HESI LPN
Community Health HESI Practice Questions Questions
Question 1 of 5
The multidisciplinary home health care team is discussing a female client diagnosed with Parkinson's disease. The home health care nurse reports the client is getting worse, and her husband is no longer able to care for her in the home. Which action should the home health nurse implement first?
Correct Answer: B
Rationale: In situations where a client's condition worsens and the caregiver is no longer able to provide sufficient care, the first action to implement is to assign a home health care aide to provide daily care. This ensures that the client's immediate needs are met and that they receive proper care and support. Requesting a chaplain for counseling (
Choice
A) may be beneficial but is not the most urgent action. Discussing placing the wife in a nursing home (
Choice
C) should only be considered after assessing the client's needs and exploring all other options. Contacting the client's children (
Choice
D) can be helpful but does not address the immediate need for daily care that the client requires.
Question 2 of 5
When a nurse from the surgical department is reassigned to the pediatric unit, the charge nurse should recognize that the child at highest risk for cardiac arrest and is the least likely to be assigned to this nurse is which child?
Correct Answer: C
Rationale: The correct answer is C, 'Prolonged hypoxemia.' Prolonged hypoxemia is a critical condition that requires specialized pediatric care due to the high risk of cardiac arrest. The other choices, such as congenital cardiac defects, acute febrile illness, and severe multiple trauma, may also require attention, but prolonged hypoxemia poses the highest risk for cardiac arrest and demands specialized expertise in managing pediatric patients with this condition.
Question 3 of 5
What is a key component of a successful smoking cessation program?
Correct Answer: A
Rationale: The correct answer is A. Providing nicotine replacement therapy is a key component of smoking cessation programs as it helps individuals manage nicotine withdrawal symptoms. Nicotine replacement therapy includes options like nicotine gum, patches, lozenges, or inhalers.
Choice B, offering surgical interventions, is incorrect as smoking cessation programs primarily focus on behavioral and pharmacological interventions rather than surgical procedures.
Choice C, conducting regular health screenings, is also incorrect as it is not a direct key component of smoking cessation programs.
Choice D, promoting alcohol consumption, is not only incorrect but counterproductive, as it can be detrimental to overall health and hinder smoking cessation efforts.
Question 4 of 5
The nurse is reviewing a depressed client's history from an earlier admission. Documentation of anhedonia is noted. The nurse understands that this finding refers to:
Correct Answer: C
Rationale: The correct answer is C: Lack of enjoyment in usual pleasures. Anhedonia is the inability to feel pleasure in normally pleasurable activities.
Choice A, reports of difficulty falling and staying asleep, is more indicative of insomnia rather than anhedonia.
Choice B, expression of persistent suicidal thoughts, is related to suicidal ideation and not anhedonia.
Choice D, reduced senses of taste and smell, is more associated with disturbances in the sense of taste and smell, not anhedonia.
Question 5 of 5
A client is admitted with the diagnosis of myocardial infarction (MI). Which of the following lab values would be consistent with this diagnosis?
Correct Answer: D
Rationale: The correct answer is D: Elevated creatinine phosphokinase (CPK). Elevated CPK levels indicate muscle damage, including damage to the cardiac muscle, which aligns with the diagnosis of myocardial infarction.
Choice A, low serum albumin, is not directly related to myocardial infarction.
Choice B, high serum cholesterol, is more associated with conditions like atherosclerosis rather than acute myocardial infarction.
Choice C, abnormally low white blood cell count, is typically not a lab value associated with myocardial infarction; instead, it could suggest other conditions like infections or bone marrow issues.