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
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 3 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 4 of 5
A client who is receiving intravenous heparin therapy has an activated partial thromboplastin time (aPTT) of 90 seconds. Which action should the nurse take?
Correct Answer: D
Rationale: An aPTT of 90 seconds is significantly elevated, indicating a high risk of bleeding due to excessive anticoagulation. In this case, the heparin infusion should be stopped immediately to prevent further anticoagulation and an increased bleeding risk. Notifying the healthcare provider is essential to discuss alternative anticoagulation strategies or interventions. Continuing heparin therapy without action could lead to severe bleeding complications. Decreasing or increasing the heparin infusion rate would exacerbate the risk of bleeding, making options A, B, and C incorrect.
Question 5 of 5
The client, who is 6 weeks pregnant, is being educated by the nurse on prenatal care. Which statement indicates that the client comprehends the nurse's instructions?
Correct Answer: D
Rationale: The correct answer is D. During pregnancy, it is crucial to avoid taking any medication without consulting a healthcare provider to prevent harm to the developing fetus. Choices A, B, and C are important aspects of prenatal care but do not specifically address the potential risks associated with taking medications during pregnancy.
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