HESI RN Practice Test–Community Health-Community Health Practice Exam – Flashcards
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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?
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Gather additional data by taking a health history and measuring vital signs
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2. When asked to help develop interventions to combat obesity among children, the community health nurse should stress the importance of implementing which activity?
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Set goals that are focused on developing healthier lifestyles
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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?
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Provide supportive nursing care until antitoxin is available
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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?
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"Have you shared any needles or had sex with your friend?"
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5. Which example should the nurse identify as a significant outcome for the Leading Health indicators of Healthy People 2020?
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A community has adopted a no smoking policy
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6. Which intervention should the public health nurse implement when attempting to address one of the leading health indicators of Healthy People 2020?
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Design and implement a no smoking campaign at the local high school
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7. Lillian Wald was a significant person in the history of American Nursing. Which contributions can be attributed to her? (Select all)
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-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
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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?
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"Wearing a helmet or not is certainly an individual decision."
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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?
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Conduct a windshield survey of the geographic areas served by the school
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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?
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Low immunization rate of children
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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?
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Meals-on-Wheels
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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)
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-Pneumonic plague -Smallpox
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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?
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-Asthma -Lung cancer
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14. Which presentation of an infectious disease is acquired through an indirect transmission?
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Malaria following exposure in a mosquito-infested area
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15. What action is best for the community health nurse to take if the nurse suspects that an infant is being physically abused?
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Follow agency protocols to report suspected abuse
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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)
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-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
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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?
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Primary prevention
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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?
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African-American ethnicity
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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?
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Schedule home visits that take place during the daylight hours
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20. Which topic should the nurse include in planning a primary prevention class for adolescents?
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Suicide risks and prevention
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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?
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Skin testing for tuberculosis
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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?
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The purpose is to rid the body of disease
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23. Which topic should the nurse include in planning a secondary prevention project for the local retirement community?
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Vision and hearing screening
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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?
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Within 2 years, students with a body mass index greater than 95% will be reduced by 50%
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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?
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The person, the environment or situation, and health
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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)
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-Census data -Risk management data -Budgeting process information -Client-satisfaction surveys -Changes in the community's demographic data
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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?
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A male with a low-density lipoprotein (LDL) level of 200mg/dl
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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?
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Assign a home health care aide to provide care daily
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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?
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A 17-year-old who is sexually active with numerous partners
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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?
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Submit a written proposal to the Board of Directors about hardware and software improvement needs
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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?
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Impaired physical mobility related to muscle rigidity and weakness
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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?
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Schedule an appointment with the healthcare provider for prompt evaluation
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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?
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Thinning of the skin with loss of elasticity
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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)?
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"Apply the skin patch behind the ear 12 hours before your trip."
