2025 Hesi Community Health Exam With 150

pg. 1 2025 Hesi Community Health Exam With 150 Practice Questions and Correct Verified Answers/ Community Health Hesi Exam 2025 Prep Questions With 100% Correct Answers

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 to 15 feet with assistance. What action should the nurse implement first?

• Review the home medication schedule with the client and family
• Arrange for a bedside commode to be delivered to the home
• Meet with the case manager to plan a home safety evaluation
• Provide the client with information about medical alert devices
• Meet with the case manager to plan a home safety evaluation

An older adult male with a history of type 2 diabetes mellitus (DM2) is seen in the community health clinic for an annual physical examination. Which nursing action should be included in assessing for long-term complications of diabetes? (Select all that apply.)

• Obtain venous sample for liver enzymes
• Obtain urine specimen to assess for albumin
• Test lower extremities for changes in sensation
• Auscultate for adventitious breath sounds
• Palpate pedal pulses and foot temperatures
• Test lower extremities for changes in sensation
• Palpate pedal pulses and foot temperatures

A nurse identifies the clinic receptionist as having the role of gatekeeper for the clinic. What statement by the receptionist is indicative of a gatekeeper in a community setting?

• "You may talk with the RN if you need information about how clients purchase

car seats." 1 / 4

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• "Over 85% of the clients treated at this clinic are women of Hispanic of Asian

heritage."

• "The clinic standards are determined by those set forth by American Academy

of Obstetrics."

• "Monthly, we see more than 200 women for prenatal visits and venereal disease

for treatment."

• "You may talk with the RN if you need information about how clients purchase

car seats." The RN care-manager at the public department is making a home visit to a client with four children under the age of 6. The client is a single mother and the family is living below poverty level. Which intervention should the nurse include as a primary level prevention measure?

• Enroll the client in the Women, Infant, and Children program
• Counsel the client on available birth control methods
• Provide the client with a listing for local healthcare providers.
• Provide the client with the local bus schedule.
• Enroll the client in the Women, Infant, and Children program

During a home visit, a client tells a home health nurse that he was recently diagnosed with viral conjunctivitis. The client reports eye pain and swelling. What instructions should the nurse provide?

• Avoid straining or sneezing
• Apply a cool compress
• Keep the room well lighted
• Drink plenty of fluids
• Apply a cool compress

During a visit to the community health clinic, a 45-year-old native American female, who has a body mass index (BMI) of 35, complains of changes in her vision. Which condition is most important for the nurse to be aware of based on family history?

• Alcoholism
• Tuberculosis 2 / 4

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• Cataracts
• Diabetes mellitus
• Diabetes mellitus

The public health nurse is called to investigate a report of several cases of chickenpox (varicella virus) 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?

• Confirm the number of children with symptoms
• Determine how many people have been exposed
• Report the presence of a viral endemic at the day care center
• Validate that the children sent home did develop chickenpox
• Validate that the children sent home did develop chickenpox

The nurse at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, it is most important for the nurse to obtain which information as a part of a community assessment?

• Availability of fresh water for washing hands after work
• Air pollution levels in the surrounding community
• Number of hours of worker's exposure to direct sunlight
• Percentage of poisonous plants in the work fields
• Availability of fresh water for washing hands after work

The community health nurses is counseling a group of 14 year olds about safe sexual practices. Which health teaching strategy would be most effective for the nurse to use with this age group?

A.Encourage group members to describe personal experiences in practicing safe sex

• Provide the group with statistical data about behaviors leading to venereal

diseases

• Tell the group that for aids prevention abstinence is the best safe sex practice
• Role play situations in which the adolescent is rewarded for practicing safe sex
• Role play situations in which the adolescent is rewarded for practicing safe sex 3 / 4

pg. 4 During a home health visit, a male client reports to the nurse that he felt a solid testicular mass during self-exam, but that it wasn't painful. What instruction should the nurse provide the client?

• Continue to monitor the mass until the next scheduled annual medical exam
• Notify the healthcare provider if the mass becomes soft, painful, or starts to

drain

• Schedule an appointment with the healthcare provider for prompt evaluation
• Testicular nodules are of concern only if they feel matted or are not easily

movable

• Schedule an appointment with the healthcare provider for prompt evaluation

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
• Impaired physical mobility related to muscle rigidity and weakness

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

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
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