Community Health HESI

Questions 55

HESI RN

HESI RN Test Bank

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

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?

Correct Answer: C

Rationale: Assessing the client's risk for falls is crucial as a cluttered environment and poor lighting increase the likelihood of falls.

Question 3 of 5

The nurse is teaching a group of new mothers about infant care. Which topic should the nurse prioritize?

Correct Answer: A

Rationale: Recognizing signs of dehydration is crucial for ensuring the health and well-being of infants.

Question 4 of 5

The nurse is caring for a client with diabetic ketoacidosis (DKA). Which laboratory result requires immediate intervention?

Correct Answer: D

Rationale: Corrected Rationale: An arterial blood pH of 7.30 indicates the client is in acidosis, which is a life-threatening condition in DKA. Immediate intervention is required to correct the acidosis and prevent further complications such as organ failure or coma. Blood glucose of 250 mg/dL is elevated but not an immediate threat to life in comparison to acidosis. Serum potassium of 3.5 mEq/L and serum sodium of 135 mEq/L are within normal ranges and do not warrant immediate intervention in the context of DKA.

Question 5 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.

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