Page 1 of 59
HESI COMMUNITY ACTUAL EXAM PREP
2026(2 CURRENTLY TESTING VERSIONS)
ALL QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY A GRADED
WITH EXPERT FEEDBACK |NEW AND
REVISED
The public health nurse receives grant funding to implement primary
prevention strategies for migrant farm workers and their families. Which
action should the nurse plan to include?
Teach a class in providing first aid for heat exhaustion
Organize free community wide tuberculosis screenings
Distribute brochures on measures to avoid pesticide exposure
Ask a physical therapist to speak about managing low back pain -
ANSWER- Distribute brochures on measures to avoid pesticide
exposure
The parish nurse notes that an elderly male client has had a 5 lbs weight
loss since his check up one month ago. The client has good hygiene, still
drives a car and lives alone. To which agency should the nurse refer this
client?
The adult day care center
The social security administration office
The women infant and children office
The senior citizen center - ANSWER- The senior citizen center
, Page 2 of 59
The nurse is screening for hypertension at a local health fair. One of the
community residents has a blood pressure reading of 138/80. Which
interventions should the nurse implement for this client? Select all that
apply
Obtain another blood pressure to verify the first reading
Ask the client about any current antihypertensive medications
Recommend further evaluation for possible pre-hypertension
Encourage the client to keep doing whatever you are doing
Assess clients life style and other risk factors for hypertension -
ANSWER- Obtain another blood pressure to verify the first reading
Ask the client about any current antihypertensive medications
Recommend further evaluation for possible pre-hypertension
Which intervention should the nurse implement to help prevent client
from getting a vector born infectious disease?
Demonstrate the correct way to remove ticks imbedded in the skin
Discuss the importance of wearing insect repellent when camping
Instruct the client to drink only bottled water when traveling abroad
Encourage the client to get immunizations prior to international travel -
ANSWER- Discuss the importance of wearing insect repellent when
camping
The nurse is working with parent teacher organization to increase safety
for children walking to and from a nearby elementary school. Which
action should the nurse include to help achieve this goal?
, Page 3 of 59
Advise the residents to keep their porch lights on during hours that
children are walking to and from school
Help the residents plan a campaign to remind people driving through the
school zone to wear seatbelts at all times
Lead a discussion about the benefits of designated safe houses located
throughout the school neighborhood
Encourage residents with older homes along the school route to get their
homes inspected for excessive lead levels - ANSWER- Lead a
discussion about the benefits of designated safe houses located
throughout the school neighborhood
The nurse is working with the family of a child with cerebral palsy. In
order to help the nurse understand the connections among family
members, resources and agencies in the community with assessment
data gathering tool is best for the nurse to use?
Genogram
Ecomap
Medical record
Family tree - ANSWER- Ecomap
Due to a limited supply the local health department needs to prioritize
the distribution of influenza vaccinations. 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?
An 80 year old resident in an Alzheimer's unit
A 65 year old aide working in a nursing home
, Page 4 of 59
A 60 year old client with diabetes and agoraphobia
An 8 year old girl with poorly controlled asthma - ANSWER- A 60 year
old client with diabetes and agoraphobia
The community health nurse determines that the average family income
of a certain community is 67k per a year with a range of 27k to 102k
based on this demographic information what additional information is
important for the nurse to assess?
Interventions focused on college educated individuals
Characteristics of families in the upper middle class
The frequency of incomes about and below the average
The reliability of such a high average family income - ANSWER- The
frequency of incomes about and below the average
After assessing the health needs of an elementary school, the nurse
determines that an increased incidence of bicycle injuries is a priority
problem. The nurse develops a 2 month program with the goal to
eliminate bicycle injuries in the school. The program includes
educational pamphlets sent home to parents and two educations sessions
by the school nurse. Which action should the nurse implement to
evaluate the effectiveness of the program?
Compare the incidence of bicycle injuries at the beginning and end of
the program
Determine the type of bicycle injuries each child sustained before
conducting the sessions
HESI COMMUNITY ACTUAL EXAM PREP
2026(2 CURRENTLY TESTING VERSIONS)
ALL QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY A GRADED
WITH EXPERT FEEDBACK |NEW AND
REVISED
The public health nurse receives grant funding to implement primary
prevention strategies for migrant farm workers and their families. Which
action should the nurse plan to include?
Teach a class in providing first aid for heat exhaustion
Organize free community wide tuberculosis screenings
Distribute brochures on measures to avoid pesticide exposure
Ask a physical therapist to speak about managing low back pain -
ANSWER- Distribute brochures on measures to avoid pesticide
exposure
The parish nurse notes that an elderly male client has had a 5 lbs weight
loss since his check up one month ago. The client has good hygiene, still
drives a car and lives alone. To which agency should the nurse refer this
client?
The adult day care center
The social security administration office
The women infant and children office
The senior citizen center - ANSWER- The senior citizen center
, Page 2 of 59
The nurse is screening for hypertension at a local health fair. One of the
community residents has a blood pressure reading of 138/80. Which
interventions should the nurse implement for this client? Select all that
apply
Obtain another blood pressure to verify the first reading
Ask the client about any current antihypertensive medications
Recommend further evaluation for possible pre-hypertension
Encourage the client to keep doing whatever you are doing
Assess clients life style and other risk factors for hypertension -
ANSWER- Obtain another blood pressure to verify the first reading
Ask the client about any current antihypertensive medications
Recommend further evaluation for possible pre-hypertension
Which intervention should the nurse implement to help prevent client
from getting a vector born infectious disease?
Demonstrate the correct way to remove ticks imbedded in the skin
Discuss the importance of wearing insect repellent when camping
Instruct the client to drink only bottled water when traveling abroad
Encourage the client to get immunizations prior to international travel -
ANSWER- Discuss the importance of wearing insect repellent when
camping
The nurse is working with parent teacher organization to increase safety
for children walking to and from a nearby elementary school. Which
action should the nurse include to help achieve this goal?
, Page 3 of 59
Advise the residents to keep their porch lights on during hours that
children are walking to and from school
Help the residents plan a campaign to remind people driving through the
school zone to wear seatbelts at all times
Lead a discussion about the benefits of designated safe houses located
throughout the school neighborhood
Encourage residents with older homes along the school route to get their
homes inspected for excessive lead levels - ANSWER- Lead a
discussion about the benefits of designated safe houses located
throughout the school neighborhood
The nurse is working with the family of a child with cerebral palsy. In
order to help the nurse understand the connections among family
members, resources and agencies in the community with assessment
data gathering tool is best for the nurse to use?
Genogram
Ecomap
Medical record
Family tree - ANSWER- Ecomap
Due to a limited supply the local health department needs to prioritize
the distribution of influenza vaccinations. 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?
An 80 year old resident in an Alzheimer's unit
A 65 year old aide working in a nursing home
, Page 4 of 59
A 60 year old client with diabetes and agoraphobia
An 8 year old girl with poorly controlled asthma - ANSWER- A 60 year
old client with diabetes and agoraphobia
The community health nurse determines that the average family income
of a certain community is 67k per a year with a range of 27k to 102k
based on this demographic information what additional information is
important for the nurse to assess?
Interventions focused on college educated individuals
Characteristics of families in the upper middle class
The frequency of incomes about and below the average
The reliability of such a high average family income - ANSWER- The
frequency of incomes about and below the average
After assessing the health needs of an elementary school, the nurse
determines that an increased incidence of bicycle injuries is a priority
problem. The nurse develops a 2 month program with the goal to
eliminate bicycle injuries in the school. The program includes
educational pamphlets sent home to parents and two educations sessions
by the school nurse. Which action should the nurse implement to
evaluate the effectiveness of the program?
Compare the incidence of bicycle injuries at the beginning and end of
the program
Determine the type of bicycle injuries each child sustained before
conducting the sessions
