Community Health HESI Latest July 2020 - 2 Versions (only slight variations in questions)
Community HESI July 2020 - 2 Versions (only slight variations in questions)
1. 1. The public health nurse is creating a plan to increase state funding for a local health clinic. Which
strategy is likely to be most effective in obtaining funding for the clinic? Organize concerned citizens to
write letters and telephone state representatives
2. The nurse is caring for 4 clients in a women’s health clinic. Which client should the nurse assess for risk
of pelvic inflammatory disease? 20 year old with gonnorhea
3. A government office worker is seen in the EDafter opening an envelope containing a powder like
substance which is similar to anthrax. Which discharge instruction should the nurse provide the client
concerning inhalation anthrax? Return to emergency room if flu like symptoms develop within 42 hours
4. During home visit, the daughter of older adult tells nurse that she believes her mother should move in a
retirement community. The mother states that though she needs assistance with meal prep, she is
more comfortable in her own home. Before interviewing, which client assessment is most important for
the nurse to complete? Functional ability
5. Which one is vertical transmission? The mother is breastfeeding the infant
6. On a day when temp is expected to drop below freezing during night, the nurse is asked to determine
which homeless adults are in most needed of the limited spaces. Which one is more important? An
older male who is malnourished
7. Client with history of COPD, being treated for pneumonia and is currently taken care of by husband.
Requires assistance when ambulating short distances, including bathroom. Which suggestion should
be given? Suggest obtaining a bedside commode
, 8. A community group proposes building a new well-child clinic because this year’s demographics reflect
that a large percentage of the population is less than 19 years of age. Which question indicates that the
nurse understands the potential gaps in these data? What percentage of the population was under 19
years of age in each of the 5 previous years?
9. The community health nurse believes that immunixation rates in a lower- socioeconomic section of the
city are probably belowthe target set by state health department. What action should the nurse first take
to intervent with this health problem? Review current epidemiological population data that might
document a low immunixation rate
10. While screening all children in the 3rd grade for head lice, the school nurse observes that one girl has a
brownish thickening on her neck. Which action should the nurse take in response to this finding?
Advise the child’s parents to obtain medical evaluation of the child
11. Female student with ADHD report to school nurse that the student is having a difficult time each
morning until it is time for afternoon dose of medication. Which action should the nurse implement?
Determine if child is taking morning dose
12. Nurse is working in an area with a large Muslim community. It is important that the nurse understands
and observes which belief of the islamic faith? Nurse of same gender should provide care for the client
13. The nurse is documenting the medical history of a young adult male client who was recently diagnosed
with Type 1 diabetes mellitus (DM). He smokes 2 packs of cigarettes daily and his father died of a heart
attack at the age of 45. Which annual screening is most important for the nurse include? Hyperlipidemia
14. A nurse is planning a nutrition class for a group of senior citizens at a community center and wants to
emphasize the amount and types of fat in some foods versus others. What is the best teaching method
for the nurse to use? Determine foods most often eaten by this group and discuss the nutritional panel
of each product
15. A prescription for discharge is written for an elderly female client who has asked to be discharged to her
home. The client lives alone and is able to walk 10 to 15 feet with assistance. What action should the
nurse implement first? Meet with the case manager to plan a home safety evaluation
16. . A teenage boy with a history of recurring atopic dermatitis (eczema) tells the school nurse that he
wants to play high school football. Which action should the nurse take? Tell the teenager to shower with
a non-perfumed soaps immediately after practice
17. The home health nurse visits a young male client with AIDS who has Kaposi’s sarcoma and peripheral
neuropathies. His parents, who are the care-takers, tell the nurse that their son sleeps most of the
times. The nurse assess that the client is semi-conscious with stable vital signs, cries out in pain when
turned or moved, has a Duragesic pain patch in place, and skin lesions that are closed and dried.
Which intervention should the nurse implement? Discuss end-of-life decisions with the client’s parents
Community HESI July 2020 - 2 Versions (only slight variations in questions)
1. 1. The public health nurse is creating a plan to increase state funding for a local health clinic. Which
strategy is likely to be most effective in obtaining funding for the clinic? Organize concerned citizens to
write letters and telephone state representatives
2. The nurse is caring for 4 clients in a women’s health clinic. Which client should the nurse assess for risk
of pelvic inflammatory disease? 20 year old with gonnorhea
3. A government office worker is seen in the EDafter opening an envelope containing a powder like
substance which is similar to anthrax. Which discharge instruction should the nurse provide the client
concerning inhalation anthrax? Return to emergency room if flu like symptoms develop within 42 hours
4. During home visit, the daughter of older adult tells nurse that she believes her mother should move in a
retirement community. The mother states that though she needs assistance with meal prep, she is
more comfortable in her own home. Before interviewing, which client assessment is most important for
the nurse to complete? Functional ability
5. Which one is vertical transmission? The mother is breastfeeding the infant
6. On a day when temp is expected to drop below freezing during night, the nurse is asked to determine
which homeless adults are in most needed of the limited spaces. Which one is more important? An
older male who is malnourished
7. Client with history of COPD, being treated for pneumonia and is currently taken care of by husband.
Requires assistance when ambulating short distances, including bathroom. Which suggestion should
be given? Suggest obtaining a bedside commode
, 8. A community group proposes building a new well-child clinic because this year’s demographics reflect
that a large percentage of the population is less than 19 years of age. Which question indicates that the
nurse understands the potential gaps in these data? What percentage of the population was under 19
years of age in each of the 5 previous years?
9. The community health nurse believes that immunixation rates in a lower- socioeconomic section of the
city are probably belowthe target set by state health department. What action should the nurse first take
to intervent with this health problem? Review current epidemiological population data that might
document a low immunixation rate
10. While screening all children in the 3rd grade for head lice, the school nurse observes that one girl has a
brownish thickening on her neck. Which action should the nurse take in response to this finding?
Advise the child’s parents to obtain medical evaluation of the child
11. Female student with ADHD report to school nurse that the student is having a difficult time each
morning until it is time for afternoon dose of medication. Which action should the nurse implement?
Determine if child is taking morning dose
12. Nurse is working in an area with a large Muslim community. It is important that the nurse understands
and observes which belief of the islamic faith? Nurse of same gender should provide care for the client
13. The nurse is documenting the medical history of a young adult male client who was recently diagnosed
with Type 1 diabetes mellitus (DM). He smokes 2 packs of cigarettes daily and his father died of a heart
attack at the age of 45. Which annual screening is most important for the nurse include? Hyperlipidemia
14. A nurse is planning a nutrition class for a group of senior citizens at a community center and wants to
emphasize the amount and types of fat in some foods versus others. What is the best teaching method
for the nurse to use? Determine foods most often eaten by this group and discuss the nutritional panel
of each product
15. A prescription for discharge is written for an elderly female client who has asked to be discharged to her
home. The client lives alone and is able to walk 10 to 15 feet with assistance. What action should the
nurse implement first? Meet with the case manager to plan a home safety evaluation
16. . A teenage boy with a history of recurring atopic dermatitis (eczema) tells the school nurse that he
wants to play high school football. Which action should the nurse take? Tell the teenager to shower with
a non-perfumed soaps immediately after practice
17. The home health nurse visits a young male client with AIDS who has Kaposi’s sarcoma and peripheral
neuropathies. His parents, who are the care-takers, tell the nurse that their son sleeps most of the
times. The nurse assess that the client is semi-conscious with stable vital signs, cries out in pain when
turned or moved, has a Duragesic pain patch in place, and skin lesions that are closed and dried.
Which intervention should the nurse implement? Discuss end-of-life decisions with the client’s parents
