N215 Community and Management
HESI Exam Study Guide | Nursing
Questions, Answers & Rationales
A nurse designs a product to investigate the use of smokeless tobacco by male graduates from
a local high school and incidence of oral cancer 10 years later. This represents what type of
study?
A. Experimental
B. Prospective
C. Cross-sectional
D. Retrospective
Correct Answer
B. Prospective; looks forward to find a causal relationship
Which of the following represents secondary prevention?
A. Meals On Wheels for the homebound
B. Breast self-exam
C. Seatbelt use
D. Flu vaccine
Correct Answer
B. Breast self-exam; secondary prevention of developing chronic disease
The community nurse is planning a mass screening for hyperlipidemia. Which of the following
represents the best target group for this project?
A. Women with BMI of 40 or greater
B. Adults who consume fast food daily
C. Employees at a local manufacturing plant
D. Males who consume 3 or more servings of alcohol daily
,Correct Answer
C. Employees at a local manufacturing plant; group is accessible and easily identifiable through
"contained" place of employment
A nurse receives a large grant for the purpose of educating a state about the leading cause of
death due to infectious disease in the U.S. The nurse develops a television-based public
service announcement focused on which of the following?
A. HIV
B. Tuberculosis
C. Hepatitis
D. Pneumonia
Correct Answer
D. Pneumonia; major type is community-acquired
A nurse is applying for a staff position to provide hospice care. The primary objective of this
type of nursing is focused on what?
A. Offer reassurance to client's family.
B. Keep client clean, dry, and nourished.
C. Help maintain client integrity and comfort.
D. Make referrals for spiritual distress.
Correct Answer
C. Help maintain client integrity and comfort; dying peacefully while maintaining integrity
Health promotion programs in the workplace focus on which of the following?
A. Safe work habits
B. Healthy lifestyle choices
C. Treatment of injury
D. Providing protective equipment
Correct Answer
B. Healthy lifestyle choices; program topics such as smoking cessation, weight reduction, stress
management, etc.
, The nurse identifies which of the following characteristics BEST indicates a community's social
index?
A. Suicide rate
B. Ratio of firefighters to residents
C. Local mental health services
D. Prematurity birth rate
Correct Answer
B. Ratio of firefighters to residents; protective services which are available is an example of
social index
Which of the following activities best represents population-focused practice by the
community nurse?
A. Assessing a family of victims involved in an apartment fire
B. Examining 6th-graders for scoliosis
C. Counseling a young couple on parenting skills
D. Addressing a town council about flu vaccination programs
Correct Answer
D. Addressing a town council about flu vaccination programs; primary mission of population-
focused practice is working with groups in the community
In effort to develop an education program to lower incidence of Lyme disease in a New
England town, the nurse begins by studying the prevalence. Which of the following refers to
this concept?
A. Percentage of persons who died from Lyme disease
B. How the disease spread from person to person
C. Number of reported cases over the past 3 years
D. Factors contributing to contracting Lyme disease
Correct Answer
C. Number of reported cases over the past 3 years; prevalence is the number of cases of a given
disease at a given point in time in a specific population
HESI Exam Study Guide | Nursing
Questions, Answers & Rationales
A nurse designs a product to investigate the use of smokeless tobacco by male graduates from
a local high school and incidence of oral cancer 10 years later. This represents what type of
study?
A. Experimental
B. Prospective
C. Cross-sectional
D. Retrospective
Correct Answer
B. Prospective; looks forward to find a causal relationship
Which of the following represents secondary prevention?
A. Meals On Wheels for the homebound
B. Breast self-exam
C. Seatbelt use
D. Flu vaccine
Correct Answer
B. Breast self-exam; secondary prevention of developing chronic disease
The community nurse is planning a mass screening for hyperlipidemia. Which of the following
represents the best target group for this project?
A. Women with BMI of 40 or greater
B. Adults who consume fast food daily
C. Employees at a local manufacturing plant
D. Males who consume 3 or more servings of alcohol daily
,Correct Answer
C. Employees at a local manufacturing plant; group is accessible and easily identifiable through
"contained" place of employment
A nurse receives a large grant for the purpose of educating a state about the leading cause of
death due to infectious disease in the U.S. The nurse develops a television-based public
service announcement focused on which of the following?
A. HIV
B. Tuberculosis
C. Hepatitis
D. Pneumonia
Correct Answer
D. Pneumonia; major type is community-acquired
A nurse is applying for a staff position to provide hospice care. The primary objective of this
type of nursing is focused on what?
A. Offer reassurance to client's family.
B. Keep client clean, dry, and nourished.
C. Help maintain client integrity and comfort.
D. Make referrals for spiritual distress.
Correct Answer
C. Help maintain client integrity and comfort; dying peacefully while maintaining integrity
Health promotion programs in the workplace focus on which of the following?
A. Safe work habits
B. Healthy lifestyle choices
C. Treatment of injury
D. Providing protective equipment
Correct Answer
B. Healthy lifestyle choices; program topics such as smoking cessation, weight reduction, stress
management, etc.
, The nurse identifies which of the following characteristics BEST indicates a community's social
index?
A. Suicide rate
B. Ratio of firefighters to residents
C. Local mental health services
D. Prematurity birth rate
Correct Answer
B. Ratio of firefighters to residents; protective services which are available is an example of
social index
Which of the following activities best represents population-focused practice by the
community nurse?
A. Assessing a family of victims involved in an apartment fire
B. Examining 6th-graders for scoliosis
C. Counseling a young couple on parenting skills
D. Addressing a town council about flu vaccination programs
Correct Answer
D. Addressing a town council about flu vaccination programs; primary mission of population-
focused practice is working with groups in the community
In effort to develop an education program to lower incidence of Lyme disease in a New
England town, the nurse begins by studying the prevalence. Which of the following refers to
this concept?
A. Percentage of persons who died from Lyme disease
B. How the disease spread from person to person
C. Number of reported cases over the past 3 years
D. Factors contributing to contracting Lyme disease
Correct Answer
C. Number of reported cases over the past 3 years; prevalence is the number of cases of a given
disease at a given point in time in a specific population
