2021 HESI Community Health Proctored Exam Version 16-22 With Answers-316 Solved Questions

HESI COMMUNITY HEALTH PROCTORED EXAM
Version 16
HESI Community Health Final EXAM GRADED A 100% GUARANTED
HESI COMMUNITY HEALTH FINAL EXAM
Questions:
1. A nurse manager at a community agency is developing an orientation program for newly
hired nurses. When discussing the differences between community based and community
oriented nursing, the nurse should include which of the following situations as an example of
community based nursing? (SATA)
A. A home health nurse performing wound care for a client who is immobile
B. An occupational health nurse providing classes on body mechanics at a local industrial
plant
C. A school nurse teaching a student who has asthma about medications
D. A parish nurse teaching a class on low sodium cooking techniques
E. A mental health nurse discussing stress management techniques with a support group
Answer: A. A home health nurse performing wound care for a client who is immobile
C. A school nurse teaching a student who has asthma about medications
2. A nurse is advocating for local leaders to place a newly approved community health clinic
in an area of the city that has fewer resources than other areas. The nurse is advocating for the
leaders to uphold which of the following ethical principles?
Answer: Distributive justice
3. A nurse is preparing an education program on disease transmission for employees at a local
day care facility. When discussing the epidemiological triangle, the nurse should include
which of the following factors as agents? (SATA)
A. Resource availability
B. Ethnicity
C. Toxins
D. Bacteria
E. Altered Immunity

Answer: C. Toxins
D. Bacteria
4. A nurse is developing a community health education program for a group of clients who
have a new diagnosis of diabetes. Which of the following learning strategies should the nurse
include for clients who are auditory learners?
Answer: Facilitating small group discussions
5. A community health nurse is implementing health programs with several populations in the
local area. In which of the following situations is the nurse using primary prevention
Answer: Providing influenza immunizations to employees at a local preschool
6. A nurse is preparing to conduct a windshield survey Which of the following data should
the nurse collect as a component of this assessment? (SATA)
A. Individuals who hold power within the community
B. Natural community boundaries
C. Prevalence of disease
D. Presence of public protection
E. Ethnicity of community members
Answer: B. Natural community boundaries
D. Presence of public protection
E. Ethnicity of community members
7. A nurse is preparing an educational program on cultural perspectives in nursing.
The nurse should include which of the following factors are influenced by an individual’s
culture?
A. Nutritional practices
B. Family structure
C. Health care interactions
D. Biological variations
E. Views about illness
Answer: A. Nutritional practices
B. Family structure
C. Health care interactions

E. Views about illness
8. A nurse is completing a needs assessment and beginning analysis of data. Which of the
following actions should the nurse take first?
Answer: Compile collected data into a database
9. A nurse is caring for a client who is from a different culture than himself. When beginning
the cultural assessment, which of the following actions should the nurse take first?
Answer: Gather data about the client’s cultural beliefs

HESI
COMMUNITY
HEALTH
PROCTORED

EXAM
Version 17

HESI Community Health Focused
Review
 Nightingale’s Environment Theory:
 Emphasized prevention care.
 Washing hands
 Sterilizing instruments
 Health Belief Model
 Assumes that preventive health behaviors are taken primarily for
the purpose of avoiding disease.
 Describes the likelihood of taking an action to avoid disease
based on:
 Susceptibility, seriousness, and threat of disease
 Modifying factors
•

Demographics

•

Knowledge level

•

Age

•

Race

 Cues to action
•

Media

•

Disease effect on ppl

•

RecommendHESIons from health care professionals 

Perceived benefits minus perceived barriers to taking action
 Goals of community health nursing:
 Promote, preserve, and maintain health of populHESIons by
delivery of services to individuals, families, and groups to
influence community health
 Who is the client in community health nursing?
 The community or populHESIon
 BOTH COMMUNITY ORIENTED NURSING AND
COMMUNITY BASED NURSING
 Public Health Nursing
 Also known as Community-Oriented Nursing
 PopulHESIon focused Goal:
 Promoting health
 Preventing disease


 No illness cares
 Key Principles:
 Emphasize primary prevention
 Greatest good for largest number of individuals
 Client is partner in health
 Use resources wisely to promote best outcomes
 Community-oriented Nursing:
 Focus of Care:
 Aggregates
 Communities
 PopulHESIons (public health)
 At-risk or unserved individuals and families  Primary
Goal:
 Health promotion and disease prevention
 EducHESIon
Nursing Activities:
 Indirect (programmed management)



 Can include direct care of at-risk individuals and
populHESIons
 Community-based Nursing  Focus of care:
 Individuals and families
 Management of acute or chronic conditions
 Direct (one-on-one)  Illness care:
• School nurse
• Camp nurse
• Prison nurse
 Ethical principles to community health nursing
 Autonomy
 Nonmaleficence
 Beneficence
 Justice
 Community Health EducHESIon
Obstacles:
 Age
 Cultural barriers



 Poor read comprehension
 Language
 Lack of motivHESIon
 Effective health educHESIon requires planning
 Learning Styles
 Visual
 Auditory
 Tactile-kinesthetic
 Epidemiological triangle
 Agent
 Causes disease

 Host

•

Drugs

•

Toxins

•

Noise

•

Temperature

•

Viruses

•

bacteria

 Being affected
• Age
• Gender
• Genetics
• Ethnicity
• Immunological status
• Physiological state
• OccupHESIon
 Environment
 Physical Environment
• Geography
• Water/food supply
• Presence of reservoirs/vectors
 Social Environment
• Access to health care
• High-risk working conditions
• Poverty
 Incidence

 Number of NEW cases in specific time frame
 Prevalence
 Number of NEW AND EXISTING cases in specific time frame
 Health People 2020
 Goals:
 Based on issues that are considered major risks to health and
wellness
 Educate on DM, cancer, older adult health, and LGBT health
 Primary Prevention
 Prevent initial occurrence of disease or injury
 EducHESIon
 ImmunizHESIons
 AdvocHESIon for access to health care
 Secondary Prevention
 Early detection
 Limiting severity
 Screenings
 Disease surveillance

 Control of outbreaks
 Tertiary Prevention
 Maximize recovery after an injury or illness
 RehabilitHESIon
 Case management
 Support groups
 Nutrition counseling for management of Crohn’s disease.
 When to assess cultural beliefs and practices?
 When developing plan of care
 AcculturHESIon
 Process of merging with or adopting the traits of a different
culture
 Ethnocentrism
 Belief that your current beliefs or cultural is superior and better
 Cultural Assessment Parameters
 Ethnic background
 Religious preferences


Language and literacy needs
 CommunicHESIon needs
 EducHESIon
 Cultural values
 Food patterns
 Health practices
 Always include pt preferences in assessment/plan of care
 Using an interpreter
 They should have knowledge of health-related terms
 NEVER use family members
 Consider preferences of age and gender
 Should NOT be from same community as pt
 Environmental Risks
 Toxins
 Lead
 Pesticides
 Asbestos


 Radon
Air pollution
 Carbon monoxide
 Tobacco smoke
 Lead
 Sulfur dioxide
 Water pollution
 Wastes
 Erosion after mining
 Run-off from chemicals added to soil
 ContaminHESIon
 Food and food products with bacteria, pesticides, radiHESIon,
and meds
 Key questions for health history
 What is the condition of the residence?
 Age and locHESIon
 What is the pt’s occupHESIon?


 Do you smoke in the home?
 Are you exposed to second-hand smoke?
What is the source/quality of drinking water?
 Is there any presence of mold or fungi?
 What temperature is the water heater set on?
 Should be 65 y.o and receiving Social Security/disability for 2 yrs
 Part A
 Hospital care
 Home care
 Hospice
 Limited skilled nursing care for 100 days/yr
 Part B
 Health care provider
 OutpHESIent care
 Home health


 Diagnostic services
 Physiotherapy
 Durable medical equipment

 Ambulance service
 Mental health
 Preventive services
 Part C
 Known as Medicare Advantage Plan
• CombinHESIon of A & B
• Provided through private insurance
 Part D
 Prescriptions
 THINK D FOR DRUGS
 Medicaid
 Provides health care to pt’s of low socioeconomic status and
children through the combined efforts of federal and state
governments
 Eligibility based on:
 Household size
 Income
 Priority given to children

 Pregnant
 Disability
 State Health Agencies
 State department of health
 Manages WIC
 Oversees CHIP
• Provides health coverage to uninsured children
 Responsible for administrHESIon of Medicaid program
 Reports communicable diseases within state to CDC
 State boards of nursing
 Development and oversight of state’s nurse practice act
 Licensure of RN and LPN
 Oversight of state’s schools of nursing
 Community assessment components
 People
 Demographic
• Distribution

• Mobility
• Density
• Census data
 Biological factors
• Health and disease status
• Genetics
• Race
• Age
• Gender
• Cause of death
 Social factors
• OccupHESIon
• Activities
• Marital status
• EducHESIon
• Income
• Crime rates
• RecreHESIon
• Industry

 Cultural Factors
• Ethnohistory
• Hierarchy
• Language
• Religion

Values

• Customs
• Norms
 Place or environment
 Physical factors
• Geography
• Terrain
• Community
• LocHESIon of health services
• Housing
• Animal control
 Environmental factors
• Geography
• Climate

• Flora
• Fauna
• Topography
• Toxic substances
• Vectors
• Pollutants
 Data Collection
 Informant interviews
 Direct discussion
 Community forum
 Open public meeting
 Secondary data
 Existing data
• Death stats
• Birth stats
• Census data
• Mortality
• Morbidity

• Health records
• Prior health surveys
 Participant observHESIon
 ObservHESIon of formal or informal community activities
 Focus groups
 Directed talk with a representHESIve sample
 Surveys
 Specific questions asked in a written format
 Windshield surveys
 Descriptive approach that assess several community
components by driving through a community
 Survey Components
What is their general appearance?
Age
Dress
Well-nourished
Obese
Frail

Unkept
• What is the origin, ethnicity, or race of people?
• Is there any evidence of substance use, violence, disease,
mental illness?
• Is there easy access to health care?
• Are there grocery stores which provide fresh produce, or
is this a “food desert”?
• Is the housing of acceptable quality?
• Is the housing in good repair or not?
• Is there vacant housing?
• Is there public transportHESIon?
• What grocery stores or other stores within community?
 Preplanning
 Brainstorming
 Assessment
 Collect data
 Diagnosis
 Prioritize health needs of the community

 Analyze data to determine health needs
 Planning
 Develop interventions to meet identified outcomes
 Establish goals and objectives for the selected solution
 Identify who will assume responsibility for each intervention
 Determine funding opportunities for needed intervention and
develop budgets
 ImplementHESIon
 Carry out the plan
 EvaluHESIon
 Examine the success of the interventions
 Determine achievement of desired outcomes
 Lead Poisoning
 Important to ask a pt when house was built?
 <1978 house may have lead-based paint.
 If suspected
 Screen children 6 mos -5 y.o blood levels
 Teaching points

 Avoid playing right outside home
d/t some paint in the soil
 Wet mop floor
 Wet sanding technique
 Educate on children getting enough iron and calcium in diet
 Encourage parents to use cold water when making bottles
instead of hot
 Home Health
 Provides care where the pt resides
 Homes
 Assisted living
 Nursing homes
 Working as part of an interprofessional team is essential to
providing holistic care
 Functions
 EducHESIon
 Provider
 Coordinator of care

 Assess home for safety
• No scatter rugs
• Free of clutter
• Adequate lighting
• Color tape on step edges
 For Alzheimer PHESIent Safety
• Keep locks/alarms on exit doors
• NO locks on bathroom doors

HESI COMMUNITY HEALTH PROCTORED EXAM
Version 18
HESI
HESI -COMMUNITY-HEALTH PROCTORED EXAM (100 Q&A)
GRADED A
100% GUARANTED
HESI -COMMUNITY- HEALTH PROCTORED EXAM
1. A nurse is working with a client who is homeless. Which of the following is the first step
that the nurse should take to advocate for this client?
Answer: refer the client to a public homeless shelter
2. A nurse is providing education to a group of adolescents who are pregnant and attending
high school. Which of the following information should the nurse include in this teaching?
Answer: caffeinated beverages should be replaced with caffeine-free
3. A community health nurse is writing an emergency response plan for a day care. Which of
the following should be included in the plan?
Answer: immunization protocol for various biological agents
4. A community health nurse is preparing to teach accident and injury prevention. Which of
the following would be the priority topic for a family with a 10-year-old child?
Answer: use if seat belts in automobiles
5. A child is brought to the school nurse by her teacher who thinks the child may have
contracted rubeola. Which of the following findings supports this diagnosis?
Answer: koplik spots in the oral mucosa
5A. A home health nurse is performing an eye assessment and vision screening on an older
adult client recently assigned to her care. Which of the following findings indicates a need for
an intervention?
Answer: slightly yellow sclera

6. Which of the following is an example of the responsibilities of public health nursing
Answer: informing state health officials of a potential meningitis outbreak
7. A nurse is providing a staff development program on HIPPA regulations to the staff at a
community health clinic. Which of the following comments by one of the attendees would
indicate a need for further teaching?
Answer: “Demographic data that identify a client can be released without consent”
8. A nurse is planning a primary prevention strategy for reducing obesity in a community.

Which of the following strategies should the nurse use?
Answer: educate children about nutrition and exercise at a daycare center
9. A community health nurse is developing health promotion activities for a community.
Which of the following is the highest priority action?
Answer: participate in community assessment to identify community health problems
10. A home health nurse is scheduling client visits for the day. Which of the following clients
should the nurse plan to visit first?
Answer: a 79-year-old client with an exacerbation of COPD
11. A state public health nurse is asked to determine which country has the most people living
in it with a diagnosis of Alzheimer’s disease. Which of the following measures will determine
this information?
Answer: analytic epidemiology
12. A community health nurse is reviewing laboratory results for his case load of clients.
Which of the following is the highest priority finding?
Answer: a sputum specimen that is positive for tuberculosis
13. A nurse is triaging victims of a commuter train crash. Which of the following clients
should be transported to the Emergency Department first?
Answer: an ambulatory client whose nose is bleeding and who reports feeling dizzy

14. A community health nurse is caring for clients in a culturally diverse community. Which
of the following actions demonstrates accurate cultural knowledge about a specific cultural
group?
Answer: include both hot and cold food items on a Hispanic client’s menu
15. A nurse is caring for a client who has questions about his treatment plan. Which of the
following should the nurse perform as a client advocate (select all that apply)?
Answer: provide education to the client about the diagnosis inform the client about the
provider’s responsibility to provide information assist the client in preparing questions for the
provider affirm the client’s decision about the treatment plan. “Demographic data that
identify a client can be released without consent”
16. A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the

following indicates a positive reaction to the test?
Answer: Induration at infection site of 8 mm
17. After presenting several teaching sessions to a group of high school students about the
harmful effects of tobacco use, a nurse valuates the teaching to be effective when a student
states which of the following
Answer: “As long as I stop smoking while I am young, none of those diseases will affect
me”
18. A home health nurse is educating a client diagnosed with COPD about home oxygen use.
Which of the following statements by the client indicates a need for additional teaching
Answer: “I should use wool blankets on my bed when oxygen in use”
19. A nurse is providing teaching to the wife of a client who has had a stroke regarding
health-related services that will be provided in the home. Which of the following statements
by the wife indicates that the teaching has been effective?
Answer: “The physical therapist will teach my husband exercises to increase hand dexterity”

20. A nurse is assisting with the development of a disaster management plan for a local
community. During which of the following times should an evacuation plan be disclosed to
the public
Answer: During disaster preparedness activities
21. A community health nurse is teaching a client who has tuberculosis about modes of
disease transmission. The nurse recognizes that the client understands the concept when the
client makes which of the following statements
Answer: “I will wear a mask when I’m in an enclosed area with other people”
22. A nurse is caring for a client who asks “can I decide not to continue with chemotherapy?”
The nurse responds, “This is your choice and I’ll support whatever decision you make.” The
nurse’s response is an example of which of the following ethical principles
Answer: Autonomy
23. A community health nurse is working with a family in which only the children speak
English. The nurse should select a translator who is
Answer: Skilled in health-related interpretation
24. A community health nurse working with a migrant population recognizes that which of
the following is necessary to provide care to this population
Answer: Offering health screenings at a community center
25. Which of the following activities is the responsibility of a case manager?
Answer: Evaluate cost effectiveness of client treatments
26. A nurse uses a secondary prevention intervention when doing which of the following
Answer: Performing hypertension screening in a community center
27. An occupational health nurse is planning a program on early detection of breast cancer for
female employees at a local business. Which of the following is the first action the nurse
should take
Answer: Determine employee knowledge level of breast self-examination

28. While addressing community leaders at a forum for establishing community improvement
initiatives, a public health nurse identifies which of the following groups as the fastest
growing segment of the homeless population
Answer: Families with children
29. A nurse is working in an occupational health setting. Which of the following is a primary
prevention activity for the nurse
Answer: Conducting smoking cessation classes
30. A parish nurse is visiting an older adult client who was recently widowed. The client tells
the nurse that he no longer has a way to get to the grocery store or the doctor. Which of the
following responses by the nurse is appropriate
Answer: “How would you feel about me contacting a local service that helps older adults
with transportation?”
31. A case manager nurse is caring for a client being discharged post total hip arthroplasty.
Which of the following activities is an example of the nurse functioning in the negotiator role
Answer: Discussing payment options with various pharmacies
32. What patient would the Home Health Nurse send to the doctor first
Answer: Abdominal pain
33. A community health nurse is evaluating an outbreak of hepatitis A among adult clients in
his community. Which of the following should the nurse do to identify the cause of the
disease
Answer: Identify restaurants where the clients have recently eaten
34. A nurse working for a home hospice organization recognizes that clients must meet which
of the following criteria to qualify for hospice care
Answer: Documented need for palliative care
35. A nurse is working with a case manager for a client who participates in a health
maintenance organization. Which of the following is characteristic of the payment structure
provided under this system

Answer: The client pays the insurer a percentage of the total costs for each service rendered
by the provider
36. A nurse is providing education to a troop of local Boy Scouts regarding first aid for
venomous snake bites in the event that transport to the hospital is delayed. Which of the
following would be appropriate information to include in teaching about bites to an extremity
Answer: Apply a constricting band above the bite while maintaining circulation below the
bite
37. In reviewing goals of “healthy people” nurse determines the community has a significant
problem preventing dental caries in children. To bring about change
Answer: WIC program intake offices
38. A nurse is providing teaching to a community group regarding smallpox. Which of the
following is an appropriate response in relation to why people who received a single
vaccination prior to 1980 are no longer considered protected
Answer: The vaccine does not confer life-long immunity
39. A community health nurse is conducting a community assessment. Which of the
following data should be included as a component of the assessment
Answer: Resources available to address health care issues
40. A school nurse is creating a plan to address an increase in violence among high school
students. Which of the following is a secondary prevention strategy that the schools nurse can
implement
Answer: Surveying students to identify risk factors for bullying
41. A school nurse is assessing the spinal alignment of students at a grade school. Which of
the following findings indicates a child should be assessed further for scoliosis
Answer: Unilateral scapular hump when the child bends at the waist
42. A nurse is preparing to provide postmortem care for a client who is Chinese American.
Which of the following should the nurse consider when providing care
Answer: The family will remain with the body until burial

43. A community health nurse is teaching a client who has active tuberculosis about disease
management. Which of the following information should be included in the teaching
Answer: Provide sputum cultures until three come back negative
44. A public health nurse has received a report of several infants who attend the same daycare
being diagnosed with respiratory syncytial virus (RSV). Which of the following actions
should the nurse take first
Answer: Provide the staff with information regarding measures to minimize disease
transmission
45. A nurse planning and education program for new inmates in a correctional facility. Which
of the following topic is most important for the nurse to include in the teaching?
Answer: Communicable disease prevention
46. A school nurse is planning an educational for parents about head lice. The nurse should
include which of the following in the program?
Answer: Combs should be placed in boiling water for 10 min.
47. A home health nurse is assessing a client who was diagnosed with congestive heart
failure. Which of the following assessment finding should be reported to the provider?
Answer: Sodium level of 119
48. A nurse is educating a community about disaster planning for an upcoming hurricane
season. Which of the following is an example of personal preparedness?
Answer: Recommending that each family has batteries, a radio and a flashlight
49. A community health nurse is providing instruction about infection control to the family of
5-years-old child who has impetigo contagious. The child has siblings living in the home.
Which of the following recommendations is appropriate?
Answer: Provide the child with separate towels and lines

50. A client tells a nurse that she is planning a hiking trip. Which of the following measures
should the nurse recommend minimizing the client’s risk for contracting Rocky Mountain
spotted fever?
Answer: Wear protective clothing
51. Several nurses affiliated with a church are developing a parish nurse group to help
address the primary and secondary health care needs of the congregation. Which of the
following is appropriate to include in regard to care they could provide?
Answer: Organize a flu immunization clinic with the American Red Cross.
52. A public health nurse is tracking reports of flu-like illness in the local school system. This
is an example of which of the following approaches?
Answer: Prevalence rate
53. Which of he following activities would the school nurse perform in the role a consultant?
Answer: Recommend policy chances to minimizes the spread of influenza
54. A client presents to the emergency department after being exposed to anthrax. The nurse
should recognize that the
Answer: Chances of recovery are good if improvement is seen in 3 to 5 days.
55. A first-response team is working at the location of a bombing incident. A nurse triaging a
group of clients should give treatment priority to which of the following conditions?
Answer: Rigid abdomen with symptoms of shock
56. A home health nurse is making a home safety evaluation visit with an older adult client
recently discharged from the hospital after being diagnosed with diabetes mellitus. Which of
the following findings indicates a need for a corrective intervention? Select all that apply)
Answer: The hot water heater is set at 130 F. An extension cord extends across the floor from
the electrical outlet to floor lamp.
57. Primary Goal of Community Health Nursing
Answer: Enhance the individuals, families and communities

58. Nurse is working with interdisciplinary group to write procedures for assessment of
clients from multiracial inner city population.
“Remember that all Hispanic clients may not wish to give personal med information to a
stranger”
Answer: Recommend changing the language that stereotypes one ethnic group
59. Patient having trouble with peripheral vision-what best for nurse to do
Answer: orient patient to surroundings (something about the environment)
60. Risk for constipation - immobility, older
Answer: adults, dehydration, narcotics or BP medications
61. Population-focused nursing practice
Answer: Community diagnosis
62. SIDS prevention
Answer: supine position, sleep on back
63. Primary prevention of Asthma
Answer: Take bronchodilator first
64. Rheumatoid Arthritis Resources
Answer: The arthritis association
65. Necessary when a person is in need of psychiatric treatment, presents a danger to self or
others, or is unable to meet his or her own basic needs
Answer: Involuntary admission criteria
66. Child injury v/s abuse
Answer: Abuse
67. Nurse is performing an intake interview at a prenatal clinic on a patient who is at 6 weeks
gestation

Answer: Supervision of the renovation of an old house the family just purchased due to
teratogen defect
68. The community health nurse attempting to address the issue of child abuse in a large
metropolitan area primary prevention program
Answer: High school child development and parenting classes
69. Scheduling home visits, which is best for the home health charge nurse to assign to the
LPN
Answer: A bedfast client who needs daily irrigation of stage 4 pressure ulcer
70. Occupational Health Act
Answer: Location of the workplace as relates to health facilities
71. Nurse has to conduct community Dx to determine nursing needs and problems
Answer: Community -based practice.
72. Pregnant woman not getting enough what vitamin may cause neural tube defects
Answer: Folic acid
73. Plans formulated for solving community problems
Answer: Community organization
74. Training of potential leaders in the community
Answer: Core group formation
75. PHN bag is an important tool for care during a home visit
Answer: prevent the spread of infection
76. Prenatal consult asked HHN if she can have her delivery at home advised her against a
home delivery
Answer: Her OB score is G5P3
77. 6 months pregnant, comes to the center for consult and what med is contraindicated

Answer: Retinol 2000,000 IU
78. Type of family-nurse contact offers with the best opportunity to observe family dynamics
Answer: Home visit
79. Philosophy of public health nursing
Answer: worth and dignity of man
80. Abuse
Answer: Advise the mother to call the police if violent behavior occurs again
81. 70-yearold male client at nursing home after a hip replacement and at risk for decubitus
ulcers because
Answer: Thinning of the skin with loss of elasticity
82. Vietnamese child during a HH visit and nurse notices round swellings on child's back.
Mom says she rubbed a coin on his oiled skin
Answer: The purpose is to rid the body of disease
83. Core business of public health
Answer: Disease control, health protection, helath public policy, injury prevention
84. Herbal plant given for fever, headache and cough
Answer: Langundi
85. Pillars of primary health care
Answer: Provision of medical care and emergency treatment
86. If there were 250 deaths and 36,114 live births registered in Region III, with a total
population of 200,000, the fetal death rate would be
Answer: 6.9 per 1000 live births
87. Type of water supply facility composed of system with piped distribution network and
household taps

Answer: Level III
88. Pandemic occurrence of a disease
Answer: The simultaneous occurrence of epidemic of the same disease in several countries
89. 5 year old child given Retinol capsule every 6 months to prevent xerophthalmiapreschooler dose
Answer: 200,000 IU
90. In the Philippines, condition most frequent cause of death associated with schistosomiasis
Answer: Liver cirrhosis
91. Operation Timbang is which level of prevention of health problem
Answer: Primary
92. In conducting a census, the method of population assignment based on the usual place of
residence of the people
Answer: De facto
93. Method of family planning not immediately used by a breastfeeding mother
Answer: Combined OCP
94. 3 year old boy with severe pneumonia or very severe disease
Answer: fast breathing
95. Very important part of the community health nursing planning process
Answer: Evaluation of structures and qualifications of health care team
96. An advantage of a home visit
Answer: Provides an opportunity to do first hand appraisal of the home situation
97. The different clients of the community health nurse
Answer: • Individual
• Family

• Population group
• Community
98. Dependency ratio
Answer: Compares the number of economically dependent with the economically productive
group in population
99. According to Maslow’s hierarchy of needs, developing one’s potential is
Answer: Self-actualization
100. Newborn Screening act is
Answer: R.A 9288
101. He defined public health as the science and art of preventing disease, prolonging life,
promoting health and efficiency through organized community effort
Answer: Winslow
102. Woman brought her 2 month old baby to the health center for immunization - infant’s
temperature registered 38 degrees C
Answer: Proceed with the infant’s immunizations
103. When is Rabies awareness month celebrated
Answer: March
104. 6 year old boy entering school for the first time
Answer: Foreseeable crisis
105. Severe dehydration
Answer: • Sunken eyes
• Skin pinch goes back slowly
• Abnormally sleepy or difficult to awaken
106. Element of Formula one aims to ensure quality and affordability of health services
Answer: Health regulation

HESI COMMUNITY HEALTH PROCTORED EXAM
Version 19
1. A nurse is working with a client who is homeless. Which of the following is the first step
that the nurse should take to advocate for this client?
A. Refer the client to a public homeless shelter
B. Provide information at a level the client can understand
C. Review with the client his goals regarding obtaining shelter
D. Discuss the possible consequences of homelessness with the client.
Answer: C. Review with the client his goals regarding obtaining shelter
2. A community health nurse is developing health promotion activities for a community.
Which of the following is the highest priority action?
A. Evaluate the effectiveness of community health services
B. Organise health related events in school and community centres
C. Develop community partnerships to priorities concern and needs
D. Participate in community assessment to identify community health problems
Answer: C. Develop community partnerships to priorities concern and needs
3. A home health nurse is scheduling client visits for the day. Which of the following clients
should the visit first?
A. A 27-yar old client with incision paint after an appendectomy
B. A 79-year old client with an exacerbation of this COPD
C. A 16-year old client who is 2 weeks post-partum
D. A 54-year old client with a new coloctomy stoma that has decreased in size
Answer: B. A 79-year old client with an exacerbation of this COPD
4. A nurse is caring for a client who has questions about his treatment plan. Which of the
following should the nurse perform as a client advocate? (Select )
A. Provide education to the client about the diagnosis
B. Inform the client about the provider’s responsibility to provide information

C. Assist the client in preparing questions for the provider
D. Affirm the client’s decision about the treatment plan
E. Make recommendation regarding the type of treatment plan to follow
Answer: C. Assist the client in preparing questions for the provider
5. A nurse working with a client who is homeless. Which of the following is the first step that
the nurse should take to advocate for this client?
A. Refer the client to a public homeless shelter
B. Provide information at a level the client can understand
C. Review with the client his goals regarding obtaining shelter
D. Discuss the possible consequences of homelessness with the client
Answer: C. Review with the client his goals regarding obtaining shelter

Community HESI
1. A nurse is planning a primary prevention strategy for reducing obesity in a community.
Which of the following strategies should the nurse use?
A. Educate children about nutrition and exercise at a daycare centre
B. Measure the EMI of older adults at a community senior center
C. Encourage enrolment in and attendance at weight education programs
D. Distribute health risk appraisal questionaries at community funciotns
Answer: A. Educate children about nutrition and exercise at a daycare centre
2. A community health nurse is developing health promotion activities for a community.
Which of the following is the highest priority action?
A. Evaluate the effectiveness of community health services
B. Organise health related events in school and community centres
C. Develop community partnerships to priorities concern and needs
D. Participate in community assessment to identify community health problems
Answer: C. Develop community partnerships to priorities concern and needs
3. A home health nurse is scheduling client visits for the day. Which of the following clients
should the visit first?

A. A 27-yar old client with incision paint after an appendectomy
B. A 79-year old client with an exacerbation of this COPD
C. A 16-year old client who is 2 weeks post-partum
D. A 54-year old client with a new coloctomy stoma that has decreased in size
Answer: B. A 79-year old client with an exacerbation of this COPD
4. A state public health nurse is asked to determine which county has the most people living
in it with a diagnosis of Alzhemer’s disease. Which of the following measures will determine
this information
A. Positive predictive value
B. Analytic epidemiology
C. Attack rate
D. Prevalence proportion
Answer: D. Prevalence proportion
5. A community health nurse is reviewing laboratory results for his case load of clients.
Which of the following is the highest priority finding?
A. A blood specimen that is positive for hepatitis A
B. A sputum specimen that is positive for tuberculosis
C. A vaginal culture that is positive for chlamydia
D. A throat culture that is positive for streptococcus aureus
Answer: B. A sputum specimen that is positive for tuberculosis
6. A community health nurse is writing an emergency response plan for a day care. Which of
the following should be included in the pain?
A. A plan to accommodate neighborhood children
B. Immunization protocol for various biological agents3
C. A method to reunite children with parent
D. Disposal methods for toys to reduce biologic host reservoirs
Answer: C. A method to reunite children with parent
7. A community health nurse is preparing to teach accident and injury prevention. Which of
the following would be the priority topic for a family with a 10-year old child?
A. Use of seat belts in automobiles

B. Prevention of substance abuse
C. Use of sports-related protective equipment
D. Prevention of accidental drowning
Answer: C. Use of sports-related protective equipment
8. A child is brought to the school nurse by her teacher who thinks the child may have
contracted rubeoia. Which of the following findings supports this diagnosis
A. Koplik spots on the oral mucosa
B. Enlarged parotid glands
C. Red confluent rash
D. Yellow crushed lesions
Answer: A. Koplik spots on the oral mucosa
9. A home health nurse is performing an eye assessment and vision screening on an older
adult client recently assigned to her care. Which of the following findings indicates a need for
an intervention?
A. Slow pupillary response to the dark
B. Arcus senillis present bilaterally
C. Decreased color vision
D. Slightly yellow sclera
Answer: C. Decreased color vision
10. Which of the following is an example of the responsibilities of public health nursing?
A. Providing long-range counseling for a victim of domestic abuse
B. Informing state health officials of a potential meningitis outbreak
C. Assessing environmental factors that have caused mold-related illnesses in a family
D. Providing volunteer staffing for a hypertension screening clinic in a community
Answer: B. Informing state health officials of a potential meningitis outbreak
11. A nurse is providing a staff development program on HIPAA regulations to the staff at a
community health clinic, which of the following comments by one of the attendees would
indicated a need for further teaching?
A. “Clients must provide written consent for their records to be shared with family members

B. “Health care providers involved in the client’s care may access the client’s records without
obtaining consent ”
C. “Demographic data that identify a client can be released without consent”
D. “If client information is disclosed without consent the client may file a complaint”
Answer: C. “Demographic data that identify a client can be released without consent”
12. A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the
following indicates a positive reaction to the test?
A. Induration at injection site of 18 mm
B. Excoriation at the injection site
C. Persistent itching at injection site
D. Redness at injection site of 15 mm
Answer: A. Induration at injection site of 18 mm
13. After presenting several teaching sessions to a group of high school students about the
harmful effect of tobacco use. A nurse evaluates the teaching to be effective when a student
states which of the following?
A. “No one has died from second hand smoke yet, So long as I do not smoke, I’ll be safe”
B. “As long as I stop smoking while I’m youngm none of those diseases will affect me”
C. “We all know smoking causes lung cancer, but so far they can’t say it causes heart
diseases”
D. “Iknow its more likely that I’ll start smoking because both of my parents smoke”
Answer: D. “Iknow its more likely that I’ll start smoking because both of my parents smoke”
14. A home health nurse is educating a client diagnosed with COPD about home oxygen use.
Which of the following statements by the client indicates a need for additional teaching?
A. “I should notify the local fire department that oxygen is being used in my home”
B. “I should keep my oxygen tank at least 5 feet away from the television”
C. “I should use wool blankets on my bed when oxygen is in use.”
D. “I should avoid being in the same room as burning candles when I’m using my oxygen”
Answer: C. “I should use wool blankets on my bed when oxygen is in use.”

15. A nurse is providing teaching to the wife of a client who has a stroke regarding healthrelated services that will be provided in the home. Which of the following statements by the
wife indicates that the teaching has been effective?
A. “The occupational therapist will instruct my husband on how to swallow without choking”
B. “The social worker will evaluate my husband’s nutritional needs in relation to the mobile
meals program”
C. “The nurse will monitor my husband’s progress in developing urinary continence”
D. “The physical therapist will teach my husband exercises to increase hand dexterity”
Answer: D. “The physical therapist will teach my husband exercises to increase hand
dexterity”
16. A nurse is assisting with the development of a disaster management plan for a local
community. During which of the following times should an evacuation plan be disclosed to
the public?
A. When the disaster impacts more than one geographic area
B. As victims of the disaster request direction
C. During disaster preparedness activities
D. Once the disaster is imminent
Answer: C. During disaster preparedness activities
17. A Community health nurse is teaching a client who has tuberculosis about modes
transmission. The nurse recognizes that the client understands the concept when the client
makes which of the following statements?
A. “I will no longer be contagious after taking the medication for 48 hours”
B. “I will use twice as much soap when I wash my hands”
C. “I will wear a mask when I’m in an enclosed area with other people”
D. “I will clean my counters with a bleach solution”
Answer: C. “I will wear a mask when I’m in an enclosed area with other people”
18. A nurse is caring for a client who asks, “Can I decide not to continue with chemotherapy”
The nurse responds “This is your choice and I’ll support whatever decision you make. “The
nurse’s response is an example of which of the following ethical principles?”
A. Autonomy
B. Non-maleficence

C. Beneficence
D. Veracity
Answer: A. Autonomy
19. A community health nurse is working with a family in which only the children speak
English. The nurse should select a transistor who is
A. the oldest child in the home
B. from the same community as the family
C. skilled in health-related interpretation
D. a close friend of the family
Answer: C. skilled in health-related interpretation
20. A community health nurse working with a migrant population recognizes that which of
the following is necessary to provide care to this population?
A. Offering health screening at a community center
B. Treating clients on a feet for service basis
C. Providing health services at work sites
D. Requiring clients to show a work visa before they receive care
Answer: C. Providing health services at work sites
21. Which of the following activities is the responsibility of a case manage?
A. Enforce OSHA standards in the workplace
B. Facilitates a smoking cessation support group
C. Perform employee risk assessments
D. Evaluate cost effectiveness of client treatments’
Answer: D. Evaluate cost effectiveness of client treatments’
22. A nurse uses a secondary prevention when doing which of the following?
A. Instructing elementary school students about healthy food choices
B. Teaching self-care strategies to a client who has had a stroke
C. Giving a presentation about immunizations at a parent-teacher conference
D. Performing hypertension screenings in a community center
Answer: D. Performing hypertension screenings in a community center

23. An occupational health nurse is planning a program on early detection of breast cancer for
female employees at a local business. Which of the following is the first action the nurse
should take?
A. Develop educational maternal for employees
B. Have breast models available to employees during teaching sessions
C. Schedule a guest speaker to talk about breast cancer to employees
D. Determine employees knowledge level of breast self-examination
Answer: D. Determine employees knowledge level of breast self-examination
24. While addressing community leaders at a forum for establishing community improvement
initiatives, a public health nurse identifies which of the following groups as the fastestgrowing segment of the homeless population?
A. Adolescent runaways
B. Men who are unemployed
C. Families with children
D. People with chemical dependencies
Answer: C. Families with children
25. A nurse is working in an occupational health setting. Which of the following is a primary
prevention activity for the nurse?
A. Developing health surveillance programs
B. Demonstrating proper body mechanics
C. Processing worker’s compensation claims
D. Conducting smoking cessation classes
Answer: B. Demonstrating proper body mechanics
26. A parish nurse is visiting an older adult client who was recently widowed. The client tells
the nurse that he no longer has a way to get to the grocery store or the doctor. Which of the
following responses by the nurse is appropriate?
A. “Would you like me to initiate a referral for a home health nurse to come to your house?
B. “If you could drive, it would make a easier for you to remain independent”
C. “You sound overwhelmed, I will have the chaplan come visit you”
D. Discussing payment option with various pharmacies

Answer: A. “Would you like me to initiate a referral for a home health nurse to come to your
house?
27. A case manager nurse is caring for a client being discharged post total help arthroplasty.
Which of the following activities is an example of the nurse functioning in the negotiator
role?
A. Reporting safety concerns to the home health agency
B. Scheduling appointments for physical therapy services
C. Providing social service with a list of needed referrals
D. Discussing payment options with various pharmacies
Answer: B. Scheduling appointments for physical therapy services
28. A community health nurse is evaluating an outbreak of hepatitis A among adult clients in
his community. Which of the following should the nurse do to identify the cause of the
disease?
A. Assess the sexual activity of clients who are affected
B. Evaluate the clients daily alcohol intake
C. Identify restaurants where the clients have recently eaten
D. Determine whether or not clients have been bitten by mosquitoes
Answer: C. Identify restaurants where the clients have recently eaten
29. A nurse working for a home hospice organization recognizes that clients must meet which
of the following criteria to qualify for hospice care?
A. Financial resources inadequate to meet health care needs
B. Condition has been determined to be incurable
C. Caregiver unavailable to support basic needs
D. Documented need for palliative care
Answer: B. Condition has been determined to be incurable
30. A nurse is working with a case manager for a client who participates in a health
maintained organization. Which of the following is characteristic of the payment structure
provided under this system?
A. The client is participating in a fee for service health care insurance program
B. The provider is paid a fixed sum for the client on a monthly

C. The provider bills the client directly for a predetermined percentage of the cost of services
D. The client pays the insurer a percentage of the total costs for each service rendered by the
provider
Answer: B. The provider is paid a fixed sum for the client on a monthly
31. A nurse is providing education to a troop of local boy scouts regarding first aid for
venomous snake bites in the event that transport to the hospital is delayed. Which of the
following would be appropriate information to include in teaching about bites to an
extremity?
A. Apply a constricting band above the bite while maintaining circulation below the bite.
B. Gently suck blood from the puncture wound to remove the venom
C. Make a small cut across the bite marks to facilitate drainage of the venom
D. Apply ice to the area of the puncture wound as soon as possible after the bite
Answer: A. Apply a constricting band above the bite while maintaining circulation below the
bite.
32. A nurse is providing teaching to a community group regarding smallpox. Which of the
following is an appropriate response in relation to why people who received a single
vaccination prior to 1980 are no longer considered protected?
A. The vaccine does not confer life long immunity
B. Full immunity requires a series of three injections
C. Older immunization techniques left many people without adequate biters
D. Strains resistant to the old vaccine have since been developed
Answer: A. The vaccine does not confer life long immunity
33. A community health nurse is conducting a community assessment. Which of the
following data should be included as a component of the assessment?
A. Effectiveness of health-related interventions
B. Prioritization of identified health-related problems
C. Community motivation to address identified concerns
D. Resources available to address health care issues
Answer: D. Resources available to address health care issues

34. A school nurse is creating a plan to address an increase in violence among high school
students. Which of the following is a secondary prevention strategy that the school nurse can
implement?
A. Educating parents about lowering risk for aggressive behavior
B. Developing a policy regarding students who poses a threat to classmates
C. Adding stress-reduction techniques to junior high school curriculum
D. Surveying students to identify risk factors for bullying
Answer: D. Surveying students to identify risk factors for bullying
35. A school nurse is assessing the spinal alignment of students at a grade school. Which of
the following findings indicates a child should be assessed further for scoliosis?
A. Unilateral scapular hump when the child bends at the waist
B. Sloping posture of the shoulders when the child stands facing forward
C. Exaggerated outward deviation of the feet
D. Stay back appearance of the lower spine
Answer: A. Unilateral scapular hump when the child bends at the waist
36. A nurse is preparing to provide postmortem care for a client who is Chinese American.
Which of the following should the nurse consider when providing care?
A. The body will be positioned to face east
B. The eldest child will bathe the deceased
C. The family will remain with the body until bunal
D. The face of the deceased will be painted
Answer: C. The family will remain with the body until bunal
37. A community health nurse is teaching a client who has active tuberculosis about disease
management. Which of the following information should be included in the teaching?
A. Follow the medication regimen for 3 months
B. Provide sputum cultures until three come back negative
C. Take the prescribed medication first thing in the morning
D. Have a tuberculin skin test performed monthly
Answer: B. Provide sputum cultures until three come back negative

38. A public health nurse has received a report of several infants who attend the same daycare
being diagnosed with respiratory syncytial virus. Which of the following action should the
nurse take first?
A. Provide the staff with information regarding measures to minimize disease transmission
B. Calculate the rate of illness of infants in similar settings in the area
C. Investigate the environment for areas where the agent is not controlled
D. Review the immunization status of infants enrolled in the daycare
Answer: A Provide the staff with information regarding measures to minimize disease
transmission
39. A nurse is planning an education program for new inmates in a correctional facility.
Which of the following topics is most important for the nurse to include in the teaching?
A. Substance abuse prevention
B. Communicable diseased prevention
C. Anger management techniques
D. Stress reduction techniques
Answer: B. Communicable diseased prevention
40. A school nurse is planning an educational program for parents about head lice. The nurse
should include which of the following in the program?
A. Lice can be transmitted by the family pet
B. Combs should be placed in boiling water for 10 min
C. A child should be kept home for 48 hour after treatment with a pediculicide
D. Stuffed animals that cannot be washed should be discarded
Answer: B. Combs should be placed in boiling water for 10 min
41. A home health nurse is assessing a client who was diagnosed with congestive heart
failure. Which of the following assessment findings should be reported to the provider?
A. An O2 saturation of 95% after receiving a nebulizer treatment
B. A potassium level of 3.8 mg/dL
C. A heart rate of 100/min after ambulating in the hall way
D. A sodium level of 119 mg/dL
Answer: D. A sodium level of 119 mg/dL

42. A nurse is education a community about disaster planning for an upcoming hurricane
season. Which of the following is an example of personal preparedness?
A. Advising medical personnel to have a 3 week supply of prescription medications
B. Directing local officials to perform regular tests of a town’s early warning system
C. Encouraging home owners to check the adequacy of their insurance coverage
D. Recommending that each family has batteries, a radio, and a flashlight
Answer: D. Recommending that each family has batteries, a radio, and a flashlight
43. A community health nurse is providing instruction about infection control to the family of
a 5 year old child who has impetigo contagiousness. The child has two siblings living in the
home. Which of the following recommendations is appropriate?
A. Avoid removal of crusts on lesions
B. Provide the child with separate towels and linens
C. Apply cool, moist compresses to lesions twice a day
D. Put tolnaftate (Tinactin) on affected areas daily
Answer: B. Provide the child with separate towels and linens
44. A client tells a nurse that she is planning a hiking trip. Which of the following measures
should the nurse recommend to minimize the client risk for contracting Rocky Mountain
spotted fever?
A. Avoid setting up camp near a stream
B. Wear protective clothing
C. Sit close to a campfire in the evening
D. Obtain a vaccination before hand
Answer: B. Wear protective clothing
45. Several nurses affiliated with a church are developing a parish nurse group to help
address the primary and secondary health care needs of the congregation. Which of the
following is appropriated to include in regard to care they could provide?
A. Organize a flu immunization clinic with the American Red Cross
B. Facilitate discharge from the hospital to the home
C. Provide end of life care for terminal members
D. Perform wound care in the home of members
Answer: C. Provide end of life care for terminal members

46. A public health nurse is tracking reports of a flu-like illness in the local school system.
This is an example of which of the following approaches?
A. Problem identification
B. Prevalence rate
C. Web of causality
D. Disease trend monitoring
Answer: D. Disease trend monitoring
47. Which of the following activities would the school nurse perform in the role of
consultant?
A. Provide education to older elementary students about body changes during puberity
B. Outline a schedule for routine medication given during school hours
C. Recommend policy changes to minimize the spread of influenza
D. Develop health goals for a student who has diabetes
Answer: C. Recommend policy changes to minimize the spread of influenza
48. A client presents to the emergency department after being exposed to anthrax. The nurse
should recognize that the
A. Chances of recovery are good if improvement is seen in 3 t 5 days
B. Medication of choice for treating anthrax is zidovudine (Retrovir)
C. Client is highly contagious and should be placed in strict isolation
D. Initial symptoms are mild and include fever and imalise
Answer: D. Initial symptoms are mild and include fever and imalise
49. A first response team is working at the location of a bombing incident. A nurse triaging a
group of clients should give treatment priority to which of the following conditions?
A. Partial thickness burn injuries over 5% of the body
B. Severe emotional trauma with manic behavior
C. Rigid abdomen with symptoms of shock
D. A femur fracture with report of severe pain
Answer: C. Rigid abdomen with symptoms of shock

50. A home health nurse is making a home safety evaluation visit with an older adult client
recently discharge from the hospital after being diagnosed with diabetes mellitus. Which of
the following findings indicates a need for a corrective intervention? (Select all that apply)
A. A red light is kept on in the bedroom at night
B. The hot water heater is set at 130° F
C. An extension cord extends across the floor from the electrical outlet to floor lamp
D. The floors of the house are made of wood
D. A rubber-backed mat is on the floor outside the shower
Answer: B. The hot water heater is set at 130° F
C. An extension cord extends across the floor from the electrical outlet to floor lamp

HESI COMMUNITY HEALTH PROCTORED EXAM
Community HESI
HESI COMMUNITY HEALTH PROCTORED EXAM
Version 20
HESI Community Health Proctored Exam Questions with Answers (60
Q&A) GRADED A 100%
HESI COMMUNITY HEALTH PROCTORED EXAM
1. A nurse is working in a shelter following a disaster. Which of the following is the priority
action for the nurse to take?
A. Address the physical needs of clients.
B. Create diversionary activities for children.
C. Help clients gather needed supplies.
D. Explore feelings the clients are experiencing.
Answer: A. Address the physical needs of clients.
2. A client who has diabetes mellitus asks a home health nurse to help her adapt some of her
traditional cultural foods to fit her meal plan. Which of the following Is the first action the
nurse should take when assisting this client?
A. Use cookbooks to Include traditional foods in meal plans.
B. Observe the client during preparation of traditional foods,

C. provide the client with printed recipes.
D. Explain the diabetes exchange list.
Answer: D. Explain the diabetes exchange list.
3. A school nurse is implementing health screenings. Which of the following assessment
findings should the nurse recognize as the highest priority?
A. A child who has nits
B. An adolescent who has scoliosis
C. A child who has a BMI of 18
D. An adolescent who has psoriasis
Answer: A. A child who has nits
4. A 35-year-old client who has a diagnosis of tuberculosis informs the providers office that
she Is unable to pay for the treatment. Which of the following actions by the nurse will
facilitate obtaining appropriate treatment?
A. Arrange for medication through local agencies.
B. Send the client to the nearest facility for further evaluation.
C. Explore options for alternative therapies.
D. Help the client apply for Medicare.
Answer: A. Arrange for medication through local agencies.
5. A nurse Is providing education to a group of adolescents who are pregnant and attending
high school. Which of the following Information should the nurse Include In the teaching?
A. Caffeinated beverages should be replaced with caffeine-free beverages.
B. The need for supplemental folic acid is greatest during the third trimester.
C. The incidence of high birth weight infants is higher in adolescent pregnancy.
D. Pregnant adolescents need to gain less weight than adult mothers.
Answer: A. Caffeinated beverages should be replaced with caffeine-free beverages.
6. A nurse is caring for a client who is having difficulty performing activities of daily living.
The nurse is functioning in which of the following roles when arranging for an occupational
therapist to visit the client?
A. Administrator
B. Clinician

C. Nurse consultant
D. Case manager
Answer: D. Case manager
7. A home health nurse is scheduled for a first-time visit to a client. Which of the following
should the nurse perform first?
A. Mental status examination
B. Review of the neighborhood
C. Blood pressure screening
D. Family history
Answer: B. Review of the neighborhood
8. A nurse at a community clinic is preparing an educational guide about cultural variances in
expression of pain. Which of the following Information should the nurse include?
A. NHESIve American cultural practices include being outspoken about pain.
B. Chinese cultural practices Include enduring pain to prevent family dishonor.
C. Puerto Rican cultural practices include the view that outspoken expressions of pain are
shameful
D. Middle Eastern cultural practices include hiding pain from close family members
Answer: B. Chinese cultural practices Include enduring pain to prevent family dishonor.

9. A nurse is counseling a client who is to undergo enzyme linked Immunosorbent assay

testing for HIV. Which of the following information should the nurse Include?
A. A positive result requires initiating Immunoglobulin administration.
B. ED The test measures antibodies to the virus
C. The test monitors progression of the disease.
D. The test results are accurate 24 hr after exposure to the virus.
Answer: B. ED The test measures antibodies to the virus
10. A community health nurse is providing teaching to a group of clients who have alcohol
use disorder. Which of the following findings should the nurse include In the teaching as a
manifestation of alcohol withdrawal?

A. Bradycardia
B. Increased appetite
C. Hypothermia
D. Insomnia
Answer: D. Insomnia
11. A home health nurse is caring for a client who has chemotherapy-induced nausea that has
been resistant to relief from pharmacological measures. which of the following interventions
should the nurse Initiate? (Select all that apply.)
A. Provide sips of room-temperature ginger ale between meats.
B. Use seasonings to enhance the flavor of foods.
C. Offer 120 mL (4 02) of cold 2% milk as a meal replacement.
D. Maintain the head of the client's bed in an elevated position after eating.
E. Assist the client in using guided imagery
Answer: A. Provide sips of room-temperature ginger ale between meats.
D. Maintain the head of the client's bed in an elevated position after eating.
E. Assist the client in using guided imagery
12. A community health clinic nurse manager is reviewing the Incidence rate of chlamydia in
the state. In a given year. 3,144 new cases were reported and the population was estimated at
325.986. Which of the following Is the Incidence rate in the state for the year?
A. About 1 reported case per 10,000 population
B. About 300 reported cases per 100,000 population
C. About 10 reported cases per 1,000 population
D. About 3 reported cases per 10,000 population
Answer: A. About 1 reported case per 10,000 population
13. A school nurse is planning safety education for a group of adolescents. The nurse should

give priority to which of the following topics as the leading cause of death for this age group?
A. Substance abuse prevention
B. Sports injury prevention
C. Gun safety
D. Motor vehicle safety

Answer: A. Substance abuse prevention
14. A nurse at a local health department is caring for several clients. Which of the following
Infections should the nurse report to the state health department?
A. Human papillomavirus
B. Group B streptococcus B-hemolytic
C. Herpes simplex virus
D. Chlamydia
Answer: D. Chlamydia
15. The partner of an older adult client who has Alzheimer's disease reports that he is not
eating. The home health aide tells the nurse that the client's partner refuses to assist the client
with feeding. The partner Insists the client feed himself without help. Which of the following
is the priority action the nurse should take?
A. Arrange for Meals on Wheels assistance.
B. Refer the client's partner to an Alzheimer's support group
C. Direct the home health aide to assist with meals.
D. Determine the client’s ability to self-feed.
Answer: B. Refer the client's partner to an Alzheimer's support group
16. A clinic nurse Is assessing a client who has measles. Which of the following findings
should the nurse expect?
A. muscle aches and tenderness
B. Kolpik spots inside the mouth
C. Rash confined to the trunk of the body
D. Persistent low grade temperature
Answer: B. Kolpik spots inside the mouth
17. A community health nurse Is Interviewing a client who reports Intimate partner abuse.
which of the following actions should the nurse take?
A. Ask three nurses of the same gender as the client to patriciate in the interview.
B. Communicate disapproval of the partners actions.
C. Record a summary of the client’s description of the event.
D. Assist the client to create a plan of escape.

Answer: C. Record a summary of the client’s description of the event.
18. A nurse in a mobile health clinic is caring for a client who requires a tetanus
immunization and is accompanied by his daughter. The client does not speak the same
language as the nurse. Which of the following actions should the nurse take?
A. Arrange for a member of the client's community to Interpret the teaching.
B. Have the client’s daughter communicate information about the procedure?
C. use professional terminology when providing education prior to the procedure.
D. identify the client's spoken dialect prior to contacting an interpreter
Answer: A. Arrange for a member of the client's community to Interpret the teaching.
19. A nurse is working with a community health care team to devise strategies for preventing
violence in the community. Which of the following interventions is an example of tertiary
prevention?
A. Assessing for risk factors of intimate partner abuse during health examinations
B. Developing resources for victims of abuse
C. Urging community leaders to make nonviolence a priority
D. Presenting community education programs about stress management
Answer: D. Presenting community education programs about stress management
20. A nurse is discussing short- and long-term goals with a client who has alcohol use
disorder and is being admitted to a treatment facility. Which of the following statements is
appropriate for the nurse to include in the discussion?
A. "You will begin learning functional skills 😮 replace defense mechanisms and behaviors
while in treatment "
B. "Attending Al-Anon meetings will help you Identify a role model to assist you with
making needed changes:
C. Remaining physically active will help to minimize drowsiness and cn:115 associated with
initial alcohol withdrawal.'
D. "You will be taking a once weekly dose of disulfiram to help control withdrawal
symptoms during treatment?
Answer: B. "Attending Al-Anon meetings will help you Identify a role model to assist you
with making needed changes:

21. A home health nurse is planning the Initial home visit for a client who has dementia and
lives with his adult son's family. Which of the following actions should the nurse take first
during the visit?
A. Engage the family in informal conversation.
B. Provide the family with information about respite care.
C. Encourage the family to join a support group.
D. Educate the family regarding me progression of dementia.
Answer: A. Engage the family in informal conversation.
22. A nurse Is planning a program about healthy eating at an elementary school where most
students select French fries and pizza at lunch every day. Which of the following actions
should the nurse plan to take first?
A. Provide students with resources about making vise choices independently.
B. Help students recognize the value of making healthy food choices
C. Give positive feedback to student’s vino make appropriate choices.
D. Determine Students' motivation to learn about healthy food choices.
Answer: B. Help students recognize the value of making healthy food choices
23. Several nurses are developing a parish nurse group to help address the primary and
secondary health care needs of the congregation. Which of the following services should the
nurses plan to provide to the congregation?
A. Facilitate Discharge from the facility to the home.
B. Perform wound care in the home of members.
C. Organize an influenza immunization clinic with the American Red Cross.
D. Provide end-of-life care for members who are terminal
Answer: D. Provide end-of-life care for members who are terminal
24. A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the
following information should the nurse Include in the teaching? (Select all that apply.)
A. "you will need to take an antiviral meditation for 30 days."
B. "You might experience painful urination until the infection has resolved."
C. "Once you complete treatment. you will have an acquired immunity against chlamydia."
D. "Notify anyone with whom you have had sexual contact over the past 2 months."
E. "You should avoid Sexual contact until therapy is complete."

Answer: B. "You might experience painful urination until the infection has resolved."
D. "Notify anyone with whom you have had sexual contact over the past 2 months."
E. "You should avoid Sexual contact until therapy is complete."
25. A nurse case manager Is providing discharge planning for a client. The nurse is
functioning in which of the following roles when arranging for the delivery of medical
equipment to the client's home?
A. Consultant
B. Advocate
C. Coordinator
D. Systems allocator
Answer: D. Systems allocator
26. A nurse is working with a case manager for a client who participates In a health
maintenance organization. The nurse should identify that a health maintenance organization
provides which of the following payment structures?
A. The provider bills the client directly for a predetermined percentage of the cost of services.
B. The provider is paid a fixed sum for the client on a monthly or yearly Oasis.
C. The client is participating in a fee for service health care insurance program.
D. The client pays the insurer a percentage of the total costs for each service rendered by the
provider.
Answer: D. The client pays the insurer a percentage of the total costs for each service
rendered by the provider.
27. A community health nurse is providing screening for lipid disorders. Which of the
following is the primary goal of this activity?
A. Client enrollment In prevention programs
B. identification of `amity history of medical problems
C. Early detection of disease
D. promotion of appropriate lifestyle changes
Answer: C. Early detection of disease
28. A community health nurse as planning a smoking cessation class. Which of the following
factors will have the greatest effect on the success of the class?

A. Clients' motivation
B. Presenters credibility
C. Presenters teaching strategies
D. Clients' education level
Answer: A. Clients' motivation
29. A home health nurse manager is caring for a client who has methicillin-resistant
Staphylococcus aureus. Which of the following actions should the nurse take?
A. Remove fresh flowers from the client's home.
B. Double bag soiled dressings in polyethylene bags.
C. wear a mask when within 3 feet of the client.
D. Encourage the client to use a HEPA filter In the house.
Answer: B. Double bag soiled dressings in polyethylene bags.
C. wear a mask when within 3 feet of the client.
D. Encourage the client to use a HEPA filter In the house.
30. A community health nurse is planning an educational program for a group of women who
are postmenopausal. Which of the following outcomes is appropriate for this program?
A. Clients will schedule bone density screenings.
B. Clients will significantly decrease caloric intake.
C. Clients will start hormone replacement therapy.
D. Clients will arrange for mammograms every 3 years.
Answer: A. Clients will schedule bone density screenings.
31. A community health nurse is caring for clients in a culturally diverse community. Which
of the following actions demonstrates accurate cultural knowledge about a specific cultural
group?
A. Including both hot and cold food Items on a Hispanic client's menu
B. Maintaining eye contact when interviewing a NHESIve American client
C. Touching the hair of an African-American client during an assessment
D. Offering to shake hands when meeting an Asian client of the opposite gender
Answer: A. Including both hot and cold food Items on a Hispanic client's menu

32. A community health nurse is planning a program for adolescents about preventing STIs.
Which of the following actions should the nurse take first?
A. Establish methods to evaluate program outcomes.
B. Collect data to identify barriers to learning.
C. Provide computer-based education.
D. Obtain visual aids that feature adolescents.
Answer: D. Obtain visual aids that feature adolescents.
33. A nurse is serving on a state task force for disaster planning. The nurse is engaging in
disaster preparedness efforts when performing which of the following actions?
A. implementing a disaster triage plan with a local medical facility
B. Assisting with the identification of a biological agent
C. Organizing a mass casualty drill for community members
D. Functioning as a Manager at a temporary shelter
Answer: C. Organizing a mass casualty drill for community members
34. A nurse is conducting a community assessment. Which of the following Information
should the nurse include as part of a windshield survey?
A. housing quality
B. informant interviews
C. Demographic data
D. Mortality rate
Answer: A. housing quality
35. A nurse at a shelter is assisting with client triage after a tornado destroyed a community.
Which of the following clients should receive priority care?
A. A school-age client who has a head abrasion
B. An older adult client who has a fractured arm
C. An adult Client who is short of breath
D. An infant client who is crying
Answer: C. An adult Client who is short of breath
36. A parish nurse is counseling a family following a client's recent diagnosis of heart disease.
Which of the following actions should the nurse take first?

A. Discuss the benefits of eating a well-balanced diet with the client’s family.
B. Assist the client and the client’s partner with finding an affordable exercise program.
C. Offer to accompany the client and the dents partner during health care provider visits.
D. Ask family members about the impact of the disease on relationships family. within the
Answer: D. Ask family members about the impact of the disease on relationships family.
within the
37. A nurse is planning a primary prevention strategy for reducing obesity In a community.
Which of the following strategies should the nurse use'
A. Encourage enrollment and attendance at weight-reduction programs.
B. Measure the BMI of older adults at a community senior center.
C. Distribute health-risk appraisal questionnaires at community functions.
D. Educate children at a day care center about nutrition and exercise.
Answer: D. Educate children at a day care center about nutrition and exercise.
38. A nurse working in an Infectious disease clinic is caring for a client who has a new
diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily
reporting cases of this disease to the Centers for Disease Control and Prevention?
A. Office of the Surgeon General
B. Local Red Cross chapter
C. State health department
D. hospital infection control department
Answer: C. State health department
39. An occupational health nurse Is discussing health promotion with a client who has a
history of obesity. Which of the following comments Indicates the client Is using
rationalization as a coping mechanism?
A. I know you don’t like me because I am obese '
B. I am obese because it’s in my genes."
C. I have difficulty resisting the items in vending machines.
D. I have lots of health problems from being obese.
Answer: B. I am obese because it’s in my genes."

40. A nurse is caring for a client who is homeless. Which of the following actions should the
nurse take first?
A. Determine the clients understanding of her living situation.
B. assist the client to develop goals for obtaining shelter.
C. Develop client teaching using a variety of strategies.
D. Discuss the risks of being homeless with the client.
Answer: D. Discuss the risks of being homeless with the client.
41. In the last month. three cases of tuberculosis have been referred to the Health Department.
Which of the following is the priority Information for the community health nurse to obtain
from each client?
A. Demographics
B. Health history
C. Household members
D. Occupation
Answer: C. Household members
42. A government official reports to the health department that an employee was possibly
exposed to anthrax. Which of the following actions should a public health nurse take?
A. instruct the client to wear a mask at work.
B. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics
C. Place the employee under quarantine for 14 days.
D. Alert the family members of coworkers about then possible exposure to anthrax
Answer: B. Refer coworkers who might have been exposed to a provider for prophylactic
antibiotics
43. A client arrives at a mental health clinic and tells the nurse that she has no purpose in life.
Which of the following is the nurse’s priority response?
A. Tell me what is going on with you right now.
B. How long have you been feeling this way?
C. Have you been thinking about harming yourself?
D. Do you really think your life has no purpose?
Answer: C. Have you been thinking about harming yourself?

44. A community health nurse is educating a parent about the Importance of hepatitis B
immunization. Which of the following explanations should the nurse give the parent about
the disease?
A. Many people who acquire acute hepatitis B develop chronic hepatitis
B. Hepatitis B spreads easily among children through casual contact.
C. People who have had a hepatitis B infection still need the Immunization.
D. One dose of the immunization gives children lifelong protection from hepatitis B
Answer: A. Many people who acquire acute hepatitis B develop chronic hepatitis
45. A home health nurse is visiting a client who had a stroke 2 months ago. Which of the
following findings should the nurse report to the interprofessional care team?
A. The client dresses her affected side first.
B. The clients caregiver fills a pill organizer weekly.
C. The client coughs when swallowing her medications.
D. The client bears weight on her arms when using crutches.
Answer: A. The client dresses her affected side first.
46. A nurse manager in a local community health agency is creating a Job description for a
new nurse who will practice community-oriented nursing. Which of the following should the
nurse Include in the Job description? (Select all that apply.)
A. Provide health related education to community groups.
B. Participate in local health surveillance activates.
C. initiate support groups for parents of autistic children.
D. investigate potential health and environmental issues.
E. Provide wound care for clients in their homes,
Answer: A. Provide health related education to community groups.
B. Participate in local health surveillance activates.
E. Provide wound care for clients in their homes,
47. During a home health visit. a school age child who has muscular dystrophy confides In
the nurse that he was struck by his parent. Which of the following actions should the nurse
take first?
A. Enroll the parent in anger management classes.
B. Refer the parent to a social service agency.

C. Check the child for injuries.
D. Report the incident to local authorities.
Answer: C. Check the child for injuries.
48. A faith based organization asks a community health nurse to develop a mobile meal
program for older adults who are no longer driving. Which of the following actions should
the nurse plan to take first?
A. identify alternative solutions to address concerns.
B. inquire about the availability of volunteers.
C. Perform a needs assessment.
D. Determine potential funding sources for the program.
Answer: C. Perform a needs assessment.
49. A first response team is working at the location of a bombing Incident. A nurse triaging a
group of clients should give treatment priority to which of the following clients?
A. A client who has a femur fracture with a 2+ pedal pulse
B. A client who is ambulatory and exhibits manic behavior
C. A client who has a rigid abdomen with manifestations of shock
D. A client who has superficial partial-thickness burn injuries over 5% of his body
Answer: B. A client who is ambulatory and exhibits manic behavior
50. A newly hired occupational health nurse is assessing hazards In the work environment.
Which of the following actions will help the nurse detect potential physical hazards?
A. Track rates of Illness Caused by Infection among employees.
B. Measure noise levels at various locations in the
C. identify industrial toxins that are present in the environment.
D. Survey workers about Job-related emotional stress
Answer: B. Measure noise levels at various locations in the
51. A nurse is providing teaching to a 50-year-old female client. Which of the following
statements should the nurse Include In the teaching?
A. You should have your hearing screened every 5 years
B. You should have your stool tested for blood every other year until the age of 74.
C. You should have your fasting blood glucose level checked every 6 years

D. You should have a complete eye examination every 2 years until the age of 64
Answer: C. You should have your fasting blood glucose level checked every 6 years
52. A nurse is preparing an educational program about breastfeeding for a group of new
parents- The nurse should use which of the following instructional strategies to promote
psychomotor learning?
A. Provide dolls for the participants to demonstrate positioning.
B. Snow the group a video On Breastfeeding techniques.
C. Review flashcards that Identify holding techniques with the group.
D. Facilitate a discussion group about the genets of breastfeeding.
Answer: A. Provide dolls for the participants to demonstrate positioning.
53. A community health nurse observes the accumulation of garbage at a neighborhood
playground. Which of the following actions should the nurse take first to promote a clean and
safe environment?
A. Partner city officials with community members to Improve the playground's condition.
B. Engage neighborhood families to monitor the playground for further bash buildup.
C. Meet with community members to discuss methods of playground maintenance.
D. work with local businesses to sponsor more trash receptacles in the playground.
Answer: A. Partner city officials with community members to Improve the playground's
condition.
54. A nurse is working to reduce Individual and family violence in the local community.
which of the following actions by the nurse demonstrates a primary prevention strategy to
achieve this goal?
A. Assessing a family for marital discord
B. Teaching parenting techniques to new parents
C. Conducting counseling for at risk parents
D. Providing treatment for a young adult who has a substance use disorder
Answer: B. Teaching parenting techniques to new parents
55. A nurse Is triaging clients who were Involved In a commuter train crash. Which of the
following clients should the nurse choose for transport to the emergency department first?
A. A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm

B. A client who has full thickness burn Injuries over 30% of his total body surface area
C. A client who IS exhibiting agonal respirations with fixed and dilated pupils
D. An ambulatory client who has a nosebleed and reports feeling dizzy
Answer: C. A client who IS exhibiting agonal respirations with fixed and dilated pupils
56. A community health nurse is working with a group of homeless veterans who have
posttraumatic stress disorder. Which of the following interventions should the nurse
implement?
A. Provide coffee and snacks during the meetings.
B. Teach the clients to practice deep breathing exercises.
C. Avoid discussing traumatic events experienced by the veterans.
D. Change the meeting sites frequently.
Answer: B. Teach the clients to practice deep breathing exercises.
57. A nurse is providing education to the family of a schoolage child who has pertussis.
Which of the following information should the nurse include in the teaching?
A. The child is most contagious after the rash develops.
B. A dehumidifier should be placed beside the child's bed.
C. Transmission will be limited because of herd immunity.
D. Household contacts win receive prophylactic antibiotics.
Answer: D. Household contacts win receive prophylactic antibiotics.
58. A nurse Is assessing an outbreak of mumps among schoolage children. Using the
epidemiological triangle. the nurse should recognize that which of the following is the host?
A. The virus
B. The children
C. The vaccine
D. The school
Answer: B. The children
59. An occupational health nurse is assessing agricultural workers for acute effects of
pesticide exposure. Which of the following findings should the nurse expect?
A. oliguria
B. Dizziness

C. Diplopia
D. Hypoglycemia
Answer: B. Dizziness
60. A public health nurse is addressing community leaders at a forum about community
improvement. The nurse should identify which of the following groups as being the fastest
growing segment of the homeless population?
A. People who have substance use disorders
B. Men who are unemployed
C. Adolescent runaways
D. Families who have children
Answer: D. Families who have children
HESI COMMUNITY HEALTH PROCTORED EXAM
Version 21
HESI Community Health Proctored Exam
SET 1
1. A nurse manager at a community agency is developing an orientation program for newly
hired nurses. When discussing the differences between community-based and communityoriented nursing, the nurse should include which of the following as examples of communitybased nursing? (Select all that apply.)
A. A home health nurse performing wound care for a client who is immobile
B. An occupational health nurse providing classes on body mechanics at a local industrial
plant
C. A school nurse teaching a student who has asthma about medications
D. A parish nurse teaching class on low-sodium cooking techniques E. A mental health nurse
discussing stress management techniques with a support group
Answer: A. A home health nurse performing wound care for a client who is immobile
C. A school nurse teaching a student who has asthma about medications

2. A nurse is advocating for local community leaders to place a newly approved community
health clinic in an area of the city that has fewer resources than other areas. The nurse is
advocating for the leaders to uphold which of the following ethical principles?
A. distributive justice
B. fidelity
C. respect for autonomy
D. veracity
Answer: A. distributive justice
3. A nurse is preparing an education program on disease transmission for employees at a local
day care facility. When discussing the epidemiological triangle, the nurse should include
which of the following factors as agents? (select all that apply)
A. resource availability
B. ethnicity
C. toxins
D. bacteria
E. altered immunity
Answer: C. toxins
D. bacteria
4. A nurse is developing a community health education program for a group of clients who
have a new diagnosis of DM. Which of the following learning strategies should the nurse
include for clients who are auditory learners?
A. showing informational videos
B. providing equipment to practice hands-on skills
C. supplying outlines for note-taking
D. Facilitating small group discussions
Answer: D. Facilitating small group discussions
5. A community health nurse is implementing health programs with several populations in the
local area. In which of the following situations is the nursing using primary prevention?
A. Performing a home safety check at a client's home
B. teaching healthy nutrition to clients who have HTN
C. providing influenza immunizations to employees at a local preschool

D. implementing a program to notify individuals exposed to a communicable disease
Answer: C. providing influenza immunizations to employees at a local preschool
SET 2
1. A nurse is preparing an educational program on cultural perspectives in nursing. The nurse
should include that which of the following factors are influenced by an individual's culture?
(select all that apply)
A. nutritional practices
B. family structure
C. health care interactions
D. biological variations
E. views about illness
Answer: A. nutritional practices
B. family structure
C. health care interactions
E. views about illness
2. A nurse is caring for a client who is from a different culture than himself. When beginning
the cultural assessment, which of the following actions should the nurse take first?
A. determine the client's perception of his current health status
B. gather data about the client's cultural beliefs
C. determine how the client's culture can affect the effectiveness of nursing actions
D. gather information about previous client interactions with the health care system
Answer: B. gather data about the client's cultural beliefs
3. A nurse is using the I PREPARE mnemonic to assess a client's potential environmental
exposures. Which of the following questions should the nurse ask when assessing for "A" in
the mnemonic?
A. "what do you like to do for fun?"
B. "what year was you residence built?"
C. "what jobs have you had in the past?"
D. what industries are near where you live?"
Answer: A. "what do you like to do for fun?"

4. A nurse is reviewing information about the local health department to prepare for an
interview. Which of the following services should the nurse expect the local health
department to provide? (select all that apply)
A. managing the women, infant, and children program
B. providing education to achieve community health goals
C. coordinating directives from state personnel
D. reporting communicable diseases to the CDC
E. licensing of registered nurses
Answer: B. providing education to achieve community health goals
C. coordinating directives from state personnel
5. A nurse is conducting health screenings at a statewide health fair and identifies several
clients who require referral to a provider. Which of the following statements by a client
indicates a barrier to accessing health care?
A. "I don't drive, and my son is only available to take me places in the mornings"
B. "I can't take off during the day, and the local after-hours clinic is no longer in operation"
C. "only one doctor in my town is a designated provider by my health maintenance
organization"
D. "I would like to schedule an appointment with the local doctor in my town who speaks
Spanish and English."
Answer: B. "I can't take off during the day, and the local after-hours clinic is no longer in
operation"
SET 3
1. A nurse is preparing to conduct a windshield survey. Which of the following data should
the nurse collect as a component of this assessment? (select all that apply)
A. ethnicity of community members
B. individuals who hold power within the community
C. natural community boundaries
D. prevalence of disease
E. presence of public protection
Answer: A. ethnicity of community members

C. natural community boundaries
E. presence of public protection
2. A nurse is completing a needs assessment and beginning analysis of data. Which of the
following actions should the nurse take first?
A. Determine health patterns within collected data
B. compile collected data into a database
C. ensure data collection is complete
D. identify health needs of the local community
Answer: B. compile collected data into a database
3. A nurse is planning a community health program. Which of the following actions should
the nurse include as part of the evaluation plan?
A. determine availability of resources to initiate the plan
B. gain approval for the program from local leaders
C. establish a timeline for implementation of interventions
D. compare program impact to similar programs
Answer: D. compare program impact to similar programs
4. A nurse is conducting a community assessment. Which of the following data collection
methods is the nurse using when having direct conversations with individual members of the
community?
A. key informant interviews
B. participant observation
C. focus groups
D. health surveys
Answer: A. key informant interviews
5. A nurse is collecting data to identify health needs in the local community. Which of the
following examples should the nurse identify as secondary data? (select all that apply)
A. birth statistics
B. previous health survey results
C. windshield survey
D. community forum

E. health records
Answer: A. birth statistics
B. previous health survey results
E. health records
SET 4
1. A nurse is talking to a client who asks for information about hospice. Which of the
following statements should the nurse make?
A. "clients who require skilled nursing care at home qualify for hospice care"
B. "one function of hospice is to provide teaching to clients about life sustaining measures"
C. "hospice assists clients to develop the skills they needed to care for themselves
independently"
D. "A component of hospice care is to control the client's manifestations"
Answer: D. "A component of hospice care is to control the client's manifestations"
2. A school nurse is scheduling visits with a physical therapist for a child who has cerebral
palsy. In which of the following roles is the nurse functioning?
A. direct caregiver
B. consultant
C. case manager
D. counselor
Answer: C. case manager
3. An occupational health nurse is consulting with senior management of a local industrial
facility. When discussing work-related illness and injury, the nurse should include which of
the following factors as physical agents? (select all that apply)
A. noise
B. age
C. lighting
D. viruses
E. stress
Answer: A. noise
C. lighting

4. A newly hired occupational health nurse at an industrial facility is performing an initial
workplace assessment. Which of the following should the nurse determine when conducting a
work site survey?
A. work practices of employees
B. past exposure to specific agents
C. past jobs of individual employees
D. length of time working in current role
Answer: A. work practices of employees
5. A school nurse is planning health promotion and disease prevention activities for the
upcoming school year. In which of the following situations is the nurse planning a secondary
prevention strategy?
A. placing posters with images of appropriate hand hygiene near restrooms
B. routinely checking students for pediculosis throughout the school year
C. implementing age-appropriate injury prevention programs for each grade level
D. working with a dietician to determine carbohydrate counts for students who have DM
Answer: B. routinely checking students for pediculosis throughout the school year
SET 5
1. A nurse at a community clinic is conducting a well-child visit with a preschool-age child.
The nurse should identify which of the following manifestations as a possible indication of
child neglect? (Select all that apply)
A. underweight
B. healing spiral fracture of the arm
C. genital irritation
D. burns on the palms of hands
E. poor hygiene
Answer: A. underweight
E. poor hygiene
2. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following findings should the nurse identify as a

manifestation of withdrawal?
A. decreased BP
B. diaphoresis
C. pinpoint pupils
D. bradycardia
Answer: B. diaphoresis
3. A community health nurse is developing an education program on substance use disorders
for a group of adolescents. Which of the following information should the nurse include
when discussing nicotine and smoking?
A. smoking is the fifth-most preventable cause of death
B. nicotine is a CNS depressant
C. withdrawal effects from smoking are minimal
D. tolerance to nicotine develops quickly
Answer: D. tolerance to nicotine develops quickly
4. A community health nurse is developing strategies to prevent or improve mental health
issues in the local area. In which of the following situations is the nurse implementing a
tertiary prevention strategy?
A. providing support programs for new parents
B. screening a client whose partner recently died for suicide risk
C. teaching a client who has schizophrenia about medication interactions
D. discussing stress reduction techniques with employees at an industrial site
Answer: C. teaching a client who has schizophrenia about medication interactions
5. A nurse at an urban community health agency is developing an education program for city
leaders
about homelessness. Which of the following should the nurse include as the fastest-growing
segment of the homeless population?
A. families with children
B. adolescent runaways
C. intimate partner abuse survivors
D. older adults
Answer: A. families with children

SET 6
1. A nurse is preparing a community health program on communicable diseases. When
discussing modes of transmission, the nurse should include which of the following illnesses
as airborne?
A. cholera
B. malaria
C. influenza
D. salmonellosis
Answer: C. influenza
2. A home health nurse is discussing portals of entry with a group of newly hired personnel.
Which of the following locations should the nurse include as a portal of entry? (select all that
apply)
A. respiratory secretions
B. skin
C. GU tract
D. saliva
E. mucous membranes
Answer: B. skin
C. GU tract
E. mucous membranes
3. A newly hired public health nurse is familiarizing himself with the levels of disaster
management. Which of the following actions is a component if disaster prevention?
A. outlining specific roles of community agencies
B. identifying community vulnerabilities
C. prioritizing care of individuals
D. providing stress counseling
Answer: B. identifying community vulnerabilities
4. A community health nurse is educating the public on the agents of bioterrorism. Which of
the following agents should the nurse include as

Category A biological agents? (select all that apply)
A. hantavirus
B. typhus
C. plague
D. tularemia
E. botulism
Answer: C. plague
D. tularemia
E. botulism
5. A community health nurse is determining available and needed supplies in the event of a
bioterrorism attack. The nurse should be aware that community members exposed to anthrax
will need access to which of the following medications?
A. metronidazole
B. ciprofloxacin
C. zanamivir
D. fluconazole
Answer: B. ciprofloxacin
SET 7
1. A nurse is creating partnerships to address health needs within the community. The nurse
should be aware that which of the following characteristics must exist for partnerships to be
successful? (select all that apply)
A. being a leading partner with decision- making authority
B. flexibility among partners when considering new ideas
C. adherence of partners to ethical principles
D. varying goals for the different partners
E. willingness of partners to negotiate roles
Answer: B. flexibility among partners when considering new ideas
C. adherence of partners to ethical principles
E. willingness of partners to negotiate roles

2. A nurse is reviewing the various roles of a community health nurse. which of the following
actions is an example of a nurse functioning as a consultant?
A. advocating for federal funding of local health screening programs
B. updating state officials about health needs of the local community
C. facilitating discussion of a client's ongoing needs with an interprofessional team
D. performing health screenings for high BP at a local health fair
Answer: B. updating state officials about health needs of the local community
3. A case management nurse at an acute care facility is conducting an initial visit with a client
to identify needs prior to discharge home. After developing a working relationship with the
client, the nurse is engaging in the referral process. Which of the following actions should the
nurse take first?
A. monitor the client's satisfaction with the referral
B. provide the client information to referral agencies
C. review available resources with the client
D. identify referrals that the client needs
Answer: D. identify referrals that the client needs
4. A nurse developing a community health program is determining barriers to community
resource referrals. Which of the following factors should the nurse include as an example of a
resource barrier?
A. costs associated with services
B. decreased motivation
C. inadequate knowledge of resources
D. lack of transportation
Answer: A. costs associated with services
5. A nurse is working with a client who has systemic lupus erythematosus and recently lost
her health insurance. Which of the following actions should the nurse take in the
implementation phase of the case management process?
A. coordinating services to meet the client's needs
B. comparing outcomes with original goals
C. determining the client's financial constraints
D. clarifying roles of interprofessional team members

Answer: A. coordinating services to meet the client's needs
HESI COMMUNITY HEALTH PROCTORED EXAM
Version 22
HESI
HESI COMMUNITY HEALTH PROCTORED PRACTICE
ASSESSMENT B1 GRADED A 100%
HESI COMMUNITY HEALTH PROCTORED PRACTICE ASSESSMENT B1
1. A nurse collecting demographic data as a part of a community assessment. Which of the
following info should the nurse include?
A. racial distribution
B. family genograms
C. number of open water sources
D. presence of condemned buildings
Answer: A. racial distribution
2. A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which
of the following actions should the nurse take first?
A. examine the client's oral mucous membranes
B. encourage the client to consume 1.2-2.0 g/kg of protein daily
C. recommend the client increase her daily calorie intake by 25%
D. teach the client about findings that should be reported to the provider
Answer: A. examine the client's oral mucous membranes
3. A home health nurse is caring for a client who has breast cancer. Which of the following
assessment findings should the nurse identify as an indication that the client is coping
effectively?
A. inability to concentrate
B. makes eye contact
C. excessive sleeping
D. lack of interest in food
Answer: B. makes eye contact

4. A home health nurse is scheduling client visits for the day. Which of the following clients
should the nurse plan to visit first?
A. a client who is 10 days postop following a mastectomy and needs to have surgical staples
removed
B. a client who has DM and reports new erythema to the left foot
C. a client who has COPD and needs a follow-up visit r/t home oxygen therapy
D. a client in a hip spica cast who reports pruritus under the cast
Answer: B. a client who has DM and reports new erythema to the left foot
5. A community health nurse is assessing a group of clients for risk factors of abusive
behaviors. Which of the following findings should the nurse identify as a risk factor for
developing violent behavior?
A. a client states he witnessed his mother physically mistreat his father
B. a client states that her mother-in-law provides childcare while she is working
C. a client participates in volunteer activities in the community
D. a client lives in the same neighborhood where he spent his childhood years
Answer: A. a client states he witnessed his mother physically mistreat his father
6. A school nurse is teaching health promotion to a group of staff members who sit at a desk
and use a comp for 8 hr at a time. Which of the following info is the priority for the nurse to
include?
A. "Take a walk after work."
B. "Point and flex your toes periodically."
C. "Have your visual acuity assessed regularly."
D. "Adjust your chair so that your elbows are at desk height."
Answer: B. "Point and flex your toes periodically."
7. A case manager is planning an educational program for a client who has DM. Which of the
following activities should the nurse include when using the psychomotor domain of
learning?
A. review a color diagram of the food pyramid with the client
B. show the client a video about how to monitor blood glucose levels
C. observe the client's technique for drawing up insulin
D. give the client a pamphlet about foot care

Answer: C. observe the client's technique for drawing up insulin
8. A school nurse is discussing levels of prevention with a teacher. Which of the following

activities should the nurse identify as a primary prevention strategy?
A. provide nutritional counseling for students who have diabetes (3)
B. report suspected child neglect to the proper authorities (2)
C. conduct vision and hearing screening for kindergarten enrollment (2)
D. demonstrate proper handwashing techniques
Answer: D. demonstrate proper handwashing techniques
9. A school nurse is conducting hearing screening procedures in an elementary school. Which
of the following instructions should the nurse provide when performing the Rinne test?
A. "After I place the tuning fork on your scalp, tell me if you hear the sound better in one ear
or the same in both ears." (Weber)
B. "Use your finger to close one ear while I whisper some numbers into your other ear."
(Whisper voice test)
C. "After I place this tuning fork behind your ear, tell me when you no longer hear the
sound."
D. "You'll wear headphones and press the button when you hear a sound." (audiometry)
Answer: C. "After I place this tuning fork behind your ear, tell me when you no longer hear
the sound."
10. A palliative care nurse is teaching a client who has cancer about the services that are
available for the client. Which of the following statements should the nurse identify as an
indication that the client understands the teaching?
A. "If I begin palliative care, I will have to stop my chemotherapy."
B. "I can begin palliative care when I have less than 6 months to live."
C. "This type of care can help me with pain control."
D. "My family will not be involved with this type of care program."
Answer: C. "This type of care can help me with pain control."
11. A nurse is assessing a new client. Which of the following info should the nurse include in
the cultural portion of the assessment?

A. food preferences
B. employment status
C. hx of illness
D. sexual orientation
Answer: A. food preferences
12. A nurse manager at a community health clinic is presenting an in-service for nurses about

assessing client for abuse. Which of the following statements by a nurse indicates an
understanding of the teaching?
A. "Once I determine that a client is not at risk for abuse, I do not need to ask
about it at future visits."
B. "I should not document the name of the person the client accuses of the abuse in the
client's medical record."
C. "I should wait until I see signs of physical abuse before I help the client develop a safety
plan."
D. "I should refer a client for a rape kit examination if she reports sexual assault within the
previous 24 hours."
Answer: D. "I should refer a client for a rape kit examination if she reports sexual assault
within the previous 24 hours."
13. A nurse is teaching a client who has a new dx of hep A how to prevent the spread of the
virus. Which of the following instructions should the nurse include?
A. "Rinse your toothbrush with hydrogen peroxide after each use."
B. "Clean your bathroom fixtures with a chlorine bleach solution."
C. "Used shared hand towels to dry your hands after washing."
D. "Use condoms during sexual contact for 2 weeks."
Answer: B. "Clean your bathroom fixtures with a chlorine bleach solution."
14. A community health nurse is developing a plan of care for a client who is Hispanic.
Which of the following actions should the nurse include in the plan?
A. avoid using hand gestures when working with the client
B. use therapeutic touch during conversation
C. discourage the client from using a faith healer

D. maintain direct eye contact when speaking with the client
Answer: B. use therapeutic touch during conversation
15. A nurse is conducting an educational session at an assisted living facility for a group of
clients who have osteoporosis. Which of the following statements should the nurse include in
the teaching?
A. "It is important to avoid weight-bearing exercises."
B. "Decrease your dietary intake of folate."
C. "Increase your daily intake of leafy green vegetables."
D. "It is important to spend 30 mins each day exposed to sunlight."
Answer: C. "Increase your daily intake of leafy green vegetables."
16. A hospice nurse is teaching about expected grief reactions with the fam of a client who
has end-stage pancreatic cancer. Which of the following info should the nurse include?
A. "It is common to experience a persistent state of sadness while grieving."
B. "Disturbances in your self-esteem is an expected grief reaction."
C. "You will feel a sense of hopelessness throughout the grieving process."
D. "A component of healthy grieving is the ability to openly express your anger."
Answer: D. "A component of healthy grieving is the ability to openly express your anger."
17. A nurse is preparing an educational program about influenza for a group of community
health nurses. Which of the following activities should the nurse include as an example of
tertiary prevention?
A. offer classes to elementary school teachers about handwashing (2)
B. provide info to occupational nurses about the reasons for employees to not come to work
(2)
C. administer antiviral meds within 48 hours to clients who have manifestations of influenza
D. provide immunizations at long-term care facilities (1)
Answer: C. administer antiviral meds within 48 hours to clients who have manifestations of
influenza
18. An occupational health nurse is planning to use an interpreter during an educational
session with a group of migrant workers who do not speak the same language as the nurse.
Which of the following actions should the nurse take? SATA

A. instruct the interpreter to guide the nurse in providing info in a culturally-sensitive manner
B. ask the interpreter to add info she feels may be necessary
C. choose an interpreter who speaks the workers' language and dialect
D. evaluate the interpreter's approach to clients prior to the educational session
E. encourage the interpreter to paraphrase the workers' questions and responses
Answer: A. instruct the interpreter to guide the nurse in providing info in a culturallysensitive manner
C. choose an interpreter who speaks the workers' language and dialect
D. evaluate the interpreter's approach to clients prior to the educational session
19. A nurse in a rural health clinic is caring for a client who has heart failure. The client
states, "I'm not going to take any more heart medicine." Which of the following responses
should the nurse make?
A. "Why did you decide to stop your heart medicine?"
B. "Can you tell me more about your decision to stop your medicine?"
C. "Don't you know what stopping your medicine will do to your heart?"
D. "Don't you think your doc knows what's best for your heart?"
Answer: B. "Can you tell me more about your decision to stop your medicine?"
20. A community health nurse is planning an educational program for farmers about
occupational health risks. Which of the following risks should the nurse include?
A. resp disorders
B. DM
C. sickle cell anemia
D. HTN
Answer: A. resp disorders
21. A community health nurse is working to meet the health care needs of residents in a rural
community. Which of the following characteristics should the nurse identify as a barrier to
health care resources for this population?
A. less autonomy in providing client care
B. disinterest by members of the population in providing input for community health
programs
C. lack of cohesiveness among community members

D. unavailability of outreach services
Answer: D. unavailability of outreach services
22. A community health nurse is teaching a client who is overweight about steps to take to
begin an exercise program. The nurse should identify that which of the following statements
is an indication that the client understands the teaching?
A. "I will need to purchase exercise equipment before I can start."
B. "I should try to perform aerobic exercises for 1 hr/day, 5 days a week."
C. "I will see my doc before beginning an exercise program."
D. "I should avoid participating in weight-lighting exercises."
Answer: C. "I will see my doc before beginning an exercise program."
23. A public health nurse is participating in a community planning committee for disaster
preparedness for a local community that is at risk for hurricanes. Which of the following info
should the nurse contribute to the plan?
A. a list of residents who have experienced a hurricane in the past and will not need
evacuation
B. a list of areas within the community where residents speak English as a second language
C. how to activate the local medical facility's emergency-management plan
D. the name of the individual who is necessary to implement the plan
Answer: B. a list of areas within the community where residents speak English as a second
language
24. A nurse is providing BP screenings for older adult clients at a local community center.
Which of the following should the nurse identify as increasing a client's risk for developing
HTN?
A. BMI of less than 30
B. daily walking routine
C. African American race
D. HDL level greater than 70 mg/dL
Answer: C. African American race
25. A home health nurse is planning care for the day. Which of the following clients should
the nurse visit first?

A. an older adult client who was treated in the ED last night for a stage III pressure ulcer
B. a school-age child who was treated in the ED last night with status asthmaticus
C. an older adult client who has a newly prescribed antihypertensive med and needs a BP
check
D. a school-age child whose percutaneous endoscopic gastrostomy (PEG) tube
needs changing
Answer: B. a school-age child who was treated in the ED last night with status asthmaticus
26. A community health nurse is working in a mobile health care clinic. Which of the
following clients should the nurse assess first?
A. a client who requires removal of sutures from a laceration
B. a client who has a temp of 37.8 C (100.1 F)
C. a client who has COPD and an oxygen saturation of 92%
D. a client who has a new onset of confusion and slurred speech
Answer: D. a client who has a new onset of confusion and slurred speech
27. A nurse in a community center is preparing to administer a tuberculin skin test to multiple
clients to screen for TB. Which of the following actions should the nurse take?
A. prepare the outer aspect of the upper arm for the injection
B. insert the needle at a 45 degree angle
C. inject 0.1 mL of purified protein derivative
D. create a wheal that measures about 15 mm in diameter
Answer: C. inject 0.1 mL of purified protein derivative
28. A public health nurse is monitoring med compliance for a group of migrant workers who
are being treated for TB. The nurse should use info from which of the following resources to
assist with this process?
A. Agency for Healthcare Quality and Research (AHRQ)
B. Migrant Clinicians Network (MCN)
C. Centers for Disease Control and Prevention (CDC)
D. U.S. Preventive Services Task Force (USPSTF)
Answer: B. Migrant Clinicians Network (MCN)

29. A school nurse is conducting visual acuity testing for a school-age chilD. Which of the
following actions should the nurse take?
A. allow the child to keep her glasses on during the test
B. have the child stand 5 ft away from the Snellen letter chart
C. progress to the next line once the child reads 2 symbols correctly
D. begin the test by instructing the child to use both eyes to read the chart
Answer: A. allow the child to keep her glasses on during the test
30. A public health nurse is developing a visual health program by using a community
oriented approach. Which of the following interventions should the nurse include?
A. teach a client who has a vision loss about safety in the home environment
B. provide genetic counseling to the fam of a newborn who has congenital cataracts
C. consult with the local school nurse to schedule yearly vision screenings for students
D. develop a plan of care for a client who was newly dx with glaucoma
Answer: C. consult with the local school nurse to schedule yearly vision screenings for
students
31. A public health nurse is planning care for 4 clients. Which of the following interventions
should the nurse recognize as tertiary prevention?
A. providing chemoprophylaxis for malaria to a client who is traveling to mosquitoinfested
countries (1)
B. performing a serological screening for HIV for a client who is pregnant (2)
C. participating in partner notification for a client who has an STI (2)
D. administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis
jiroveci
Answer: D. administering antibiotics to a client who has AIDS and was diagnosed with
Pneumocystis jiroveci
32. A nurse in a county health dept is caring for a client who states, "I've been drinking too
much in the evenings since my mom died last year." Which of the following responses should
the nurse make?
A. "It sounds like you are probably an alcoholic."
B. "Don't you think your fam is being affected by your drinking?"
C. "Can I give you some info about AA?"

D. "I don't think your mom would have approved of your drinking."
Answer: C. "Can I give you some info about AA?"
33. A public health nurse is developing a presentation for local day care providers about
infectious childhood diseases. Which of the following statements should the nurse include?
A. "Resp syncytial virus is spread through contact with resp secretions from an infected
person."
B. "Rotavirus infections in children peak during the summer months."
C. "Children who have fifth disease will exhibit bloody diarrhea."
D. "Antiviral meds shorten the duration of a shigella infection."
Answer: A. "Resp syncytial virus is spread through contact with resp secretions from an
infected person."
34. A community health nurse suspects an outbreak of scabies in the local area. Which of the
following actions should the nurse take first?
A. educate the community about disease transmission.
B. determine the incidence rate
C. institute prophylactic tx
D. discuss tx plans with the clients' families
Answer: B. determine the incidence rate
35. A community health nurse is discussing the concept of epidemiology with a coworker.
Which of the following interventions should the nurse provide as an example of the use of the
principles of epidemiology?
A. conducting screenings for dental caries in the local school system
B. reviewing county health records for data on cases of chickenpox
C. providing a client with info about preventing STIs
D. documenting med compliance for clients who have TB
Answer: B. reviewing county health records for data on cases of chickenpox
36. A community health nurse is assigned to lead a county-level environmental task force.
Which of the following activities should the nurse direct the task force to complete first?
A. review community-specific epidemiological data
B. recommend updates to local environmental policies

C. create program goals that align with Healthy People 2020 objectives
D. distribute environmental health edu materials to community members
Answer: A. review community-specific epidemiological data
37. A community health nurse is teaching a client who was newly dx with active pulmonary
TB about disease transmission. Which of the following info should the nurse include?
A. household members should be placed in resp isolation
B. the client should use disposable utensils during meals
C. household members should take isoniazid for 6-12 months
D. the client should have a repeat purified protein derivative test in 3 months
Answer: C. household members should take isoniazid for 6-12 months
38. The daughter of a client who is terminally ill and at the end of life approaches a hospice
nurse and asks what she can do to help relieve her father's pain. Which of the following
interventions should the nurse suggest?
A. give the client brief hand massages
B. increase the illumination in the room
C. place a warm cloth on the client's forehead
D. administer citalopram when the client is agitated
Answer: A. give the client brief hand massages
39. A community health nurse has been contacted regarding a client dx of influenza type A in
an adult day care. Which of the following actions should the nurse take to assist in the
prevention of an outbreak?
A. administer antiviral med to clients at the facility -to provide immediate protection and to
help prevent an outbreak
B. schedule immunizations for clients at the facility
C. recommend that the day care center close for 2 weeks
D. give immune globulin to client at the facility who have early manifestations of influenza
Answer: A. administer antiviral med to clients at the facility -to provide immediate
protection and to help prevent an outbreak
40. A nurse in a rural community is planning edu for a young adult client who is a migrant
farm worker. Which of the following actions should the nurse include? SATA

A. provide environmental health info
B. refer the client for a TB screening
C. provide skin cancer info
D. recommend a dental health screening
E. provide forms to apply for Medicare
Answer: A. provide environmental health info
B. refer the client for a TB screening
C. provide skin cancer info
D. recommend a dental health screening
41. A public health nurse is working in a community that has a population of 24, 096. There
are 2,096 existing cases of heart disease within the population. The nurse can determine
which of the following from this info?
A. mortality rate
B. attack rate
C. prevalence proportion
D. incidence proportion
Answer: C. prevalence proportion
42. A home health nurse is assessing an older adult client who is taking captopril to treat heart
failure. Which of the following findings should the nurse identify as an adverse effect of this
med?
A. weight gain
B. ataxia
C. photophobia
D. dry cough
Answer: D. dry cough
43. A nurse is developing an educational program about bioterrorism and smallpox. The nurse
should include in the teaching that the smallpox rash is expected to first appear in which of
the following locations?
A. face
B. posterior shoulders
C. abdomen

D. lower extremities
Answer: A. face
44. A nurse is assessing the risk and benefits of meal delivery services for an older adult
client who lives alone and has no transportation. Which of the following ethical principles is
the nurse demonstrating?
A. distributive justice
B. respect for autonomy
C. fidelity
D. beneficence - by determining if the client needs this service to maintain his health
Answer: D. beneficence - by determining if the client needs this service to maintain his
health
45. A nurse is conducting a home visit with a female client who reports a hx of intimate
partner abuse. The nurse should identify that which of the following findings places the client
at greatest risk for domestic violence?
A. the client is at 13 weeks of gestation
B. the client states she is leaving her partner
C. the client recently started a new job
D. the client visits friends without her partner's knowledge
Answer: B. the client states she is leaving her partner
46. A case manager is developing a discharge plan for a client who has a spinal cord injury
and is in a rehab facility. Which of the following actions should the nurse take first?
A. hold a care conference with the client and his fam to discuss tx options
B. contact service providers to determine the availability of services offered
C. determine the client's ability to perform self-care
D. evaluate the client's satisfaction with the case manager's services
Answer: C. determine the client's ability to perform self-care
47. A nurse at a county health clinic is caring for a client who has recently assumed the role
of primary caregiver for her mother. Which of the following statements by the client indicates
that she is experiencing role conflict?
A. "I feel overwhelmed with not having enough time for my mom as well as my children."

B. "I hope my siblings will be able to visit and help care for mom for a few days."
C. "I am glad that my job is flexible, so I can accommodate my mom's needs."
D. "I don't think my partner likes having to help more with the household chores."
Answer: A. "I feel overwhelmed with not having enough time for my mom as well as my
children."
48. A nurse is planning to teach a community group about the meningococcal vaccine. The
nurse should identify that which of the following clients should receive the vaccine?
A. a client who is traveling to northern Europe
B. an infant who has bronchiolitis
C. an infant who is 4 weeks old
D. a client who is moving into a college dormitory
Answer: A. a client who is traveling to northern Europe
49. A public health nurse is providing info to a client who has alcohol use disorder and is
asking about tx. Which of the following statements should the nurse identify as an indication
that the client understands the info?
A. "I will not have to completely stop drinking alcohol if I go into an inpatient tx program."
B. "Once I make it through detox, I will be free of my addiction."
C. "I am not eligible for an outpatient program until I have completed an inpatient program
first."
D. "I can expect to get help with other aspects of my life while in tx."
Answer: D. "I can expect to get help with other aspects of my life while in tx."
50. A nurse on the scene following a mass casualty explosion is triaging a client who has a
large, open occipital wound and the following findings: resp rate 6/min, agonal pattern; cap
refill time 4.5 secs; nonresponsive to painful stimuli. Which of the following actions should
the nurse take?
A. turn the client to left semi-Fowler's position and begin assessing the next client
B. place a firm pressure dressing to the occiput and open the airway
C. apply a cervical spine collar and perform a focused neurological exam
D. request that the client be assessed immediately by the next available provider
Answer: A. turn the client to left semi-Fowler's position and begin assessing the next client