Community Health Exit HESI Exam 2025
1. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which
of the following strategies should the nurse use?
A. Screen adults for diabetes
B. Educate children about nutrition and exercise at a daycare center
C. Refer clients to a weight loss clinic
D. Provide physical therapy for obese adults
Answer: B
2.
A community health nurse is developing health promotion activities for a community. Which of
the following is the highest priority action?
A. Distribute health pamphlets
B. Participate in community assessment to identify health problems
C. Organize a health fair
D. Offer free blood pressure checks
Answer: B
3.
A home health nurse is scheduling client visits for the day. Which of the following clients should
the nurse plan to visit first?
A. A 45-year-old with controlled hypertension
B. A 79-year-old client with an exacerbation of COPD
C. A 60-year-old with stable diabetes
D. A 70-year-old recovering from a hip replacement
Answer: B
4.
A state public health nurse is asked to determine which country has the most people living with
Alzheimer’s disease. Which of the following measures will determine this information?
A. Incidence
B. Prevalence
C. Morbidity rate
D. Mortality rate
Answer: B
5.
,A community health nurse is reviewing laboratory results for his case load of clients. Which of
the following is the highest priority finding?
A. Elevated cholesterol
B. Positive sputum specimen for tuberculosis
C. Mild anemia
D. Low vitamin D
Answer: B
6.
A nurse is triaging victims of a commuter train crash. Which of the following clients should be
transported to the Emergency Department first?
A. Client with a minor laceration
B. Ambulatory client whose nose is bleeding and who reports feeling dizzy
C. Client with a sprained ankle
D. Client with a bruise on the arm
Answer: B
7.
A community health nurse is caring for clients in a culturally diverse community. Which of the
following actions demonstrates accurate cultural knowledge about a specific group?
A. Serve only vegetarian meals to all clients
B. Include both hot and cold food items on a Hispanic client’s menu
C. Avoid discussing food preferences
D. Recommend fasting to all clients
Answer: B
8.
A nurse is caring for a client who has questions about his treatment plan. Which of the following
should the nurse perform as a client advocate?
A. Provide education about the diagnosis
B. Ignore the client’s concerns
C. Tell the client to follow the doctor’s orders
D. Avoid discussing the treatment plan
Answer: A
9.
A nurse is working with a client who is homeless. Which of the following is the first step that the
nurse should take to advocate for this client?
,A. Refer the client to a public homeless shelter
B. Provide money for food
C. Offer transportation to a clinic
D. Enroll the client in a job training program
Answer: A
10.
A nurse is providing education to a group of adolescents who are pregnant and attending high
school. Which of the following information should the nurse include in this teaching?
A. Increase caffeine intake
B. Replace caffeinated beverages with caffeine-free options
C. Avoid all dairy products
D. Limit water intake
Answer: B
11.
A community health nurse is writing an emergency response plan for a daycare. Which of the
following should be included in the plan?
A. Evacuation routes for fire only
B. Immunization protocol for various biological agents
C. List of local restaurants
D. Daily attendance sheets
Answer: B
12.
A community health nurse is preparing to teach accident and injury prevention. Which of the
following would be the priority topic for a family with a 10-year-old child?
A. Bicycle helmet use
B. Use of seat belts in automobiles
C. Safe swimming practices
D. Fire safety
Answer: B
13.
A child is brought to the school nurse by her teacher who thinks the child may have contracted
rubeola. Which of the following findings supports this diagnosis?
A. Rash on the palms
B. Koplik spots in the oral mucosa
, C. Swollen lymph nodes
D. Yellow sclera
Answer: B
14.
A home health nurse is performing an eye assessment and vision screening on an older adult
client. Which of the following findings indicates a need for an intervention?
A. Slightly yellow sclera
B. Clear cornea
C. Equal pupils
D. Pink conjunctiva
Answer: A
15.
Which of the following is an example of the responsibilities of public health nursing?
A. Administering medication in a hospital
B. Informing state health officials of a potential meningitis outbreak
C. Scheduling surgery
D. Managing a hospital unit
Answer: B
16.
A nurse is providing a staff development program on HIPAA regulations to the staff at a
community health clinic. Which of the following comments by one of the attendees would
indicate a need for further teaching?
A. “All client information must be kept confidential.”
B. “Demographic data that identify a client can be released without consent.”
C. “Medical records should be stored securely.”
D. “Clients have the right to access their records.”
Answer: B
17.
A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the following
indicates a positive reaction to the test?
A. Redness at the site
B. Induration at infection site of 8 mm
C. No reaction
1. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which
of the following strategies should the nurse use?
A. Screen adults for diabetes
B. Educate children about nutrition and exercise at a daycare center
C. Refer clients to a weight loss clinic
D. Provide physical therapy for obese adults
Answer: B
2.
A community health nurse is developing health promotion activities for a community. Which of
the following is the highest priority action?
A. Distribute health pamphlets
B. Participate in community assessment to identify health problems
C. Organize a health fair
D. Offer free blood pressure checks
Answer: B
3.
A home health nurse is scheduling client visits for the day. Which of the following clients should
the nurse plan to visit first?
A. A 45-year-old with controlled hypertension
B. A 79-year-old client with an exacerbation of COPD
C. A 60-year-old with stable diabetes
D. A 70-year-old recovering from a hip replacement
Answer: B
4.
A state public health nurse is asked to determine which country has the most people living with
Alzheimer’s disease. Which of the following measures will determine this information?
A. Incidence
B. Prevalence
C. Morbidity rate
D. Mortality rate
Answer: B
5.
,A community health nurse is reviewing laboratory results for his case load of clients. Which of
the following is the highest priority finding?
A. Elevated cholesterol
B. Positive sputum specimen for tuberculosis
C. Mild anemia
D. Low vitamin D
Answer: B
6.
A nurse is triaging victims of a commuter train crash. Which of the following clients should be
transported to the Emergency Department first?
A. Client with a minor laceration
B. Ambulatory client whose nose is bleeding and who reports feeling dizzy
C. Client with a sprained ankle
D. Client with a bruise on the arm
Answer: B
7.
A community health nurse is caring for clients in a culturally diverse community. Which of the
following actions demonstrates accurate cultural knowledge about a specific group?
A. Serve only vegetarian meals to all clients
B. Include both hot and cold food items on a Hispanic client’s menu
C. Avoid discussing food preferences
D. Recommend fasting to all clients
Answer: B
8.
A nurse is caring for a client who has questions about his treatment plan. Which of the following
should the nurse perform as a client advocate?
A. Provide education about the diagnosis
B. Ignore the client’s concerns
C. Tell the client to follow the doctor’s orders
D. Avoid discussing the treatment plan
Answer: A
9.
A nurse is working with a client who is homeless. Which of the following is the first step that the
nurse should take to advocate for this client?
,A. Refer the client to a public homeless shelter
B. Provide money for food
C. Offer transportation to a clinic
D. Enroll the client in a job training program
Answer: A
10.
A nurse is providing education to a group of adolescents who are pregnant and attending high
school. Which of the following information should the nurse include in this teaching?
A. Increase caffeine intake
B. Replace caffeinated beverages with caffeine-free options
C. Avoid all dairy products
D. Limit water intake
Answer: B
11.
A community health nurse is writing an emergency response plan for a daycare. Which of the
following should be included in the plan?
A. Evacuation routes for fire only
B. Immunization protocol for various biological agents
C. List of local restaurants
D. Daily attendance sheets
Answer: B
12.
A community health nurse is preparing to teach accident and injury prevention. Which of the
following would be the priority topic for a family with a 10-year-old child?
A. Bicycle helmet use
B. Use of seat belts in automobiles
C. Safe swimming practices
D. Fire safety
Answer: B
13.
A child is brought to the school nurse by her teacher who thinks the child may have contracted
rubeola. Which of the following findings supports this diagnosis?
A. Rash on the palms
B. Koplik spots in the oral mucosa
, C. Swollen lymph nodes
D. Yellow sclera
Answer: B
14.
A home health nurse is performing an eye assessment and vision screening on an older adult
client. Which of the following findings indicates a need for an intervention?
A. Slightly yellow sclera
B. Clear cornea
C. Equal pupils
D. Pink conjunctiva
Answer: A
15.
Which of the following is an example of the responsibilities of public health nursing?
A. Administering medication in a hospital
B. Informing state health officials of a potential meningitis outbreak
C. Scheduling surgery
D. Managing a hospital unit
Answer: B
16.
A nurse is providing a staff development program on HIPAA regulations to the staff at a
community health clinic. Which of the following comments by one of the attendees would
indicate a need for further teaching?
A. “All client information must be kept confidential.”
B. “Demographic data that identify a client can be released without consent.”
C. “Medical records should be stored securely.”
D. “Clients have the right to access their records.”
Answer: B
17.
A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the following
indicates a positive reaction to the test?
A. Redness at the site
B. Induration at infection site of 8 mm
C. No reaction
