Community Health Exit 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?
educate children about nutrition and exercise at a daycare center
2. A community health nurse is developing health promotion activities for a
community. Which of the following is the highest priority action?
participate in community assessment to identify community health problems
3. A home health nurse is scheduling client visits for the day. Which of the
following clients should the nurse plan to visit first?
a 79-year-old client with an exacerbation of COPD
4. 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?
analytic epidemiology
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 sputum specimen that is positive for tuberculosis
6. A nurse is triaging victims of a commuter train crash. Which of the following
clients should be transported to the Emergency Department first?
an ambulatory client whose nose is bleeding and who reports feeling dizzy
7. 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?
include both hot and cold food items on a Hispanic client’s menu
8. 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)?
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
, 9. 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?
refer the client to a public homeless shelter
10. 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?
caffeinated beverages should be replaced with caffeine-free
11. A community health nurse is writing an emergency response plan for a day
care. Which of the following should be included in the plan?
immunization protocol for various biological agents
12. 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?
use if seat belts in automobiles
13. 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?
koplik spots in the oral mucosa
14. 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?
slightly yellow sclera
15. Which of the following is an example of the responsibilities of public health
nursing informing state health officials of a potential meningitis outbreak
16. 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?
“Demographic data that identify a client can be released without consent”
1. A nurse is planning a primary prevention strategy for reducing obesity in
a community. Which of the following strategies should the nurse use?
educate children about nutrition and exercise at a daycare center
2. A community health nurse is developing health promotion activities for a
community. Which of the following is the highest priority action?
participate in community assessment to identify community health problems
3. A home health nurse is scheduling client visits for the day. Which of the
following clients should the nurse plan to visit first?
a 79-year-old client with an exacerbation of COPD
4. 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?
analytic epidemiology
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 sputum specimen that is positive for tuberculosis
6. A nurse is triaging victims of a commuter train crash. Which of the following
clients should be transported to the Emergency Department first?
an ambulatory client whose nose is bleeding and who reports feeling dizzy
7. 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?
include both hot and cold food items on a Hispanic client’s menu
8. 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)?
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
, 9. 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?
refer the client to a public homeless shelter
10. 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?
caffeinated beverages should be replaced with caffeine-free
11. A community health nurse is writing an emergency response plan for a day
care. Which of the following should be included in the plan?
immunization protocol for various biological agents
12. 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?
use if seat belts in automobiles
13. 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?
koplik spots in the oral mucosa
14. 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?
slightly yellow sclera
15. Which of the following is an example of the responsibilities of public health
nursing informing state health officials of a potential meningitis outbreak
16. 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?
“Demographic data that identify a client can be released without consent”
