HESI RN
HESI Community Health Questions
Question 1 of 5
A client with a history of heart failure is admitted with severe dyspnea. Which laboratory result requires immediate intervention?
Correct Answer: C
Rationale: A serum creatinine level of 1.0 mg/dL is within the normal range, but weight gain of 2 pounds in 24 hours indicates fluid retention and requires immediate intervention.
Question 2 of 5
The healthcare provider is assessing a client with a suspected stroke. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Difficulty speaking is a classic symptom of stroke, suggesting a potential blockage of blood flow to the brain. Prompt intervention is crucial to minimize brain damage. Elevated blood pressure (Choice A) may need management but is not the most urgent concern in this scenario. A blood glucose level of 180 mg/dL (Choice B) is slightly elevated but does not require immediate intervention for a suspected stroke. A temperature of 99.8�F (37.7�C) (Choice D) is within normal range and not a critical finding in this context.
Question 3 of 5
Which bioterrorism agent is at high risk for use as a potential biological weapon that i s readily transmitted by several portals of entry?
Correct Answer: A
Rationale: Anthrax spores can be transmitted through inhalation, ingestion, or skin contact, making it a high-risk agent for bioterrorism.
Question 4 of 5
When documenting assessment data, which statement should the nurse record in the narrative nursing notes?
Correct Answer: C
Rationale: The correct answer is C. When documenting assessment data in the narrative nursing notes, it is essential to include objective findings that are specific, clear, and descriptive. 'S1 murmur auscultated in supine position' provides a precise and objective assessment finding that can aid in accurately documenting the client's condition. Choices A, B, and D are more subjective statements that lack the specificity and clarity required for detailed documentation. 'Client appears anxious' and 'Client is resting quietly' are subjective observations, while 'Client's skin is warm and dry' is an objective finding but may not be as significant or relevant for comprehensive documentation as the auscultated murmur.
Question 5 of 5
The healthcare provider is caring for a client with a chest tube. Which intervention is most important to include in the plan of care?
Correct Answer: D
Rationale: Keeping the collection chamber below the level of the chest is crucial in caring for a client with a chest tube. This positioning helps ensure proper drainage of fluids and prevents complications such as backflow of drainage into the chest cavity. Option A is incorrect as continuous suction can lead to excessive drainage and tissue damage. Option B is incorrect as clamping the chest tube during client movement can cause a buildup of pressure and compromise proper drainage. Option C is incorrect because clamping the chest tube for extended periods can impede the drainage process, leading to potential complications.
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