Community Health Leadership Hesi

1. Where should you initiate preventive measures for kids with dental caries- WIC Program

2. After numerous patient teachings, a man with Parkinsons disease still cant instill his eye

drops – Ask a family member to help.

3. A school nurse wants to initiate a presentation to parents regarding 25% of the schools

children being obese – Determine the parent’s involvement and how much they’re

concerned about their children’s health problem.

4. A school nurse wants to do a program about children’s health risks, what should she

consider – Height and weight ©

5. What pt. should be seen first – A man with Gunshot wound with a pulse ox of 90%

6. Nurse see’s pt with NGT drinking glass of water after the UAP leaves room – take the

glass and speak with the UAP

7. A nurse observes a wife of a pt in bed with the pt. – close the door and give them privacy

8. Charge nurse is drunk and smells of alcohol – report it to the nurse supervisor

9. The clinic receptionist is considered a gatekeeper – “you can speak with the RN about

purchasing a car seat” ©

10. Flu vaccines are low, which client should you tell to come back later when there is

enough vaccine – diabetic client with agoraphobia

11. A nurse took a sleeping pill 4 hours ago – send her home

12. A nurse forgot her glasses at home and she lives a hour away – send her home to get her

glasses.

13. In preparing for a bioterrorism attack, which should the nurse consider – Tuleremia
14. A nurse is referring a patient with Ancanthosis nicigricans to a family doctor – body

mass index

15. Patients postoperative with different drains, who should nurse assess first – 40ml dark

cloudy urine x4 hours.(c)

16. Who should nurse see first – African American baby that’s spitting up and has lost 6oz in

the past week

17. Patient wants to get off birth control & have a baby, she has a family history of diabetes

& she was treated for Chlamydia 6 months ago, what causes the most concern –

Chlamydia

18. What pt should be considered for involuntary commitment to the psych ward – (1) Pt

who hasn’t eaten in 3 days & thinks that he is Jesus. (2) A women who mumbles in

corner about killing herself. (3) A man who says that the communist are telling him to

kill the Catholics.

19. A nurse & social worker talking loudly about a pt referral but there are no patients

around the nurse’s station – tell them to go to a private work station to talk. ©

20. A nurse tells a UAP to collect a sputum sample, the nurse should first – determine if UAP

is capable of doing the task & if she’s done it before.

21. An experienced UAP working at an antepartal clinic, what can she do – take initial VS &

urine dipstick.

22. Nurse caring for a 65 year old African American male, she sets up a meeting with his

wife, 3 kids, and mother, to talk to the MD. What cultural variance is the nurse

demonstrating – Social organization

23. A charge nurse gets report about a lot of concerns, which one is most important – water

spill on the floor.

24. A pt tells the nurse that she doesn’t want a male nurse – reassign the nurse

25. Which pt is most at risk to get pneumonia – homeless person who is an alcoholic and

smoker. ©

26. Nurse wants to start an outreach program, what should she explain when she’s trying to

receive funding for the program – that the program will help people in nearby factories,

schools, churches.

27. The RN is assisting the MD with a thoracent, & the ED dept calls to say that a pt with

agina needs to be admitted ASAP. An LVN & UAP are available to help, what should

RN do – tell PN to assist with thoracentisis, RN take report on agina pt, UAP get room

ready for new for pt.

28. A hospital is thinking about getting new equipment, what is cost efficient for the hospital

to consider – can other units in the hospital use the equipment.

29. A nurse is giving test to detect influenza, the test is 99% accurate. The test has a high rate

of – sensitivity

30. A nurse does a community health fair about cardio, how can the nurse determine if the

teachings were effective upon an assessment 6 months later – 10% reduction in cardiac

death. ©

31. Who are at the greatest risk to get Hepatitis A – a family living in a crammed area

32. How can the charge nurse decrease role ambiguity among the staff nurses – explain the

role
33. A nurse wants to do research on infant death rate, where would she go – Bureau of vital

statistics.

34. Which resources will benefit a rural community – trauma health center

35. A charge nurse will intervene if she notices – a clerk taking (telephone) orders from the

MD.

36. Female pt goes to local community health clinic, she’s homeless and cant seem to find

help, which statement indicates that she’s separated from society and hopeless – “Im

feeling isolated from everyone and scared”

37. How can a hospital determine how many beds they may need in a community – if there is

a recreational lake in the community.

38. What could a hospital do to prevent lawsuits- Risk Management ©