HESI Community Health

Questions 55

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HESI Community Health Questions

Question 1 of 5

A client with a history of hypertension is admitted with acute renal failure. Which assessment finding requires immediate intervention?

Correct Answer: B

Rationale: Urine output of 50 mL in 4 hours indicates oliguria, which can be a sign of worsening renal function and requires immediate intervention. In acute renal failure, maintaining adequate urine output is crucial to prevent further kidney damage and manage fluid balance. A high blood pressure reading (Option A) is concerning but may not require immediate intervention in this scenario as it could be due to the history of hypertension. A heart rate of 100 beats per minute (Option C) is slightly elevated but may not be the most critical finding at this moment. Nausea and vomiting (Option D) are important to assess but are not as urgent as addressing oliguria in a client with acute renal failure.

Question 2 of 5

A community health nurse is planning a program to address the rising rates of obesity in the community. Which intervention should the nurse prioritize?

Correct Answer: A

Rationale: Organizing community exercise programs encourages physical activity, which is essential for weight management and reducing obesity rates.

Question 3 of 5

Which intervention by the community health nurse is an example of a secondary level of prevention?

Correct Answer: C

Rationale: Administering influenza vaccines is a secondary prevention method aimed at early detection and intervention.

Question 4 of 5

A government office worker is seen in the emergency room after opening an envelope containing a powder-like substance which is being tested for anthrax. Which discharge instruction should the nurse provide the client concerning inhalation anthrax?

Correct Answer: A

Rationale: Flu-like symptoms can be an early sign of inhalation anthrax, and timely medical intervention is crucial.

Question 5 of 5

The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior to administering a scheduled dose of verapamil (Calan) for a client with atrial flutter. Which action should the nurse implement?

Correct Answer: A

Rationale: Verapamil slows sinoatrial nodal automaticity and delays atrioventricular nodal conduction, which slows the ventricular rate.

Similar Questions

The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior to administering a scheduled dose of verapamil (Calan) for a client with atrial flutter. Which action should the nurse implement?
The nurse is assessing a client with a suspected deep vein thrombosis (DVT). Which finding supports this diagnosis?
During a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse take?
A client with a history of alcohol abuse is admitted with acute pancreatitis. Which laboratory result requires immediate intervention?
The nurse is developing a community health program to address the high rates of hypertension in a neighborhood. Which intervention should the nurse prioritize?

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