HESI COMMUNITY HEALTH EXAM 2026
UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED
A+ (BRAND NEW VISION)
To promote heart healthy eating during a school fair, the nurse presents information
about a "Mediterranean-based" approach to eating. To assess learning, the nurse
sponsors a contest and asks the children to create a rhyme that shows food that should
be limited. Which selection should the nurse choose as the winner of the contest?
A. Fish on a dish
B. Meats and sweets
C. Greens and beans
D. Berries and cherries - ANS-B. Meats and sweets
The public health nurse is called to investigate a report of several cases of chickenpox
(varicella virus) at a day care center. The day care worker states that five children have
been sent home over the past two weeks with fever and itchy blisters. Which
intervention should the nurse implement first?
A. Confirm the number of children with symptoms
B. Determine how many people have been exposed
C. Report the presence of a viral endemic at the day care center
D. Validate that the children sent home did develop chickenpox - ANS-D. Validate that
the children sent home did develop chickenpox
Four students come to the school clinic simultaneously, seeking help from the school
nurse. In which order of priority should the nurse provide care to these students?
(Arrange the client with the highest priority first, on top, and lowest priority last, on
bottom.)
A. A 7-year-old who has type 1 diabetes mellitus and is experiencing extreme hunger
and shakiness
B. A 12-year-old with history of asthma who is wheezing and complaining of shortness
of breath.
C. A 5-year-old who is crying uncontrollably because of an incontinent bowel episode.
D. A 10-year-old with bleeding lacerations on both knees after falling in gym class. -
ANS-B. A 12-year-old with history of asthma who is wheezing and complaining of
shortness of breath.
,A. A 7-year-old who has type 1 diabetes mellitus and is experiencing extreme
hunger and shakiness
D. A 10-year-old with bleeding lacerations on both knees after falling in gym
class.
C. A 5-year-old who is crying uncontrollably because of an incontinent bowel
episode.
12, 7, 10, 5
The parish nurse notes that an elderly male client has had a 5 pound weight loss since
his check-up one month ago. The client has good hygiene, still drives a car, and lives
alone. To which agency should the nurse refer this client?
A. The Adult Day Care Center
B. The Senior Citizen Center
C. The Women, Infant, and Children office
D. The Social Security Administration office - ANS-B. The Senior Citizen Center
While presenting a workshop titled, "Improving Access to Health Services" to
community leaders, the community health nurse is asked by a city council member to
explain the reason for addressing this issue. Which statement provides the best
response?
A. The committee for "Healthy People 2020" has identified "access" as a national goal
B. The Institute of Medicine includes "access" as one of its priority recommendations.
C. The Community Health Improvement Process is used for issues in high risk
populations.
D. The Center for Disease Control has identified this problem as a variable in morbidity -
ANS-A. The committee for "Healthy People 2020" has identified "access" as a
national goal
The school nurse is assessing a group of middle school students for signs of scoliosis
and discovers a female student with a noticeable unequal symmetry of the upper and
lower back. Which intervention is most important for the nurse to implement?
A. Make a referral to have the scoliosis further evaluated
B. Ask the student about her ability to participate in sports
C. Measure the degree of the thoracic and lumbar curvature
D. Review student's health record for a recent growth spurt - ANS-A. Make a referral to
have the scoliosis further evaluated
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-D. Review the
previous school nurse's anecdotal documents.
The local health department needs to prioritize the distribution of influenza vaccinations
due to a limited supply. In determining which individuals should receive the limited
available vaccine, which person should the public health nurse ask to return to the clinic
later when more vaccine is available?
A. A 60-year-old with diabetes and agoraphobia
B. An 80-year-old resident in an Alzheimer's unit
C. A 65-year-old aide working in a nursing home.
D. An 8-year-old girl with poorly-controlled asthma - ANS-A. A 60-year-old with
diabetes and agoraphobia
A nurse designs a series of four weekly classes for client 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
On a repeat home visit to see an 84-year-old widow, the nurse discovers that the client
is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse.
What action should the nurse take first?
A. Complete a physical and mental exam of the client
B. Call Adult Protective Services to obtain emergency nursing home placement.
C. Seek the family's assistance in caring for the client
D. Call the client's pharmacy to determine what medications she is taking - ANS-A.
Complete a physical and mental exam of the client
The community health nurse believes that immunization rates in a lower-socioeconomic
section of the city are probably below the target set by the state health department.
What action should the nurse take first to intervene with this health problem?
A. Join a political action group that focuses attention on the issue in the local news
media
B. Partner with a local children's hospital in setting up free "shot" clinics in the
neighborhood
C. Review current epidemiological population data that might document a low
immunization rate
UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED
A+ (BRAND NEW VISION)
To promote heart healthy eating during a school fair, the nurse presents information
about a "Mediterranean-based" approach to eating. To assess learning, the nurse
sponsors a contest and asks the children to create a rhyme that shows food that should
be limited. Which selection should the nurse choose as the winner of the contest?
A. Fish on a dish
B. Meats and sweets
C. Greens and beans
D. Berries and cherries - ANS-B. Meats and sweets
The public health nurse is called to investigate a report of several cases of chickenpox
(varicella virus) at a day care center. The day care worker states that five children have
been sent home over the past two weeks with fever and itchy blisters. Which
intervention should the nurse implement first?
A. Confirm the number of children with symptoms
B. Determine how many people have been exposed
C. Report the presence of a viral endemic at the day care center
D. Validate that the children sent home did develop chickenpox - ANS-D. Validate that
the children sent home did develop chickenpox
Four students come to the school clinic simultaneously, seeking help from the school
nurse. In which order of priority should the nurse provide care to these students?
(Arrange the client with the highest priority first, on top, and lowest priority last, on
bottom.)
A. A 7-year-old who has type 1 diabetes mellitus and is experiencing extreme hunger
and shakiness
B. A 12-year-old with history of asthma who is wheezing and complaining of shortness
of breath.
C. A 5-year-old who is crying uncontrollably because of an incontinent bowel episode.
D. A 10-year-old with bleeding lacerations on both knees after falling in gym class. -
ANS-B. A 12-year-old with history of asthma who is wheezing and complaining of
shortness of breath.
,A. A 7-year-old who has type 1 diabetes mellitus and is experiencing extreme
hunger and shakiness
D. A 10-year-old with bleeding lacerations on both knees after falling in gym
class.
C. A 5-year-old who is crying uncontrollably because of an incontinent bowel
episode.
12, 7, 10, 5
The parish nurse notes that an elderly male client has had a 5 pound weight loss since
his check-up one month ago. The client has good hygiene, still drives a car, and lives
alone. To which agency should the nurse refer this client?
A. The Adult Day Care Center
B. The Senior Citizen Center
C. The Women, Infant, and Children office
D. The Social Security Administration office - ANS-B. The Senior Citizen Center
While presenting a workshop titled, "Improving Access to Health Services" to
community leaders, the community health nurse is asked by a city council member to
explain the reason for addressing this issue. Which statement provides the best
response?
A. The committee for "Healthy People 2020" has identified "access" as a national goal
B. The Institute of Medicine includes "access" as one of its priority recommendations.
C. The Community Health Improvement Process is used for issues in high risk
populations.
D. The Center for Disease Control has identified this problem as a variable in morbidity -
ANS-A. The committee for "Healthy People 2020" has identified "access" as a
national goal
The school nurse is assessing a group of middle school students for signs of scoliosis
and discovers a female student with a noticeable unequal symmetry of the upper and
lower back. Which intervention is most important for the nurse to implement?
A. Make a referral to have the scoliosis further evaluated
B. Ask the student about her ability to participate in sports
C. Measure the degree of the thoracic and lumbar curvature
D. Review student's health record for a recent growth spurt - ANS-A. Make a referral to
have the scoliosis further evaluated
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-D. Review the
previous school nurse's anecdotal documents.
The local health department needs to prioritize the distribution of influenza vaccinations
due to a limited supply. In determining which individuals should receive the limited
available vaccine, which person should the public health nurse ask to return to the clinic
later when more vaccine is available?
A. A 60-year-old with diabetes and agoraphobia
B. An 80-year-old resident in an Alzheimer's unit
C. A 65-year-old aide working in a nursing home.
D. An 8-year-old girl with poorly-controlled asthma - ANS-A. A 60-year-old with
diabetes and agoraphobia
A nurse designs a series of four weekly classes for client 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
On a repeat home visit to see an 84-year-old widow, the nurse discovers that the client
is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse.
What action should the nurse take first?
A. Complete a physical and mental exam of the client
B. Call Adult Protective Services to obtain emergency nursing home placement.
C. Seek the family's assistance in caring for the client
D. Call the client's pharmacy to determine what medications she is taking - ANS-A.
Complete a physical and mental exam of the client
The community health nurse believes that immunization rates in a lower-socioeconomic
section of the city are probably below the target set by the state health department.
What action should the nurse take first to intervene with this health problem?
A. Join a political action group that focuses attention on the issue in the local news
media
B. Partner with a local children's hospital in setting up free "shot" clinics in the
neighborhood
C. Review current epidemiological population data that might document a low
immunization rate
