HESI COMMUNITY HEALTH RN EXIT 2023 /COMMUNITY
HEALTH RN HESI EXIT TEST BANK
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 -
ANSWER: D. 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 - ANSWER: D. 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 - ANSWER: C. 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
B. 40 year old with leiomyoma
C. 50 year old perimenopause
D. 20 year old with gonorrhea - ANSWER: D. 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?
,A. Completely stop the use of cigarette and tobacco products
B. Eat a diet high in fruits vegetables and whole grains
C. Avoid the midday sun and use sunscreen
D. Perform monthly self examination of breasts and testes - ANSWER: A. 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?
A. Note in the student records that the second dose of the MMR vaccine should be
administered prior to entering first grade
B. Send notices home with the children on the first day of class advising that MMR
vaccine series must be completed
C. Contact kindergarten parents to remind them that the second dose of MMR is due
at eh start of the school year
D. Speak at the next parent teacher association meeting to teach parents the
benefits of immunizing their children - ANSWER: B. 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?
A. Compliance with antihypertensive and lipid lowering agents.
B. Increase physical activity and diet low in saturated fat
C. Smoking cessation
D. Blood pressure and lipid screening - ANSWER: D. 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?
A. Serial bp reading every 30 minutes
B. Twenty-four hour diet recall
C. Use of performance enhancing drugs
D. Recent exposure to allergens - ANSWER: B. 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?
, A. Provide handouts and brochures in the English and Spanish languages
B. Ask a Hispanic breast cancer survivor to present the educational class
C. Include treatment modalities with survival statistics for Hispanic women
D. Design flyers that target Hispanic women encouraging their attendance -
ANSWER: A. 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?
A. The school classroom
B. Community center
C. Home of one of the children
D. A local place of worship - ANSWER: A. 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?
A. Teach a class in providing first aid for heat exhaustion
B. Organize free community wide tuberculosis screenings
C. Distribute brochures on measures to avoid pesticide exposure
D. Ask a physical therapist to speak about managing low back pain - ANSWER: C.
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?
A. The adult day care center
B. The social security administration office
C. The women infant and children office
D. The senior citizen center - ANSWER: D. 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)
A. Obtain another blood pressure to verify the first reading
B. Ask the client about any current antihypertensive medications
C. Recommend further evaluation for possible pre-hypertension
D. Encourage the client to keep doing whatever you are doing
E. Assess clients life style and other risk factors for hypertension - ANSWER: A.
Obtain another blood pressure to verify the first reading
B. Ask the client about any current antihypertensive medications
C. Recommend further evaluation for possible pre-hypertension
HEALTH RN HESI EXIT TEST BANK
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 -
ANSWER: D. 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 - ANSWER: D. 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 - ANSWER: C. 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
B. 40 year old with leiomyoma
C. 50 year old perimenopause
D. 20 year old with gonorrhea - ANSWER: D. 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?
,A. Completely stop the use of cigarette and tobacco products
B. Eat a diet high in fruits vegetables and whole grains
C. Avoid the midday sun and use sunscreen
D. Perform monthly self examination of breasts and testes - ANSWER: A. 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?
A. Note in the student records that the second dose of the MMR vaccine should be
administered prior to entering first grade
B. Send notices home with the children on the first day of class advising that MMR
vaccine series must be completed
C. Contact kindergarten parents to remind them that the second dose of MMR is due
at eh start of the school year
D. Speak at the next parent teacher association meeting to teach parents the
benefits of immunizing their children - ANSWER: B. 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?
A. Compliance with antihypertensive and lipid lowering agents.
B. Increase physical activity and diet low in saturated fat
C. Smoking cessation
D. Blood pressure and lipid screening - ANSWER: D. 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?
A. Serial bp reading every 30 minutes
B. Twenty-four hour diet recall
C. Use of performance enhancing drugs
D. Recent exposure to allergens - ANSWER: B. 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?
, A. Provide handouts and brochures in the English and Spanish languages
B. Ask a Hispanic breast cancer survivor to present the educational class
C. Include treatment modalities with survival statistics for Hispanic women
D. Design flyers that target Hispanic women encouraging their attendance -
ANSWER: A. 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?
A. The school classroom
B. Community center
C. Home of one of the children
D. A local place of worship - ANSWER: A. 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?
A. Teach a class in providing first aid for heat exhaustion
B. Organize free community wide tuberculosis screenings
C. Distribute brochures on measures to avoid pesticide exposure
D. Ask a physical therapist to speak about managing low back pain - ANSWER: C.
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?
A. The adult day care center
B. The social security administration office
C. The women infant and children office
D. The senior citizen center - ANSWER: D. 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)
A. Obtain another blood pressure to verify the first reading
B. Ask the client about any current antihypertensive medications
C. Recommend further evaluation for possible pre-hypertension
D. Encourage the client to keep doing whatever you are doing
E. Assess clients life style and other risk factors for hypertension - ANSWER: A.
Obtain another blood pressure to verify the first reading
B. Ask the client about any current antihypertensive medications
C. Recommend further evaluation for possible pre-hypertension
