HESI Community Health Practice Questions and answers, Exams of Nursing

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HESI Community Health Practice Questions and answers

While discussing the science of nursing, the nurse identifies the domain of nursing theory. Which linkages should the nurse provide to describe nursing's paradigm? A. The person, the environment or situation, and health B. Stress reduction, self-care, and a systems model C. Curative care, restorative care, and terminal care D. Self-actualization, fundamental needs, and belonging - ANS A. The person, the environment or situation, and health A terrorist attack has occurred and several people have inhaled Ricin. Which intervention should the emergency department nurse implement when caring for these clients? A. Administer the antibiotic streptomycin, IV STAT B. Provide all clients with the Ricin antidote C. Implement strict respiratory isolation immediately D. Provide supportive nursing care until antitoxin is available - ANS D. Provide supportive nursing care until antitoxin is available Which topic should the nurse include in planning a primary prevention class for adolescents? A. Risk factors for heart disease B. Dietary management of obesity C. Suicide risks and prevention D. Coping with stressful situations - ANS C. Suicide risks and prevention The nurse administers a booster dose of DTaP vaccine to an infant. Which level of prevention is the nurse implementing? A. Primary prevention B. Tertiary prevention C. Secondary prevention D. Primary nursing - ANS A. Primary prevention The nurse is working in a community clinic that serves a population comprised mainly of migrant families. In planning the use of resources for secondary prevention, which activity should be the priority? A. Skin testing for tuberculosis B. Glucose monitoring for diabetes C. Blood work for cardiovascular disease D. Height and weight for altered nutrition - ANS A. Skin testing for tuberculosis A nurse organizes a community action group to help resolve health problems in a low income neighborhood with a large population of recent immigrants from Africa. What problem should the nurse address first?

A. High rate of unemployment B. Low immunization rate of children C. Provision of substandard health care D. Access to bilingual care providers - ANS B. Low immunization rate of children The nurse is assessing a Vietnamese child during a home health visit and identifies round swellings on the child's back. The child's mother says she rubbed the edge of a coin on her child's oiled skin. The nurse should recognize that this behavior is prompted by which cultural belief? A. The child's behavior was not acceptable B. The purpose is to rid the body of disease C. This method is commonly used for discipline D. The temper tantrums are commonly managed using this method - ANS B. The purpose is to rid the body of disease Attendance at a community health clinic is rising and clients have long waits for service. The charge nurse believes that a computer system would be helpful in decreasing the time needed to conduct intake and exit processing. What is the nest way for the nurse to introduce the idea of obtaining a computer system for the clinic? A. Ask the medical director to talk to the Board of Directors about obtaining funds to implement a computer system B. Send a signed letter to the editor of the local newspaper describing the benefits to the community C. Submit a written proposal to the Board of Directors about hardware and software improvement needs D. Meet informally with some Board members to enlist their support for the idea of implementing a computer system - ANS C. Submit a written proposal to the Board of Directors about hardware and software improvement needs Lillian Wald was a significant person in the history of American nursing. Which contributions can be attributed to her? (Select all that apply) A. Development of public health nursing practice B. First nursing service for occupational health C. Campaigned for laws to require registration for nurses D. Established committee that was the forerunner of the NLN E. Instituted a sliding scale fee for service - ANS A. Development of public health nursing practice B. First nursing service for occupational health D. Established committee that was the forerunner of the NLN E. Instituted a sliding scale fee for service The home health nurse is planning a visit with a client who has been discharged home after a hospitalization. Which action should the nurse implement? A. Avoid creating barriers by wearing a name tag in the home B. Schedule home visits that take place during the daylight hours C. Ensure HIPAA laws are observed by avoiding visits with other home care providers D. Use a duplicate copy of the client's record to provide concurrent services - ANS B. Schedule home visits that take place during the daylight hours

E. West Nile virus infection F. Hepatitis B virus infection - ANS A. asthma C. Lung cancer When asked to help develop interventions to combat obesity among children, the community health nurse should stress the importance of implementing which activity? A. Set goals that are focused on developing healthier lifestyles B. Develop strict diet plANS for school-aged children C. Provide diet classes for the obese children during school hours D. Require all children to participate in organized team sports - ANS A. Set goals that are focused on developing healthier lifestyles A young woman tells the public health nurse that a friend was recently diagnosed with Hepatitis B and she is concerned about getting the disease. During the assessment interview, which question is most important for the nurse to ask this woman? A. "Did you drink after or use any utensils that your friend used?" B. "Have you noticed any yellowish tinge to the whites of your eyes?" C. "Have you shared any needles or had sex with your friend?" D. "How long ago was your friend diagnosed with Hepatitis B?" - ANS C. "Have you shared any needles or had sex with your friend?" Which example should the nurse identify as a significant outcome for the Leading Health Indicators of Healthy People 2020? A. A community has adopted a no smoking policy B. A rural community has a public trANS portation system C. The high school drop out rate has decreased by 15% D. A county has decreased their divorce rate by 10% - ANS A. A community has adopted a no smoking policy Which intervention should the public health nurse implement when attempting to address one of the leading health indicators of Healthy People 2020? A. Lead a weekly water aerobics class for the elderly at a community center B. Teach a class on cultural awareness to nursing students at the university C. Design and implement a no smoking campaign at the local high school D. Write a grant to help provide glucometers to individuals who cannot afford one - ANS C. Design and implement a no smoking campaign at the local high school The nurse is preparing to discharge an elderly, recently widowed female client following a mild stroke. At this time she is able to walk with the aid of a walker. As part of the discharge planning, what referral is most important for the nurse to make? A. Pastoral care B. Meals-on-wheels C. Grief support group

D. Physical therapy - ANS B. Meals-on-wheels The nurse is designing a bioterrorism plan for a community. Which agents are trANS mitted person to person via respiratory or inhalation exposure? A. ricin B. Pneumonic plague C. Anthrax D. Botulism E. Smallpox F. Brucellosis - ANS B. Pneumonic plague E. Smallpox Which presentation of an infectious disease is acquired through an indirect trANS mission? A. Syphilis contracted from a sexual partner B. Measles resulting from a daycare center outbreak C. Malaria following exposure in a mosquito-infested area D. Nosocomial influenza spreading rapidly in a long-term center - ANS C. Malaria following exposure in a mosquito-infested area What action is best for the community health nurse to take if the nurse suspects that an infant is being physically abused? A. Follow agency protocols to report suspected abuse B. Report suspicions to the local child abuse reporting hotline C. educate the child's caregivers about growth and development issues D. Call the police department to have the child removed from the home - ANS A. Follow agency protocols to report suspected abuse The nursing education coordinator is creating employee orientation materials for staff nurses who plan to work at a clinic that serves a lower socioeconomic neighborhood. What information should the educator include regarding the clinic's client population? A. Most of the clients are unemployed or disabled B. Access to mass trANS it may be an issue C. Clients will need reminders to bring insurance cards D. Basic physiologic needs of this population are often unmet E. Clients who are homebound will qualify for Medicaid F. Nonadherance to healthcare recommendations is likely - ANS A. Most of the clients are unemployed or disabled B. Access to mass trANS it may be an issue D. Basic physiologic needs of this population are often unmet

A. Request a chaplain to counsel with the couple B. Assign a home health care aide to provide care daily C. Talk to the husband about placing his wife in a nursing home D. Contact the client's children to discuss the situation - ANS B. Assign a home health care aide to provide care daily A nurse working in a community health setting is preforming primary health screenings. Which individual is at highest risk for contracting an HIV infection? A. A 17 - year-old who is sexually active with numerous partners B. A 45 - year-old lesbian who has been sexually active with two partners in the past year C. A 30 - year-old cocaine user who inhales the drug and works in a topless bar D. A 34 - year-old male homosexual who is in a monogamous relationship - ANS A. A 17 - year-old who is sexually active with numerous partners The home health nurse is admitting a client with Parkinson's disease to the home healthcare service. In planning care for this client, which nursing diagnosis has priority? A. Impaired physical mobility related to muscle rigidity and weakness B. Ineffective coping related to depression and dysfunction due to disease progression C. Ineffective breathing pattern related to respiratory muscle weakness D. Fear related to constant possibility of experiencing seizures - ANS A. Impaired physical mobility related to muscle rigidity and weakness During a home health visit, a male client reports to the nurse that he felt a solid testicular mass during self-exam, but that it wasn't painful. What instruction should the nurse provide the client? A. Continue to monitor the mass until the next scheduled annual medical exam B. Notify the healthcare provider if the mass becomes soft, painful, or starts to drain C. Schedule an appointment with the healthcare provider for prompt evaluation D. Testicular nodules are of concern only if they feel matted or are not easily movable - ANS C. Schedule an appointment with the healthcare provider for prompt evaluation A home health nurse knows that a 70 - year-old male client who is convalescing at home following a hip replacement, is at risk for developing decubitus ulcers. Which physical characteristic of aging contributes to such a risk? A. 16% increase in overall body fat B. Reduced melanin production C. Thinning of the skin with loss of elasticity D. Calcium loss in the bones - ANS C. Thinning of the skin with loss of elasticity A college student asks the nurse in the Campus Student Health Center about obtaining medication for motion sickness before a scuba diving trip. What instruction should the nurse give the student regarding the use of prescription-strength scopolamine (TrANS derm-V)? A. "Take the oral preparation 30 minutes before diving." B. "Apply the skin patch behind the ear 12 hours before your trip."

C. "Use the medication at the first feeling of nausea on the boat." D. "Apply a new skin patch every 6 hours to the chest or abdomen." - ANS B. "Apply the skin patch behind the ear 12 hours before your trip."