HESI RN
Community Health HESI Questions
Question 1 of 5
A 6-year-old child is alert but quiet when brought to the emergency center with periorbital ecchymosis and ecchymosis behind the ears. The nurse suspects potential child abuse and continues to assess the child for additional manifestations of a basilar skull fracture. What assessment finding would be consistent with the basilar skull fracture?
Correct Answer: D
Rationale: Raccoon eyes (periorbital ecchymosis) and Battle's sign (ecchymosis behind the ear) are signs of a basilar skull fracture, so the nurse should assess for possible meningeal tears that manifest as a halo sign with CSF leakage from the ears or nose.
Question 2 of 5
The nurse notices that the influenza immunization rate is much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in the underserved community groups?
Correct Answer: A
Rationale: Conveniently located clinics in target neighborhoods increase accessibility and are likely to boost immunization rates.
Question 3 of 5
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months. Which instruction should the nurse provide?
Correct Answer: C
Rationale: Gradually tapering the dose over one to two weeks should be recommended to prevent rebound tachycardia, hypertension, and ventricular dysrhythmias.
Question 4 of 5
A public health nurse is planning an educational campaign to reduce the incidence of hypertension in the community. Which group should be the primary target of this campaign?
Correct Answer: C
Rationale: Middle-aged adults are at a higher risk for developing hypertension and can benefit most from preventive measures.
Question 5 of 5
The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important for the community?
Correct Answer: B
Rationale: Access to trauma care is crucial in rural areas due to the potential for delayed emergency response times.
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