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
A client with a history of atrial fibrillation is receiving warfarin (Coumadin) therapy. Which laboratory result indicates that the therapy is effective?
Correct Answer: D
Rationale: An INR of 2.5 indicates that warfarin therapy is within the therapeutic range for a client with atrial fibrillation.
Question 3 of 5
The nurse is assessing a client with pneumonia. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Jugular vein distention indicates increased central venous pressure, which requires immediate intervention in a client with pneumonia.
Question 4 of 5
A home health nurse is reviewing the laboratory results for several clients with heart failure. Which client finding would the nurse report to the health care provider immediately?
Correct Answer: C
Rationale: An elevated B-type natriuretic peptide indicates worsening heart failure, which requires immediate attention.
Question 5 of 5
A client with a history of diabetes mellitus is admitted with hypoglycemia. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Tremors can indicate severe hypoglycemia, which requires immediate intervention to prevent complications.
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