HESI Community Health EXAM QUESTIONS WITH
ACTUAL CORRECT ANSWERS
A client presents at a community-based clinic with complaints of shortness of breath, headache,
dizziness, and nausea. During the assessment, the nurse learns that the client is a migrant worker who
often uses a gasoline-powered pressure washer to clean equipment and farm buildings. Which type of
poisoning is the most likely etiology of this client's symptoms?
a. asbestos
b. silica dust
c. histoplasmosis
d. carbon monoxide - ANSWER-d. carbon monoxide
The nurse is conducting a process evaluation of a prevention education program for older adults who are
risk for substance abuse. Which data source provides the information the nurse needs to conduct this
process evaluation?
a. client's score on an alcohol screening instrument
b. results of a urine drug and alcohol screen
c. most recent community census data
d. documentation of client education in the nursing record - ANSWER-d. documentation of client
education in the nursing record
A 17-year old unmarried, pregnant client with drug addiction is a high school dropout, homeless, and has
a history of past abuse arrives at the clinic for her first prenatal visit. Which findings should the nurse
document as health risk factors for the client? (Select all that apply)
a. age
,b. school dropout
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
g. unmarried - ANSWER-a. age
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
The nurse is designing a community health project based on a report provided by the World Health
Organization that describes healthcare problems in the United States. Which healthcare issue should the
nurse give the highest priority when planning the project?
a. overuse of diagnostic technology
b. government-based health insurance
c. the neonatal and infant mortality rates
d. number of people without access to healthcare - ANSWER-d. number of people without access to
healthcare
The nurse working in a community health clinic that serves recent Somali immigrants notes that most
mothers refuse to give permission for routine immunizations of their preschoolers. Which individual is
likely to have the most influential on these women's perceptions about their children's healthcare
needs?
a. husbands
b. clinic healthcare provider
c. older females
d. tribal chief - ANSWER-d. tribal chief
,The community health nurse is planning a series of educational courses about the healthcare system and
meeting healthcare needs for the community center. Which adjunct issue should the nurse address for a
group of older adults.
a. peer concerns
b. adult daycare
c. retirement issues
d. vocational concerns - ANSWER-c. retirement issues
A female adult walks into a local community health clinic and tells the nurse that she is homeless and
cannot seem to find help. Which statement indicates to the nurse that a client is feeling separated from
society and helpless?
a. "I'm feeling really isolated from everyone and scared."
b. "I feel like I cannot get enough food to live any longer."
c. "I know that I will always be poor so what's the use of trying?"
d. "People like me are never respected, no matter how well we do." - ANSWER-a. "I'm feeling really
isolated from everyone and scared."
A community health nurse is planning to implement an outreach program for a community group. Which
criteria should the nurse clarify about the program when examining sources for funding?
a. focuses on multiple health problems and concerns
b. identifies populations and individuals in need of healthcare services
c. evaluations variations in health services and health status among populations
d. offers healthcare services to community members in local factories, schools, and churches - ANSWER-
d. offers healthcare services to community members in local factories, schools, and churches
The home health nursing director is conducting an educational program for registered nurses and
practice nurses about Medicare reimbursement. To obtain payment for Medicare services, what must be
included in the client's record?
, a. a prescription from the healthcare provider for each visit made
b. documentation of a skilled care service provided during the visit
c. a copy of the client's health history and social security card
d. a record of the preventive healthcare services provided during the visit - ANSWER-b. documentation
of a skilled care service provided during the visit
The home health care agency can expect to obtain Medicare reimbursement for which home visit
performed by a registered nurse or a practical nurse?
a. assessment of the speech pattern of a mobile adult who had a mild stroke last year
b. safety teaching for an older male client whose wife complains that he uses an unsafe ladder while
painting
c. wound care for a client who had postoperative infection following abdominal surgery two weeks ago
d. evaluation of crutch use by a 65-year old client who broke his tibia while snow skiing - ANSWER-c.
wound care for a client who had postoperative infection following abdominal surgery two weeks ago
The nurse is administering the measles, mumps, rubella (MMR) vaccine to a 12-month old child during
the well-baby visit. Which age range should the nurse advise the parents to plan for their child to receive
the MMR booster based on the current recommendations and guidelines by the CDC?
a. 13-18 years of age
b. 11-12 years of age
c. 18-24 months of age
d. 4-6 years of age - ANSWER-d. 4-6 years of age
The occupational health nurse is completing a yearly self-evaluation. Which activity should the nurse
document as an example of proficient performance criteria in professionalism?
a. contributes money to a professional society or organization
b. maintains chairmanship of the hospital nursing council
c. documents the nursing process in care care management
ACTUAL CORRECT ANSWERS
A client presents at a community-based clinic with complaints of shortness of breath, headache,
dizziness, and nausea. During the assessment, the nurse learns that the client is a migrant worker who
often uses a gasoline-powered pressure washer to clean equipment and farm buildings. Which type of
poisoning is the most likely etiology of this client's symptoms?
a. asbestos
b. silica dust
c. histoplasmosis
d. carbon monoxide - ANSWER-d. carbon monoxide
The nurse is conducting a process evaluation of a prevention education program for older adults who are
risk for substance abuse. Which data source provides the information the nurse needs to conduct this
process evaluation?
a. client's score on an alcohol screening instrument
b. results of a urine drug and alcohol screen
c. most recent community census data
d. documentation of client education in the nursing record - ANSWER-d. documentation of client
education in the nursing record
A 17-year old unmarried, pregnant client with drug addiction is a high school dropout, homeless, and has
a history of past abuse arrives at the clinic for her first prenatal visit. Which findings should the nurse
document as health risk factors for the client? (Select all that apply)
a. age
,b. school dropout
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
g. unmarried - ANSWER-a. age
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
The nurse is designing a community health project based on a report provided by the World Health
Organization that describes healthcare problems in the United States. Which healthcare issue should the
nurse give the highest priority when planning the project?
a. overuse of diagnostic technology
b. government-based health insurance
c. the neonatal and infant mortality rates
d. number of people without access to healthcare - ANSWER-d. number of people without access to
healthcare
The nurse working in a community health clinic that serves recent Somali immigrants notes that most
mothers refuse to give permission for routine immunizations of their preschoolers. Which individual is
likely to have the most influential on these women's perceptions about their children's healthcare
needs?
a. husbands
b. clinic healthcare provider
c. older females
d. tribal chief - ANSWER-d. tribal chief
,The community health nurse is planning a series of educational courses about the healthcare system and
meeting healthcare needs for the community center. Which adjunct issue should the nurse address for a
group of older adults.
a. peer concerns
b. adult daycare
c. retirement issues
d. vocational concerns - ANSWER-c. retirement issues
A female adult walks into a local community health clinic and tells the nurse that she is homeless and
cannot seem to find help. Which statement indicates to the nurse that a client is feeling separated from
society and helpless?
a. "I'm feeling really isolated from everyone and scared."
b. "I feel like I cannot get enough food to live any longer."
c. "I know that I will always be poor so what's the use of trying?"
d. "People like me are never respected, no matter how well we do." - ANSWER-a. "I'm feeling really
isolated from everyone and scared."
A community health nurse is planning to implement an outreach program for a community group. Which
criteria should the nurse clarify about the program when examining sources for funding?
a. focuses on multiple health problems and concerns
b. identifies populations and individuals in need of healthcare services
c. evaluations variations in health services and health status among populations
d. offers healthcare services to community members in local factories, schools, and churches - ANSWER-
d. offers healthcare services to community members in local factories, schools, and churches
The home health nursing director is conducting an educational program for registered nurses and
practice nurses about Medicare reimbursement. To obtain payment for Medicare services, what must be
included in the client's record?
, a. a prescription from the healthcare provider for each visit made
b. documentation of a skilled care service provided during the visit
c. a copy of the client's health history and social security card
d. a record of the preventive healthcare services provided during the visit - ANSWER-b. documentation
of a skilled care service provided during the visit
The home health care agency can expect to obtain Medicare reimbursement for which home visit
performed by a registered nurse or a practical nurse?
a. assessment of the speech pattern of a mobile adult who had a mild stroke last year
b. safety teaching for an older male client whose wife complains that he uses an unsafe ladder while
painting
c. wound care for a client who had postoperative infection following abdominal surgery two weeks ago
d. evaluation of crutch use by a 65-year old client who broke his tibia while snow skiing - ANSWER-c.
wound care for a client who had postoperative infection following abdominal surgery two weeks ago
The nurse is administering the measles, mumps, rubella (MMR) vaccine to a 12-month old child during
the well-baby visit. Which age range should the nurse advise the parents to plan for their child to receive
the MMR booster based on the current recommendations and guidelines by the CDC?
a. 13-18 years of age
b. 11-12 years of age
c. 18-24 months of age
d. 4-6 years of age - ANSWER-d. 4-6 years of age
The occupational health nurse is completing a yearly self-evaluation. Which activity should the nurse
document as an example of proficient performance criteria in professionalism?
a. contributes money to a professional society or organization
b. maintains chairmanship of the hospital nursing council
c. documents the nursing process in care care management
