HESI RN
HESI Community Health Questions
Question 1 of 5
The nurse is caring for a client with the sexually transmitted disease HPV. The client reports having had prior sexually transmitted infections. Which response should the nurse provide?
Correct Answer: B
Rationale: Notifying sexual partners is crucial to prevent the spread of the infection.
Question 2 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 3 of 5
The healthcare provider is caring for a client with a chest tube following thoracic surgery. Which intervention should the healthcare provider include in the plan of care?
Correct Answer: D
Rationale: Ensuring that the chest tube is not clamped or kinked is essential to maintain proper drainage and prevent complications. Clamping the chest tube can lead to a buildup of pressure in the pleural space, causing potential harm to the client. Milking the chest tube is not recommended as it can cause damage to the delicate tubing. Keeping the drainage system at the level of the chest ensures proper drainage by gravity, preventing backflow of fluids, but ensuring the tube is not clamped or kinked takes precedence in this scenario.
Question 4 of 5
A public health nurse is planning a smoking cessation program for a local community. Which component is most important to include in the program?
Correct Answer: B
Rationale: Providing strategies for coping with withdrawal symptoms addresses a significant barrier to quitting smoking.
Question 5 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.
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