HESI RN
HESI Community Health Questions
Question 1 of 5
The healthcare professional is developing a program to promote healthy eating habits in a community with high rates of obesity. Which strategy is most likely to be effective?
Correct Answer: B
Rationale: Offering cooking classes that focus on healthy recipes is the most effective strategy among the choices provided. These classes not only provide valuable knowledge about nutrition but also offer hands-on experience in preparing healthy meals. This practical approach can significantly impact participants' behavior and increase the likelihood of them adopting healthier eating habits. Distributing educational pamphlets may not have the same level of engagement and interaction as cooking classes. A social media campaign, while informative, may not result in direct behavioral changes. Providing free health screenings, though beneficial for early detection, does not directly address the promotion of healthy eating habits, unlike the hands-on approach of cooking classes.
Question 2 of 5
The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received one dose of the measles, mumps, rubella (MMR) vaccine. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Reminding parents about the second dose ensures that children receive the complete vaccination on time.
Question 3 of 5
While screening all children in the third grade for head lice, the school nurse observes that one girl has a brownish thickening on her neck. Which action should the nurse take in response to this finding?
Correct Answer: C
Rationale: A medical evaluation is necessary to properly diagnose and treat the condition observed.
Question 4 of 5
A client with a history of hypertension is admitted with acute renal failure. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: Urine output of 50 mL in 4 hours indicates oliguria, which can be a sign of worsening renal function and requires immediate intervention. In acute renal failure, maintaining adequate urine output is crucial to prevent further kidney damage and manage fluid balance. A high blood pressure reading (Option A) is concerning but may not require immediate intervention in this scenario as it could be due to the history of hypertension. A heart rate of 100 beats per minute (Option C) is slightly elevated but may not be the most critical finding at this moment. Nausea and vomiting (Option D) are important to assess but are not as urgent as addressing oliguria in a client with acute renal failure.
Question 5 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.
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