HESI Community Study Guide

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Sample questions from HESI Community Study Guide

This material has 18 questions with answers and rationales. Here are the first 5.

1. 1.A public health nurse is planning interventions for a neighborhood with low childhood immunization rates. Which action should the nurse take first?

   • A.Compare clinic attendance after opening evening hours
   • B.Purchase printed vaccine education materials
   • C.Assess family barriers and interview community partners
   • D.Schedule mandatory lectures at the local school

   Rationale: B is correct because assessment identifies whether access, trust, language, scheduling, or other barriers drive low uptake. A selects a solution before identifying the problem. C is coercive and may not address barriers. D is an evaluation activity that follows implementation, not the initial planning step.

2. 2.A nurse teaches daily foot inspection to a client who has diabetes and peripheral neuropathy. Which prevention level best describes this intervention?

   • A.Tertiary prevention
   • B.Population surveillance
   • C.Primary prevention
   • D.Secondary prevention

   Rationale: C is correct because the intervention reduces complications of an established disease. A would prevent disease or injury before onset in the relevant context. B would identify disease early through screening or case finding. D involves systematic collection and analysis of population health data, not individualized foot-care teaching.

3. 3.At a community clinic, a client reports a 4-week cough, night sweats, weight loss, and recent household exposure to tuberculosis. Which action is the priority?

   • A.Complete the entire household contact history in the waiting room
   • B.Apply source control and separate the client from others
   • C.Schedule a skin test before taking further action
   • D.Provide cough medicine and routine follow-up instructions

   Rationale: A is correct because suspected pulmonary tuberculosis requires immediate measures to reduce transmission and arrangements for appropriate evaluation. B delays precautions and cannot distinguish active from latent infection. C fails to address a potentially serious contagious illness. D delays source control and discusses private information in a shared area.

4. 4.A client has a positive interferon-gamma release assay but no symptoms. The chest radiograph is pending. Which explanation by the nurse is most accurate?

   • A.The result confirms contagious pulmonary tuberculosis
   • B.The result proves treatment has failed
   • C.The result means no additional testing is necessary
   • D.The result requires evaluation for active disease before classification

   Answer and rationale are in the full material.

5. 5.At a vaccine visit, a parent reports that a child has mild nasal congestion without fever and is eating normally. Which response is most appropriate?

   • A.Administer half of each vaccine dose to reduce adverse effects
   • B.Give prophylactic antibiotics before vaccination
   • C.Assess vaccine-specific contraindications and proceed if none are present
   • D.Postpone every vaccine until the child has been symptom-free for a month

   Answer and rationale are in the full material.