HESI RN
HESI Community Health Questions
Question 1 of 5
The nurse is providing discharge teaching to a client with a new diagnosis of diabetes mellitus. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: A diet low in carbohydrates is not recommended for clients with diabetes mellitus. Clients should follow a balanced diet.
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 client, who is 6 weeks pregnant, is being educated by the nurse on prenatal care. Which statement indicates that the client comprehends the nurse's instructions?
Correct Answer: D
Rationale: The correct answer is D. During pregnancy, it is crucial to avoid taking any medication without consulting a healthcare provider to prevent harm to the developing fetus. Choices A, B, and C are important aspects of prenatal care but do not specifically address the potential risks associated with taking medications during pregnancy.
Question 4 of 5
The healthcare provider is assessing a client with a suspected stroke. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Difficulty speaking is a classic symptom of stroke, suggesting a potential blockage of blood flow to the brain. Prompt intervention is crucial to minimize brain damage. Elevated blood pressure (Choice A) may need management but is not the most urgent concern in this scenario. A blood glucose level of 180 mg/dL (Choice B) is slightly elevated but does not require immediate intervention for a suspected stroke. A temperature of 99.8�F (37.7�C) (Choice D) is within normal range and not a critical finding in this context.
Question 5 of 5
The occupational heal th nurse is completing a yearly sel f-evaluation. Which activity shoul d the nurse document as an example of profi cient performance criteria i n professionalism?
Correct Answer: D
Rationale: This demonstrates leadership and proficiency in contributing to the field of occupational health and safety.
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