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
Which annual screening should the nurse include when planning eye health programs at a preschool?
Correct Answer: A
Rationale: Screening for visual acuity helps identify children who may need corrective lenses or other interventions.
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 evaluating a program designed to reduce the incidence of diabetes in the community. Which outcome indicates that the program is successful?
Correct Answer: C
Rationale: A reduction in diabetes-related complications indicates that individuals are effectively managing their condition and the program is successful.
Question 5 of 5
A school nurse is developing a program to address bullying among students. Which component is most important to include?
Correct Answer: B
Rationale: Training for teachers equips them with the skills and knowledge to effectively intervene and handle bullying incidents, creating a safer school environment.
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