HESI RN
HESI Community Health Questions
Question 1 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 2 of 5
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?
Correct Answer: C
Rationale: In this scenario, the nurse should prioritize completing a physical and mental exam on the client. This action is crucial to assess the client's health status comprehensively and identify any underlying issues contributing to her unkempt appearance, odor of stale urine, and confusion. Calling the pharmacy to determine medications (Choice A) may be important but is not the immediate priority. Seeking family assistance (Choice B) can be helpful, but the client's condition requires a thorough assessment first. While adult protective services (Choice D) may be necessary in the future, the immediate action should be to assess the client's physical and mental health status.
Question 3 of 5
The nurse is preparing to administer a scheduled dose of digoxin (Lanoxin) to a client. Which assessment finding should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: Seeing halos around lights is a symptom of digoxin toxicity, which should be reported to the healthcare provider.
Question 4 of 5
The wife of an older adult man who has had diabetes mellitus for the past 10 years reports to the home health nurse that her husband fell yesterday while taking his daily walk in the neighborhood. He has a bruised hand and a small abrasion on his left knee. The nurse assesses that his neurologic vital signs are stable. To reduce risk for future falls, which assessment is most important for the nurse to obtain?
Correct Answer: B
Rationale: Assessing for paresthesia (numbness or tingling) in the feet can help determine if the client has a loss of sensation, which increases fall risk.
Question 5 of 5
The healthcare professional is preparing a presentation on the impact of substance abuse on families. Which approach is most effective for engaging the audience?
Correct Answer: B
Rationale: Sharing personal stories from individuals affected by substance abuse is the most effective approach for engaging the audience. Personal stories evoke emotions, create empathy, and make the impact of substance abuse more relatable and tangible for the audience. This approach helps in fostering a deeper understanding of the real-life consequences of substance abuse on families. The other options, such as showing statistical data (choice A), distributing informational brochures (choice C), and providing a list of treatment centers (choice D), may be informative but may not engage the audience on an emotional level as effectively as personal stories.
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