Community Health HESI

Questions 55

HESI RN

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Community Health HESI Questions

Question 1 of 5

A 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks the nurse, 'Why do you have to wear a gown and mask when you are in my room?' How should the nurse respond?

Correct Answer: B

Rationale: Reverse isolation precautions protect the client from exposure to microorganisms from others.

Question 2 of 5

The nurse is preparing a presentation on sexually transmitted infections (STIs) for a group of high school students. Which strategy is most effective for this age group?

Correct Answer: D

Rationale: Facilitating a discussion allows students to ask questions, share experiences, and engage with the topic in a meaningful way.

Question 3 of 5

A client with type 2 diabetes mellitus is admitted with hyperosmolar hyperglycemic state (HHS). Which laboratory result requires immediate intervention?

Correct Answer: B

Rationale: A serum glucose level of 600 mg/dL is extremely high in a client with hyperosmolar hyperglycemic state (HHS) and poses a significant risk of serious complications such as dehydration, coma, and electrolyte imbalances. Rapid intervention is crucial to normalize the glucose level and prevent further deterioration. Serum osmolality of 320 mOsm/kg, serum potassium of 4.5 mEq/L, and serum sodium of 140 mEq/L, while important to monitor in HHS, do not represent an immediate life-threatening condition that requires urgent intervention compared to the critically high glucose level.

Question 4 of 5

During a 2 wk postoperative follow-up home visit, a female client who had gastric bypass surgery exhibits bad tenderness, shoulder pain, & describes feelings of malaise. Her vital signs are: T 101.8, BP 100/50, HR 104, and RR 18. Which action should the RN take?

Correct Answer: A

Rationale: The client shows signs of a potential postoperative complication that requires immediate hospital assessment.

Question 5 of 5

A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

Correct Answer: B

Rationale: Tertiary prevention focuses on managing and improving health outcomes for existing conditions, such as diabetes.

Similar Questions

A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?
The nurse is providing care for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate intervention?
During a home visit, the nurse observes that an elderly client has a cluttered living environment and poor lighting. What should the nurse do first?
The nurse is preparing to administer an oral medication to a client with dysphagia. Which action should the nurse take?
An older adult client visits the community health clinic and reports the onset of pain, redness, and swelling of the right eye. Which question is most important for the clinic nurse to ask the client?

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