HESI RN
HESI Community Health Questions
Question 1 of 5
When developing a presentation on injury prevention for high school students in a health education class, which topic is most important for the nurse to include?
Correct Answer: C
Rationale: Seat belt safety is crucial as it can significantly reduce the risk of injury or death in car accidents.
Question 2 of 5
A nurse is developing a community health education program focused on preventing childhood obesity. Which intervention should be prioritized?
Correct Answer: A
Rationale: Creating a school-based exercise program directly targets increasing physical activity among children, which is essential in preventing obesity.
Question 3 of 5
A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction. The nurse determines the client's apical pulse is 65 beats per minute. What action should the nurse implement next?
Correct Answer: C
Rationale: Atenolol, a beta-blocker, should be administered because the client's apical pulse is greater than 60.
Question 4 of 5
An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago. She has not received any medical care. She smokes but denies any other substance use. What is the priority nursing action?
Correct Answer: B
Rationale: Prenatal care is crucial for monitoring the health of both the mother and the fetus.
Question 5 of 5
During a follow-up home visit, the nurse observes that a client with chronic obstructive pulmonary disease (COPD) is using accessory muscles to breathe and has a pulse oximetry reading of 88%. What action should the nurse take first?
Correct Answer: C
Rationale: In this situation, the nurse should first instruct the client to perform pursed-lip breathing. Pursed-lip breathing helps improve oxygenation and decrease the work of breathing in clients with COPD. Administering a bronchodilator or increasing the oxygen flow rate may be necessary interventions but addressing the breathing technique through pursed-lip breathing is the initial action to optimize oxygenation. Notifying the healthcare provider immediately is not the first action indicated in this scenario; the nurse should intervene promptly to assist the client in improving breathing before escalating the situation.
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