Community Health HESI

Questions 55

HESI RN

HESI RN Test Bank

Community Health HESI Questions

Question 1 of 5

A school nurse is organizing a vaccination clinic for middle school students. Which vaccine is most important for the nurse to include?

Correct Answer: B

Rationale: Tdap is recommended for preteens as part of the routine vaccination schedule to protect against these serious diseases.

Question 2 of 5

The nurse notices that the influenza immunization rate is much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in the underserved community groups?

Correct Answer: A

Rationale: Conveniently located clinics in target neighborhoods increase accessibility and are likely to boost immunization rates.

Question 3 of 5

A 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks the nurse, 'Why do you have to wear a gown and mask when you are in my room?' How should the nurse respond?

Correct Answer: B

Rationale: Reverse isolation precautions protect the client from exposure to microorganisms from others.

Question 4 of 5

A school nurse is developing a program to address bullying among students. Which component is most important to include?

Correct Answer: B

Rationale: Training for teachers equips them with the skills and knowledge to effectively intervene and handle bullying incidents, creating a safer school environment.

Question 5 of 5

A client with type 2 diabetes mellitus is admitted with hyperosmolar hyperglycemic state (HHS). Which laboratory result requires immediate intervention?

Correct Answer: B

Rationale: A serum glucose level of 600 mg/dL is extremely high in a client with hyperosmolar hyperglycemic state (HHS) and poses a significant risk of serious complications such as dehydration, coma, and electrolyte imbalances. Rapid intervention is crucial to normalize the glucose level and prevent further deterioration. Serum osmolality of 320 mOsm/kg, serum potassium of 4.5 mEq/L, and serum sodium of 140 mEq/L, while important to monitor in HHS, do not represent an immediate life-threatening condition that requires urgent intervention compared to the critically high glucose level.

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