ADVANCED COMMUNITY HEALTH HESI (EXAM QUESTIONS AND ANSWERS )

ADVANCED COMMUNITY HEALTH HESI (EXAM QUESTIONS AND ANSWERS ) 1. A 12-year-old female is seen by the school nurse after recently experiencing increasing difficulty sitting 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? - CORRECT ANSWER -Gather additional data by taking a health history and measuring vital signs 2. When asked to help develop interventions to combat obesity among children, the community health nurse should stress the importance of implementing which activity? - CORRECT ANSWER -Set goals that are focused on developing healthier lifestyles 3. A terrorist attack has occurred and several people have inhaled Ricin. Which intervention should the emergency department nurse implement when caring for these clients? - CORRECT ANSWER -Provide supportive nursing care until antitoxin is available 4. A young woman tells the public health nurse that a friend was recently diagnosed with Hepatitis B and she is concerned about getting the disease. During the assessment interview, which question is most important for the nurse to ask this woman? - CORRECT ANSWER -"Have you shared any needles or had sex with your friend?" 5. Which example should the nurse identify as a significant outcome for the Leading Health indicators of Healthy People 2020? - CORRECT ANSWER -A community has adopted a no smoking policy 6. Which intervention should the public health nurse implement when attempting to address one of the leading health indicators of Healthy People 2020? - CORRECT ANSWER -Design and implement a no smoking campaign at the local high school 7. Lillian Wald was a significant person in the history of American Nursing. Which contributions can be attributed to her? (Select all) - CORRECT ANSWER --Development of Public health nursing practice -First nursing service for occupational health -Established committee that was the forerunner of the NLN -Instituted a sliding scale fee for service 8. A male client is brought to the emergency department as the result of a motorcycle accident. He was not wearing a helmet at the time of the accident, and states that he has no intention of ever wearing one. Within the framework of the Transtheoretical Model (TTM), which response should the nurse provide? - CORRECT ANSWER -"Wearing a helmet or not is certainly an individual decision." 9. After accepting the position of school nurse in a public elementary school, what strategy is best for the nurse to use to obtain an overview of the student body? - CORRECT ANSWER -Conduct a windshield survey of the geographic areas served by the school 10. 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? - CORRECT ANSWER -Low immunization rate of children 11. The nurse is preparing to discharge an elderly, recently widowed female client following a mild stroke. At this time she is able to walk with the aid of a walker. As part of the discharge planning, what referral is most important for the nurse to make? - CORRECT ANSWER -Meals-on-Wheels 12. The nurse is designing a bioterrorism plan for a community. Which agents are transmitted person to person via respiratory or inhalation exposure? (Select all) - CORRECT ANSWER --Pneumonic plague -Smallpox