ADVANCED COMMUNITY
HEALTH HESI (EXAM
QUESTIONS AND ANSWERS )
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? -
CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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) - CORRECT 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
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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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) - CORRECT 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? - CORRECT ANSWER --Asthma
-Lung cancer
14. Which presentation of an infectious disease is acquired through an indirect transmission? - CORRECT
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? - CORRECT ANSWER -Follow agency protocols to report suspected abuse
16. The nursing education coordinator is creating employee orientation materials for staff nurses who
plan to work at a clinic that serves a lower socioeconomic neighborhood. What information should the
educator include regarding the clinic's client population? (Select all) - CORRECT ANSWER --Most of the
clients are unemployed or disabled
-Access to mass transit may be an issue
-Basic physiologic needs of this population are often unmet
17. The nurse administers a booster dose of DTaP (diphtheria, tetanus, and pertussis) vaccine to an
infant. Which level of prevention is the nurse implementing? - CORRECT ANSWER -Primary prevention
18. 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? - CORRECT ANSWER -African-American ethnicity
19. The home health nurse is planning a visit with a client who has been discharged home after
hospitalization. Which action should the nurse implement? - CORRECT ANSWER -Schedule home visits
that take place during the daylight hours
20. Which topic should the nurse include in planning a primary prevention class for adolescents? -
CORRECT ANSWER -Suicide risks and prevention
, 21. The nurse is working in a community clinic that serves a population comprised mainly of migrant
families. In planning the use of resources for secondary prevention, which activity should be the
priority? - CORRECT ANSWER -Skin testing for tuberculosis
22. The nurse is assessing a Vietnamese child during a home health visit and identifies round swellings
on the child's back. The child's mother says she rubbed the edge of a coin on her child's oiled skin. The
nurse should recognize that this behavior is prompted by which cultural belief? - CORRECT ANSWER -The
purpose is to rid the body of disease
23. Which topic should the nurse include in planning a secondary prevention project for the local
retirement community? - CORRECT ANSWER -Vision and hearing screening
24. The nurse is planning a community-based project to reduce obesity in a school-aged population.
Which outcome statement best supports the goal for this population? - CORRECT ANSWER -Within 2
years, students with a body mass index greater than 95% will be reduced by 50%
25. While discussing the science of nursing, the nurse identifies the domain of nursing theory. Which
linkages should the nurse provide to describe nursing's paradigm? - CORRECT ANSWER -The person, the
environment or situation, and health
26. 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) - CORRECT ANSWER --Census data
-Risk management data
-Budgeting process information
-Client-satisfaction surveys
-Changes in the community's demographic data
HEALTH HESI (EXAM
QUESTIONS AND ANSWERS )
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? -
CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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) - CORRECT 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
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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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) - CORRECT 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? - CORRECT ANSWER --Asthma
-Lung cancer
14. Which presentation of an infectious disease is acquired through an indirect transmission? - CORRECT
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? - CORRECT ANSWER -Follow agency protocols to report suspected abuse
16. The nursing education coordinator is creating employee orientation materials for staff nurses who
plan to work at a clinic that serves a lower socioeconomic neighborhood. What information should the
educator include regarding the clinic's client population? (Select all) - CORRECT ANSWER --Most of the
clients are unemployed or disabled
-Access to mass transit may be an issue
-Basic physiologic needs of this population are often unmet
17. The nurse administers a booster dose of DTaP (diphtheria, tetanus, and pertussis) vaccine to an
infant. Which level of prevention is the nurse implementing? - CORRECT ANSWER -Primary prevention
18. 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? - CORRECT ANSWER -African-American ethnicity
19. The home health nurse is planning a visit with a client who has been discharged home after
hospitalization. Which action should the nurse implement? - CORRECT ANSWER -Schedule home visits
that take place during the daylight hours
20. Which topic should the nurse include in planning a primary prevention class for adolescents? -
CORRECT ANSWER -Suicide risks and prevention
, 21. The nurse is working in a community clinic that serves a population comprised mainly of migrant
families. In planning the use of resources for secondary prevention, which activity should be the
priority? - CORRECT ANSWER -Skin testing for tuberculosis
22. The nurse is assessing a Vietnamese child during a home health visit and identifies round swellings
on the child's back. The child's mother says she rubbed the edge of a coin on her child's oiled skin. The
nurse should recognize that this behavior is prompted by which cultural belief? - CORRECT ANSWER -The
purpose is to rid the body of disease
23. Which topic should the nurse include in planning a secondary prevention project for the local
retirement community? - CORRECT ANSWER -Vision and hearing screening
24. The nurse is planning a community-based project to reduce obesity in a school-aged population.
Which outcome statement best supports the goal for this population? - CORRECT ANSWER -Within 2
years, students with a body mass index greater than 95% will be reduced by 50%
25. While discussing the science of nursing, the nurse identifies the domain of nursing theory. Which
linkages should the nurse provide to describe nursing's paradigm? - CORRECT ANSWER -The person, the
environment or situation, and health
26. 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) - CORRECT ANSWER --Census data
-Risk management data
-Budgeting process information
-Client-satisfaction surveys
-Changes in the community's demographic data
