HESI RN
HESI Community Health Questions
Question 1 of 5
While assessing a client receiving a blood transfusion, which finding requires immediate intervention?
Correct Answer: C
Rationale: A heart rate of 90 beats per minute requires immediate intervention when assessing a client receiving a blood transfusion. This finding can indicate a potential transfusion reaction, such as a hemolytic reaction or fluid overload, which requires prompt evaluation and management to prevent serious complications. While a temperature of 100.4�F (38�C) may indicate a mild fever, it is not typically an immediate concern during a blood transfusion. A blood pressure of 110/70 mm Hg is within the normal range, and complaints of feeling cold can be addressed but do not indicate an urgent need for intervention compared to the critical nature of a potential transfusion reaction indicated by an elevated heart rate.
Question 2 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 3 of 5
The wife of an older adult man who has had diabetes mellitus for the past 10 years reports to the home health nurse that her husband fell yesterday while taking his daily walk in the neighborhood. He has a bruised hand and a small abrasion on his left knee. The nurse assesses that his neurologic vital signs are stable. To reduce risk for future falls, which assessment is most important for the nurse to obtain?
Correct Answer: B
Rationale: Assessing for paresthesia (numbness or tingling) in the feet can help determine if the client has a loss of sensation, which increases fall risk.
Question 4 of 5
The nurse is developing a workshop on cancer prevention for a group of adults at a wellness bar. Which recommendation should the nurse include in the workshop?
Correct Answer: B
Rationale: Maintaining a healthy weight and exercising regularly are key factors in cancer prevention.
Question 5 of 5
The nurse is assessing a client with a suspected deep vein thrombosis (DVT). Which finding supports this diagnosis?
Correct Answer: D
Rationale: Redness and warmth in the affected leg are classic signs of deep vein thrombosis (DVT), which supports the diagnosis.
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