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 diabetes mellitus is admitted with hypoglycemia. Which finding requires immediate intervention?

Correct Answer: C

Rationale: Tremors can indicate severe hypoglycemia, which requires immediate intervention to prevent complications.

Question 2 of 5

The nurse is providing discharge teaching to a client with a new colostomy. Which statement by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Changing the colostomy bag every week is not sufficient; it should be changed more frequently to prevent leakage and skin irritation.

Question 3 of 5

A client with type 2 diabetes mellitus is admitted with hyperosmolar hyperglycemic state (HHS). Which laboratory result requires immediate intervention?

Correct Answer: B

Rationale: A serum glucose level of 600 mg/dL is extremely high in a client with hyperosmolar hyperglycemic state (HHS) and poses a significant risk of serious complications such as dehydration, coma, and electrolyte imbalances. Rapid intervention is crucial to normalize the glucose level and prevent further deterioration. Serum osmolality of 320 mOsm/kg, serum potassium of 4.5 mEq/L, and serum sodium of 140 mEq/L, while important to monitor in HHS, do not represent an immediate life-threatening condition that requires urgent intervention compared to the critically high glucose level.

Question 4 of 5

A client with a history of hypertension is admitted with a blood pressure of 200/120 mm Hg. Which medication should the nurse prepare to administer?

Correct Answer: D

Rationale: Nitroprusside (Nipride) is a vasodilator used to rapidly reduce blood pressure in hypertensive emergencies.

Question 5 of 5

A 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks the nurse, 'Why do you have to wear a gown and mask when you are in my room?' How should the nurse respond?

Correct Answer: B

Rationale: Reverse isolation precautions protect the client from exposure to microorganisms from others.

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