COMMUNITY HEALTH EXIT
HESI PRACTICE TEST QUESTIONS
2026/2027 (ACTUAL EXAM) WITH
CORRECT DETAILED ANSWERS ||
ALREADY GRADED A+ RECENT VERSION
During an initial clinic visit, the nurse is taking the history for a client who wants
to confirm her pregnancy. The client's last child has a history of low birth weight
(LBW). Which additional finding is most important for the nurse to consider?
A. Cigarette smoking
B. African-American ethnicity
C. Poor nutritional status
D. Limited maternal education - ANSWER B. African-American ethnicity
The nurse is planning a community-based project to reduce obesity in the school-
aged population. Which outcome statement best supports the goal for this
population?
A. An increase in exercise will decrease obesity in children with a sedentary
lifestyle
B. Students with a body mass index above the 95th percentile will decrease
C. Within 2 years, the body mass index greater than 95% will be reduced by 50%
,D. In the target population, 30% of students will be below the 95th percentile in
weight - ANSWER C. Within 2 years, the number of students with a body mass
index greater than 95% will be reduced by 50%
The nurse is developing a plan to provide quality health care for a certain
community. Data obtained from which resources should be helpful to the nurse in
developing a community healthcare plan for this community? (Select all that
apply)
A. Census data
B. Risk management data
C. Budgeting process information
D. Available workforce in the community
E. Client-satisfaction surveys
F. Changes in the community's demographic data - ANSWER A. Census data
B. Risk management data
C. Budgeting process information
E. Client-satisfaction surveys
F. Changes in the community's demographic data
The nurse is teaching a community group about risks of cardiovascular disease.
Several clients ask the nurse to determine their risk. Which client should the nurse
identify as having the greatest risk for cardiovascular disease?
A. A male with a serum cholesterol level of 199 mg/dl
B. A female with a serum cholesterol level of 201 mg/dl
C. A male with a low-density lipoprotein (LDL) level of 200 mg/dl
,D. A female with a low-density-lipoprotein (LDL) level of 160 mg/dl -
ANSWER C. A male with a low-density lipoprotein (LDL) level of 200 mg/dl
The multidisciplinary home healthcare team is discussing a female client
diagnosed with Parkinson's disease. The home healthcare nurse reports the client is
getting worse and her husband is no longer able to care for her in the home. Which
action should the home health nurse implement first?
A. Request a chaplain to counsel with the couple
B. Assign a home health care aide to provide care daily
C. Talk to the husband about placing his wife in a nursing home
D. Contact the client's children to discuss the situation - ANSWER B. Assign a
home health care aide to provide care daily
A nurse working in a community health setting is preforming primary health
screenings. Which individual is at highest risk for contracting an HIV infection?
A. A 17-year-old who is sexually active with numerous partners
B. A 45-year-old lesbian who has been sexually active with two partners in the past
year
C. A 30-year-old cocaine user who inhales the drug and works in a topless bar
D. A 34-year-old male homosexual who is in a monogamous relationship -
ANSWER A. A 17-year-old who is sexually active with numerous partners
The home health nurse is admitting a client with Parkinson's disease to the home
healthcare service. In planning care for this client, which nursing diagnosis has
priority?
A. Impaired physical mobility related to muscle rigidity and weakness
, B. Ineffective coping related to depression and dysfunction due to disease
progression
C. Ineffective breathing pattern related to respiratory muscle weakness
D. Fear related to constant possibility of experiencing seizures - ANSWER A.
Impaired physical mobility related to muscle rigidity and weakness
During a home health visit, a male client reports to the nurse that he felt a solid
testicular mass during self-exam, but that it wasn't painful. What instruction should
the nurse provide the client?
A. Continue to monitor the mass until the next scheduled annual medical exam
B. Notify the healthcare provider if the mass becomes soft, painful, or starts to
drain
C. Schedule an appointment with the healthcare provider for prompt evaluation
D. Testicular nodules are of concern only if they feel matted or are not easily
movable - ANSWER C. Schedule an appointment with the healthcare provider
for prompt evaluation
A home health nurse knows that a 70-year-old male client who is convalescing at
home following a hip replacement, is at risk for developing decubitus ulcers.
Which physical characteristic of aging contributes to such a risk?
A. 16% increase in overall body fat
B. Reduced melanin production
C. Thinning of the skin with loss of elasticity
D. Calcium loss in the bones - ANSWER C. Thinning of the skin with loss of
elasticity
HESI PRACTICE TEST QUESTIONS
2026/2027 (ACTUAL EXAM) WITH
CORRECT DETAILED ANSWERS ||
ALREADY GRADED A+ RECENT VERSION
During an initial clinic visit, the nurse is taking the history for a client who wants
to confirm her pregnancy. The client's last child has a history of low birth weight
(LBW). Which additional finding is most important for the nurse to consider?
A. Cigarette smoking
B. African-American ethnicity
C. Poor nutritional status
D. Limited maternal education - ANSWER B. African-American ethnicity
The nurse is planning a community-based project to reduce obesity in the school-
aged population. Which outcome statement best supports the goal for this
population?
A. An increase in exercise will decrease obesity in children with a sedentary
lifestyle
B. Students with a body mass index above the 95th percentile will decrease
C. Within 2 years, the body mass index greater than 95% will be reduced by 50%
,D. In the target population, 30% of students will be below the 95th percentile in
weight - ANSWER C. Within 2 years, the number of students with a body mass
index greater than 95% will be reduced by 50%
The nurse is developing a plan to provide quality health care for a certain
community. Data obtained from which resources should be helpful to the nurse in
developing a community healthcare plan for this community? (Select all that
apply)
A. Census data
B. Risk management data
C. Budgeting process information
D. Available workforce in the community
E. Client-satisfaction surveys
F. Changes in the community's demographic data - ANSWER A. Census data
B. Risk management data
C. Budgeting process information
E. Client-satisfaction surveys
F. Changes in the community's demographic data
The nurse is teaching a community group about risks of cardiovascular disease.
Several clients ask the nurse to determine their risk. Which client should the nurse
identify as having the greatest risk for cardiovascular disease?
A. A male with a serum cholesterol level of 199 mg/dl
B. A female with a serum cholesterol level of 201 mg/dl
C. A male with a low-density lipoprotein (LDL) level of 200 mg/dl
,D. A female with a low-density-lipoprotein (LDL) level of 160 mg/dl -
ANSWER C. A male with a low-density lipoprotein (LDL) level of 200 mg/dl
The multidisciplinary home healthcare team is discussing a female client
diagnosed with Parkinson's disease. The home healthcare nurse reports the client is
getting worse and her husband is no longer able to care for her in the home. Which
action should the home health nurse implement first?
A. Request a chaplain to counsel with the couple
B. Assign a home health care aide to provide care daily
C. Talk to the husband about placing his wife in a nursing home
D. Contact the client's children to discuss the situation - ANSWER B. Assign a
home health care aide to provide care daily
A nurse working in a community health setting is preforming primary health
screenings. Which individual is at highest risk for contracting an HIV infection?
A. A 17-year-old who is sexually active with numerous partners
B. A 45-year-old lesbian who has been sexually active with two partners in the past
year
C. A 30-year-old cocaine user who inhales the drug and works in a topless bar
D. A 34-year-old male homosexual who is in a monogamous relationship -
ANSWER A. A 17-year-old who is sexually active with numerous partners
The home health nurse is admitting a client with Parkinson's disease to the home
healthcare service. In planning care for this client, which nursing diagnosis has
priority?
A. Impaired physical mobility related to muscle rigidity and weakness
, B. Ineffective coping related to depression and dysfunction due to disease
progression
C. Ineffective breathing pattern related to respiratory muscle weakness
D. Fear related to constant possibility of experiencing seizures - ANSWER A.
Impaired physical mobility related to muscle rigidity and weakness
During a home health visit, a male client reports to the nurse that he felt a solid
testicular mass during self-exam, but that it wasn't painful. What instruction should
the nurse provide the client?
A. Continue to monitor the mass until the next scheduled annual medical exam
B. Notify the healthcare provider if the mass becomes soft, painful, or starts to
drain
C. Schedule an appointment with the healthcare provider for prompt evaluation
D. Testicular nodules are of concern only if they feel matted or are not easily
movable - ANSWER C. Schedule an appointment with the healthcare provider
for prompt evaluation
A home health nurse knows that a 70-year-old male client who is convalescing at
home following a hip replacement, is at risk for developing decubitus ulcers.
Which physical characteristic of aging contributes to such a risk?
A. 16% increase in overall body fat
B. Reduced melanin production
C. Thinning of the skin with loss of elasticity
D. Calcium loss in the bones - ANSWER C. Thinning of the skin with loss of
elasticity
