COMMUNITY HESI EXAM EDITION ACTUAL TEST PAPER QUESTIONS CORRECT ANSWERS
GRADED A PLUS
Question:
A young adult man goes to an emergency treatment area after finishing a marathon run. He is weak
dizzy and remains thirsty after drinking a pint of a flavored sports drink. What action should the
nurse implement first? a. Instruct the runner that a urine sample is needed b. Send for the automatic
external defibrillator c. Determine if there are friends or family nearby d.Give the runner another
pint of fluids to drink
Answer:
d. Give the runner another pint of fluids to drink
Question:
An older adult male who fractured his right hip is discharged to home one week following an
arthroplasty. Which adjustment to the clients home environment is most important for the home
health nurse to implement? a. Lower the temperature on the clients water heater b. Encourage the
client to wear rubber soled shoes c. Ensure that an elevated toilet seat is installed d.Leave motion
activated light in the living room
Answer:
c. Ensure that an elevated toilet seat is installed
Question:
The nurse is caring for four clients in a women's health clinic. Which client should the nurse assess
for risk for pelvic inflammatory disease? a. A 30 year old with endometriosis b. A 40 year old with
leiomyoma c. A 50 year old perimenopause d. A 20 year old with gonorrhea
Answer:
d. A 20 year old with gonorrhea
Question:
,The nurse is teaching a group of adults at a health fair about healthy life style choices. Which
information is most important for the nurse to emphasize? a. Completely stop the use of cigarette
and tobacco products b. Eat a diet high in fruits vegetables and whole grains c. Avoid the midday
sun and use sunscreen d. Perform monthly self examination of breasts and testes
Answer:
a. Completely stop the use of cigarette and tobacco
Question:
The school nurse who is reviewing immunization records of students who will start kindergarten
within the next month notes that most of the students have only received one does of the measles
mumps rubella vaccine. Which intervention should the nurse implement? a. Note in the student
records that the second dose of the mmr vaccine should be administered prior to entering first grade
b. Send notices home with the children on the first day of class advising that mmr vaccine series
must be completed c. Contact kindergarten parents to remind them that the second dose of mmr is
due at eh start of the school year d. Speak at the next parent teacher association meeting to teach
parents the benefits of immunizing their childre
Answer:
b. Send notices home with the children on the first day of class advising that mmr vaccine series
must be completed
Question:
A middle aged male client presents for his annual health visit at a community clinic. He is 5 ft 10 in
tall weighs 250 pounds, and works as an accountant. He smokes at least one pack of cigarettes every
day for the last 15 years. Which secondary prevention measure should the nurse recommend the
client to follow? a. Compliance with antihypertensive and lipid lowering agents. b. Increase physical
activity and diet low in saturated fat c. Smoking cessation d. Blood pressure and lipid screening
Answer:
d. Blood pressure and lipid screening
Question:
A male high school student is referred to the school nurse because he lost consciousness during
gymnastics class. His neurological vital signs are with normal limits, and his blood pressure is
100/62. He is 6 ft 3 in tall wighs 135 pound and his body mass index is 16.9. which assessment data
,should the nurse obtain first? a. Serial bp reading every 30 minutes b. Twenty-four hour diet recall c.
Use of performance enhancing drugs d. Recent exposure to allergens
Answer:
b. Twenty-four hour diet recall
Question:
The nurse is planning to implement a health education program on breast screening for Hispanic
women at a community center. Which component of the teaching plan best provides culturally
competent care? a. Provide handouts and brochures in the English and Spanish languages b. Ask a
Hispanic breast cancer survivor to present the educational class c. Include treatment modalities with
survival statistics for Hispanic women d. Design flyers that target Hispanic women encouraging
their attendance
Answer:
a. Provide handouts and brochures in the English and Spanish languages
Question:
The nurse is planning a health education program for 10-year old. Which setting is most likely to
increase the preadolescent's participation in the program? a. The school classroom b. Community
center c. Home of one of the children d. A local place of worship
Answer:
a. The school classroom
Question:
The public health nurse receives grant funding to implement primary prevention strategies for
migrant farm workers and their families. Which action should the nurse plan to include? a. Teach a
class in providing first aid for heat exhaustion b. Organize free community wide tuberculosis
screenings c. Distribute brochures on measures to avoid pesticide exposure d. Ask a physical
therapist to speak about managing low back pain
Answer:
c. Distribute brochures on measures to avoid pesticide exposure
, Question:
The parish nurse notes that an elderly male client has had a 5 lbs weight loss since his check up one
month ago. The client has good hygiene, still drives a car and lives alone. To which agency should
the nurse refer this client? a. The adult day care center b. The social security administration office c.
The women infant and children office d. The senior citizen center
Answer:
d. The senior citizen center
Question:
The nurse is screening for hypertension at a local health fair. One of the community residents has a
blood pressure reading of 138/80. Which interventions should the nurse implement for this client?
Select all that apply? a. Obtain another blood pressure to verify the first reading b. Ask the client
about any current antihypertensive medication c. Recommend further evaluation for possible
pre-hypertension d. Encourage the client to keep doing whatever you are doin e. Assess clients life
style and other risk factors for hypertension
Answer:
a. Obtain another blood pressure to verify the first reading b. Ask the client about any current
antihypertensive medication c. Recommend further evaluation for possible pre-hypertension Which
intervention should the nurse implement to help prevent client from getting a vector born infectious
disease? a. Demonstrate the correct way to remove ticks imbedded in the skin b. Discuss the
importance of wearing insect repellent when camping c. Instruct the client to drink only bottled
water when traveling abroad d. Encourage the client to get immunizations prior to international
travel
Question:
Answer:
b. Discuss the importance of wearing insect repellent when
Question:
The nurse is working with parent teacher organization to increase safety for children walking to and
from a nearby elementary school. Which action should the nurse include to help achieve this goal a.
GRADED A PLUS
Question:
A young adult man goes to an emergency treatment area after finishing a marathon run. He is weak
dizzy and remains thirsty after drinking a pint of a flavored sports drink. What action should the
nurse implement first? a. Instruct the runner that a urine sample is needed b. Send for the automatic
external defibrillator c. Determine if there are friends or family nearby d.Give the runner another
pint of fluids to drink
Answer:
d. Give the runner another pint of fluids to drink
Question:
An older adult male who fractured his right hip is discharged to home one week following an
arthroplasty. Which adjustment to the clients home environment is most important for the home
health nurse to implement? a. Lower the temperature on the clients water heater b. Encourage the
client to wear rubber soled shoes c. Ensure that an elevated toilet seat is installed d.Leave motion
activated light in the living room
Answer:
c. Ensure that an elevated toilet seat is installed
Question:
The nurse is caring for four clients in a women's health clinic. Which client should the nurse assess
for risk for pelvic inflammatory disease? a. A 30 year old with endometriosis b. A 40 year old with
leiomyoma c. A 50 year old perimenopause d. A 20 year old with gonorrhea
Answer:
d. A 20 year old with gonorrhea
Question:
,The nurse is teaching a group of adults at a health fair about healthy life style choices. Which
information is most important for the nurse to emphasize? a. Completely stop the use of cigarette
and tobacco products b. Eat a diet high in fruits vegetables and whole grains c. Avoid the midday
sun and use sunscreen d. Perform monthly self examination of breasts and testes
Answer:
a. Completely stop the use of cigarette and tobacco
Question:
The school nurse who is reviewing immunization records of students who will start kindergarten
within the next month notes that most of the students have only received one does of the measles
mumps rubella vaccine. Which intervention should the nurse implement? a. Note in the student
records that the second dose of the mmr vaccine should be administered prior to entering first grade
b. Send notices home with the children on the first day of class advising that mmr vaccine series
must be completed c. Contact kindergarten parents to remind them that the second dose of mmr is
due at eh start of the school year d. Speak at the next parent teacher association meeting to teach
parents the benefits of immunizing their childre
Answer:
b. Send notices home with the children on the first day of class advising that mmr vaccine series
must be completed
Question:
A middle aged male client presents for his annual health visit at a community clinic. He is 5 ft 10 in
tall weighs 250 pounds, and works as an accountant. He smokes at least one pack of cigarettes every
day for the last 15 years. Which secondary prevention measure should the nurse recommend the
client to follow? a. Compliance with antihypertensive and lipid lowering agents. b. Increase physical
activity and diet low in saturated fat c. Smoking cessation d. Blood pressure and lipid screening
Answer:
d. Blood pressure and lipid screening
Question:
A male high school student is referred to the school nurse because he lost consciousness during
gymnastics class. His neurological vital signs are with normal limits, and his blood pressure is
100/62. He is 6 ft 3 in tall wighs 135 pound and his body mass index is 16.9. which assessment data
,should the nurse obtain first? a. Serial bp reading every 30 minutes b. Twenty-four hour diet recall c.
Use of performance enhancing drugs d. Recent exposure to allergens
Answer:
b. Twenty-four hour diet recall
Question:
The nurse is planning to implement a health education program on breast screening for Hispanic
women at a community center. Which component of the teaching plan best provides culturally
competent care? a. Provide handouts and brochures in the English and Spanish languages b. Ask a
Hispanic breast cancer survivor to present the educational class c. Include treatment modalities with
survival statistics for Hispanic women d. Design flyers that target Hispanic women encouraging
their attendance
Answer:
a. Provide handouts and brochures in the English and Spanish languages
Question:
The nurse is planning a health education program for 10-year old. Which setting is most likely to
increase the preadolescent's participation in the program? a. The school classroom b. Community
center c. Home of one of the children d. A local place of worship
Answer:
a. The school classroom
Question:
The public health nurse receives grant funding to implement primary prevention strategies for
migrant farm workers and their families. Which action should the nurse plan to include? a. Teach a
class in providing first aid for heat exhaustion b. Organize free community wide tuberculosis
screenings c. Distribute brochures on measures to avoid pesticide exposure d. Ask a physical
therapist to speak about managing low back pain
Answer:
c. Distribute brochures on measures to avoid pesticide exposure
, Question:
The parish nurse notes that an elderly male client has had a 5 lbs weight loss since his check up one
month ago. The client has good hygiene, still drives a car and lives alone. To which agency should
the nurse refer this client? a. The adult day care center b. The social security administration office c.
The women infant and children office d. The senior citizen center
Answer:
d. The senior citizen center
Question:
The nurse is screening for hypertension at a local health fair. One of the community residents has a
blood pressure reading of 138/80. Which interventions should the nurse implement for this client?
Select all that apply? a. Obtain another blood pressure to verify the first reading b. Ask the client
about any current antihypertensive medication c. Recommend further evaluation for possible
pre-hypertension d. Encourage the client to keep doing whatever you are doin e. Assess clients life
style and other risk factors for hypertension
Answer:
a. Obtain another blood pressure to verify the first reading b. Ask the client about any current
antihypertensive medication c. Recommend further evaluation for possible pre-hypertension Which
intervention should the nurse implement to help prevent client from getting a vector born infectious
disease? a. Demonstrate the correct way to remove ticks imbedded in the skin b. Discuss the
importance of wearing insect repellent when camping c. Instruct the client to drink only bottled
water when traveling abroad d. Encourage the client to get immunizations prior to international
travel
Question:
Answer:
b. Discuss the importance of wearing insect repellent when
Question:
The nurse is working with parent teacher organization to increase safety for children walking to and
from a nearby elementary school. Which action should the nurse include to help achieve this goal a.
