WGU D450 HESI Community Health exam 2026-2027
ALL QUESTIONS AND CORRECT ANSWERS
A 17-year old unmarried, pregnant client with drug addiction is a high school
dropout, homeless, and has a history of past abuse arrives at the clinic for her first
prenatal visit. Which findings should the nurse document as health risk factors for the
client? (Select all that apply)
a. age
b. school dropout drug addiction
c. history of abuse
d. pregnancy
e. homelessness
f. unmarried
Answer: a. age, c. drug addiction, d. history of abuse, e. pregnancy, f.
homelessness
A client presents at a community-based clinic with complaints of shortness of breath,
headache, dizziness, and nausea. During the assessment, the nurse learns that the
client is a migrant worker who often uses a gasoline-powered pressure washer to
clean equipment and farm buildings. Which type of poisoning is the most likely
etiology of this client's symptoms?
a. asbestos
b. silica dust
c. histoplasmosis
d. carbon monoxide
Answer: d. carbon monoxide
The nurse working in a community health clinic that serves recent Somali immigrants
notes that most mothers refuse to give permission for routine immunizations of their
preschoolers. Which individual is likely to have the most influential on these women's
perceptions about their children's healthcare needs?
,a. husbands
b. clinic healthcare provider
c. older females
d. tribal chief
Answer: d. tribal chief
The community health nurse is planning a series of educational courses about the
healthcare system and meeting healthcare needs for the community center. Which
adjunct issue should the nurse address for a group of older adults.
a. peer concerns
b. adult daycare
c. retirement issues
d. vocational concerns
Answer: c. retirement issues
A female adult walks into a local community health clinic and tells the nurse that she
is homeless and cannot seem to find help. Which statement indicates to the nurse
that a client is feeling separated from society and helpless?
a. "I'm feeling really isolated from everyone and scared."
b. "I feel like I cannot get enough food to live any longer."
c. "I know that I will always be poor so what's the use of trying?"
d. "People like me are never respected, no matter how well we do."
Answer: a. "I'm feeling really isolated from everyone and scared."
The nurse is designing a community health project based on a report provided by
the World Health Organization that describes healthcare problems in the United
States. Which healthcare issue should the nurse give the highest priority when
planning the project?
a. overuse of diagnostic technology
b. government-based health insurance
,c. the neonatal and infant mortality rates
d. number of people without access to healthcare
Answer: d. number of people without access to healthcare
The nurse is conducting a process evaluation of a prevention education program for
older adults who are risk for substance abuse. Which data source provides the
information the nurse needs to conduct this process evaluation?
a. client's score on an alcohol screening instrument
b. results of a urine drug and alcohol screen
c. most recent community census data
d. documentation of client education in the nursing record
Answer: d. documentation of client education in the nursing record
A community health nurse is planning an immunization clinic for preschool children.
Which action should the nurse take first to ensure the success of this program?
a. Secure funding for vaccines
b. Assess the community's immunization rates
c. Reserve a location for the clinic
d. Train volunteers to administer vaccines
Answer: b. Assess the community's immunization rates
The nurse is providing home health care to an elderly client with diabetes. Which
finding indicates that the client is experiencing a barrier to medication adherence?
a. The client has a pill organizer filled correctly
b. The client states that insulin is too expensive
c. The client's blood glucose log shows daily monitoring
d. The client's daughter helps with meal preparation
Answer: b. The client states that insulin is too expensive
, During a community health fair, the nurse screens clients for hypertension. This
activity is an example of which level of prevention?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
Answer: b. Secondary prevention
A nurse is working with a migrant farming community. Which health condition
should the nurse recognize as having the highest prevalence in this population?
a. Cardiovascular disease
b. Accidental injuries and pesticide exposure
c. Autoimmune disorders
d. Genetic abnormalities
Answer: b. Accidental injuries and pesticide exposure
The community health nurse is assessing a family's structure using a genogram.
Which information is most important to include?
a. Family income and employment status
b. Health conditions and relationships across three generations
c. Current housing and neighborhood conditions
d. Daily routines and dietary habits
Answer: b. Health conditions and relationships across three generations
A nurse is evaluating the outcomes of a weight management program. Which
measurement best indicates long-term success?
ALL QUESTIONS AND CORRECT ANSWERS
A 17-year old unmarried, pregnant client with drug addiction is a high school
dropout, homeless, and has a history of past abuse arrives at the clinic for her first
prenatal visit. Which findings should the nurse document as health risk factors for the
client? (Select all that apply)
a. age
b. school dropout drug addiction
c. history of abuse
d. pregnancy
e. homelessness
f. unmarried
Answer: a. age, c. drug addiction, d. history of abuse, e. pregnancy, f.
homelessness
A client presents at a community-based clinic with complaints of shortness of breath,
headache, dizziness, and nausea. During the assessment, the nurse learns that the
client is a migrant worker who often uses a gasoline-powered pressure washer to
clean equipment and farm buildings. Which type of poisoning is the most likely
etiology of this client's symptoms?
a. asbestos
b. silica dust
c. histoplasmosis
d. carbon monoxide
Answer: d. carbon monoxide
The nurse working in a community health clinic that serves recent Somali immigrants
notes that most mothers refuse to give permission for routine immunizations of their
preschoolers. Which individual is likely to have the most influential on these women's
perceptions about their children's healthcare needs?
,a. husbands
b. clinic healthcare provider
c. older females
d. tribal chief
Answer: d. tribal chief
The community health nurse is planning a series of educational courses about the
healthcare system and meeting healthcare needs for the community center. Which
adjunct issue should the nurse address for a group of older adults.
a. peer concerns
b. adult daycare
c. retirement issues
d. vocational concerns
Answer: c. retirement issues
A female adult walks into a local community health clinic and tells the nurse that she
is homeless and cannot seem to find help. Which statement indicates to the nurse
that a client is feeling separated from society and helpless?
a. "I'm feeling really isolated from everyone and scared."
b. "I feel like I cannot get enough food to live any longer."
c. "I know that I will always be poor so what's the use of trying?"
d. "People like me are never respected, no matter how well we do."
Answer: a. "I'm feeling really isolated from everyone and scared."
The nurse is designing a community health project based on a report provided by
the World Health Organization that describes healthcare problems in the United
States. Which healthcare issue should the nurse give the highest priority when
planning the project?
a. overuse of diagnostic technology
b. government-based health insurance
,c. the neonatal and infant mortality rates
d. number of people without access to healthcare
Answer: d. number of people without access to healthcare
The nurse is conducting a process evaluation of a prevention education program for
older adults who are risk for substance abuse. Which data source provides the
information the nurse needs to conduct this process evaluation?
a. client's score on an alcohol screening instrument
b. results of a urine drug and alcohol screen
c. most recent community census data
d. documentation of client education in the nursing record
Answer: d. documentation of client education in the nursing record
A community health nurse is planning an immunization clinic for preschool children.
Which action should the nurse take first to ensure the success of this program?
a. Secure funding for vaccines
b. Assess the community's immunization rates
c. Reserve a location for the clinic
d. Train volunteers to administer vaccines
Answer: b. Assess the community's immunization rates
The nurse is providing home health care to an elderly client with diabetes. Which
finding indicates that the client is experiencing a barrier to medication adherence?
a. The client has a pill organizer filled correctly
b. The client states that insulin is too expensive
c. The client's blood glucose log shows daily monitoring
d. The client's daughter helps with meal preparation
Answer: b. The client states that insulin is too expensive
, During a community health fair, the nurse screens clients for hypertension. This
activity is an example of which level of prevention?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
Answer: b. Secondary prevention
A nurse is working with a migrant farming community. Which health condition
should the nurse recognize as having the highest prevalence in this population?
a. Cardiovascular disease
b. Accidental injuries and pesticide exposure
c. Autoimmune disorders
d. Genetic abnormalities
Answer: b. Accidental injuries and pesticide exposure
The community health nurse is assessing a family's structure using a genogram.
Which information is most important to include?
a. Family income and employment status
b. Health conditions and relationships across three generations
c. Current housing and neighborhood conditions
d. Daily routines and dietary habits
Answer: b. Health conditions and relationships across three generations
A nurse is evaluating the outcomes of a weight management program. Which
measurement best indicates long-term success?
