HESI RN
HESI Community Health Questions
Question 1 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 2 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 3 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 4 of 5
The nurse is planning a health education session for teenagers on the importance of physical activity. Which strategy is most likely to be effective?
Correct Answer: C
Rationale: Organizing interactive physical activities engages teenagers and makes the learning experience more enjoyable and memorable.
Question 5 of 5
The healthcare provider is caring for a client with a chest tube. Which observation indicates that the chest tube is functioning effectively?
Correct Answer: B
Rationale: Intermittent bubbling in the suction control chamber is the correct observation indicating effective functioning of the chest tube. This bubbling signifies that the suction system is working correctly and maintaining the desired negative pressure in the pleural space. Continuous bubbling in the water-seal chamber suggests an air leak, which is not a normal finding. No fluctuation (tidaling) in the water-seal chamber may indicate a blockage or lack of communication between the pleural space and the water-seal, which is not ideal. Drainage of clear, pale yellow fluid from the chest tube is a normal finding, but it does not specifically indicate the effectiveness of the chest tube function.
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