HESI RN
HESI Community Health Questions
Question 1 of 5
A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction. The nurse determines the client's apical pulse is 65 beats per minute. What action should the nurse implement next?
Correct Answer: C
Rationale: Atenolol, a beta-blocker, should be administered because the client's apical pulse is greater than 60.
Question 2 of 5
While screening all children in the third grade for head lice, the school nurse observes that one girl has a brownish thickening on her neck. Which action should the nurse take in response to this finding?
Correct Answer: C
Rationale: A medical evaluation is necessary to properly diagnose and treat the condition observed.
Question 3 of 5
During a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse take?
Correct Answer: C
Rationale: In this scenario, the nurse should prioritize completing a physical and mental exam on the client. This action is crucial to assess the client's health status comprehensively and identify any underlying issues contributing to her unkempt appearance, odor of stale urine, and confusion. Calling the pharmacy to determine medications (Choice A) may be important but is not the immediate priority. Seeking family assistance (Choice B) can be helpful, but the client's condition requires a thorough assessment first. While adult protective services (Choice D) may be necessary in the future, the immediate action should be to assess the client's physical and mental health status.
Question 4 of 5
A nurse is planning a community health fair to promote cardiovascular health. Which activity should be included to best engage participants?
Correct Answer: A
Rationale: Offering free blood pressure screenings provides participants with immediate, valuable information about their cardiovascular health.
Question 5 of 5
A client with a history of heart failure is admitted with severe dyspnea. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Placing the client in a high Fowler's position helps improve breathing and oxygenation in clients with severe dyspnea.
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