HESI RN
HESI RN Community and Population Health Final Exam Questions
Extract:
Question 1 of 5
An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago, and she has not yet received any medical care. She smokes but denies any other substance use. Which interventions should the nurse implement? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Smoking cessation, nutritional instruction, and prenatal care referral are critical to improve maternal and fetal health outcomes. Childcare and breastfeeding education are less immediate, and notifying parents requires careful consideration of confidentiality.
Question 2 of 5
When assessing a community's health promotion needs, which action should the nurse take first?
Correct Answer: B
Rationale: Interviewing community members identifies current health promotion needs and priorities, ensuring interventions are relevant and effective.
Question 3 of 5
The nurse notes that the influenza immunization rates are much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in these under-served immunization groups?
Correct Answer: D
Rationale: Conveniently located clinics address access barriers, increasing influenza vaccination rates in underserved groups.
Question 4 of 5
A middle-aged client presents for an annual health visit at a community clinic. The client is 5 feet 10 inches (177.8 cm) tall, weighs 250 pounds (113.4 kg), and works as an accountant. The client has smoked at least one pack of cigarettes every day for the last 15 years. Which secondary prevention measure should the nurse recommend the client to follow?
Correct Answer: C
Rationale: Blood pressure and lipid screening are secondary prevention measures to detect cardiovascular issues early, critical for a smoker with obesity and high cardiovascular risk.
Question 5 of 5
During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores on both lower extremities that are healing poorly. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Pale, bluish feet with poor-healing sores suggest serious conditions like peripheral vascular disease, requiring a comprehensive healthcare provider evaluation.