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

Unlock all answers in this set

Unlock answers
question
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
question
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
question
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
question
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?"
question
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
question
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
question
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
question
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."
question
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
question
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
question
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
question
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
question
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
question
14. Which presentation of an infectious disease is acquired through an indirect transmission?
answer
Malaria following exposure in a mosquito-infested area
question
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
question
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
question
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
question
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
question
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
question
20. Which topic should the nurse include in planning a primary prevention class for adolescents?
answer
Suicide risks and prevention
question
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
question
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
question
23. Which topic should the nurse include in planning a secondary prevention project for the local retirement community?
answer
Vision and hearing screening
question
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%
question
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
question
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
question
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
question
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
question
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
question
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
question
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
question
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
question
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
question
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."
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New