HESI community Exam Pack, Answered Spring 2022,
Distinction Level Guide Has everything.
The community health nurses is counseling a group of 14 year olds about safe sexual
practices. Which health teaching strategy would be most effective for the nurse to use
with this age group.
A.Encourage group members to describe personal experiences in practicing safe sex
B. Provide the group with statistical data about behaviors leading to venereal diseases
C. Tell the group that for aids prevention abstinence is the best safe sex practice
D. Role play situations in which the adolescent is rewarded for practicing safe sex
✅- Role play situations in which the adolescent is rewarded for practicing safe sex
A young adult man goes to an emergency treatment area after finishing a marathon run.
He is weak dizzy and remains thirsty after drinking a pint of a flavored sports drink.
What action should the nurse implement first
A. Instruct the runner that a urine sample is needed
B. Send for the automatic external defibrillator
C. Determine if there are friends or family nearby
D. Give the runner another pint of fluids to drink
✅- Give the runner another pint of fluids to drink
An older adult male who fractured his right hip is discharged to home one week
following an arthroplasty. Which adjustment to the clients home environment is most
important for the home health nurse to implement
A. Lower the temperature on the clients water heater
B. Encourage the client to wear rubber soled shoes
C. Ensure that an elevated toilet seat is installed
D. Leave motion activated light in the living room
✅- Ensure that an elevated toilet seat is installed
The nurse is caring for four clients in a women's health clinic. Which client should the
nurse assess for risk for pelvic inflammatory disease
A 30 year old with endometriosis
A 40 year old with leiomyoma
A 50 year old perimenopause
A 20 year old with gonorrhea
✅- A 20 year old with gonorrhea
The nurse is teaching a group of adults at a health fair about healthy life style choices.
Which information is most important for the nurse to emphasize
Completely stop the use of cigarette and tobacco products
Eat a diet high in fruits vegetables and whole grains
Avoid the midday sun and use sunscreen
Perform monthly self examination of breasts and testes
✅- Completely stop the use of cigarette and tobacco products
,The school nurse who is reviewing immunization records of students who will start
kindergarten within the next month notes that most of the students have only received
on does of the measles mumps rubella vaccine. Which intervention should the nurse
implement?
Note in the student records that the second dose of the mmr vaccine should be
administered prior to entering first grade
Send notices home with the children on the first day of class advising that mmr vaccine
series must be completed
Contact kindergarten parents to remind them that the second dose of mmr is due at eh
start of the school year
Speak at the next parent teacher association meeting to teach parents the benefits of
immunizing their children
✅- Send notices home with the children on the first day of class advising that mmr
vaccine series must be completed
A middle aged male client presents for his annual health visit at a community clinic. He
is 5 ft 10 in tall weighs 250 pounds, and works as an accountant. He smokes at least
one pack of cigarettes every day for the last 15 years. Which secondary prevention
measure should the nurse recommend the client to follow?
Compliance with antihypertensive and lipid lowering agents.
Increase physical activity and diet low in saturated fat
Smoking cessation
Blood pressure and lipid screening
✅- Blood pressure and lipid screening
A male high school student is referred to the school nurse because he lost
consciousness during gymnastics class. His neurological vital signs are with normal
limits, and his blood pressure is 100/62. He is 6 ft 3 in tall wighs 135 pound and his
body mass index is 16.9. which assessment data should the nurse obtain first?
Serial bp reading every 30 minutes
Twenty-four hour diet recall
Use of performance enhancing drugs
Recent exposure to allergens
✅- Twenty-four hour diet recall
The nurse is planning to implement a health education program on breast screening for
Hispanic women at a community center. Which component of the teaching plan best
provides culturally competent care?
Provide handouts and brochures in the English and Spanish languages
Ask a Hispanic breast cancer survivor to present the educational class
Include treatment modalities with survival statistics for Hispanic women
Design flyers that target Hispanic women encouraging their attendance
✅- Provide handouts and brochures in the English and Spanish
,The nurse is planning a health education program for 10-year old. Which setting is most
likely to increase the preadolescent's participation in the program?
The school classroom
Community center
Home of one of the children
A local place of worship
✅- The school classroom
The public health nurse receives grant funding to implement primary prevention
strategies for migrant farm workers and their families. Which action should the nurse
plan to include?
Teach a class in providing first aid for heat exhaustion
Organize free community wide tuberculosis screenings
Distribute brochures on measures to avoid pesticide exposure
Ask a physical therapist to speak about managing low back pain
✅- Distribute brochures on measures to avoid pesticide exposure
The parish nurse notes that an elderly male client has had a 5 lbs 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?
The adult day care center
The social security administration office
The women infant and children office
The senior citizen center
✅- The senior citizen center
The nurse is screening for hypertension at a local health fair. One of the community
residents has a blood pressure reading of 138/80. Which interventions should the nurse
implement for this client? Select all that apply
Obtain another blood pressure to verify the first reading
Ask the client about any current antihypertensive medications
Recommend further evaluation for possible pre-hypertension
Encourage the client to keep doing whatever you are doing
Assess clients life style and other risk factors for hypertension
✅- Obtain another blood pressure to verify the first reading
Ask the client about any current antihypertensive medications
Recommend further evaluation for possible pre-hypertension
Which intervention should the nurse implement to help prevent client from getting a
vector born infectious disease?
Demonstrate the correct way to remove ticks imbedded in the skin
Discuss the importance of wearing insect repellent when camping
Instruct the client to drink only bottled water when traveling abroad
Encourage the client to get immunizations prior to international travel
✅- Discuss the importance of wearing insect repellent when camping
, The nurse is working with parent teacher organization to increase safety for children
walking to and from a nearby elementary school. Which action should the nurse include
to help achieve this goal?
Advise the residents to keep their porch lights on during hours that children are walking
to and from school
Help the residents plan a campaign to remind people driving through the school zone to
wear seatbelts at all times
Lead a discussion about the benefits of designated safe houses located throughout the
school neighborhood
Encourage residents with older homes along the school route to get their homes
inspected for excessive lead levels
✅- Lead a discussion about the benefits of designated safe houses located
throughout the school neighborhood
The nurse is working with the family of a child with cerebral palsy. In order to help the
nurse understand the connections among family members, resources and agencies in
the community with assessment data gathering tool is best for the nurse to use?
Genogram
Ecomap
Medical record
Family tree
✅- Ecomap
Due to a limited supply the local health department needs to prioritize the distribution of
influenza vaccinations. 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?
An 80 year old resident in an Alzheimer's unit
A 65 year old aide working in a nursing home
A 60 year old client with diabetes and agoraphobia
An 8 year old girl with poorly controlled asthma
✅- A 60 year old client with diabetes and agoraphobia
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?
Complete a physical and mental exam of the client
Call the clients pharmacy to determine what medications she is taking
Seek the family's assistance in caring for the client
Call adult protective services to obtain emergency nursing home placement
✅-
The community health nurse determines that the average family income of a certain
community is 67k per a year with a range of 27k to 102k based on this demographic
information what additional information is important for the nurse to assess?
Interventions focused on college educated individuals
Distinction Level Guide Has everything.
The community health nurses is counseling a group of 14 year olds about safe sexual
practices. Which health teaching strategy would be most effective for the nurse to use
with this age group.
A.Encourage group members to describe personal experiences in practicing safe sex
B. Provide the group with statistical data about behaviors leading to venereal diseases
C. Tell the group that for aids prevention abstinence is the best safe sex practice
D. Role play situations in which the adolescent is rewarded for practicing safe sex
✅- Role play situations in which the adolescent is rewarded for practicing safe sex
A young adult man goes to an emergency treatment area after finishing a marathon run.
He is weak dizzy and remains thirsty after drinking a pint of a flavored sports drink.
What action should the nurse implement first
A. Instruct the runner that a urine sample is needed
B. Send for the automatic external defibrillator
C. Determine if there are friends or family nearby
D. Give the runner another pint of fluids to drink
✅- Give the runner another pint of fluids to drink
An older adult male who fractured his right hip is discharged to home one week
following an arthroplasty. Which adjustment to the clients home environment is most
important for the home health nurse to implement
A. Lower the temperature on the clients water heater
B. Encourage the client to wear rubber soled shoes
C. Ensure that an elevated toilet seat is installed
D. Leave motion activated light in the living room
✅- Ensure that an elevated toilet seat is installed
The nurse is caring for four clients in a women's health clinic. Which client should the
nurse assess for risk for pelvic inflammatory disease
A 30 year old with endometriosis
A 40 year old with leiomyoma
A 50 year old perimenopause
A 20 year old with gonorrhea
✅- A 20 year old with gonorrhea
The nurse is teaching a group of adults at a health fair about healthy life style choices.
Which information is most important for the nurse to emphasize
Completely stop the use of cigarette and tobacco products
Eat a diet high in fruits vegetables and whole grains
Avoid the midday sun and use sunscreen
Perform monthly self examination of breasts and testes
✅- Completely stop the use of cigarette and tobacco products
,The school nurse who is reviewing immunization records of students who will start
kindergarten within the next month notes that most of the students have only received
on does of the measles mumps rubella vaccine. Which intervention should the nurse
implement?
Note in the student records that the second dose of the mmr vaccine should be
administered prior to entering first grade
Send notices home with the children on the first day of class advising that mmr vaccine
series must be completed
Contact kindergarten parents to remind them that the second dose of mmr is due at eh
start of the school year
Speak at the next parent teacher association meeting to teach parents the benefits of
immunizing their children
✅- Send notices home with the children on the first day of class advising that mmr
vaccine series must be completed
A middle aged male client presents for his annual health visit at a community clinic. He
is 5 ft 10 in tall weighs 250 pounds, and works as an accountant. He smokes at least
one pack of cigarettes every day for the last 15 years. Which secondary prevention
measure should the nurse recommend the client to follow?
Compliance with antihypertensive and lipid lowering agents.
Increase physical activity and diet low in saturated fat
Smoking cessation
Blood pressure and lipid screening
✅- Blood pressure and lipid screening
A male high school student is referred to the school nurse because he lost
consciousness during gymnastics class. His neurological vital signs are with normal
limits, and his blood pressure is 100/62. He is 6 ft 3 in tall wighs 135 pound and his
body mass index is 16.9. which assessment data should the nurse obtain first?
Serial bp reading every 30 minutes
Twenty-four hour diet recall
Use of performance enhancing drugs
Recent exposure to allergens
✅- Twenty-four hour diet recall
The nurse is planning to implement a health education program on breast screening for
Hispanic women at a community center. Which component of the teaching plan best
provides culturally competent care?
Provide handouts and brochures in the English and Spanish languages
Ask a Hispanic breast cancer survivor to present the educational class
Include treatment modalities with survival statistics for Hispanic women
Design flyers that target Hispanic women encouraging their attendance
✅- Provide handouts and brochures in the English and Spanish
,The nurse is planning a health education program for 10-year old. Which setting is most
likely to increase the preadolescent's participation in the program?
The school classroom
Community center
Home of one of the children
A local place of worship
✅- The school classroom
The public health nurse receives grant funding to implement primary prevention
strategies for migrant farm workers and their families. Which action should the nurse
plan to include?
Teach a class in providing first aid for heat exhaustion
Organize free community wide tuberculosis screenings
Distribute brochures on measures to avoid pesticide exposure
Ask a physical therapist to speak about managing low back pain
✅- Distribute brochures on measures to avoid pesticide exposure
The parish nurse notes that an elderly male client has had a 5 lbs 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?
The adult day care center
The social security administration office
The women infant and children office
The senior citizen center
✅- The senior citizen center
The nurse is screening for hypertension at a local health fair. One of the community
residents has a blood pressure reading of 138/80. Which interventions should the nurse
implement for this client? Select all that apply
Obtain another blood pressure to verify the first reading
Ask the client about any current antihypertensive medications
Recommend further evaluation for possible pre-hypertension
Encourage the client to keep doing whatever you are doing
Assess clients life style and other risk factors for hypertension
✅- Obtain another blood pressure to verify the first reading
Ask the client about any current antihypertensive medications
Recommend further evaluation for possible pre-hypertension
Which intervention should the nurse implement to help prevent client from getting a
vector born infectious disease?
Demonstrate the correct way to remove ticks imbedded in the skin
Discuss the importance of wearing insect repellent when camping
Instruct the client to drink only bottled water when traveling abroad
Encourage the client to get immunizations prior to international travel
✅- Discuss the importance of wearing insect repellent when camping
, The nurse is working with parent teacher organization to increase safety for children
walking to and from a nearby elementary school. Which action should the nurse include
to help achieve this goal?
Advise the residents to keep their porch lights on during hours that children are walking
to and from school
Help the residents plan a campaign to remind people driving through the school zone to
wear seatbelts at all times
Lead a discussion about the benefits of designated safe houses located throughout the
school neighborhood
Encourage residents with older homes along the school route to get their homes
inspected for excessive lead levels
✅- Lead a discussion about the benefits of designated safe houses located
throughout the school neighborhood
The nurse is working with the family of a child with cerebral palsy. In order to help the
nurse understand the connections among family members, resources and agencies in
the community with assessment data gathering tool is best for the nurse to use?
Genogram
Ecomap
Medical record
Family tree
✅- Ecomap
Due to a limited supply the local health department needs to prioritize the distribution of
influenza vaccinations. 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?
An 80 year old resident in an Alzheimer's unit
A 65 year old aide working in a nursing home
A 60 year old client with diabetes and agoraphobia
An 8 year old girl with poorly controlled asthma
✅- A 60 year old client with diabetes and agoraphobia
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?
Complete a physical and mental exam of the client
Call the clients pharmacy to determine what medications she is taking
Seek the family's assistance in caring for the client
Call adult protective services to obtain emergency nursing home placement
✅-
The community health nurse determines that the average family income of a certain
community is 67k per a year with a range of 27k to 102k based on this demographic
information what additional information is important for the nurse to assess?
Interventions focused on college educated individuals
