COMMUNITY HEALTH EXIT HESI
QUESTIONS AND CORRECT
ANSWERS 2026 GRADED A+
The nurse is wearing personal protective equipment while caring for a pt. When exiting
the room, which PPE should be removed first? - answer-Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the
client's prescriptions. Which information should the nurse provide first when reporting
to the healthcare provider using SBAR communication? - answer-Increasing confusion
of the pt.
A pt presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use? - answer-Ask
the patient to describe the pain
A pt tells the nurse about working out with a personal trainer and swimming three times
a week in an effort to lose weight and sleep better. The pt states that it still is taking
hours to fall asleep at night. Which action should the nurse implement? - answer-Ask
the pt for a description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the nurse
include when providing discharge teaching to the pt and spouse? SATA - answer--review
safe transfer strategies
-develop a nutritional plan
-help identify community support
,The nurse implements a tertiary prevention program for type 2 diabetes in a rural health
clinic. Which outcome indicates that the program was effective? - answer-pt who
develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is most
important in designing this program? - answer-participation of community leaders in
planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after the
injuries occurred. The healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which intervention is most
important for the nurse to implement? - answer-use gown, mask, and gloves with
dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin
are infusing. The pt is sedated but responds to instructions. After changing positions,
the pt complains of pain at the right groin insertion site. What action should the nurse
implement? - answer-Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is
most important for the nurse to obtain? - answer-upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home alone and
never falling. Which action should the nurse take? - answer-Continue to obtain pt data
needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt
is weak and begins coughing while attempting to drink through a straw. Which
intervention should the nurse implement? - answer-Teach coughing and deep breathing
exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
,recognize as needing additional education? - answer-Empty the pouch when it is half
full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement? - answer-
initiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position? - answer-Picture
with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the pt for the procedure,
which intervention has the highest priority? - answer-Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes purulent drainage at
the wound. Before reporting this finding to the provider, the nurse should review which
of the pt lab values? - answer-culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin
500mg PO every 12hrs. When the client requests an afternoon snack, which dietary
choice should the nurse provide? - answer-Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has been 7 days since his
last BM and his abd is distended, and he just vomited 150ml of dark brown emesis. In
what order should the nurse implement these interventions? - answer-Send emesis to
lab
Elevate HOB
complete focused assessment
offers PRN pain meds
, A patient who recently received a prescription for ramelteon to treat sleep deprivation
reports experiencing several side effects since taking the med. Which side effect should
the nurse report to the healthcare provider? - answer-Somnambulism
A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary embolism.
Which information in the client's history requires follow up by the nurse? - answer-take
metformin for type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level is 6.2
mEq/? - answer-Spironolactone
A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy.
The previous nurse reports that it was necessary to change the client's perineal pad
hourly and that it is again saturated. The previous nurse also reports that the client's
urinary output has decreased. Which action should the nurse implement first? -
answer-Assess for weakness or dizziness
A pt who is admitted for primary hypothyroidism has early signs of myxedema coma. In
assessing the pt, in which sequence should the nurse complete these actions? -
answer--Observe breathing patterns
-assess blood pressure
-measure body temp
-palpate for pedal edema
The nurse is taking the blood pressure measurement of a client with Parkinson's
disease. Which information in the admission assessment is relevant to the nurse's plan
for taking the blood pressure reading? SATA - answer-Blurred Vision
Flat Affect
frequent syncope
After administering a proton pump inhibitor, which action should the nurse take to
evaluate the effectiveness of the medication? - answer-Ask the pt about gastrointestinal
pain
QUESTIONS AND CORRECT
ANSWERS 2026 GRADED A+
The nurse is wearing personal protective equipment while caring for a pt. When exiting
the room, which PPE should be removed first? - answer-Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the
client's prescriptions. Which information should the nurse provide first when reporting
to the healthcare provider using SBAR communication? - answer-Increasing confusion
of the pt.
A pt presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use? - answer-Ask
the patient to describe the pain
A pt tells the nurse about working out with a personal trainer and swimming three times
a week in an effort to lose weight and sleep better. The pt states that it still is taking
hours to fall asleep at night. Which action should the nurse implement? - answer-Ask
the pt for a description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the nurse
include when providing discharge teaching to the pt and spouse? SATA - answer--review
safe transfer strategies
-develop a nutritional plan
-help identify community support
,The nurse implements a tertiary prevention program for type 2 diabetes in a rural health
clinic. Which outcome indicates that the program was effective? - answer-pt who
develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is most
important in designing this program? - answer-participation of community leaders in
planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after the
injuries occurred. The healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which intervention is most
important for the nurse to implement? - answer-use gown, mask, and gloves with
dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin
are infusing. The pt is sedated but responds to instructions. After changing positions,
the pt complains of pain at the right groin insertion site. What action should the nurse
implement? - answer-Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is
most important for the nurse to obtain? - answer-upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home alone and
never falling. Which action should the nurse take? - answer-Continue to obtain pt data
needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt
is weak and begins coughing while attempting to drink through a straw. Which
intervention should the nurse implement? - answer-Teach coughing and deep breathing
exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
,recognize as needing additional education? - answer-Empty the pouch when it is half
full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement? - answer-
initiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position? - answer-Picture
with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the pt for the procedure,
which intervention has the highest priority? - answer-Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes purulent drainage at
the wound. Before reporting this finding to the provider, the nurse should review which
of the pt lab values? - answer-culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin
500mg PO every 12hrs. When the client requests an afternoon snack, which dietary
choice should the nurse provide? - answer-Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has been 7 days since his
last BM and his abd is distended, and he just vomited 150ml of dark brown emesis. In
what order should the nurse implement these interventions? - answer-Send emesis to
lab
Elevate HOB
complete focused assessment
offers PRN pain meds
, A patient who recently received a prescription for ramelteon to treat sleep deprivation
reports experiencing several side effects since taking the med. Which side effect should
the nurse report to the healthcare provider? - answer-Somnambulism
A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary embolism.
Which information in the client's history requires follow up by the nurse? - answer-take
metformin for type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level is 6.2
mEq/? - answer-Spironolactone
A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy.
The previous nurse reports that it was necessary to change the client's perineal pad
hourly and that it is again saturated. The previous nurse also reports that the client's
urinary output has decreased. Which action should the nurse implement first? -
answer-Assess for weakness or dizziness
A pt who is admitted for primary hypothyroidism has early signs of myxedema coma. In
assessing the pt, in which sequence should the nurse complete these actions? -
answer--Observe breathing patterns
-assess blood pressure
-measure body temp
-palpate for pedal edema
The nurse is taking the blood pressure measurement of a client with Parkinson's
disease. Which information in the admission assessment is relevant to the nurse's plan
for taking the blood pressure reading? SATA - answer-Blurred Vision
Flat Affect
frequent syncope
After administering a proton pump inhibitor, which action should the nurse take to
evaluate the effectiveness of the medication? - answer-Ask the pt about gastrointestinal
pain
