HESI COMMUNITY HEALTH
QUESTIONS AND ANSWERS
UPDATED AND GRADED A+
1. 1. A 12-year-old female is seen by the school nurse after recently
experiencing increasing difficulty sitting and paying attention in class, and
increasingly illegible handwriting. The nurse observes that the child has
protruding eyeballs and a staring expression. What action should the nurse
take next?: Gather additional data by taking a health history and measuring vital
signs 2.
2. When asked to help develop interventions to combat obesity among
children, the community health nurse should stress the importance of
implementing which activity?: Set goals that are focused on developing
healthier lifestyles
3. 3. A terrorist attack has occurred and several people have inhaled Ricin.
Which intervention should the emergency department nurse implement when
caring for these clients?: Provide supportive nursing care until antitoxin is
available
4. 4. A young woman tells the public health nurse that a friend was recently
diagnosed with Hepatitis B and she is concerned about getting the
disease. During the assessment interview, which question is most
important for the nurse to ask this woman?: "Have you shared any needles
or had sex with your friend?"
5. 5. Which example should the nurse identify as a significant outcome for
the Leading Health indicators of Healthy People 2020?: A community has
adopted a no smoking policy
, .
6. 6. Which intervention should the public health nurse implement when
attempting to address one of the leading health indicators of Healthy
People
2020?: Design and implement a no smoking campaign at the local high school 7.
7. Lillian Wald was a significant person in the history of American Nursing.
Which contributions can be attributed to her? (Select all): -Development of
Public health nursing practice
-First nursing service for occupational health
-Established committee that was the forerunner of the NLN
-Instituted a sliding scale fee for service
8. 8. A male client is brought to the emergency department as the result
of a motorcycle accident. He was not wearing a helmet at the time of the
accident, and states that he has no intention of ever wearing one. Within the
framework of the Transtheoretical Model (TTM), which response should the
nurse provide?: "Wearing a helmet or not is certainly an individual decision."
9. 9. After accepting the position of school nurse in a public elementary
school, what strategy is best for the nurse to use to obtain an overview of
the student body?: Conduct a windshield survey of the geographic areas served
by the school 10 10. A nurse organizes a community action group to help
resolve health problems in a low income neighborhood with a large
population of recent immigrants from Africa. What problem should the
nurse address first?: Low immunization rate of children
11. 11. The nurse is preparing to discharge an elderly, recently widowed
female client following a mild stroke. At this time she is able to walk with the
aid of a walker. As part of the discharge planning, what referral is most
important for the nurse to make?: Meals-on-Wheels
12. 12. The nurse is designing a bioterrorism plan for a community. Which
agents are transmitted person to person via respiratory or inhalation
exposure? (Select all): -Pneumonic plague
-Smallpox
13. 13. An occupational health nurse is reviewing a 20-year-old trend in the
United States that has resulted in an increase in certain medical conditions
due to the rapid expansion of an urban industrial workforce. Which medical
conditions are specifically identified with this trend?: -Asthma
, Community Health HESI (1)
Study online at https://quizlet.com/_g2bh57
.
-Lung cancer
14. 14. Which presentation of an infectious disease is acquired through an
indirect transmission?: Malaria following exposure in a mosquito-infested area
15. 15. What action is best for the community health nurse to take if the
nurse suspects that an infant is being physically abused?: Follow agency
protocols to report suspected abuse
16. 16. The nursing education coordinator is creating employee orientation
materials for staff nurses who plan to work at a clinic that serves a lower
socioeconomic neighborhood. What information should the educator
include regarding the clinic's client population? (Select all): -Most of the
clients are unemployed or disabled
-Access to mass transit may be an issue
-Basic physiologic needs of this population are often unmet
17. 17. The nurse administers a booster dose of DTaP (diphtheria, tetanus,
and pertussis) vaccine to an infant. Which level of prevention is the nurse
implementing?: Primary prevention
18. 18. During an initial clinic visit, the nurse is taking the history for a
client who wants to confirm her pregnancy. The client's last child has a
history of low-birth-weight (LBW). Which additional finding is most
important for the nurse to consider?: African-American ethnicity
19. 19. The home health nurse is planning a visit with a client who has been
discharged home after hospitalization. Which action should the nurse
implement?: Schedule home visits that take place during the daylight hours
20 20. Which topic should the nurse include in planning a primary
prevention class for adolescents?: Suicide risks and prevention
21. 21. The nurse is working in a community clinic that serves a population
comprised mainly of migrant families. In planning the use of resources for
secondary prevention, which activity should be the priority?: Skin testing for
tuberculosis
22. 22. The nurse is assessing a Vietnamese child during a home health visit
and identifies round swellings on the child's back. The child's mother says
she rubbed the edge of a coin on her child's oiled skin. The nurse should
recognize that this behavior is prompted by which cultural belief?: The
purpose is to rid the body of disease
QUESTIONS AND ANSWERS
UPDATED AND GRADED A+
1. 1. A 12-year-old female is seen by the school nurse after recently
experiencing increasing difficulty sitting and paying attention in class, and
increasingly illegible handwriting. The nurse observes that the child has
protruding eyeballs and a staring expression. What action should the nurse
take next?: Gather additional data by taking a health history and measuring vital
signs 2.
2. When asked to help develop interventions to combat obesity among
children, the community health nurse should stress the importance of
implementing which activity?: Set goals that are focused on developing
healthier lifestyles
3. 3. A terrorist attack has occurred and several people have inhaled Ricin.
Which intervention should the emergency department nurse implement when
caring for these clients?: Provide supportive nursing care until antitoxin is
available
4. 4. A young woman tells the public health nurse that a friend was recently
diagnosed with Hepatitis B and she is concerned about getting the
disease. During the assessment interview, which question is most
important for the nurse to ask this woman?: "Have you shared any needles
or had sex with your friend?"
5. 5. Which example should the nurse identify as a significant outcome for
the Leading Health indicators of Healthy People 2020?: A community has
adopted a no smoking policy
, .
6. 6. Which intervention should the public health nurse implement when
attempting to address one of the leading health indicators of Healthy
People
2020?: Design and implement a no smoking campaign at the local high school 7.
7. Lillian Wald was a significant person in the history of American Nursing.
Which contributions can be attributed to her? (Select all): -Development of
Public health nursing practice
-First nursing service for occupational health
-Established committee that was the forerunner of the NLN
-Instituted a sliding scale fee for service
8. 8. A male client is brought to the emergency department as the result
of a motorcycle accident. He was not wearing a helmet at the time of the
accident, and states that he has no intention of ever wearing one. Within the
framework of the Transtheoretical Model (TTM), which response should the
nurse provide?: "Wearing a helmet or not is certainly an individual decision."
9. 9. After accepting the position of school nurse in a public elementary
school, what strategy is best for the nurse to use to obtain an overview of
the student body?: Conduct a windshield survey of the geographic areas served
by the school 10 10. A nurse organizes a community action group to help
resolve health problems in a low income neighborhood with a large
population of recent immigrants from Africa. What problem should the
nurse address first?: Low immunization rate of children
11. 11. The nurse is preparing to discharge an elderly, recently widowed
female client following a mild stroke. At this time she is able to walk with the
aid of a walker. As part of the discharge planning, what referral is most
important for the nurse to make?: Meals-on-Wheels
12. 12. The nurse is designing a bioterrorism plan for a community. Which
agents are transmitted person to person via respiratory or inhalation
exposure? (Select all): -Pneumonic plague
-Smallpox
13. 13. An occupational health nurse is reviewing a 20-year-old trend in the
United States that has resulted in an increase in certain medical conditions
due to the rapid expansion of an urban industrial workforce. Which medical
conditions are specifically identified with this trend?: -Asthma
, Community Health HESI (1)
Study online at https://quizlet.com/_g2bh57
.
-Lung cancer
14. 14. Which presentation of an infectious disease is acquired through an
indirect transmission?: Malaria following exposure in a mosquito-infested area
15. 15. What action is best for the community health nurse to take if the
nurse suspects that an infant is being physically abused?: Follow agency
protocols to report suspected abuse
16. 16. The nursing education coordinator is creating employee orientation
materials for staff nurses who plan to work at a clinic that serves a lower
socioeconomic neighborhood. What information should the educator
include regarding the clinic's client population? (Select all): -Most of the
clients are unemployed or disabled
-Access to mass transit may be an issue
-Basic physiologic needs of this population are often unmet
17. 17. The nurse administers a booster dose of DTaP (diphtheria, tetanus,
and pertussis) vaccine to an infant. Which level of prevention is the nurse
implementing?: Primary prevention
18. 18. During an initial clinic visit, the nurse is taking the history for a
client who wants to confirm her pregnancy. The client's last child has a
history of low-birth-weight (LBW). Which additional finding is most
important for the nurse to consider?: African-American ethnicity
19. 19. The home health nurse is planning a visit with a client who has been
discharged home after hospitalization. Which action should the nurse
implement?: Schedule home visits that take place during the daylight hours
20 20. Which topic should the nurse include in planning a primary
prevention class for adolescents?: Suicide risks and prevention
21. 21. The nurse is working in a community clinic that serves a population
comprised mainly of migrant families. In planning the use of resources for
secondary prevention, which activity should be the priority?: Skin testing for
tuberculosis
22. 22. The nurse is assessing a Vietnamese child during a home health visit
and identifies round swellings on the child's back. The child's mother says
she rubbed the edge of a coin on her child's oiled skin. The nurse should
recognize that this behavior is prompted by which cultural belief?: The
purpose is to rid the body of disease
