COMMUNITY HESI STUDY GUIDE QUESTIONS WITH
ACCURATE ANSWERS
"Circular" organizations correct answer The chart depicts the chief executive as
being in the center and successive layers of authority in a concentric chart.
"Flat" organizations correct answer Authority and responsibility are delegated to
the lowest operational level possible.
"Horizontal" organizations correct answer Left-to-right, chart depicts the
organization with the chief executive at the left, with lower layers of the authority
to the right.
"Vertical" organizations correct answer Traditionally this type of organization
indicates decision making at the upper levels of management. This indicates a
formal line of authority and communications.
Accurate Nursing Documentation correct answer Needs to be factual; containing
descriptive, objective information about what the nurse sees, hears, feels, or
smells. The use of inferences without supporting factual data is not acceptable
because it can be misunderstood.
Acquired immunitiy correct answer The resistance acquired by a host as a result
of previous natural exposure to an infectious agent; may be induced by passive or
active immunization.
Action correct answer Making the change.
,Actions to take when a diabetic patient reports feeling hungry, shaky, and weak
correct answer 1. check the client's blood glucose level.
2. Give the client 1/2 cup of fruit juice to drink.
3. Take the client's vital signs.
4. Retest the blood glucose level.
5. Give the client a small snack of carbohydrates and protein.
6. Document the client's complaints, actions taken, and outcome.
Activation of the agency disaster plan correct answer In an external disaster many
people may be brought to the emergency department for treatment. The initial
nursing action must be to activate the disaster plan.
Active immunization correct answer Administration of all or part of a
microorganism to stimulate active response by the host's immunologic system,
resulting in complete protection against specific diseases.
Administration of enemas "until they are clear" correct answer If administering
enemas until clear is prescribed on the morning of the test, enemas should be
administered no more than three times. The continuous administration of
enemas may cause fluid and electrolyte disturbances and imbalances.
Advance Directive correct answer Describes the specific medical treatment that a
client wants if he or she is unable to make decisions about care. A separate
document from the final will.
African Americans correct answer Have a higher morbidity and mortality rate
related to diabetes compared to the rest of the population. Screenings for
diabetes would be highly beneficial, as it would result in earlier treatment and
,potentially decrease disease-related complications. Other screening programs
appropriate for this population include hypertension, metabolic syndrome, and
cardiovascular disease. This population is also at increased risk for breast, lung,
prostate, and colorectal cancer.
Agent in the epidemiological triangle correct answer The factor that causes or
contributes to the illness or condition. Can be infectious (bacteria, viruses, fungi,
parasites), chemical (heavy metals, toxic chemicals, pesticides), and physical
(radiation, heat, cold, machinery, power tools). Example: cigarettes.
American Diabetes Asociation correct answer A volunteer organization that
promotes and funds research related to diabetes. Community nurses can contact
this organization for funding of community research projects.
American Heart Association correct answer A volunteer agency which focuses on
the prevention and early detection of cardiac disorders.
American Red Cross (ARC) correct answer Provides support to individuals involved
in a disaster. Has been given authority by the federal government to identify and
train personnel for a disaster and provide disaster relief, including crisis
counseling, operating shelters, and handling inquiries from the family.
Annual low dose Computed Tomography (CT) correct answer Indicated for all
adults age 55-80 with a greater than 30 pack year smoking history who currently
smoke or have quit in the last 15 years to screen for lung cancer.
Anthrax correct answer Cutaneous infections occur when the bacteria enter a cut
or abrasion on the skin, such as when handling contaminated wool, hides, leather
or hair products of infected animals. Skin infection begins as a raised itchy bump
, that resembles an insect bite but within 1-2 days develops into a vesicle and then
a painless ulcer.
Assault correct answer The act of creating apprehension (verbally) of a physical
attack. Example: Threatening to give a client a medication.
Autocratic leader correct answer A leader that is focused, maintains strong
control, makes decisions, and addresses all problems. One that dominates the
group and commands, rather than seeks suggestions or input. Example: the
manager addresses a problem (quality improvement) with the staff, designs a
plan without input, and wants all problems reported directly back to her. Task
oriented and directive.
Battery correct answer A criminal offense involving the unlawful physical acting
upon a threat. Example: Performing a procedure without consent is an example.
Biophysical factor correct answer A factor that affects one's health.
Black tag correct answer Expectant. Clients with catastrophic injuries and no
respiratory rate have minimal chance of survival and receive no treatment.
Example: Client's respiratory rate is 4 per minute with a blood pressure of 70 mm
Hg over palpation = death is imminent.
Breach of duty correct answer Failure to perform according to the established
standard of conduct in providing nursing care.
Breast cancer risk correct answer A delay in the onset of menopause is one risk
factor.
ACCURATE ANSWERS
"Circular" organizations correct answer The chart depicts the chief executive as
being in the center and successive layers of authority in a concentric chart.
"Flat" organizations correct answer Authority and responsibility are delegated to
the lowest operational level possible.
"Horizontal" organizations correct answer Left-to-right, chart depicts the
organization with the chief executive at the left, with lower layers of the authority
to the right.
"Vertical" organizations correct answer Traditionally this type of organization
indicates decision making at the upper levels of management. This indicates a
formal line of authority and communications.
Accurate Nursing Documentation correct answer Needs to be factual; containing
descriptive, objective information about what the nurse sees, hears, feels, or
smells. The use of inferences without supporting factual data is not acceptable
because it can be misunderstood.
Acquired immunitiy correct answer The resistance acquired by a host as a result
of previous natural exposure to an infectious agent; may be induced by passive or
active immunization.
Action correct answer Making the change.
,Actions to take when a diabetic patient reports feeling hungry, shaky, and weak
correct answer 1. check the client's blood glucose level.
2. Give the client 1/2 cup of fruit juice to drink.
3. Take the client's vital signs.
4. Retest the blood glucose level.
5. Give the client a small snack of carbohydrates and protein.
6. Document the client's complaints, actions taken, and outcome.
Activation of the agency disaster plan correct answer In an external disaster many
people may be brought to the emergency department for treatment. The initial
nursing action must be to activate the disaster plan.
Active immunization correct answer Administration of all or part of a
microorganism to stimulate active response by the host's immunologic system,
resulting in complete protection against specific diseases.
Administration of enemas "until they are clear" correct answer If administering
enemas until clear is prescribed on the morning of the test, enemas should be
administered no more than three times. The continuous administration of
enemas may cause fluid and electrolyte disturbances and imbalances.
Advance Directive correct answer Describes the specific medical treatment that a
client wants if he or she is unable to make decisions about care. A separate
document from the final will.
African Americans correct answer Have a higher morbidity and mortality rate
related to diabetes compared to the rest of the population. Screenings for
diabetes would be highly beneficial, as it would result in earlier treatment and
,potentially decrease disease-related complications. Other screening programs
appropriate for this population include hypertension, metabolic syndrome, and
cardiovascular disease. This population is also at increased risk for breast, lung,
prostate, and colorectal cancer.
Agent in the epidemiological triangle correct answer The factor that causes or
contributes to the illness or condition. Can be infectious (bacteria, viruses, fungi,
parasites), chemical (heavy metals, toxic chemicals, pesticides), and physical
(radiation, heat, cold, machinery, power tools). Example: cigarettes.
American Diabetes Asociation correct answer A volunteer organization that
promotes and funds research related to diabetes. Community nurses can contact
this organization for funding of community research projects.
American Heart Association correct answer A volunteer agency which focuses on
the prevention and early detection of cardiac disorders.
American Red Cross (ARC) correct answer Provides support to individuals involved
in a disaster. Has been given authority by the federal government to identify and
train personnel for a disaster and provide disaster relief, including crisis
counseling, operating shelters, and handling inquiries from the family.
Annual low dose Computed Tomography (CT) correct answer Indicated for all
adults age 55-80 with a greater than 30 pack year smoking history who currently
smoke or have quit in the last 15 years to screen for lung cancer.
Anthrax correct answer Cutaneous infections occur when the bacteria enter a cut
or abrasion on the skin, such as when handling contaminated wool, hides, leather
or hair products of infected animals. Skin infection begins as a raised itchy bump
, that resembles an insect bite but within 1-2 days develops into a vesicle and then
a painless ulcer.
Assault correct answer The act of creating apprehension (verbally) of a physical
attack. Example: Threatening to give a client a medication.
Autocratic leader correct answer A leader that is focused, maintains strong
control, makes decisions, and addresses all problems. One that dominates the
group and commands, rather than seeks suggestions or input. Example: the
manager addresses a problem (quality improvement) with the staff, designs a
plan without input, and wants all problems reported directly back to her. Task
oriented and directive.
Battery correct answer A criminal offense involving the unlawful physical acting
upon a threat. Example: Performing a procedure without consent is an example.
Biophysical factor correct answer A factor that affects one's health.
Black tag correct answer Expectant. Clients with catastrophic injuries and no
respiratory rate have minimal chance of survival and receive no treatment.
Example: Client's respiratory rate is 4 per minute with a blood pressure of 70 mm
Hg over palpation = death is imminent.
Breach of duty correct answer Failure to perform according to the established
standard of conduct in providing nursing care.
Breast cancer risk correct answer A delay in the onset of menopause is one risk
factor.
