HESI RN
Community Health HESI 2023 Quizlet Questions
Question 1 of 5
A public health nurse is addressing the issue of childhood lead poisoning in a low-income community. Which intervention should be prioritized?
Correct Answer: A
Rationale: Providing free blood lead level testing for children should be prioritized as it directly identifies children who are at risk and in need of intervention. This intervention allows for early detection and timely implementation of necessary measures to prevent further lead exposure or address existing poisoning. Distributing pamphlets (choice
B) may raise awareness but does not directly identify at-risk children. Conducting home inspections (choice
C) is important but may not be as immediate and targeted as blood lead level testing. Educating parents (choice
D) is essential but may not directly identify and address individual cases of lead poisoning as testing does.
Question 2 of 5
The healthcare provider is caring for a client with hyperparathyroidism. Which laboratory result requires immediate intervention?
Correct Answer: A
Rationale: A serum calcium level of 11 mg/dL indicates hypercalcemia, which can be a complication of hyperparathyroidism and requires immediate intervention. Hypercalcemia can lead to serious complications such as cardiac dysrhythmias, renal failure, and neurologic symptoms. Monitoring and managing serum calcium levels are crucial in clients with hyperparathyroidism. Serum phosphorus, magnesium, and albumin levels are important to assess in clients with hyperparathyroidism, but they do not require immediate intervention as hypercalcemia poses a more urgent risk.
Question 3 of 5
The nurse is caring for a client with liver cirrhosis. Which assessment finding requires immediate intervention?
Correct Answer: D
Rationale: Spider angiomas are abnormal clusters of blood vessels near the skin surface and can be indicative of an underlying liver condition. In the context of liver cirrhosis, spider angiomas can suggest portal hypertension and liver dysfunction, which requires immediate intervention. Jaundice (choice
A) is a common manifestation of liver cirrhosis but not typically an immediate intervention priority unless severe. Ascites (choice
B) and peripheral edema (choice
C) are also common in liver cirrhosis but do not require immediate intervention unless they are causing respiratory compromise or other urgent issues.
Question 4 of 5
The nurse identifies a client's needs and formulates the nursing problem of 'Imbalance nutrition: Less than body requirements, related to mental impairment and decreased intake, as evidenced by increasing confusion and weight loss of more than 30 pounds over the last 6 months.' Which short-term goal is best for this client?
Correct Answer: A
Rationale: The correct short-term goal for the client in this scenario is option A: 'Eat 50% of six small meals each day by the end of the week.' This goal is specific, measurable, and time-bound, which aligns with the SMART criteria for goal setting in nursing care. It addresses the client's nutritional needs directly, focusing on increasing meal frequency to meet body requirements and counteract weight loss. Option B, 'Gain 5 pounds by the end of the month,' is not as suitable as it lacks specificity and a short-term timeline, making it less achievable within the immediate care plan. Option C, 'Have increased caloric intake,' is vague and does not provide a measurable target for the client to work towards. Option D, 'Show improved nutritional status,' is a broad goal that lacks the specificity needed for effective short-term goal setting in nursing care.
Therefore, option A is the most appropriate choice for this client's short-term goal.
Question 5 of 5
A community health nurse is evaluating the effectiveness of a recent smoking cessation program. Which outcome indicates success?
Correct Answer: D
Rationale: The correct answer is D: lower relapse rate among participants. A lower relapse rate indicates that participants are successfully quitting smoking and maintaining their cessation, which is the ultimate goal of a smoking cessation program. Increased attendance at support group meetings (choice
A) may demonstrate engagement but does not necessarily indicate successful smoking cessation. Similarly, higher sales of nicotine replacement products (choice
C) may reflect increased product usage but not necessarily successful smoking cessation. While reducing the number of cigarettes smoked per day (choice
B) is a positive change, it does not guarantee successful smoking cessation or long-term abstinence.