HESI LEADERSHIP AND MANAGEMENT
EXAM TERMINAL CERTIFICATION
EVALUATION COMPLETE QUESTIONS
WITH FULL SOLUTION ALREADY PASSED
⩥ A public health nurse visits an undergraduate nursing program. Which
student statement indicates further education is needed on
epidemiology?
A. It tracks the incidence of communicable disease.
B. It involves health care reform to lower medical costs.
C. It searches for causal relationships in health and illness.
D. It reduces debilitating workplace injuries.
Answer: B. It [does not involve] health care reform to lower medical
costs. All other options are correct.
⩥ The nurse cares for a client experiencing blindness as a result of
diabetes. In the natural history of diabetes mellitus, the nurse identifies
blindness onset as reflecting which stage?
A. Susceptibility
B. Exposure
C. Clinical
D. Early pathogenesis
,Answer: C. Clinical; "culmination stage," at which the disease/condition
causes sufficient anatomic or functional changes to produce recognizable
signs and symptoms.
⩥ A community nurse leads a discussion about primary prevention. The
example to best reflect this level is what?
A. Teaching parenting classes to pregnant women in their second
trimester.
B. Instructing older women with osteoporosis about the benefits of
walking.
C. Counseling clients with emphysema about pollution indexes.
D. Helping cardiac surgery clients access exercise equipment.
Answer: A. Teaching parenting classes to pregnant women in their
second trimester; planning for the future to avoid physical and/or
psychological problems
⩥ When applying the epidemiological triangle to a disaster event, the
nurse recognizes the host as which of the following?
A. Efforts used to predict, prevent, and control victims' needs
B. The physical item causing the disaster
C. Human characteristics influencing severity of disaster effects
D. Factors directly affecting disaster outcome
Answer: C. Human characteristics influencing severity of disaster
effects; "host" is represented by the human aspect of the epidemiological
triangle
,⩥ The community nurse is aware that health promotion programs are
designed to accomplish what?
A. Enable individuals to respond positively to environmental stressors.
B. Expand potential for health and personal development.
C. Reduce risks to health from a global perspective.
D. Detect early incidence of illness.
Answer: B. Expand potential for health and personal development;
health promotion focuses on changing behavioral patterns for
individuals and/or populations.
⩥ The nurse is providing education to clients about first-time medication
prescriptions. Which represents primary prevention?
A. Use a soft toothbrush while on warfarin (Coumadin) for atrial
fibrillation.
B. Avoid smoking while on NuvaRing for contraception.
C. Proper use of an MDI for ipratropium (Atrovent).
D. Correct procedure to draw up 2 different insulins in one syringe.
Answer: B. Avoid smoking while on NuvaRing for contraception; family
planning is a form of primary prevention.
⩥ A predominantly rural town of 25,000 residents has an annual influx
of 5000 migrant workers between May and September. The nurse
, identifies which population perspective aspect as represented by this
incidence?
A. Mobility
B. Composition
C. Growth rate
D. Density
Answer: A. Mobility; people moving in and out of the community on a
seasonal basis
⩥ Which factors influence a community's potential for violence?
A. Large populations of children, elderly, and developmentally disabled
people
B. Implementation of group norms to promote civility
C. Previous exposure to and participation in violent acts
D. Social conditions and multiple demands on the population's economic
conditions
Answer: D. Social conditions and multiple demands on the population's
economic conditions; e.g. unemployment, social isolation, media
influence, rigid religious beliefs, population density, etc.
⩥ In the host-agent-environment model of epidemiology, the nurse
identifies which of the following as environment?
A. Herd of infected cattle
B. Waste products dumped in nearby lake
EXAM TERMINAL CERTIFICATION
EVALUATION COMPLETE QUESTIONS
WITH FULL SOLUTION ALREADY PASSED
⩥ A public health nurse visits an undergraduate nursing program. Which
student statement indicates further education is needed on
epidemiology?
A. It tracks the incidence of communicable disease.
B. It involves health care reform to lower medical costs.
C. It searches for causal relationships in health and illness.
D. It reduces debilitating workplace injuries.
Answer: B. It [does not involve] health care reform to lower medical
costs. All other options are correct.
⩥ The nurse cares for a client experiencing blindness as a result of
diabetes. In the natural history of diabetes mellitus, the nurse identifies
blindness onset as reflecting which stage?
A. Susceptibility
B. Exposure
C. Clinical
D. Early pathogenesis
,Answer: C. Clinical; "culmination stage," at which the disease/condition
causes sufficient anatomic or functional changes to produce recognizable
signs and symptoms.
⩥ A community nurse leads a discussion about primary prevention. The
example to best reflect this level is what?
A. Teaching parenting classes to pregnant women in their second
trimester.
B. Instructing older women with osteoporosis about the benefits of
walking.
C. Counseling clients with emphysema about pollution indexes.
D. Helping cardiac surgery clients access exercise equipment.
Answer: A. Teaching parenting classes to pregnant women in their
second trimester; planning for the future to avoid physical and/or
psychological problems
⩥ When applying the epidemiological triangle to a disaster event, the
nurse recognizes the host as which of the following?
A. Efforts used to predict, prevent, and control victims' needs
B. The physical item causing the disaster
C. Human characteristics influencing severity of disaster effects
D. Factors directly affecting disaster outcome
Answer: C. Human characteristics influencing severity of disaster
effects; "host" is represented by the human aspect of the epidemiological
triangle
,⩥ The community nurse is aware that health promotion programs are
designed to accomplish what?
A. Enable individuals to respond positively to environmental stressors.
B. Expand potential for health and personal development.
C. Reduce risks to health from a global perspective.
D. Detect early incidence of illness.
Answer: B. Expand potential for health and personal development;
health promotion focuses on changing behavioral patterns for
individuals and/or populations.
⩥ The nurse is providing education to clients about first-time medication
prescriptions. Which represents primary prevention?
A. Use a soft toothbrush while on warfarin (Coumadin) for atrial
fibrillation.
B. Avoid smoking while on NuvaRing for contraception.
C. Proper use of an MDI for ipratropium (Atrovent).
D. Correct procedure to draw up 2 different insulins in one syringe.
Answer: B. Avoid smoking while on NuvaRing for contraception; family
planning is a form of primary prevention.
⩥ A predominantly rural town of 25,000 residents has an annual influx
of 5000 migrant workers between May and September. The nurse
, identifies which population perspective aspect as represented by this
incidence?
A. Mobility
B. Composition
C. Growth rate
D. Density
Answer: A. Mobility; people moving in and out of the community on a
seasonal basis
⩥ Which factors influence a community's potential for violence?
A. Large populations of children, elderly, and developmentally disabled
people
B. Implementation of group norms to promote civility
C. Previous exposure to and participation in violent acts
D. Social conditions and multiple demands on the population's economic
conditions
Answer: D. Social conditions and multiple demands on the population's
economic conditions; e.g. unemployment, social isolation, media
influence, rigid religious beliefs, population density, etc.
⩥ In the host-agent-environment model of epidemiology, the nurse
identifies which of the following as environment?
A. Herd of infected cattle
B. Waste products dumped in nearby lake
