HESI Community
1. A 93-year-old client with a number of co-morbidities is assessed by the home health nurse.
What problem is most important for the nurse to investigate further?
a. Social isolation
b. Medication interactions
c. Urinary incontinences
d. Caregiver stress - ANS - b. Medication interactions
\1. A client is admitted to the emergency department with flu-like symptoms. Which intervention
should the nurse obtain to rule out exposure to anthrax-spores?
a. Determine the client's occupation
b. Inquire about previous vaccination for smallpox.
c. Obtain a twenty-four diet history
d. Identify the client's personal contacts over the past week - ANS - a. Determine the client's
occupation
\1. A community group proposes building a new well-child clinic because this year's
demographics reflect that a large percentage of the population is less than 19 years of age.
Which question indicates that the nurse understands the potential gaps in these data?
a. What is the distribution of males to females within this population?
b. What percentage of the population was under 19 years of age in each of the 5 previous
years?
c. How will the large percentage of under 19-year-olds affect the community's dependency
ration?
d. How can the income level of the families within the community be determined? - ANS - b.
What percentage of the population was under 19 years of age in each of the 5 previous years?
\1. A Hispanic mother insists on using special candles to treat her child's ear infection. The
nurse should demonstrate cultural accommodation by making which request?
a. Use the prescribed antibiotics and if there is no improvement, use the candles
b. Give the prescribed antibiotics in addition to using the candles.
c. Do not use the candles because of the risk of fire and subsequent burns to the child.
d. Provide the prescribed antibiotics instead of using the candles - ANS - b. Give the prescribed
antibiotics in addition to using the candles.
\1. A home health nurse is reviewing the laboratory results for several clients with a history of
heart failure (HF). Which client finding should the nurse report to the healthcare provider
immediately?
a. Total cholesterol 190 mg/dl.
b. B-type natriuretic peptide 550 pg/ml.
c. Glycosylated Hemoglobin of 7%
d. Potassium 3.7 mEq/L - ANS - b. B-type natriuretic peptide 550 pg/ml.
\1. A homeless client with alcohol dependency will be dismissed from the emergency
department in 24 hours. The nurse notes that a tuberculin skin test was prescribed by the
, healthcare provider. What intervention is most important for the nurse to implement prior to
discharge?
a. Identify how the client will follow-up to have the results read.
b. Give the client written information about the tuberculosis test
c. Determine if the client understands the purpose of the tuberculin test
d. Explain to the client results should be read between 48 and 72 hours - ANS - a. Identify how
the client will follow-up to have the results read.
\1. A male migrant farm worker who lives in a mobile home with several other workers visits the
Migrant Health Care Center. He reports increasing episodes of dizziness, headaches,
abdominal cramps, and difficulty breathing. What nursing action has the highest priority?
a. Ask about the length of his workday and frequency of rest breaks
b. Gather information about the client's recent exposure to pesticides
c. Determine the number and age of persons living in the mobile home
Obtain a blood sample to assess for possible lead pain exposure - ANS - b. Gather information
about the client's recent exposure to pesticides
\1. A newly hired school nurse conducts a "windshield" survey of the geographic area served by
the school. Which method is best for the nurse to use to objectively validate the findings
obtained?
a. Obtain mortality data for the geographic area
b. Talk with teachers about their concerns for the students
c. Discuss with the PTA board their perception of school events
d. Review the previous school nurse's anecdotal documents. - ANS - d. Review the previous
school nurse's anecdotal documents.
\1. A nurse designs a series of four weekly classes for client with Type 2 diabetes. Which
information should the nurse use as an outcome evaluation for the classes?
a. Parking convenience for attendees continued to be a major concern
b. Demonstrating by the use of a blood glucose meter was an effective teaching strategy
c. Fasting blood glucose average readings were 20% lower at the end of the classes
d. Discussion of food exchanges and calories was a well attended class - ANS - c. Fasting
blood glucose average readings were 20% lower at the end of the classes
\1. A nurse has started a group for senior citizens in a church setting. The group decides that
their first project will be to begin a program for home-bound members. Which program outcome
is the best measure of the project's effectiveness?
a. Average annual income for the home bound members
b. Number of home-bound seniors who are visited
c. Calls received showing interest in the program
d. Number of church members who are over 65 - ANS - b. Number of home-bound seniors who
are visited
\1. A nurse identifies the clinic receptionist as having the role of gatekeeper for the clinic. What
statement by the receptionist is indicative of a gatekeeper in a community setting?
a. "You may talk with the RN if you need information about how clients purchase car seats."
b. "Over 85% of the clients treated at this clinic are women of Hispanic of Asian heritage."
c. "The clinic standards are determined by those set forth by American Academy of Obstetrics."
1. A 93-year-old client with a number of co-morbidities is assessed by the home health nurse.
What problem is most important for the nurse to investigate further?
a. Social isolation
b. Medication interactions
c. Urinary incontinences
d. Caregiver stress - ANS - b. Medication interactions
\1. A client is admitted to the emergency department with flu-like symptoms. Which intervention
should the nurse obtain to rule out exposure to anthrax-spores?
a. Determine the client's occupation
b. Inquire about previous vaccination for smallpox.
c. Obtain a twenty-four diet history
d. Identify the client's personal contacts over the past week - ANS - a. Determine the client's
occupation
\1. A community group proposes building a new well-child clinic because this year's
demographics reflect that a large percentage of the population is less than 19 years of age.
Which question indicates that the nurse understands the potential gaps in these data?
a. What is the distribution of males to females within this population?
b. What percentage of the population was under 19 years of age in each of the 5 previous
years?
c. How will the large percentage of under 19-year-olds affect the community's dependency
ration?
d. How can the income level of the families within the community be determined? - ANS - b.
What percentage of the population was under 19 years of age in each of the 5 previous years?
\1. A Hispanic mother insists on using special candles to treat her child's ear infection. The
nurse should demonstrate cultural accommodation by making which request?
a. Use the prescribed antibiotics and if there is no improvement, use the candles
b. Give the prescribed antibiotics in addition to using the candles.
c. Do not use the candles because of the risk of fire and subsequent burns to the child.
d. Provide the prescribed antibiotics instead of using the candles - ANS - b. Give the prescribed
antibiotics in addition to using the candles.
\1. A home health nurse is reviewing the laboratory results for several clients with a history of
heart failure (HF). Which client finding should the nurse report to the healthcare provider
immediately?
a. Total cholesterol 190 mg/dl.
b. B-type natriuretic peptide 550 pg/ml.
c. Glycosylated Hemoglobin of 7%
d. Potassium 3.7 mEq/L - ANS - b. B-type natriuretic peptide 550 pg/ml.
\1. A homeless client with alcohol dependency will be dismissed from the emergency
department in 24 hours. The nurse notes that a tuberculin skin test was prescribed by the
, healthcare provider. What intervention is most important for the nurse to implement prior to
discharge?
a. Identify how the client will follow-up to have the results read.
b. Give the client written information about the tuberculosis test
c. Determine if the client understands the purpose of the tuberculin test
d. Explain to the client results should be read between 48 and 72 hours - ANS - a. Identify how
the client will follow-up to have the results read.
\1. A male migrant farm worker who lives in a mobile home with several other workers visits the
Migrant Health Care Center. He reports increasing episodes of dizziness, headaches,
abdominal cramps, and difficulty breathing. What nursing action has the highest priority?
a. Ask about the length of his workday and frequency of rest breaks
b. Gather information about the client's recent exposure to pesticides
c. Determine the number and age of persons living in the mobile home
Obtain a blood sample to assess for possible lead pain exposure - ANS - b. Gather information
about the client's recent exposure to pesticides
\1. A newly hired school nurse conducts a "windshield" survey of the geographic area served by
the school. Which method is best for the nurse to use to objectively validate the findings
obtained?
a. Obtain mortality data for the geographic area
b. Talk with teachers about their concerns for the students
c. Discuss with the PTA board their perception of school events
d. Review the previous school nurse's anecdotal documents. - ANS - d. Review the previous
school nurse's anecdotal documents.
\1. A nurse designs a series of four weekly classes for client with Type 2 diabetes. Which
information should the nurse use as an outcome evaluation for the classes?
a. Parking convenience for attendees continued to be a major concern
b. Demonstrating by the use of a blood glucose meter was an effective teaching strategy
c. Fasting blood glucose average readings were 20% lower at the end of the classes
d. Discussion of food exchanges and calories was a well attended class - ANS - c. Fasting
blood glucose average readings were 20% lower at the end of the classes
\1. A nurse has started a group for senior citizens in a church setting. The group decides that
their first project will be to begin a program for home-bound members. Which program outcome
is the best measure of the project's effectiveness?
a. Average annual income for the home bound members
b. Number of home-bound seniors who are visited
c. Calls received showing interest in the program
d. Number of church members who are over 65 - ANS - b. Number of home-bound seniors who
are visited
\1. A nurse identifies the clinic receptionist as having the role of gatekeeper for the clinic. What
statement by the receptionist is indicative of a gatekeeper in a community setting?
a. "You may talk with the RN if you need information about how clients purchase car seats."
b. "Over 85% of the clients treated at this clinic are women of Hispanic of Asian heritage."
c. "The clinic standards are determined by those set forth by American Academy of Obstetrics."
