HESI Community Health

Questions 55

HESI RN

HESI RN Test Bank

HESI Community Health Questions

Question 1 of 5

A client with a history of heart failure is admitted with severe dyspnea. Which intervention should the nurse implement first?

Correct Answer: B

Rationale: Placing the client in a high Fowler's position helps improve breathing and oxygenation in clients with severe dyspnea.

Question 2 of 5

During a health assessment for a family with a history of cardiovascular disease, which family member should be prioritized for further evaluation and intervention?

Correct Answer: A

Rationale: The 45-year-old father who smokes and has high cholesterol should be prioritized for further evaluation and intervention. He has multiple risk factors for cardiovascular disease, including smoking and high cholesterol, which significantly increase his risk. Addressing these modifiable risk factors is crucial in preventing cardiovascular events. The daughter (Choice B) and mother (Choice C) also have risk factors, but the father's combination of smoking and high cholesterol places him at higher immediate risk, demanding priority intervention. The 12-year-old son (Choice D) with a normal weight and an active lifestyle has a lower risk profile and does not require immediate intervention compared to the father.

Question 3 of 5

A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma?

Correct Answer: C

Rationale: The best antihypertensive agent for clients with asthma is metoprolol (Lopressor), a beta2 blocking agent which is also cardioselective and less likely to cause bronchoconstriction.

Question 4 of 5

A client with a history of peptic ulcer disease is admitted with severe epigastric pain. Which finding requires immediate intervention?

Correct Answer: D

Rationale: Rebound tenderness can indicate peritonitis, which requires immediate intervention.

Question 5 of 5

The healthcare professional is developing a community health program to address the high rates of childhood asthma in a neighborhood. Which intervention should the healthcare professional prioritize?

Correct Answer: A

Rationale: The healthcare professional should prioritize conducting home visits to identify asthma triggers as it is crucial for reducing asthma attacks in children. By identifying triggers in the home environment, interventions can be implemented to create a safer living space for children with asthma. Distributing asthma education materials at schools may be helpful, but addressing triggers at the source is more direct and impactful. Holding workshops on asthma management for parents is valuable, but identifying triggers should come first to prevent asthma exacerbations. Partnering with local healthcare providers to offer free asthma screenings focuses on detection rather than prevention through trigger identification.

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