Community HESI Practice exam 1 Correct and Verified Answers Graded A

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Community HESI Practice exam 1 Correct and Verified Answers Graded A

• During an initial clinic visit, the nurse is taking the history for a client who wants to

confirm her pregnancy. The client's last child has a history of low-birth-weight (LBW).Which additional finding is most important for the nurse to consider?

• Cigarette smoking.
• African-American ethnicity.
• Poor nutritional status.
• Limited maternal education.

Correct Answer: African-American ethnicity.

• A nurse working in a community health setting is performing primary health

screenings. Which individual is at highest risk for contracting an HIV infection?

• A 17-year-old who is sexually active with numerous partners.
• A 45-year-old lesbian who has been sexually active with two partners in the past year.
• A 30-year-old cocaine user who inhales the drug and works in a topless bar.
• A 34-year-old male homosexual who is in a monogamous relationship.

Correct Answer: A 17-year-old who is sexually active with numerous partners.

• What action is best for the community health nurse to take if the nurse suspects

that an infant is being physically abused?

• Follow agency protocols to report suspected abuse.
• Report suspicions to the local child abuse reporting hotline.
• Educate the child's caregivers about growth and development issues.
• Call the police department to have the child removed from the home.

Correct Answer: Follow agency protocols to report suspected abuse.

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• A nurse organizes a community action group to help resolve health problems in a

low income neighborhood with a large population of recent immigrants from Africa.What problem should the nurse address first?

• High rate of unemployment.
• Low immunization rate of children.
• Provision of substandard health care.
• Access to bilingual care providers.

Correct Answer: Low immunization rate of children.

• Which topic should the nurse include in planning a secondary prevention project for

the local retirement community?

• Safety measures in the home.
• Adult immunization program.
• Rehabilitation after surgery.
• Vision and hearing screening.

Correct Answer: Vision and hearing screening.

• While discussing the science of nursing, the nurse identifies the domain of nursing

theory. Which linkages should the nurse provide to describe nursing's paradigm?

• The person, the environment or situation, and health.
• Stress reduction, self-care, and a systems model.
• Curative care, restorative care, and terminal care.
• Self-actualization, fundamental needs, and belonging.

Correct Answer: The person, the environment or situation, and health.

• The nursing education coordinator is creating employee orientation materials for

staff nurses who plan to work at a clinic that serves a lower socioeconomic neighborhood. What information should the educator include regarding the clinic's client population? (Select all that apply.)

• Most of the clients are unemployed or disabled.
• Access to mass transit may be an issue.

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• Clients will need reminders to bring insurance cards.
• Basic physiologic needs of this population are often unmet.
• Clients who are homebound will qualify for Medicaid.
• Nonadherence to healthcare recommendations is likely.

Correct Answer:

• Most of the clients are unemployed or disabled.• Access to mass transit may be an issue.• Basic physiologic needs of this population are often unmet.

• The nurse is developing a plan to provide quality health care for a certain

community. Data obtained from which resources should be helpful to the nurse in developing a community healthcare plan for this community? (Select all that apply.)

• Census data.
• Risk management data.
• Budgeting process information.
• Available workforce in the community.
• Client-satisfaction surveys.
• Changes in the community's demographic data.

Correct Answer:

• Census data.• Risk management data.• Budgeting process information.• Client-satisfaction surveys.• Changes in the community's demographic data.

• A home health nurse knows that a 70-year-old male client who is convalescing at

home following a hip replacement, is at risk for developing decubitus ulcers. Which physical characteristic of aging contributes to such a risk?

• 16% increase in overall body fat.

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• Reduced melanin production.
• Thinning of the skin with loss of elasticity.
• Calcium loss in the bones.

Correct Answer: Thinning of the skin with loss of elasticity.

• Which presentation of an infectious disease is acquired through an indirect

transmission?

• Syphilis contracted from a sexual partner.
• Measles resulting from a daycare center outbreak.
• Malaria following exposure in a mosquito-infested area.
• Nosocomial influenza spreading rapidly in a long-term center.

Correct Answer: Malaria following exposure in a mosquito-infested area.

• The nurse administers a booster dose of DTaP (diphtheria, tetanus, and pertussis)

vaccine to an infant. Which level of prevention is the nurse implementing?

• Primary prevention.
• Tertiary prevention.
• Secondary prevention.
• Primary nursing.

Correct Answer: Primary prevention.

• The home health nurse is admitting a client with Parkinson's disease to the home

healthcare service. In planning care for this client, which nursing diagnosis has priority?

• Impaired physical mobility related to muscle rigidity and weakness.
• Ineffective coping related to depression and dysfunction due to disease progression.
• Ineffective breathing pattern related to respiratory muscle weakness.
• Fear related to constant possibility of experiencing seizures.

Correct Answer: Impaired physical mobility related to muscle rigidity and weakness.