WGU D450 Community Health Hesi Questions
and Correct Answers
A child living in an inner city setting reports that there are no playgrounds or sidewalks
in their area, so their grandmother does not allow them to go outside after school. The
grandmother cooks traditional meals every evening. The child describes how they love
their grandmother's cooking, and they get to use homemade tortillas instead of forks to
pick up their food to eat. The child reports that they become short of breath easily when
they are playing with their friends, and they have "a lot" of headaches. On a scale of 0
to 10, with 10 being very happy, how would you rate your happiness with your weight?
The child reports "2.". What do you believe is one thing that you can change to help you
lose some of your weight?
All of the above
A teenager with a history of recurring atopic dermatitis (eczema) tells the school nurse
of a desire to play high school sports. Which action should the nurse
take?Rationale:Atopic dermatitis (eczema) can be exacerbated by sweat, friction, and
irritants, which are common during sports activities. Advising the teenager to shower
with non-perfumed, gentle soaps immediately after practice helps remove sweat and
potential irritants, reducing the likelihood of flare-ups. This intervention empowers the
teenager to participate in high school sports while managing their skin condition
effectively.
Advise the teenager to shower with non-perfumed soaps immediately after practice.
The nurse is triaging victims of a tornado at an emergency shelter. An adult who has
been wandering and crying comes to the nurse. Which action should the nurse
take? Direct the client to the shelter’s nutrition center to obtain water and
,food.Rationale:When triaging a client in distress following a disaster, the nurse must
first address any possible physiological causes for the behavior, such as infection,
dehydration, or hypoglycemia. Checking the temperature, blood sugar, and urine
output provides essential data to rule out or confirm critical conditions that may
require immediate intervention. This approach prioritizes safety and ensures the
client’s physical health is stabilized before addressing other needs.
Check the client's temperature, blood sugar, and urine output.
The community health nurse determines that the average family income of a certain
community is $67,000 per year with a range of $27,000 to $102,000.Rationale:While the
average family income provides an overview of the community’s financial status,
the distribution of income levels (frequency above and below the average) is critical for
assessing disparities. Understanding income variability helps the nurse identify
subpopulations that may be economically disadvantaged and require tailored health
interventions, such as access to affordable healthcare, nutritional support, or housing
assistance.
The frequency of incomes above and below the average.
A mother who is six weeks postpartum reports to the home health nurse that her milk
supply seems to be diminishing.The nurse notices that the mother's 16-month-old child
is constantly vying for her attention.What is the best advice the nurse can provide to
help the mother with breastfeeding while also caring for a toddler?
Read a book to the 16-month-old child while the mother is breastfeeding the infant.
The home health nurse assesses an older adult client and observes possible signs of
abuse. Which resource should the nurse use to guide their decision regarding reporting
these suspicions?Rationale:Each state has specific laws regarding the mandatory
, reporting of elder abuse or suspected abuse. The nurse must follow the state law to
ensure compliance with legal requirements. Reporting elder abuse is often mandatory
for healthcare professionals, and state laws provide detailed guidance on how and when
to report suspicions.
State law.
The nurse is developing disaster plans for a community. Which situation is an example
of a high-intensity and small-scope disaster?Rationale:
A high-intensity, small-scope disaster is characterized by localized devastation (small
geographic area or number of people affected) but with a significant impact on those
directly involved. The destruction of 25 houses and part of an interstate meets this
definition because it involves a small number of individuals or properties but has
substantial consequences for those affected.
A tornado that destroys 25 houses and uproots an interstate for 0.5 miles.
The home health nurse visits a young adult client who has AIDS with Kaposi's sarcoma
and peripheral neuropathies. The client's parents, who are the caretakers, tell the nurse
that their child sleeps most of the time.Rationale:
The client exhibits signs consistent with advanced AIDS, such as semi-consciousness,
persistent pain, and reliance on caregivers for basic needs. End-of-life discussions are
appropriate in this context to ensure that the client's and family's wishes regarding care
and comfort measures are understood and respected. This approach promotes palliative
care and helps the family make informed decisions about the client's care.
Discuss end-of-life decisions with the client's parents.
and Correct Answers
A child living in an inner city setting reports that there are no playgrounds or sidewalks
in their area, so their grandmother does not allow them to go outside after school. The
grandmother cooks traditional meals every evening. The child describes how they love
their grandmother's cooking, and they get to use homemade tortillas instead of forks to
pick up their food to eat. The child reports that they become short of breath easily when
they are playing with their friends, and they have "a lot" of headaches. On a scale of 0
to 10, with 10 being very happy, how would you rate your happiness with your weight?
The child reports "2.". What do you believe is one thing that you can change to help you
lose some of your weight?
All of the above
A teenager with a history of recurring atopic dermatitis (eczema) tells the school nurse
of a desire to play high school sports. Which action should the nurse
take?Rationale:Atopic dermatitis (eczema) can be exacerbated by sweat, friction, and
irritants, which are common during sports activities. Advising the teenager to shower
with non-perfumed, gentle soaps immediately after practice helps remove sweat and
potential irritants, reducing the likelihood of flare-ups. This intervention empowers the
teenager to participate in high school sports while managing their skin condition
effectively.
Advise the teenager to shower with non-perfumed soaps immediately after practice.
The nurse is triaging victims of a tornado at an emergency shelter. An adult who has
been wandering and crying comes to the nurse. Which action should the nurse
take? Direct the client to the shelter’s nutrition center to obtain water and
,food.Rationale:When triaging a client in distress following a disaster, the nurse must
first address any possible physiological causes for the behavior, such as infection,
dehydration, or hypoglycemia. Checking the temperature, blood sugar, and urine
output provides essential data to rule out or confirm critical conditions that may
require immediate intervention. This approach prioritizes safety and ensures the
client’s physical health is stabilized before addressing other needs.
Check the client's temperature, blood sugar, and urine output.
The community health nurse determines that the average family income of a certain
community is $67,000 per year with a range of $27,000 to $102,000.Rationale:While the
average family income provides an overview of the community’s financial status,
the distribution of income levels (frequency above and below the average) is critical for
assessing disparities. Understanding income variability helps the nurse identify
subpopulations that may be economically disadvantaged and require tailored health
interventions, such as access to affordable healthcare, nutritional support, or housing
assistance.
The frequency of incomes above and below the average.
A mother who is six weeks postpartum reports to the home health nurse that her milk
supply seems to be diminishing.The nurse notices that the mother's 16-month-old child
is constantly vying for her attention.What is the best advice the nurse can provide to
help the mother with breastfeeding while also caring for a toddler?
Read a book to the 16-month-old child while the mother is breastfeeding the infant.
The home health nurse assesses an older adult client and observes possible signs of
abuse. Which resource should the nurse use to guide their decision regarding reporting
these suspicions?Rationale:Each state has specific laws regarding the mandatory
, reporting of elder abuse or suspected abuse. The nurse must follow the state law to
ensure compliance with legal requirements. Reporting elder abuse is often mandatory
for healthcare professionals, and state laws provide detailed guidance on how and when
to report suspicions.
State law.
The nurse is developing disaster plans for a community. Which situation is an example
of a high-intensity and small-scope disaster?Rationale:
A high-intensity, small-scope disaster is characterized by localized devastation (small
geographic area or number of people affected) but with a significant impact on those
directly involved. The destruction of 25 houses and part of an interstate meets this
definition because it involves a small number of individuals or properties but has
substantial consequences for those affected.
A tornado that destroys 25 houses and uproots an interstate for 0.5 miles.
The home health nurse visits a young adult client who has AIDS with Kaposi's sarcoma
and peripheral neuropathies. The client's parents, who are the caretakers, tell the nurse
that their child sleeps most of the time.Rationale:
The client exhibits signs consistent with advanced AIDS, such as semi-consciousness,
persistent pain, and reliance on caregivers for basic needs. End-of-life discussions are
appropriate in this context to ensure that the client's and family's wishes regarding care
and comfort measures are understood and respected. This approach promotes palliative
care and helps the family make informed decisions about the client's care.
Discuss end-of-life decisions with the client's parents.
