HESI RN
RN HESI Community Health with NGN Questions
Question 1 of 5
When evaluating a community's health promotion needs, what is the first step the nurse should take?
Correct Answer: A
Rationale: Conducting interviews with community members is a crucial first step when evaluating a community's health promotion needs. These interviews can provide valuable insights into the community's health concerns, behaviors, and needs.
Question 2 of 5
A home health nurse is examining the lab results of several patients with a history of heart failure (HF). Which patient's finding should the nurse immediately report to the healthcare provider?
Correct Answer: B
Rationale: B-type natriuretic peptide (BNP) levels are used to diagnose and monitor heart failure. A BNP level of 550 pg/mL (550 ng/L) is significantly higher than the normal range, which is less than 100 pg/mL. High BNP levels indicate that the heart is working harder than normal, which is a common occurrence in heart failure.
Therefore, this result should be reported immediately to the healthcare provider.
Question 3 of 5
While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child. What should be the nurse's response to this observation?
Correct Answer: D
Rationale: Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child. This symptom could be indicative of various conditions, which would require further investigation.
Question 4 of 5
A teenager with a history of recurring atopic dermatitis (eczema) tells the school nurse of a desire to play high school sports. Which action should the nurse take?
Correct Answer: A
Rationale: Showering with non-perfumed soaps immediately after practice is a good practice for a teenager with a history of recurring atopic dermatitis (eczema) who wants to play high school sports. Heat and humidity can cause perspiration, which intensifies itching with atopic dermatitis (eczema), so the client should be encouraged to shower, using non-perfumed soaps, as soon as possible after physical activity to remove perspiration.
Question 5 of 5
A graduate nursing student requests information, including laboratory findings and chest X-ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic. What action should the charge nurse take?
Correct Answer: A
Rationale: A graduate nursing student requesting information, including laboratory findings and chest X-ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic is asking for sensitive patient information. This information is protected under privacy laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPA
A) in the United States.
Therefore, the charge nurse should obtain written authorization from clients to release the information.