HESI RN
HESI Community Health Questions
Question 1 of 5
What information should the nurse provide a client who has undergone cryosurgery for stage 1A cervical cancer?
Correct Answer: D
Rationale: After cryosurgery for stage 1A cervical cancer, clients should avoid sexual intercourse for 3 to 6 weeks to reduce the risk of infection. Heavy, watery vaginal discharge is expected but not the focus of post-procedure instructions. Using tampons is contraindicated as they can introduce bacteria into the healing cervix. While reporting severe cramping is important, avoiding sexual intercourse is the priority to prevent complications.
Question 2 of 5
During a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse take?
Correct Answer: C
Rationale: In this scenario, the nurse should prioritize completing a physical and mental exam on the client. This action is crucial to assess the client's health status comprehensively and identify any underlying issues contributing to her unkempt appearance, odor of stale urine, and confusion. Calling the pharmacy to determine medications (Choice A) may be important but is not the immediate priority. Seeking family assistance (Choice B) can be helpful, but the client's condition requires a thorough assessment first. While adult protective services (Choice D) may be necessary in the future, the immediate action should be to assess the client's physical and mental health status.
Question 3 of 5
A government office worker is seen in the emergency room after opening an envelope containing a powder-like substance which is being tested for anthrax. Which discharge instruction should the nurse provide the client concerning inhalation anthrax?
Correct Answer: A
Rationale: Flu-like symptoms can be an early sign of inhalation anthrax, and timely medical intervention is crucial.
Question 4 of 5
The nurse is developing a program to educate parents on the importance of childhood immunizations. Which topic should be prioritized?
Correct Answer: A
Rationale: Emphasizing the benefits of immunizations helps parents understand the importance of vaccines in protecting their children from preventable diseases.
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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