HESI COMMUNITY HEALTH EXAM 2024 BRAND NEW!! QUESTIONS WITH
DETAILED VERIFIED ANSWERS/ FROM PAST PAPERS /A+ GRADE
ASSURED
1. The community health nurses is counseling a Role play situations in
group of 14 year olds about safe sexual prac- which the adolescent is
tices. Which health teaching strategy would be rewarded for practicing
most effective for the nurse to use with this age safe sex
group.
A. Encourage group members to describe per-
sonal experiences in practicing safe sex
B. Provide the group with statistical data about
behaviors leading to venereal diseases
C. Tell the group that for aids prevention absti-
nence is the best safe sex practice
D. Role play situations in which the adolescent
is rewarded for practicing safe sex
2. A young adult man goes to an emergency treat- Give the runner another
ment area after finishing a marathon run. He is pint of fluids to drink
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
3. An older adult male who fractured his right hip Ensure that an elevated
is discharged to home one week following an toilet seat is installed
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
4. The nurse is caring for four clients in a women's A 20 year old with gonor-
health clinic. Which client should the nurse as- rhea
, sess for risk for pelvic inflammatory disease
A 30 year old with endometriosis
A 40 year old with leiomyoma
A 50 year old perimenopause
A 20 year old with gonorrhea
5. The nurse is teaching a group of adults at Completely stop the use
a health fair about healthy life style choices. of cigarette and tobacco
Which information is most important for the products
nurse to emphasize
Completely stop the use of cigarette and tobac-
co products
Eat a diet high in fruits vegetables and whole
grains
Avoid the midday sun and use sunscreen
Perform monthly self examination of breasts
and testes
6. The school nurse who is reviewing immuniza- Contact kindergarten
tion records of students who will start kinder- parents to remind them
garten within the next month notes that most that the second dose of
of the students have only received on does of mmr is due at eh start of
the measles mumps rubella vaccine. Which in- the school year
tervention should the nurse implement?
Note in the student records that the second
dose of the mmr vaccine should be adminis-
tered prior to entering first grade
Send notices home with the children on the first
day of class advising that mmr vaccine series
must be completed
Contact kindergarten parents to remind them
that the second dose of mmr is due at eh start
of the school year
Speak at the next parent teacher association
meeting to teach parents the benefits of immu-
nizing their children
7. A middle aged male client presents for his an- Blood pressure and lipid
nual health visit at a community clinic. He is screening
, 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?
Compliance with antihypertensive and lipid low-
ering agents.
Increase physical activity and diet low in satu-
rated fat
Smoking cessation
Blood pressure and lipid screening
8. A male high school student is referred to the Twenty-four hour diet re-
school nurse because he lost consciousness call
during gymnastics class. His neurological vital
signs are with normal limits, and his blood pres-
sure 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?
Serial bp reading every 30 minutes
Twenty-four hour diet recall
Use of performance enhancing drugs
Recent exposure to allergens
9. The nurse is planning to implement a health Provide handouts and
education program on breast screening for His- brochures in the English
panic women at a community center. Which and Spanish
component of the teaching plan best provides
culturally competent care?
Provide handouts and brochures in the English
and Spanish languages
Ask a Hispanic breast cancer survivor to pre-
sent the educational class
Include treatment modalities with survival sta-
tistics for Hispanic women
Design flyers that target Hispanic women en-
couraging their attendance
, 10. The nurse is planning a health education pro- The school classroom
gram for 10-year old. Which setting is most likely
to increase the preadolescent's participation in
the program?
The school classroom
Community center
Home of one of the children
A local place of worship
11. The public health nurse receives grant funding Distribute brochures on
to implement primary prevention strategies for measures to avoid pesti-
migrant farm workers and their families. Which cide exposure
action should the nurse plan to include?
Teach a class in providing first aid for heat ex-
haustion
Organize free community wide tuberculosis
screenings
Distribute brochures on measures to avoid pes-
ticide exposure
Ask a physical therapist to speak about manag-
ing low back pain
12. The parish nurse notes that an elderly male The senior citizen center
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?
The adult day care center
The social security administration office
The women infant and children office
The senior citizen center
13. The nurse is screening for hypertension at a Obtain another blood
local health fair. One of the community residents pressure to verify the first
has a blood pressure reading of 138/80. Which reading
interventions should the nurse implement for Ask the client about any
this client? Select all that apply current antihypertensive
Obtain another blood pressure to verify the first medications
reading Recommend further
DETAILED VERIFIED ANSWERS/ FROM PAST PAPERS /A+ GRADE
ASSURED
1. The community health nurses is counseling a Role play situations in
group of 14 year olds about safe sexual prac- which the adolescent is
tices. Which health teaching strategy would be rewarded for practicing
most effective for the nurse to use with this age safe sex
group.
A. Encourage group members to describe per-
sonal experiences in practicing safe sex
B. Provide the group with statistical data about
behaviors leading to venereal diseases
C. Tell the group that for aids prevention absti-
nence is the best safe sex practice
D. Role play situations in which the adolescent
is rewarded for practicing safe sex
2. A young adult man goes to an emergency treat- Give the runner another
ment area after finishing a marathon run. He is pint of fluids to drink
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
3. An older adult male who fractured his right hip Ensure that an elevated
is discharged to home one week following an toilet seat is installed
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
4. The nurse is caring for four clients in a women's A 20 year old with gonor-
health clinic. Which client should the nurse as- rhea
, sess for risk for pelvic inflammatory disease
A 30 year old with endometriosis
A 40 year old with leiomyoma
A 50 year old perimenopause
A 20 year old with gonorrhea
5. The nurse is teaching a group of adults at Completely stop the use
a health fair about healthy life style choices. of cigarette and tobacco
Which information is most important for the products
nurse to emphasize
Completely stop the use of cigarette and tobac-
co products
Eat a diet high in fruits vegetables and whole
grains
Avoid the midday sun and use sunscreen
Perform monthly self examination of breasts
and testes
6. The school nurse who is reviewing immuniza- Contact kindergarten
tion records of students who will start kinder- parents to remind them
garten within the next month notes that most that the second dose of
of the students have only received on does of mmr is due at eh start of
the measles mumps rubella vaccine. Which in- the school year
tervention should the nurse implement?
Note in the student records that the second
dose of the mmr vaccine should be adminis-
tered prior to entering first grade
Send notices home with the children on the first
day of class advising that mmr vaccine series
must be completed
Contact kindergarten parents to remind them
that the second dose of mmr is due at eh start
of the school year
Speak at the next parent teacher association
meeting to teach parents the benefits of immu-
nizing their children
7. A middle aged male client presents for his an- Blood pressure and lipid
nual health visit at a community clinic. He is screening
, 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?
Compliance with antihypertensive and lipid low-
ering agents.
Increase physical activity and diet low in satu-
rated fat
Smoking cessation
Blood pressure and lipid screening
8. A male high school student is referred to the Twenty-four hour diet re-
school nurse because he lost consciousness call
during gymnastics class. His neurological vital
signs are with normal limits, and his blood pres-
sure 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?
Serial bp reading every 30 minutes
Twenty-four hour diet recall
Use of performance enhancing drugs
Recent exposure to allergens
9. The nurse is planning to implement a health Provide handouts and
education program on breast screening for His- brochures in the English
panic women at a community center. Which and Spanish
component of the teaching plan best provides
culturally competent care?
Provide handouts and brochures in the English
and Spanish languages
Ask a Hispanic breast cancer survivor to pre-
sent the educational class
Include treatment modalities with survival sta-
tistics for Hispanic women
Design flyers that target Hispanic women en-
couraging their attendance
, 10. The nurse is planning a health education pro- The school classroom
gram for 10-year old. Which setting is most likely
to increase the preadolescent's participation in
the program?
The school classroom
Community center
Home of one of the children
A local place of worship
11. The public health nurse receives grant funding Distribute brochures on
to implement primary prevention strategies for measures to avoid pesti-
migrant farm workers and their families. Which cide exposure
action should the nurse plan to include?
Teach a class in providing first aid for heat ex-
haustion
Organize free community wide tuberculosis
screenings
Distribute brochures on measures to avoid pes-
ticide exposure
Ask a physical therapist to speak about manag-
ing low back pain
12. The parish nurse notes that an elderly male The senior citizen center
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?
The adult day care center
The social security administration office
The women infant and children office
The senior citizen center
13. The nurse is screening for hypertension at a Obtain another blood
local health fair. One of the community residents pressure to verify the first
has a blood pressure reading of 138/80. Which reading
interventions should the nurse implement for Ask the client about any
this client? Select all that apply current antihypertensive
Obtain another blood pressure to verify the first medications
reading Recommend further
