HESI RN
Community Health HESI Questions
Question 1 of 5
During a home visit, the nurse observes that an elderly client has a cluttered living environment and poor lighting. What should the nurse do first?
Correct Answer: C
Rationale: Assessing the client's risk for falls is crucial as a cluttered environment and poor lighting increase the likelihood of falls.
Question 2 of 5
During a home visit, the nurse finds that an elderly client has multiple expired medications. What should the nurse do first?
Correct Answer: B
Rationale: Reviewing the client's current medication regimen helps identify any potential issues and ensures that the client is taking the correct medications.
Question 3 of 5
During a home health visit the nurse notices that an older male client with type 2 diabetes mellitus is wearing loose cloth slippers. The client reports that he cannot comfortably wear other shoes because his toenails get in the way. The nurse inspects the clients feet and finds long thick nails that curl down under some of the toes. Which action should the nurse take?
Correct Answer: C
Rationale: Scheduling an appointment with a podiatrist ensures that the client receives professional foot care.
Question 4 of 5
During a home visit, the nurse observes that a client with limited mobility has difficulty accessing the bathroom. What should the nurse do first?
Correct Answer: A
Rationale: Installing a bedside commode provides an immediate solution to the client's difficulty accessing the bathroom.
Question 5 of 5
A female client is admitted with a tentative diagnosis of Guillain-Barre syndrome. Which finding is most important for the nurse to report to the healthcare provider?
Correct Answer: B
Rationale: In Guillain-Barre syndrome, decreased deep tendon reflexes are a critical finding that may indicate impending respiratory failure. This is due to the involvement of the peripheral nervous system affecting the muscles, including those involved in breathing. Reporting decreased deep tendon reflexes promptly is essential to prevent respiratory compromise. Facial weakness, difficulty speaking, and inability to move the eyes are common manifestations of Guillain-Barre syndrome but are not as immediately concerning as respiratory distress and impending respiratory failure.
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