are47unemployed47or47disabled
-Access47to47mass47transit47may47be47an47issue
-Basic47physiologic47needs47of47this47population47are47often47unmet
17. The47nurse47administers47a47booster47dose47of47DTaP47(diphtheria,47tetanus,47and47pertussis)47v
accine47to47an47infant.47Which47level47of47prevention47is47the47nurse47implementing?47-
47CORRECT47ANSWER47-Primary47prevention
18. During47an47initial47clinic47visit,47the47nurse47is47taking47the47history47for47a47client47who47wa
nts47to47confirm47her47pregnancy.47The47client's47last47child47has47a47history47of47low-birth-
weight47(LBW).47Which47additional47finding47is47most47important47for47the47nurse47to47consider?4
7-47CORRECT47ANSWER47-African-American47ethnicity
19. The47home47health47nurse47is47planning47a47visit47with47a47client47who47has47been47discharged4
7home47after47hospitalization.47Which47action47should47the47nurse47implement?47-
47CORRECT47ANSWER47-Schedule47home47visits47that47take47place47during47the47daylight47hours
20. Which47topic47should47the47nurse47include47in47planning47a47primary47prevention47class47for
, 47adolescents?47-47CORRECT47ANSWER47-Suicide47risks47and47prevention