HESI RN EVOLVE Community Health Practice Exam
A 12 y/o female is seen by the school nurse after recently experiencing increasing difficulty sitting still
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.
A. Refer the child for psychologic evaluation due to attention deficit disorder
B. Call the child's parents to schedule the child for an immediate medical exam
C. Gather additional data by taking a health history and measuring vital signs
D. Collaborate with the teach to place the child on a behavior modification program
C. Gather additional data by taking a health history and measuring vital signs
-based on available data, the child may have hyperthyroidism (Grave's disease). The nurse should gather
additional data that may help confirm this suspicion. A and D are premature actions at this time. Once
additional data are collected, a call to the parents is warranted.
When asked to help develop interventions to combat obesity among children, the community health
nurse should stress the importance of implementing which activity?
A. Set goals that are focused on developing healthier lifestyles.
B. Develop strict diet plans for school-aged children.
C. Provide diet classes for the obese children during school hours.
D. Require all children to participate in organized team sports.
A. Set goals that are focused on developing healthier lifestyles.
-Setting goals focused on healthy lifestyles that include good nutrition, healthy food choices, and regular
physical activity is helpful in managing childhood obesity. B is not appropriate for school-aged children.
The focus s/b on increasing activity and making healthier food choices. C may make the children more
self-conscious about their wt. Physical activities s/b geared to things that promote lifetime activities, not
D, which might not appeal to all children
A terrorist attack has occurred and several people have inhaled Ricin. Which intervention should the ED
nurse implement when caring for these clients?
,A. administer the antibiotic streptomycin, IV STAT
B. provide all clients with the Ricin antidote
C. implement strict respiratory isolation immediately
D. provide supportive nursing care until antitoxin is available
D. provide supportive nursing care until antitoxin is available
-Production of the Ricin antitoxin involves immunizing sheep with inactive ricin, which results in the
production of antibodies that are harvested to produce a freeze-dried product for reconstitution and
injection for victims exposed to Ricin poisoning. Although the antitoxin is ready to be manufacture, full
licensing is likely in 5 years (2014). There is no known cure or treatment for Ricin exposure so supportive
care s/b provided until the antitoxin is available. A may be administered for secondary infections but is
not a treatment for Ricin exposure. B does not exist at this time. Ricin does not have person to person
transmission, so C is not needed.
A young woman tells the public health nurse that a friend was recently diagnosed with Hep B and she is
concerned about getting the disease. During the assessment interview, which question is most
important for the nurse to ask the woman?
A. Did you drink after or use any utensils that your friend used?
B. Have you noticed any yellowish tinge to the whites of your eyes?
C. Have you shared any needles or had sex with your friend?
D. How long ago was your friend diagnosed with Hep B?
C. Have you shared any needles or had sex with your friend?
-Hep B virus is transmitted by sharing needles or unprotected sex, so C is the most important question
for the nurse to ask. Hep A is transmitted by A. The incubation period for Hep B is 75 days, so B and D
are not priority questions at this time.
Which example should the nurse identify as a significant outcome for the Leading Health Indicators of
Healthy People 2020?
A. A community has adopted a no smoking policy
, B. A rural community has a public transportation system
C. The high school drop out rate has decreased by 15%
D. A county has decreased their divorce rate by 10%
A. A community has adopted a no smoking policy
-Environmental Quality and Tobacco are two of the 12 leading indicators of Healthy People 2020 that
are addressed by a community that adopts a no smoking policy (A) which reduces secondary smoke
exposure of children as well as impacting Air Quality Index (AQI). Although (B and C) are indirectly
related to other indicators of Healthy People 2020, such as Access to Health Services and Social
Determinants (high school graduation), the most significantly related outcome is a community wide no
smoking policy. (D) is unrelated to Healthy People 2020.
Which intervention should the public health nurse implement when attempting to address one of the
leading health indicators of Healthy People 2020?
A. Lead a weekly water aerobics class for the elderly at a community center.
B. Teach a class on cultural awareness to nursing students at the university.
C. Design and implement a no smoking campaign at the local high school.
D. Write a grant to help provide glucometers to individuals who cannot afford one.
C. Design and implement a no smoking campaign at the local high school.
The activity in (C) addresses reduced cigarette smoking by adolescents, which is the focus of Tobacco
use as a leading health indicator for Healthy People 2020. Regular exercise (A) is a leading indicator but
it recommends daily exercise for 30 minutes a day, not weekly. (B and D) are not leading indicators of
Healthy People 2020.
A 12 y/o female is seen by the school nurse after recently experiencing increasing difficulty sitting still
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.
A. Refer the child for psychologic evaluation due to attention deficit disorder
B. Call the child's parents to schedule the child for an immediate medical exam
C. Gather additional data by taking a health history and measuring vital signs
D. Collaborate with the teach to place the child on a behavior modification program
C. Gather additional data by taking a health history and measuring vital signs
-based on available data, the child may have hyperthyroidism (Grave's disease). The nurse should gather
additional data that may help confirm this suspicion. A and D are premature actions at this time. Once
additional data are collected, a call to the parents is warranted.
When asked to help develop interventions to combat obesity among children, the community health
nurse should stress the importance of implementing which activity?
A. Set goals that are focused on developing healthier lifestyles.
B. Develop strict diet plans for school-aged children.
C. Provide diet classes for the obese children during school hours.
D. Require all children to participate in organized team sports.
A. Set goals that are focused on developing healthier lifestyles.
-Setting goals focused on healthy lifestyles that include good nutrition, healthy food choices, and regular
physical activity is helpful in managing childhood obesity. B is not appropriate for school-aged children.
The focus s/b on increasing activity and making healthier food choices. C may make the children more
self-conscious about their wt. Physical activities s/b geared to things that promote lifetime activities, not
D, which might not appeal to all children
A terrorist attack has occurred and several people have inhaled Ricin. Which intervention should the ED
nurse implement when caring for these clients?
,A. administer the antibiotic streptomycin, IV STAT
B. provide all clients with the Ricin antidote
C. implement strict respiratory isolation immediately
D. provide supportive nursing care until antitoxin is available
D. provide supportive nursing care until antitoxin is available
-Production of the Ricin antitoxin involves immunizing sheep with inactive ricin, which results in the
production of antibodies that are harvested to produce a freeze-dried product for reconstitution and
injection for victims exposed to Ricin poisoning. Although the antitoxin is ready to be manufacture, full
licensing is likely in 5 years (2014). There is no known cure or treatment for Ricin exposure so supportive
care s/b provided until the antitoxin is available. A may be administered for secondary infections but is
not a treatment for Ricin exposure. B does not exist at this time. Ricin does not have person to person
transmission, so C is not needed.
A young woman tells the public health nurse that a friend was recently diagnosed with Hep B and she is
concerned about getting the disease. During the assessment interview, which question is most
important for the nurse to ask the woman?
A. Did you drink after or use any utensils that your friend used?
B. Have you noticed any yellowish tinge to the whites of your eyes?
C. Have you shared any needles or had sex with your friend?
D. How long ago was your friend diagnosed with Hep B?
C. Have you shared any needles or had sex with your friend?
-Hep B virus is transmitted by sharing needles or unprotected sex, so C is the most important question
for the nurse to ask. Hep A is transmitted by A. The incubation period for Hep B is 75 days, so B and D
are not priority questions at this time.
Which example should the nurse identify as a significant outcome for the Leading Health Indicators of
Healthy People 2020?
A. A community has adopted a no smoking policy
, B. A rural community has a public transportation system
C. The high school drop out rate has decreased by 15%
D. A county has decreased their divorce rate by 10%
A. A community has adopted a no smoking policy
-Environmental Quality and Tobacco are two of the 12 leading indicators of Healthy People 2020 that
are addressed by a community that adopts a no smoking policy (A) which reduces secondary smoke
exposure of children as well as impacting Air Quality Index (AQI). Although (B and C) are indirectly
related to other indicators of Healthy People 2020, such as Access to Health Services and Social
Determinants (high school graduation), the most significantly related outcome is a community wide no
smoking policy. (D) is unrelated to Healthy People 2020.
Which intervention should the public health nurse implement when attempting to address one of the
leading health indicators of Healthy People 2020?
A. Lead a weekly water aerobics class for the elderly at a community center.
B. Teach a class on cultural awareness to nursing students at the university.
C. Design and implement a no smoking campaign at the local high school.
D. Write a grant to help provide glucometers to individuals who cannot afford one.
C. Design and implement a no smoking campaign at the local high school.
The activity in (C) addresses reduced cigarette smoking by adolescents, which is the focus of Tobacco
use as a leading health indicator for Healthy People 2020. Regular exercise (A) is a leading indicator but
it recommends daily exercise for 30 minutes a day, not weekly. (B and D) are not leading indicators of
Healthy People 2020.
