HESI RN
HESI RN Community and Population Health Final Exam Questions
Extract:
Question 1 of 5
The elementary school nurse has identified a problem requiring a secondary intervention. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Sending letters about a lice infestation is a secondary prevention intervention, addressing an identified problem to control its spread.
Question 2 of 5
During a substance abuse class at an elementary school, a student says, 'My Dad used to drink one beer a day. Now he drinks at least a six-pack every day.' What does this child's description of the father indicate?
Correct Answer: C
Rationale: The increase from one beer to a six-pack daily suggests tolerance, where the parent needs more alcohol to achieve the same effect, a hallmark of developing alcohol dependency.
Question 3 of 5
A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?
Correct Answer: D
Rationale: Circular burns are suggestive of abuse, requiring immediate intervention to ensure the child's safety and further investigation.
Question 4 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 5 of 5
Several clients who have recently come to the local health clinic in a rural county are diagnosed with tuberculosis (TB). After reporting the occurrence to the health department, which community focused action should the nurse implement first?
Correct Answer: D
Rationale: A community health assessment is the first step to understand the extent of the TB outbreak, identify high-risk groups, and tailor interventions like screening or education effectively.