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HESI COMMUNITY questions and answers

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1. 12, 7, 10, 5 Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.) a. A 7-year-old who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness b. A 12-year-old with history of asthma who is wheezing and complaining of shortness of breath. c. A 5-year-old who is crying uncontrollably because of an incontinent bowel episode. d. A 10-year-old with bleeding lacerations on both knees after falling in gym class. B, A, D, C - 12, 7, 10, 5 2. a. A 60-year-old with diabetes and agoraphobia The local health department needs to prioritize the distribution of influenza vaccinations due to a limited supply. In determining which individuals should receive the limited available vaccine, which person should the public health nurse ask to return to the clinic later when more vaccine is available? a. A 60-year-old with diabetes and agoraphobia b. An 80-year-old resident in an Alzheimer's unit c. A 65-year-old aide working in a nursing home. d. An 8-year-old girl with poorly-controlled asthma 3. a. Availability of fresh water for washing hands after work The nurse at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, it is most important for the nurse to obtain which information as a part of a community assessment? a. Availability of fresh water for washing hands after work b. Air pollution levels in the surrounding community c. Number of hours of worker's exposure to direct sunlight d. Percentage of poisonous plants in the work fields

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lOMoARcPSD|22689903




Hesi Community practice questions


Community Health (Texas Woman's University)




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HESI COMMUNITY
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1. 12, 7, 10, 5 Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order
of priority should the nurse provide care to these students? (Arrange the client with the highest priority first,
on top, and lowest priority last, on bottom.)
a. A 7-year-old who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness
b. A 12-year-old with history of asthma who is wheezing and complaining of shortness of breath.
c. A 5-year-old who is crying uncontrollably because of an incontinent bowel episode.
d. A 10-year-old with bleeding lacerations on both knees after falling in gym class.
B, A, D, C - 12, 7, 10, 5
2. a. A 60-year-old with The local health department needs to prioritize the distribution of influenza vaccinations due to a limited
diabetes and supply. In determining which individuals should receive the limited available vaccine, which person should
agoraphobia the public health nurse ask to return to the clinic later when more vaccine is available?
a. A 60-year-old with diabetes and agoraphobia
b. An 80-year-old resident in an Alzheimer's unit
c. A 65-year-old aide working in a nursing home.
d. An 8-year-old girl with poorly-controlled asthma
3. a. Availability of fresh The nurse at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at
water for washing a local fruit farm. In response to this finding, it is most important for the nurse to obtain which information
hands after work as a part of a community assessment?
a. Availability of fresh water for washing hands after work
b. Air pollution levels in the surrounding community
c. Number of hours of worker's exposure to direct sunlight
d. Percentage of poisonous plants in the work fields
4. a. Complete a physical On a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt, smells
and mental exam of of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse take first?
the client a. Complete a physical and mental exam of the client
b. Call Adult Protective Services to obtain emergency nursing home placement.
c. Seek the family's assistance in caring for the client
d. Call the client's pharmacy to determine what medications she is taking
5. a. Determine the A client is admitted to the emergency department with flu-like symptoms. Which intervention should the
client's occupation nurse to obtain to rule out exposure to anthrax-spores?
a. Determine the client's occupation
b. Inquire about previous vaccination for smallpox.
c. Obtain a twenty-four diet history
d. Identify the client's personal contacts over the past week
6. a. Enroll the client in The RN care-manager at the public department is making a home visit to a client with four children under
the Women, Infant, and the age of 6. The client is a single mother and the family is living below poverty level. Which intervention
Children program should the nurse include as a primary level prevention measure?
a. Enroll the client in the Women, Infant, and Children program
b. Counsel the client on available birth control methods
c. Provide the client with a listing for local healthcare providers.
d. Provide the client with the local bus schedule.
7. a. Hepatovax B was The nurse is conducting routine assessments of clients at an ambulatory clinic. Which assessment warrants
prescribed for a client immediate interventions by the nurse?
who is allergic to yeast a. Hepatovax B was prescribed for a client who is allergic to yeast
b. An INR of 2 was obtained for a client taking warfarin (Coumadin)
c. HIV screening was requested by a client having unprotected sex with two individuals
d. Nafcillin (Unipen) was taken for ten days by a client whose infected wound is healing




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