Community Health HESI (1) Exam Questions With Verified Answers.
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Course
Community Health Nursing
Institution
Community Health Nursing
identify as a significant outcome for the Leading Health
indicators of Healthy People 2020? - answerA 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? -...
Community Health HESI (1) Exam
Questions With Verified 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? - 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? - 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? -
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? - 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? - 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? - 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) - 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? - 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? - 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? - 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? - 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) - answer✔-Pneumonic
plague
-Smallpox
13. 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? -
answer✔-Asthma
-Lung cancer
14. Which presentation of an infectious disease is acquired through an indirect transmission? -
answer✔Malaria following exposure in a mosquito-infested area
15. What action is best for the community health nurse to take if the nurse suspects that an infant
is being physically abused? - answer✔Follow agency protocols to report suspected abuse
16. 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) - answer✔-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
17. The nurse administers a booster dose of DTaP (diphtheria, tetanus, and pertussis) vaccine to
an infant. Which level of prevention is the nurse implementing? - answer✔Primary prevention
18. During an initial clinic visit, the nurse is taking the history for a client who wants to confirm
her pregnancy. The client's last child has a history of low-birth-weight (LBW). Which additional
finding is most important for the nurse to consider? - answer✔African-American ethnicity
19. The home health nurse is planning a visit with a client who has been discharged home after
hospitalization. Which action should the nurse implement? - answer✔Schedule home visits that
take place during the daylight hours
20. Which topic should the nurse include in planning a primary prevention class for adolescents?
- answer✔Suicide risks and prevention
21. The nurse is working in a community clinic that serves a population comprised mainly of
migrant families. In planning the use of resources for secondary prevention, which activity
should be the priority? - answer✔Skin testing for tuberculosis
22. 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? -
answer✔The purpose is to rid the body of disease
23. Which topic should the nurse include in planning a secondary prevention project for the local
retirement community? - answer✔Vision and hearing screening
24. The nurse is planning a community-based project to reduce obesity in a school-aged
population. Which outcome statement best supports the goal for this population? -
answer✔Within 2 years, students with a body mass index greater than 95% will be reduced by
50%
25. While discussing the science of nursing, the nurse identifies the domain of nursing theory.
Which linkages should the nurse provide to describe nursing's paradigm? - answer✔The person,
the environment or situation, and health
26. 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) - answer✔-Census data
-Risk management data
-Budgeting process information
-Client-satisfaction surveys
-Changes in the community's demographic data
27. The nurse is teaching a community group about risks of cardiovascular disease. Several
clients ask the nurse to determine their risk. Which client should the nurse identify as having the
greatest risk for cardiovascular disease? - answer✔A male with a low-density lipoprotein (LDL)
level of 200mg/dl
28. The multidisciplinary home healthcare team is discussing a female client diagnosed with
Parkinson's disease. The home healthcare nurse reports the cient is getting worse and her
husband is no longer able to care for her in the home. Which action should the home health nurse
implement first? - answer✔Assign a home health care aide to provide care daily
29. A nurse working in a community health setting is performing primary health screenings.
Which individual is at highest risk for contracting an HIV infection? - answer✔A 17-year-old
who is sexually active with numerous partners
30. Attendance at a community health clinic is rising and clients have long waits for service. The
charge nurse believes that a computer system would be helpful in decreasing the time needed to
conduct intake and exit processing. What is the best way for the nurse to introduce the idea of
obtaining a computer system for the clinic? - answer✔Submit a written proposal to the Board of
Directors about hardware and software improvement needs
31. The home health nurse is admitting a client with Parkinson's disease to the home healthcare
service. In planning care for this client which nursing diagnosis has priority? - answer✔Impaired
physical mobility related to muscle rigidity and weakness
32. During a home health visit, a male client reports to the nurse that he felt a solid testicular
mass during self-exam, but that is wasn't painful. What instruction should the nurse provide the
client? - answer✔Schedule an appointment with the healthcare provider for prompt evaluation
33. 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? - answer✔Thinning of the skin with loss of
elasticity
34. 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)? -
answer✔"Apply the skin patch behind the ear 12 hours before your trip."
5 A's of Health Care Access - answer✔availability, accessibility, affordability, acceptability, and
accommodation
Vulnerable populations - answer✔low income, less education, homelessness, military veterans,
immigrants, prisoners, migrant and seasonal farm workers and their families, chronic illness,
mental illness
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