HESI Community Health

Questions 55

HESI RN

HESI RN Test Bank

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

During a health assessment for a family with a history of cardiovascular disease, which family member should be prioritized for further evaluation and intervention?

Correct Answer: A

Rationale: The 45-year-old father who smokes and has high cholesterol should be prioritized for further evaluation and intervention. He has multiple risk factors for cardiovascular disease, including smoking and high cholesterol, which significantly increase his risk. Addressing these modifiable risk factors is crucial in preventing cardiovascular events. The daughter (Choice B) and mother (Choice C) also have risk factors, but the father's combination of smoking and high cholesterol places him at higher immediate risk, demanding priority intervention. The 12-year-old son (Choice D) with a normal weight and an active lifestyle has a lower risk profile and does not require immediate intervention compared to the father.

Question 3 of 5

The healthcare professional is developing a teaching plan for an adolescent with a Milwaukee brace. Which instruction should the healthcare professional include?

Correct Answer: A

Rationale: The correct answer is A. A Milwaukee brace should be worn over a T-shirt for 23 hours a day to reduce friction and chafing of the skin. This ensures that the brace is not directly against the skin, which can cause discomfort and skin irritation. Choice B is incorrect because the brace should typically be worn continuously, even while sleeping, unless otherwise instructed by a healthcare provider. Choice C is incorrect as wearing the brace directly against the skin can lead to skin issues. Choice D is incorrect since the brace should not be removed while eating to maintain the prescribed wear time.

Question 4 of 5

The nurse is assessing a client with a suspected deep vein thrombosis (DVT). Which finding supports this diagnosis?

Correct Answer: D

Rationale: Redness and warmth in the affected leg are classic signs of deep vein thrombosis (DVT), which supports the diagnosis.

Question 5 of 5

A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma?

Correct Answer: C

Rationale: The best antihypertensive agent for clients with asthma is metoprolol (Lopressor), a beta2 blocking agent which is also cardioselective and less likely to cause bronchoconstriction.

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