HESI RN Practice Test--Community HealthCommunity Health Practice Exam

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HESI RN Practice Test--Community Health- Community Health Practice Exam

• 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?

• High rate of unemployment
• Low immunization rate of children
• Provision of substandard health care
• Access to bilingual care providers

Correct Answer: Low immunization rate of children

• Which example should the nurse identify as a significant outcome for the Leading

Health indicators of Healthy People 2020?

• A community has adopted a no smoking policy
• A rural community has a public transportation system
• The high school drop out rate has decreased by 15%
• A county has decreased their divorce rate by 10%

Correct Answer: A community has adopted a no smoking policy

• 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?

• Refer the child for psychologic evaluation due to attention deficit disorder.
• Call the child's parents for an immediate medical exam
• Gather additional data by taking a health history and measuring vital signs
• Collaborate w/ the teacher to place the child on a behavior modification program.

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Correct Answer: Gather additional data by taking a health history and measuring vital signs

• 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?

• "Wearing a helmet or not is certainly an individual decision."
• "You should seriously consider wearing a helmet"
• "Riding a motorcycle with a helmet increases your safety"
• "I really think that you don't have the facts about helmet use"

Correct Answer: "Wearing a helmet or not is certainly an individual decision."

• When asked to help develop interventions to combat obesity among children, the

community health nurse should stress the importance of implementing which activity?

• Set goals that are focused on developing healthier lifestyles
• Develop strict diet plans for school-aged children
• Provide diet classes for obese children during school hours.
• Require all children to participate in organized team sports

Correct Answer: Set goals that are focused on developing healthier lifestyles

• 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?

• Review all of the health records of the students presently registered for classes
• Talk with the current officers of the parent-teacher association
• Send home a survey form to parents of third grade students
• Conduct a windshield survey of the geographic areas served by the school

Correct Answer: Conduct a windshield survey of the geographic areas served by the school

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• A terrorist attack has occurred and several people have inhaled Ricin. Which

intervention should the emergency department nurse implement when caring for these clients?

• Administer the antibiotic streptomycin, IV STAT.
• Provide all clients w/ the Ricin antidote
• Implement strict respiratory isolation immediately
• Provide supportive nursing care until antitoxin is available

Correct Answer: Provide supportive nursing care until antitoxin is available

• Lillian Wald was a significant person in the history of American Nursing. Which

contributions can be attributed to her? (Select all) • Development of Public health nursing practice • First nursing service for occupational health • Campaigned for laws to require registration for nurses • Established committee that was the forerunner of the NLN • Instituted a sliding scale fee for service

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

• 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?

• Did you drink after or use any utensils that your friend used?
• Have you noticed any yellowish tinge to the whites of your eyes?
• Have you shared any needles or had sex with your friend?
• How long ago was your friend diagnosed with Hepatitis B?

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Correct Answer: "Have you shared any needles or had sex with your friend?"

• Which intervention should the public health nurse implement when attempting to

address one of the leading health indicators of Healthy People 2020?

• Lead a weekly water aerobics class for the elderly at a community center
• Teach a class on cultural awareness to nursing students at the university
• Design and implement a no smoking campaign at the local high school
• Write a grant to help provide glucometers to individuals who cannot afford one

Correct Answer: Design and implement a no smoking campaign at the local high school

• 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?

• Pastoral Care
• Meals-on-Wheels
• Grief support group
• Physical therapy

Correct Answer: Meals-on-Wheels

• The nurse is designing a bioterrorism plan for a community. Which agents are

transmitted person to person via respiratory or inhalation exposure? (Select all) • Ricin • Pneumonic plague • Anthrax • Botulism • Smallpox • Brucellosis

Correct Answer:

• Pneumonic plague • Smallpox