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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? -
(answer)Gather additional data by taking a health history and measuring vital signs
2. When asked to help develop interventions to combat obesity among children, the community health
nurse should stress the importance of implementing which activity? - (answer)Set goals that are focused
on developing healthier lifestyles
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? - (answer)Provide supportive
nursing care until antitoxin is available
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? - (answer)"Have you shared any needles or had sex with
your friend?"
5. Which example should the nurse identify as a significant outcome for the Leading Health indicators of
Healthy People 2020? - (answer)A community has adopted a no smoking policy
6. Which intervention should the public health nurse implement when attempting to address one of the
leading health indicators of Healthy People 2020? - (answer)Design and implement a no smoking
campaign at the local high school
7. Lillian Wald was a significant person in the history of American Nursing. Which contributions can be
attributed to her? (Select all) - (answer)-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
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Nursing Exam, HESI Questions and Answers, Public Health HESI, HESI Version 3 Study
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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? - (answer)"Wearing a helmet or not is certainly an individual decision."
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? - (answer)Conduct a windshield survey of
the geographic areas served by the school
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? - (answer)Low immunization rate of children
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? - (answer)Meals-on-Wheels
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) - (answer)-Pneumonic plague
-Smallpox
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? - (answer)-Asthma
-Lung cancer
14. Which presentation of an infectious disease is acquired through an indirect transmission? -
(answer)Malaria following exposure in a mosquito-infested area
15. What action is best for the community health nurse to take if the nurse suspects that an infant is
being physically abused? - (answer)Follow agency protocols to report suspected abuse