HESI RN COMMUNITY HEALTH EXAM PACK-MEREGED QUESTIONS BEST FOR 2022 EXAM REVIEW

HESI RN COMMUNITY

HEALTH EXAM

PACK-MEREGED

QUESTIONS BEST

FOR 2022 EXAM

REVIEW

A public health nurse is planning a community health promotion program for hypertension

prevention. Which of the following interventions should the nurse include as a tertiary prevention

strategy?

Provide education about risk factors for hypertension.

Conduct a hypertension screening clinic for the community.

Teach clients who have a family history of hypertension how to monitor blood pressure.

Implement an exercise program for clients who have hypertension.

A school nurse is serving on a community disaster planning committee looking at school shooting

scenarios. Which of the following actionsshould the nurse plan to take during the response phase?

Conduct ongoing assessmentsto identify potential hazards.

Provide disaster training to school personnel.

Perform triage and provide hands-on care as needed to victims.

Serve as a liaison between available community resources and those in need.

A school nurse is discussing levels of prevention with a teacher. Which of the following activities

should the nurse identify as a primary prevention strategy?

Provide nutritional counseling forstudents who have diabetes.

Report suspected child neglect to the proper authorities.

Conduct vision and hearing screening for kindergarten enrollment.

Demonstrate proper handwashing techniques.

A nurse is planning to teach a community group about the meningococcal vaccine. The nurse should

identity that which of the following clients should receive the vaccine?

A client who is traveling to northern Europe

An infant who has bronchiolitis

An infant who is 4 weeks old

A client who is moving into a college dormitory

A home health nurse is visiting an older adult client and notes that unwashed dishes are piled up and

newspapers cover the frontsteps. Which of the following questionsshould the nurse ask the client to

determine if the client is socially isolated?

"Why haven't you brought in your newspapers?"

"Do you need help completing your housework?"

"How often do you have visitors come to see you?"

"Have you considered moving to an assisted living facility?"

A community health nurse is working with a community where the incidence of violence has

increased. Which of the following actionsshould the nurse take as a tertiary prevention strategy?

Provide open education sessions to teach parenting skills.

Provide victims of violence with referral information to crisislines.

Identify potential community risk factors for violence.

Assess for evidence of violence during routine encounters.

A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of

the following information should the nurse include in the discussion?

The faith community nurse can provide pharmacological pain management for clients who have a

terminal illness.

The faith community nurse can plan workplace safety training for employees in a local factory.

The faith community nurse can provide wound care for clients in their homes.

The faith community nurse can facilitate substance abuse support groups

A nurse on the scene following a mass casualty explosion is triaging a client who has a large, open

occipital wound and the following findings: respiratory rate 6/min, agonal pattern; capillary refill time

4.5 seconds; nonresponsive to painful stimuli. Which of the following actions should the nurse take?

Turn the client to left semi-Fowler's position and begin assessing the next client.

Place a rm pressure dressing to the occiput and open the airway.

Apply a cervical spine collar and perform a focused neurological exam.

Request that the client be assessed immediately by the next available provider

A nurse at a county health clinic is caring for a client who has recently assumed the role of primary

caregiver for their parent. Which of the following client statements indicates that they are

experiencing role conflict?

"I feel overwhelmed with not having enough time for my mom as well as my children."

"I hope my siblings will be able to visit and help care for mom for a few days."

"I am glad that my job is flexible, so I can accommodate my mom's needs."

"I don't think my partner likes having to help more with the household chores."

A case manager at a home health agency is obtaining equipment for a client's home use. Which of the

following actions is a violation of client confidentiality?

The case manager used a computer at the agency with an automatic sign-o mechanism.

The case manager left a clipboard with the client's prescription information face up on the office desk. •

The case manager sent a fax to the equipment company on a machine using programmed speed dial.

The case manager shared the client's name with the equipment company.

A nurse is giving a presentation about family violence at a local community center. Which of the

following information should the nurse include?

Socially active parents and guardians are at greater risk for becoming violent.

Partner violence occurs more frequently in lower socioeconomic households.

Child maltreatment is more common in homes where partner violence is present.

Children who are abused are less likely to become abusers.

A nurse in a county health department is caring for a client who states, "I've been drinking too much

in the evenings since my friend died last year." Which of the following responses should the nurse

make?

"It sounds like you are probably an alcoholic."

"Don't you think your family is being affected by your drinking?"

"Can I give you some information about Alcoholics Anonymous?"

"I don't think your friend would have approved of your drinking."

Community leaders have requested a meeting with a community health nurse to discuss creating a

mobile meals program. Which of the following information should the community health nurse assess

first?

The leadership support of the community

The accessibility of residences

The availability of volunteers

The need for the program

A nurse is preparing an educational program about influenza for a group of community health nurses.

Which of the following activities should the nurse include as an example of tertiary prevention?

Offer classesto elementary school teachers about handwashing.

Provide information to occupational nurses about the reasons for employeesto not come to work.

Administer antiviral medications within 48 hr to clients who have manifestations of influenza.

Provide immunizations at long-term care facilities.

A community health nurse is conducting a program regarding crime reduction strategies for older

adult clients at the senior center. Which of the following statementsindicates an understanding of the

information?

"When I am in my car, I will keep my personal items on the seat beside me."

"When I open my front door, I will ask for identification if the person issomeone I do not know."

"I should store my purchases in the back seat when I am out shopping."

"Ishould remove the identification tag that is on my key ring."

A nurse is developing an educational program about bioterrorism and smallpox. The nurse should

include in the teaching that the smallpox rash is expected to rst appear in which of the following

locations?

Face

Posterior shoulders

Abdomen

Lower extremities

A community health nurse is providing care to a client who has stopped taking their prescribed blood

pressure medication. Which of the following actions should the nurse take first?

Advise the client that adherence to the medication regimen will promote healthy outcomes.

Determine the client'sreason for discontinuing the medication.

Discussthe consequences of discontinuing the medication with the client.

Educate the client about the benefits of the medication.

A nurse is assessing the risks and benefits of meal delivery services for an older adult client who lives

alone and has no transportation. Which of the following ethical principles isthe nurse demonstrating?

Distributive justice

Respect for autonomy

Fidelity

Beneficence

A community health nurse is caring for an adolescent who isseeking help for an unplanned pregnancy.

Which of the following actions should the nurse take first?

Recommend that the adolescent meet with the school guidance counselor to discuss educational

options.

Help the client obtain a provider for prenatal care.

Educate the client about contraceptivesto prevent future unplanned pregnancies.

Provide information on parenting classes so the client can learn about caring for a newborn

A community health nurse is conducting a needs assessment of a community. The nurse should identify

that which of the following methods will yield direct data?

Health surveys

Medicalrecords

Informant interviews

Morbidity/mortality statistics