WGU D450 COMMUNITY HEALTH HESI UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. 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?
Answer:
All of the above
Question:
2. 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.
Answer:
Advise the teenager to shower with non-perfumed soaps immediately after practice.
Question:
3. 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.
Answer:
Check the client's temperature, blood sugar, and urine output.
Question:
4. 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.
Answer:
The frequency of incomes above and below the average.
, Question:
5. 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?
Answer:
Read a book to the 16-month-old child while the mother is breastfeeding the infant.
Question:
6. 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.
Answer:
State law.
Question:
7. 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.
Answer:
A tornado that destroys 25 houses and uproots an interstate for 0.5 miles.
Question:
8. 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.
Answer:
Discuss end-of-life decisions with the client's parents.
Question:
9. A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which
information should the nurse use as an outcome evaluation for the classes?Rationale: Outcome evaluation
measures the effectiveness of an intervention by assessing its impact on a measurable result. In this case,
the goal of diabetes education classes is to improve diabetes management, and a 20% reduction in fasting
blood glucose levels reflects a concrete improvement in client health. This demonstrates the success of the
classes in achieving their intended outcome.
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. 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?
Answer:
All of the above
Question:
2. 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.
Answer:
Advise the teenager to shower with non-perfumed soaps immediately after practice.
Question:
3. 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.
Answer:
Check the client's temperature, blood sugar, and urine output.
Question:
4. 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.
Answer:
The frequency of incomes above and below the average.
, Question:
5. 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?
Answer:
Read a book to the 16-month-old child while the mother is breastfeeding the infant.
Question:
6. 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.
Answer:
State law.
Question:
7. 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.
Answer:
A tornado that destroys 25 houses and uproots an interstate for 0.5 miles.
Question:
8. 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.
Answer:
Discuss end-of-life decisions with the client's parents.
Question:
9. A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which
information should the nurse use as an outcome evaluation for the classes?Rationale: Outcome evaluation
measures the effectiveness of an intervention by assessing its impact on a measurable result. In this case,
the goal of diabetes education classes is to improve diabetes management, and a 20% reduction in fasting
blood glucose levels reflects a concrete improvement in client health. This demonstrates the success of the
classes in achieving their intended outcome.
