HESI COMMUNITY HEALTH 2024 EXAM 3
VERSIONS EACH WITH 55 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100% CORRECT) FROM PAST
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ASSURED
The community health nurse who works in a gulf coast town
that caters to tourists is presenting a class to residents and
business owner of the town on disaster management. Which
content is most important for the nurse be included in this
class?
Hurricane preparedness for families and businesses
Available evacuation routes from the town
Methods used to treat water to ensure it is safe to drink
Actions to be taken during a tornado -
....ANSWER...Methods used to treat water to ensure it is
safe to drink
The home health nurse is evaluating client who is receiving
enteral feedings by nasogastric NG tube. Which assessment
finding indicates to the nurse that a change to the clients
nutrition may be warranted for this client?
Ulceration of .5 cm at left nares ng tube insertion site
Intestinal migration of ng tube verified by aspirate ph of 7.1
Residual volume of 25 ml after each scheduled feeding
Nausea occurs after each instillation of ng feeding -
....ANSWER...Nausea occurs after each instillation of ng
feeding
The epidemiological triad can be used to frame strategies for
the prevention of farm machinery injuries. Which action
should the nurse take to focus on the agent?
Teach farm workers not to smoke around farm equipment
Translate written vehicle instructions into picture format
Provide rehabilitation services to injured farm hands
Work with legislators to mandate safe tractor design -
....ANSWER...Work with legislators to mandate safe tractor
design
A community hit by a hurricane has suffered mass
destruction and flooding. Sewage facilities are non
functioning and the area is contaminated with human
excreta. The nurse is developing a plan of care for clients
diagnosed with cholera after an outbreak. Which
intervention has the highest priority?
Administer prophylactic antibiotics as prescribed
Provide fluid and electrolyte replacement
Isolate all infectious diarrhea victims
Administer cholera vaccine - ....ANSWER...Provide fluid
and electrolyte replacement
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 10-15 feet with
assistance. Which action should the nurse implement first?
Arrange for a bedside commode to be delivered to the home
Meet with case manager to plan a home safety evaluation
Provide the client with information about medical alert
devices
Review the home medication schedule with the client and
family - ....ANSWER...Meet with case manager to plan a
home safety evaluation
Which expected outcome statement is most relevant to the
plan of care for an elderly female client who has a nursing
problem of "altered nutrition less than body requirements
related to social isolation" and lives alone in her own home
Client will participate in daily meals at a senior nutrition
center
Client will describe a menu of well balanced meals
Client understands the need for placement in a long-term
care facility
Client will receive well-balanced diet from meals on wheels
- ....ANSWER...Client will participate in daily meals at a
senior nutrition center
A 4-year old near drowning victim who is severely disabled
due to anoxia that occurred during the incident is being
transferred to a long term care facility. When helping the
parents select a treatment center for their child, which factor
should the nurse encourage the parents to consider?
Proximity of the facility to their home
How many children are residents of the facility
What type of home schooling is available at the facility
Availability of medical care for emergencies -
....ANSWER...Proximity of the facility to their home
An older male client refuses a recommended annual
influenza vaccination because it made him sick last year. He
tells nurse the nurse that he will take his prescription for
amantadine if he develops symptoms of the flu. Which
response should the nurse provide?
Since the client received the vaccine last year this plan
should be supported
It is best for the client to take the influenza vaccine and
avoid using amantadine
It is unlikely the vaccine will make the client sick in two
consecutive years
If symptoms of the flu develop the client should obtain the
influenza vaccination - ....ANSWER...It is best for the client
to take the influenza vaccine and avoid using amantadine
A male client comes to the public health clinic requesting
information about which immunizations he should receive
prior to visiting a developing nation. Which immunization
should the nurse recommend as a priority for this client?
Tetanus toxoid vaccine
Influenza vaccine
Hepatitis b vaccine
Hepatitis a vaccine - ....ANSWER...Hepatitis a vaccine
A government office worker is seen in the emergency room
after opening an envelope containing a powder like
substance which is being tested for anthrax. Which
discharge instruction should the nurse provide the client
concerning inhalation anthrax?
Return to the emergency room if flu like symptoms develop
within 42 days
Notify co-workers to get the anthrax vaccine at the public
health department
Isolation from friends and family members is recommended
for 3 weeks
Cleanse all surfaces touched with pre-moistened antibacterial wipes - ....ANSWER...Return to the emergency
room if flu like symptoms develop within 42 days
After assessing the health care needs of an elementary
school the nurse determines that an increased prevalence of
pediculosis capitis is a priority problem. The nurse develops
a 2 month program with the goal to eradicate the conditions
in the school. The program includes educational pamphlets
sent home to parents and regular assessment of children by
the school nurse. What action should the nurse implement to
evaluate the effectiveness of the program?
Evaluate the teachers ability to identify pediculosis capitis 2
months after initiation of the program
Conduct an initial examination of each child in the school to
obtain baseline data
Survey parents 3 weeks after pamphlets are sent home to
assess their understanding of the condition
Measure the prevalence of pediculosis capitis among the
children after four months - ....ANSWER...Measure the
prevalence of pediculosis capitis among the children after
four months
An older female client tells the home health nurse that she
has no money, and since she does not deserve to eat, she has
not asked anyone to bring her food. What information is
most important for nurse to obtain?
Client thoughts about wanting to hurt herself
Medication history for antipsychotic agents
Availability of family members to provide meals
Community resources to provide financial aid -
....ANSWER...Client thoughts about wanting to hurt herself
The public health nurse is called to investigate a report of
several cases of chickenpox at a day care center. The day
care worker states that five children have been sent home
over the past two weeks with fever and itchy blisters. Which
intervention should the nurse implement first?
Validate that the children sent home did develop chickenpox
Report the presence of a viral endemic at the day care center
Confirm the number of children with symptoms
Determine how many people have been exposed -
....ANSWER...Validate that the children sent home did
develop chickenpox
A community health nurse is applying for a federal grant to
support a smoking cessation educational program. In which
order should the nurse prioritize these nursing activities?
Arrange in order top to bottom
Determine the target aggregate that will be served by the
program
Consider pros and cons of different methods of data
gathering
Select and train the data collection personnel
Review and analyze the data - ....ANSWER...Determine the
target aggregate that will be served by the program
Consider pros and cons of different methods of data
gathering
Select and train the data collection personnel
Review and analyze the dat [Show Less]