2021 HESI Community Health Proctored Exam Version 7 With Answers (50 Solved Questions)

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VERSION 7HESICOMMUNITY HEALTHPROCTOREDPRACTICE ASSESSMENTB1A school nurse is discussing levels of prevention with a teacher. Which of thefollowing activities should the nurse identify as a primary prevention strategy? a.provide nutritional counseling for students who have diabetes (3)b.report suspected child neglect to the proper authorities (2)c.conduct vision and hearing screening for kindergarten enrollment (2)d.demonstrate proper handwashing techniquesA school nurse is conducting hearing screening procedures in an elementary school.Which of the following instructions should the nurse provide when performing theRinne test?a."After I place the tuning fork on your scalp, tell me if you hear the soundbetter in one ear or the same in both ears." (Weber)b."Use your finger to close one ear while I whisper some numbers into yourother ear." (Whisper voice test)c."After I place this tuning fork behind your ear, tell me when you nolonger hear the sound."d."You'll wear headphones and press the button when you hear a sound."(audiometry)A palliHESIve care nurse is teaching a client who has cancer about the servicesthat are available for the client. Which of the following statements should thenurse identify as an indicHESIon that the client understands the teaching?a."If I begin palliHESIve care, I will have to stop my chemotherapy."b."I can begin palliHESIve care when I have less than 6 months to live."c."This type of care can help me with pain control."d."My family will not be involved with this type of care program."

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A nurse is assessing a new client. Which of the following info should the nurseinclude in the cultural portion of the assessment?a. food preferencesb.employment statusc.hx of illnessd.sexual orientHESIonA nurse collecting demographic data as a part of a community assessment.Which of the following info should the nurse include?a. racialdistributionb.family genogramsc.number of open water sourcesd.presence of condemned buildingsA nurse is caring for a client who has AIDS and is experiencing rapid weightloss. Which of the following actions should the nurse take first?a. examinethe client's oral mucous membranesb.encourage the client to consume 1.2-2.0 g/kg of protein dailyc.recommend the client increase her daily calorie intake by 25%d.teach the client about findings that should be reported to the providerA home health nurse is caring for a client who has breast cancer. Which of thefollowing assessment findings should the nurse identify as an indicHESIon thatthe client is coping effectively? a. inability to concentrateb.makes eye contactc.excessive sleepingd.lack of interest in foodA home health nurse is scheduling client visits for the day. Which of the followingclients should the nurse plan to visit first?

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a.a client who is 10 days postop following a mastectomy and needs to havesurgical staples removedb.a client who has DM andreports new erythema to the left footc.a client who has COPD and needs a follow-up visit r/t home oxygen therapyd.a client in a hip spica cast who reports pruritus under the castA community health nurse is assessing a group of clients for risk factors ofabusive behaviors. Which of the following findings should the nurse identify as arisk factor for developing violent behavior?a.a client states he witnessed his mother physically mistreat his fatherb.a client states that her mother-in-law provides childcare while she is workingc.a client participates in volunteer activities in the communityd.a client lives in the same neighborhood where he spent his childhood yearsA school nurse is teaching health promotion to a group of staff members who sitat a desk and use a comp for 8 hr at a time. Which of the following info is thepriority for the nurse to include? a. "Take a walk after work."b."Point and flex your toes periodically."c."Have your visual acuity assessed regularly."d."Adjust your chair so that your elbows are at desk height."A case manager is planning an educHESIonal program for a client who has DM.Which of the following activities should the nurse include when using thepsychomotor domain of learning?a.review a color diagram of the food pyramid with the clientb.show the client a video about how to monitor blood glucose levelsc.observe the client's technique for drawing up insulind.give the client a pamphlet about foot care

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A nurse manager at a community health clinic is presenting an in-service for nursesabout assessing client for abuse. Which of the following statements by a nurseindicates an understanding of the teaching?a."Once I determine that a client is not at risk for abuse, I do not need to askabout it at future visits."b."I should not document the name of the person the client accuses of theabuse in the client's medical record."c."I should wait until I see signs of physical abuse before I help the clientdevelop a safety plan."d."I should refer a client for a rape kit examinHESIon if she reportssexualassault within the previous 24 hours."A nurse is teaching a client who has a new dx of hep A how to prevent the spreadof the virus. Which of the following instructions should the nurse include?a."Rinse your toothbrush with hydrogen peroxide after each use."b."Clean your bathroom fixtures witha chlorine bleach solution."c."Used shared hand towels to dry your hands after washing."d."Use condoms during sexual contact for 2 weeks."A community health nurse is developing a plan of care for a client who isHispanic. Which of the following actions should the nurse include in the plan? a.avoid using hand gestures when working with the clientb.use therapeutic touch during conversHESIonc.discourage the client from using a faith healerd.maintain direct eye contact when speaking with the clientA nurse is conducting an educHESIonal session at an assisted living facility for agroup of clients who have osteoporosis. Which of the following statements shouldthe nurse include in the teaching?a."It is important to avoid weight-bearing exercises."b."Decrease your dietary intake of folate."c."Increase your daily intake of leafy green vegetables."

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