EVOLVE HESI RN Community Health Practice Quiz
Which presentation of an infectious disease is acquired through an indirect transmission?
A. Syphilis contracted from a sexual partner.
B. Measles resulting from a daycare center outbreak.
C. Malaria following exposure in a mosquito-infested area.
D. Nosocomial influenza spreading rapidly in a long-term center
Malaria following exposure in a mosquito-infested area.
Malaria contracted from a biting mosquito is an example of a vector-related, indirect transmission of the
disease (C). Indirect transmission of an infectious disease involves the spread of infection through an
intermediate source, such as vehicles, fomites, or vectors. (A, B, and D) are examples of direct
transmission, defined as the spread of an infection through person-to-person contact and is
characterized by portals of exit and entry.
A nurse organizes a community action group to help resolve health problems in a low income
neighborhood with a large population of recent immigrants from Africa. What problem should the nurse
address first?
A. High rate of unemployment.
B. Low immunization rate of children.
C. Provision of substandard health care.
D. Access to bilingual care providers.
Low immunization rate of children.
In the early phase of a community group, it is important for the group to experience success in resolving
a problem so that they feel encouraged and empowered to continue working together. (B) is the
problem easiest to tackle. While (A and C) are important, they are complex problems to address, and it
is crucial for the group to experience success on a smaller scale issue so that they will be encouraged to
attempt resolving more complex problems in the future. (D) is important, particularly with Hispanic
immigrant populations, but not as important as initial group success to this non-Hispanic majority.
The nurse is assessing a Vietnamese child during a home health visit and identifies round swellings on
the child's back. The child's mother says she rubbed the edge of a coin on her child's oiled skin. The
nurse should recognize that this behavior is prompted by which cultural belief?
A. The child's behavior was not acceptable.
,B. The purpose is to rid the body of disease.
C. This method is commonly used for discipline.
D. Temper tantrums are commonly managed using this method.
The purpose is to rid the body of disease.
Coining, a Vietnamese practice, may produce welt-like swellings from rubbing a coin lengthwise on oiled
skin to rid the body of disease (B). Certain cultural practices that address illness may be considered
abusive by another culture and misunderstood by uninformed professionals. (A, C, and D) are not
correct interpretations.
What action is best for the community health nurse to take if the nurse suspects that an infant is being
physically abused?
A. Follow agency protocols to report suspected abuse.
B. Report suspicions to the local child abuse reporting hotline.
C. Educate the child's caregivers about growth and development issues.
D. Call the police department to have the child removed from the home.
Follow agency protocols to report suspected abuse.
Nurses are mandated to report all suspected cases of child abuse and neglect, and it is best to follow
agency protocols to protect the nurse and child's safety (A). (B) is available for the general public, but in
this case it is best for the community health nurse to follow the agency policy. While (C) can contribute
to abuse and neglect, the situation warrants immediate action to protect the child and follow the law.
(D) could jeopardize the safety of the nurse, the child, or others in the home.
An occupational health nurse is reviewing a 20-year-old trend in the United States that has resulted in
an increase in certain medical conditions due to the rapid expansion of an urban industrial workforce.
Which medical conditions are specifically identified with this trend? (Select all that apply.)
A. Asthma.
B. Alcoholism.
C. Lung cancer.
D. Lead poisoning.
E. West Nile virus infection.
, F. Hepatitis B virus infection.
Asthma.
Lung cancer.
Asthma (A) and lung cancer (C) are triggered or worsened by airborne substances, such as tobacco
smoke, ozone, and other particles and/or chemicals, so these conditions are specifically associated with
the increase in urban industrial workforce growth. Alcoholism is a related condition (B), but it is not
specifically associated with urban industrialization. (D), while identified as a potential risk for workers in
some urban industries, has not significantly increased in recent years, so it is not related to the
expansion of urban industrial workplaces over the past 20 years. (E and F) are not related to the increase
in the urban industrial workforce.
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.
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 college student asks the nurse in the Campus Student Health Center about obtaining medication for
motion sickness before a scuba diving trip. What instruction should the nurse give the student regarding
the use of prescription-strength scopolamine (Transderm-V)?
A. Take the oral preparation 30 minutes before diving.
B. Apply the skin patch behind the ear 12 hours before your trip.
C. Use the medication at the first feeling of nausea on the boat.
D. Apply a new skin patch every 6 hours to the chest or abdomen.
Apply the skin patch behind the ear 12 hours before your trip.
Which presentation of an infectious disease is acquired through an indirect transmission?
A. Syphilis contracted from a sexual partner.
B. Measles resulting from a daycare center outbreak.
C. Malaria following exposure in a mosquito-infested area.
D. Nosocomial influenza spreading rapidly in a long-term center
Malaria following exposure in a mosquito-infested area.
Malaria contracted from a biting mosquito is an example of a vector-related, indirect transmission of the
disease (C). Indirect transmission of an infectious disease involves the spread of infection through an
intermediate source, such as vehicles, fomites, or vectors. (A, B, and D) are examples of direct
transmission, defined as the spread of an infection through person-to-person contact and is
characterized by portals of exit and entry.
A nurse organizes a community action group to help resolve health problems in a low income
neighborhood with a large population of recent immigrants from Africa. What problem should the nurse
address first?
A. High rate of unemployment.
B. Low immunization rate of children.
C. Provision of substandard health care.
D. Access to bilingual care providers.
Low immunization rate of children.
In the early phase of a community group, it is important for the group to experience success in resolving
a problem so that they feel encouraged and empowered to continue working together. (B) is the
problem easiest to tackle. While (A and C) are important, they are complex problems to address, and it
is crucial for the group to experience success on a smaller scale issue so that they will be encouraged to
attempt resolving more complex problems in the future. (D) is important, particularly with Hispanic
immigrant populations, but not as important as initial group success to this non-Hispanic majority.
The nurse is assessing a Vietnamese child during a home health visit and identifies round swellings on
the child's back. The child's mother says she rubbed the edge of a coin on her child's oiled skin. The
nurse should recognize that this behavior is prompted by which cultural belief?
A. The child's behavior was not acceptable.
,B. The purpose is to rid the body of disease.
C. This method is commonly used for discipline.
D. Temper tantrums are commonly managed using this method.
The purpose is to rid the body of disease.
Coining, a Vietnamese practice, may produce welt-like swellings from rubbing a coin lengthwise on oiled
skin to rid the body of disease (B). Certain cultural practices that address illness may be considered
abusive by another culture and misunderstood by uninformed professionals. (A, C, and D) are not
correct interpretations.
What action is best for the community health nurse to take if the nurse suspects that an infant is being
physically abused?
A. Follow agency protocols to report suspected abuse.
B. Report suspicions to the local child abuse reporting hotline.
C. Educate the child's caregivers about growth and development issues.
D. Call the police department to have the child removed from the home.
Follow agency protocols to report suspected abuse.
Nurses are mandated to report all suspected cases of child abuse and neglect, and it is best to follow
agency protocols to protect the nurse and child's safety (A). (B) is available for the general public, but in
this case it is best for the community health nurse to follow the agency policy. While (C) can contribute
to abuse and neglect, the situation warrants immediate action to protect the child and follow the law.
(D) could jeopardize the safety of the nurse, the child, or others in the home.
An occupational health nurse is reviewing a 20-year-old trend in the United States that has resulted in
an increase in certain medical conditions due to the rapid expansion of an urban industrial workforce.
Which medical conditions are specifically identified with this trend? (Select all that apply.)
A. Asthma.
B. Alcoholism.
C. Lung cancer.
D. Lead poisoning.
E. West Nile virus infection.
, F. Hepatitis B virus infection.
Asthma.
Lung cancer.
Asthma (A) and lung cancer (C) are triggered or worsened by airborne substances, such as tobacco
smoke, ozone, and other particles and/or chemicals, so these conditions are specifically associated with
the increase in urban industrial workforce growth. Alcoholism is a related condition (B), but it is not
specifically associated with urban industrialization. (D), while identified as a potential risk for workers in
some urban industries, has not significantly increased in recent years, so it is not related to the
expansion of urban industrial workplaces over the past 20 years. (E and F) are not related to the increase
in the urban industrial workforce.
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.
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 college student asks the nurse in the Campus Student Health Center about obtaining medication for
motion sickness before a scuba diving trip. What instruction should the nurse give the student regarding
the use of prescription-strength scopolamine (Transderm-V)?
A. Take the oral preparation 30 minutes before diving.
B. Apply the skin patch behind the ear 12 hours before your trip.
C. Use the medication at the first feeling of nausea on the boat.
D. Apply a new skin patch every 6 hours to the chest or abdomen.
Apply the skin patch behind the ear 12 hours before your trip.
