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
The nurse is caring for a client with a nasogastric tube to continuous suction. Which electrolyte imbalance should the nurse monitor for?
Correct Answer: B
Rationale: Hypokalemia is a common electrolyte imbalance in clients with a nasogastric tube to continuous suction because potassium is lost through gastric fluids.
Question 3 of 5
The nurse is providing care for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate intervention?
Correct Answer: D
Rationale: A serum sodium level of 130 mEq/L indicates hyponatremia, which requires immediate intervention in a client with SIADH.
Question 4 of 5
A school nurse is developing a program to address bullying among students. Which component is most important to include?
Correct Answer: B
Rationale: Training for teachers equips them with the skills and knowledge to effectively intervene and handle bullying incidents, creating a safer school environment.
Question 5 of 5
A female client reports to the nurse that her sleep was interrupted by 'thoughts of anger towards my husband.' What type of thoughts is the client having?
Correct Answer: A
Rationale: Obsessive thoughts are thoughts that the client is unable to control.
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