HESI RN
Community Health HESI Questions
Question 1 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. Which finding requires immediate intervention?
Correct Answer: D
Rationale: In a client with COPD admitted with pneumonia, a productive cough with green sputum indicates a potential bacterial infection. Green sputum is commonly associated with bacterial pneumonia, which requires immediate intervention with appropriate antibiotics. Monitoring oxygen saturation, respiratory rate, and heart rate are essential in COPD patients, but the presence of green sputum suggests an urgent need for targeted treatment to address the underlying infection. Oxygen saturation of 88% is concerning but may not directly indicate the need for immediate intervention in the absence of other critical symptoms. Respiratory rate of 24 breaths per minute and a heart rate of 90 beats per minute are within normal limits and may not be indicative of an acute issue requiring immediate intervention in this context.
Question 2 of 5
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?
Correct Answer: B
Rationale: New medications can have side effects that include eye issues, so it is important to determine if there is a link.
Question 3 of 5
An older female client tells the home health nurse that she has no money, and since she does not deserve to eat, she has not asked anyone to bring her food. What information is most important for a nurse to obtain?
Correct Answer: A
Rationale: Assessing for suicidal ideation is critical to ensure the client's immediate safety.
Question 4 of 5
A school nurse is organizing a vaccination clinic for middle school students. Which vaccine is most important for the nurse to include?
Correct Answer: B
Rationale: Tdap is recommended for preteens as part of the routine vaccination schedule to protect against these serious diseases.
Question 5 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.
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