HESI RN
Community Health HESI Questions
Question 1 of 5
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months. Which instruction should the nurse provide?
Correct Answer: C
Rationale: Gradually tapering the dose over one to two weeks should be recommended to prevent rebound tachycardia, hypertension, and ventricular dysrhythmias.
Question 2 of 5
The nurse is preparing a client for a scheduled surgical procedure. What client statement should the nurse report to the healthcare provider?
Correct Answer: B
Rationale: The client's intake of juice after midnight should be reported due to the increased risk of aspiration while under general anesthesia.
Question 3 of 5
An older adult client visits the community health clinic and reports the onset of pain, redness, and swelling of the right eye. Which question is most important for the clinic nurse to ask the client?
Correct Answer: B
Rationale: New medications can have side effects that include eye issues, so it is important to determine if there is a link.
Question 4 of 5
A cl ient presents at a community-based cl inic wi th complaints of shortness of breath, headache, often uses a gasol ine-powered pressure w asher to clean equipment and farm bui ldi ngs. Which type of poi so ni ng i s the most l ikel y etiology of t his cli ent's symptoms?
Correct Answer: D
Rationale: Carbon monoxide poisoning is associated with symptoms like shortness of breath and headache and can occur from exposure to gas-powered equipment in poorly ventilated areas.
Question 5 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. Which finding requires immediate intervention?
Correct Answer: D
Rationale: In a client with COPD admitted with pneumonia, a productive cough with green sputum indicates a potential bacterial infection. Green sputum is commonly associated with bacterial pneumonia, which requires immediate intervention with appropriate antibiotics. Monitoring oxygen saturation, respiratory rate, and heart rate are essential in COPD patients, but the presence of green sputum suggests an urgent need for targeted treatment to address the underlying infection. Oxygen saturation of 88% is concerning but may not directly indicate the need for immediate intervention in the absence of other critical symptoms. Respiratory rate of 24 breaths per minute and a heart rate of 90 beats per minute are within normal limits and may not be indicative of an acute issue requiring immediate intervention in this context.
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