Page | 1
COMMUNITY HESI STUDY GUIDE
BRAND NEW OFFICIAL QUESTIONS
WITH ANSWERS.
1. Employment screening - correct answer -Employers can
require employees to take a medical examination after offering
them a job if the exam is job related and is consistent with the
business needs, and all entering employees for that job
category have to take the exam. Under these circumstances,
the employer may refuse to hire the prospective employee if
the medical exam is refused.
2. Community Health Assessment - correct answer -The first
course of action when a health trend emerges in a community.
It identifies key health needs and issues in a community as well
as the underlying determinants.
3. American Diabetes Asociation - correct answer -A volunteer
organization that promotes and funds research related to
diabetes. Community nurses can contact this organization for
funding of community research projects.
, Page | 2
4. Quality Improvement Study - correct answer -A step-by-step
approach that identifies areas of weakness, explores
underlying causes and develops interventions to improve
performance. Based on the findings, the quality improvement
committee will make recommendations for hospital policy
changes that will ensure long-term improvement of the quality
of care in the facility.
5. Annual low dose Computed Tomography (CT) - correct answer
-Indicated for all adults age 55-80 with a greater than 30 pack
year smoking history who currently smoke or have quit in the
last 15 years to screen for lung cancer.
6. Pneumococcal vaccine - correct answer -Consists of the
PCV13 (Prevnar 13 or pneumococcal conjugate vaccine) and
PSCV 23 (Pneumovax 23 or pnuemococcal polysaccharide
vaccine) and is given at age 65
7. Newly diagnosed hypertension - correct answer -All clients with
this condition should also undergo the following tests:
urinalysis, lipid profile, fasting glucose, serum electrolytes and
electrocardiogram to screen for underlying disease (renal,
cardiovascular, diabetes).
, Page | 3
8. Mode - correct answer -The most frequently occurring
observation in a set of data. It is the least affected by outliers
(an observation point that is distant form other observations).
Example: 7 residents submit the following incomes: 40, 000;
40,000; 40,000; 40,000; 40,000; 80,000; 200,000. 40,000 will
give the nurse the most accurate impression of the earnings of
a typical resident in the community.
9. Mean - correct answer -The average of all numbers (sum of all
numbers divided by the number of values.
10. Medicare - correct answer -The federal health insurance
program for people over 65, people with disabilities, or people
with end stage renal disease.
11. Supplemental Security Benefits (SSI) - correct answer -
Intended for clients who are over 65, blind or disabled with a
low income and no personal resources. This program does not
cover health care.
12. Medicaid - correct answer -Provides health insurance to low-
income individuals.
, Page | 4
13. Cystic Fibrosis - correct answer -An autosomal recessive
disease. This means that there is a 25% chance of having
another child with the disease. The majority of cases are now
detected by newborn screening. Infants with a positive
screening will undergo confirmatory sweat chloride testing.
14. Women, Infants, and Children (WIC) - correct answer -
Program that provides food and nutrients to women, infants,
and children who meet the income eligibility criteria and have
(or are at risk for) nutritional insufficiencies as established by a
health care provider.
15. Cover-undercover test - correct answer -Is used to screen
for strabismus in children age 5. Visual assessment should be
included in every well-child examination because untreated eye
abnormalities can lead to permanent vision loss. The nurse
should also assess the child's visual acuity with the Snellen
test.
16. Meningococcal vaccination - correct answer -Used to
prevent infectio by Neisseria meningitidis (bacteria). It is
indicated for children age 11-13 with a booster at age 16.
COMMUNITY HESI STUDY GUIDE
BRAND NEW OFFICIAL QUESTIONS
WITH ANSWERS.
1. Employment screening - correct answer -Employers can
require employees to take a medical examination after offering
them a job if the exam is job related and is consistent with the
business needs, and all entering employees for that job
category have to take the exam. Under these circumstances,
the employer may refuse to hire the prospective employee if
the medical exam is refused.
2. Community Health Assessment - correct answer -The first
course of action when a health trend emerges in a community.
It identifies key health needs and issues in a community as well
as the underlying determinants.
3. American Diabetes Asociation - correct answer -A volunteer
organization that promotes and funds research related to
diabetes. Community nurses can contact this organization for
funding of community research projects.
, Page | 2
4. Quality Improvement Study - correct answer -A step-by-step
approach that identifies areas of weakness, explores
underlying causes and develops interventions to improve
performance. Based on the findings, the quality improvement
committee will make recommendations for hospital policy
changes that will ensure long-term improvement of the quality
of care in the facility.
5. Annual low dose Computed Tomography (CT) - correct answer
-Indicated for all adults age 55-80 with a greater than 30 pack
year smoking history who currently smoke or have quit in the
last 15 years to screen for lung cancer.
6. Pneumococcal vaccine - correct answer -Consists of the
PCV13 (Prevnar 13 or pneumococcal conjugate vaccine) and
PSCV 23 (Pneumovax 23 or pnuemococcal polysaccharide
vaccine) and is given at age 65
7. Newly diagnosed hypertension - correct answer -All clients with
this condition should also undergo the following tests:
urinalysis, lipid profile, fasting glucose, serum electrolytes and
electrocardiogram to screen for underlying disease (renal,
cardiovascular, diabetes).
, Page | 3
8. Mode - correct answer -The most frequently occurring
observation in a set of data. It is the least affected by outliers
(an observation point that is distant form other observations).
Example: 7 residents submit the following incomes: 40, 000;
40,000; 40,000; 40,000; 40,000; 80,000; 200,000. 40,000 will
give the nurse the most accurate impression of the earnings of
a typical resident in the community.
9. Mean - correct answer -The average of all numbers (sum of all
numbers divided by the number of values.
10. Medicare - correct answer -The federal health insurance
program for people over 65, people with disabilities, or people
with end stage renal disease.
11. Supplemental Security Benefits (SSI) - correct answer -
Intended for clients who are over 65, blind or disabled with a
low income and no personal resources. This program does not
cover health care.
12. Medicaid - correct answer -Provides health insurance to low-
income individuals.
, Page | 4
13. Cystic Fibrosis - correct answer -An autosomal recessive
disease. This means that there is a 25% chance of having
another child with the disease. The majority of cases are now
detected by newborn screening. Infants with a positive
screening will undergo confirmatory sweat chloride testing.
14. Women, Infants, and Children (WIC) - correct answer -
Program that provides food and nutrients to women, infants,
and children who meet the income eligibility criteria and have
(or are at risk for) nutritional insufficiencies as established by a
health care provider.
15. Cover-undercover test - correct answer -Is used to screen
for strabismus in children age 5. Visual assessment should be
included in every well-child examination because untreated eye
abnormalities can lead to permanent vision loss. The nurse
should also assess the child's visual acuity with the Snellen
test.
16. Meningococcal vaccination - correct answer -Used to
prevent infectio by Neisseria meningitidis (bacteria). It is
indicated for children age 11-13 with a booster at age 16.
