HESI RN
HESI Community Health Questions
Question 1 of 5
A client who is receiving intravenous heparin therapy has an activated partial thromboplastin time (aPTT) of 90 seconds. Which action should the nurse take?
Correct Answer: D
Rationale: An aPTT of 90 seconds is significantly elevated, indicating a high risk of bleeding due to excessive anticoagulation. In this case, the heparin infusion should be stopped immediately to prevent further anticoagulation and an increased bleeding risk. Notifying the healthcare provider is essential to discuss alternative anticoagulation strategies or interventions. Continuing heparin therapy without action could lead to severe bleeding complications. Decreasing or increasing the heparin infusion rate would exacerbate the risk of bleeding, making options A, B, and C incorrect.
Question 2 of 5
During a health assessment for a family with a history of cardiovascular disease, which family member should be prioritized for further evaluation and intervention?
Correct Answer: A
Rationale: The 45-year-old father who smokes and has high cholesterol should be prioritized for further evaluation and intervention. He has multiple risk factors for cardiovascular disease, including smoking and high cholesterol, which significantly increase his risk. Addressing these modifiable risk factors is crucial in preventing cardiovascular events. The daughter (Choice B) and mother (Choice C) also have risk factors, but the father's combination of smoking and high cholesterol places him at higher immediate risk, demanding priority intervention. The 12-year-old son (Choice D) with a normal weight and an active lifestyle has a lower risk profile and does not require immediate intervention compared to the father.
Question 3 of 5
access t o heal thcare Downloaded by Dawson maxwell (maxwelldawson083@gmail.com) lOMoARcPSD|38437257 The nurse worki ng i n a community health clinic that serves recent Somali immi grants notes that most mothers refuse to give permi ssion for routine immunizati ons of thei r preschool ers. Which i ndi vidu al i s l ikel y to have the most i nfl uential on these women's perceptions about their chil dren's heal thcare needs?
Correct Answer: C
Rationale: In many cultures, older women, such as grandmothers or aunts, hold significant influence over health-related decisions and practices within the family.
Question 4 of 5
The healthcare professional is preparing a presentation on the impact of substance abuse on families. Which approach is most effective for engaging the audience?
Correct Answer: B
Rationale: Sharing personal stories from individuals affected by substance abuse is the most effective approach for engaging the audience. Personal stories evoke emotions, create empathy, and make the impact of substance abuse more relatable and tangible for the audience. This approach helps in fostering a deeper understanding of the real-life consequences of substance abuse on families. The other options, such as showing statistical data (choice A), distributing informational brochures (choice C), and providing a list of treatment centers (choice D), may be informative but may not engage the audience on an emotional level as effectively as personal stories.
Question 5 of 5
An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago. She has not received any medical care. She smokes but denies any other substance use. What is the priority nursing action?
Correct Answer: B
Rationale: Prenatal care is crucial for monitoring the health of both the mother and the fetus.
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