Community Health HESI

Questions 55

HESI RN

HESI RN Test Bank

Community Health HESI Questions

Question 1 of 5

The nurse is preparing a client for a scheduled surgical procedure. What client statement should the nurse report to the healthcare provider?

Correct Answer: B

Rationale: The client's intake of juice after midnight should be reported due to the increased risk of aspiration while under general anesthesia.

Question 2 of 5

The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important for the community?

Correct Answer: B

Rationale: Access to trauma care is crucial in rural areas due to the potential for delayed emergency response times.

Question 3 of 5

The nurse is providing care for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate intervention?

Correct Answer: D

Rationale: A serum sodium level of 130 mEq/L indicates hyponatremia, which requires immediate intervention in a client with SIADH.

Question 4 of 5

The nurse is assessing a client with pneumonia who is receiving oxygen therapy. Which finding indicates that the therapy is effective?

Correct Answer: A

Rationale: A respiratory rate of 20 breaths per minute indicates effective oxygen therapy. In pneumonia, the respiratory rate typically increases due to the body's effort to improve oxygenation. Option B (pH of 7.35) is related to acid-base balance, not specifically indicating oxygen therapy effectiveness. Option C (oxygen saturation of 92%) is below the normal range (95-100%), suggesting the need for oxygen therapy. Option D (clear breath sounds) is a positive finding but not a direct indicator of oxygen therapy effectiveness.

Question 5 of 5

A client with type 2 diabetes mellitus is admitted with hyperosmolar hyperglycemic state (HHS). Which laboratory result requires immediate intervention?

Correct Answer: B

Rationale: A serum glucose level of 600 mg/dL is extremely high in a client with hyperosmolar hyperglycemic state (HHS) and poses a significant risk of serious complications such as dehydration, coma, and electrolyte imbalances. Rapid intervention is crucial to normalize the glucose level and prevent further deterioration. Serum osmolality of 320 mOsm/kg, serum potassium of 4.5 mEq/L, and serum sodium of 140 mEq/L, while important to monitor in HHS, do not represent an immediate life-threatening condition that requires urgent intervention compared to the critically high glucose level.

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