HESI RN
HESI Community Health Questions
Question 1 of 5
While screening all children in the third grade for head lice, the school nurse observes that one girl has a brownish thickening on her neck. Which action should the nurse take in response to this finding?
Correct Answer: C
Rationale: A medical evaluation is necessary to properly diagnose and treat the condition observed.
Question 2 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.
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
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 5 of 5
The healthcare provider is caring for a client with a chest tube. Which intervention is most important to include in the plan of care?
Correct Answer: D
Rationale: Keeping the collection chamber below the level of the chest is crucial in caring for a client with a chest tube. This positioning helps ensure proper drainage of fluids and prevents complications such as backflow of drainage into the chest cavity. Option A is incorrect as continuous suction can lead to excessive drainage and tissue damage. Option B is incorrect as clamping the chest tube during client movement can cause a buildup of pressure and compromise proper drainage. Option C is incorrect because clamping the chest tube for extended periods can impede the drainage process, leading to potential complications.
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