2026 Community HESI Exam Prep |
Public Health Nursing Practice Questions
& Community Assessment Review||
LATEST VERSION
Which presentation of an infectious disease is acquired through an indirect
transmission?
+Syphilis contracted from a sexual partner.
+ Measles resulting from a daycare center outbreak.
+Malaria following exposure in a mosquito-infested area.
+Nosocomial influenza spreading rapidly in a long-term center -CORRECTANSWER
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 home health nurse knows that a 70-year-old male client who is convalescing at home
following a hip replacement, is at risk for developing decubitus ulcers. Which physical
characteristic of aging contributes to such a risk?
16% increase in overall body fat.
,Reduced melanin production.
Thinning of the skin with loss of elasticity.
Calcium loss in the bones. -CORRECTANSWER Thinning of the skin with loss of
elasticity.
Thin, non-elastic skin (C) is an important factor in decubitus formation. Proportion of
body fat to lean mass increases with age (A), and might help decrease ulcer tendency.
(B) results in grey hair. (D) can contribute to broken bones, but it is probably not a factor
in decubitus formation.
The nurse is developing a plan to provide quality health care for a certain community.
Data obtained from which resources should be helpful to the nurse in developing a
community healthcare plan for this community? (Select all that apply.)
Census data.
Risk management data.
Budgeting process information.
Available workforce in the community.
Client-satisfaction surveys.
Changes in the community's demographic data. -CORRECTANSWER Census data.
Risk management data.
Budgeting process information.
Client-satisfaction surveys.
Changes in the community's demographic data.
, Census data (A), risk management data (B), budgeting process information (C), data
obtained from client-satisfaction surveys (E), and changes in the community's
demographic data (F) provide pertinent data for planning for the current and future
healthcare needs of the community. Available workforce (D), although a concern, is not
a factor in quality-assurance directives.
The nursing education coordinator is creating employee orientation materials for staff
nurses who plan to work at a clinic that serves a lower socioeconomic neighborhood.
What information should the educator include regarding the clinic's client population?
(Select all that apply.)
Most of the clients are unemployed or disabled.
Access to mass transit may be an issue.
Clients will need reminders to bring insurance cards.
Basic physiologic needs of this population are often unmet.
Clients who are homebound will qualify for Medicaid.
Nonadherence to healthcare recommendations is likely. -CORRECTANSWER Most of
the clients are unemployed or disabled.
Access to mass transit may be an issue.
Basic physiologic needs of this population are often unmet.
Correct choices are (A, B, and D). The unemployed or disabled will likely comprise a
majority of this clinic's clients (A); the lack of access to mass transit may affect the
population's ability to keep health care appointments (B); and low-income clients are at
Public Health Nursing Practice Questions
& Community Assessment Review||
LATEST VERSION
Which presentation of an infectious disease is acquired through an indirect
transmission?
+Syphilis contracted from a sexual partner.
+ Measles resulting from a daycare center outbreak.
+Malaria following exposure in a mosquito-infested area.
+Nosocomial influenza spreading rapidly in a long-term center -CORRECTANSWER
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 home health nurse knows that a 70-year-old male client who is convalescing at home
following a hip replacement, is at risk for developing decubitus ulcers. Which physical
characteristic of aging contributes to such a risk?
16% increase in overall body fat.
,Reduced melanin production.
Thinning of the skin with loss of elasticity.
Calcium loss in the bones. -CORRECTANSWER Thinning of the skin with loss of
elasticity.
Thin, non-elastic skin (C) is an important factor in decubitus formation. Proportion of
body fat to lean mass increases with age (A), and might help decrease ulcer tendency.
(B) results in grey hair. (D) can contribute to broken bones, but it is probably not a factor
in decubitus formation.
The nurse is developing a plan to provide quality health care for a certain community.
Data obtained from which resources should be helpful to the nurse in developing a
community healthcare plan for this community? (Select all that apply.)
Census data.
Risk management data.
Budgeting process information.
Available workforce in the community.
Client-satisfaction surveys.
Changes in the community's demographic data. -CORRECTANSWER Census data.
Risk management data.
Budgeting process information.
Client-satisfaction surveys.
Changes in the community's demographic data.
, Census data (A), risk management data (B), budgeting process information (C), data
obtained from client-satisfaction surveys (E), and changes in the community's
demographic data (F) provide pertinent data for planning for the current and future
healthcare needs of the community. Available workforce (D), although a concern, is not
a factor in quality-assurance directives.
The nursing education coordinator is creating employee orientation materials for staff
nurses who plan to work at a clinic that serves a lower socioeconomic neighborhood.
What information should the educator include regarding the clinic's client population?
(Select all that apply.)
Most of the clients are unemployed or disabled.
Access to mass transit may be an issue.
Clients will need reminders to bring insurance cards.
Basic physiologic needs of this population are often unmet.
Clients who are homebound will qualify for Medicaid.
Nonadherence to healthcare recommendations is likely. -CORRECTANSWER Most of
the clients are unemployed or disabled.
Access to mass transit may be an issue.
Basic physiologic needs of this population are often unmet.
Correct choices are (A, B, and D). The unemployed or disabled will likely comprise a
majority of this clinic's clients (A); the lack of access to mass transit may affect the
population's ability to keep health care appointments (B); and low-income clients are at
