HESI RN
HESI Community Health Questions
Question 1 of 5
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program?
Correct Answer: D
Rationale: Measuring the prevalence after four months provides data on the program's long-term effectiveness.
Question 2 of 5
A client with chronic kidney disease is experiencing pruritus. Which intervention should the nurse include in the plan of care?
Correct Answer: A
Rationale: Antihistamines help reduce pruritus by blocking histamine receptors and are often prescribed for clients with chronic kidney disease experiencing pruritus.
Question 3 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 4 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 5 of 5
A nurse is planning a community health fair to promote cancer awareness. Which activity should be included to best engage participants?
Correct Answer: A
Rationale: Offering free cancer screenings provides participants with immediate, valuable information about their cancer risk.
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