HESI RN
Community Health HESI Questions
Question 1 of 9
A 6-year-old child is alert but quiet when brought to the emergency center with periorbital ecchymosis and ecchymosis behind the ears. The nurse suspects potential child abuse and continues to assess the child for additional manifestations of a basilar skull fracture. What assessment finding would be consistent with the basilar skull fracture?
Correct Answer: D
Rationale: Raccoon eyes (periorbital ecchymosis) and Battle's sign (ecchymosis behind the ear) are signs of a basilar skull fracture, so the nurse should assess for possible meningeal tears that manifest as a halo sign with CSF leakage from the ears or nose.
Question 2 of 9
The nurse is teaching a group of new mothers about infant care. Which topic should the nurse prioritize?
Correct Answer: A
Rationale: Recognizing signs of dehydration is crucial for ensuring the health and well-being of infants.
Question 3 of 9
A client with a history of asthma is admitted with shortness of breath. Which finding requires immediate intervention?
Correct Answer: B
Rationale: Absence of breath sounds can indicate a pneumothorax or severe asthma exacerbation, which requires immediate intervention.
Question 4 of 9
During a home visit, the nurse finds that an elderly client has multiple expired medications. What should the nurse do first?
Correct Answer: B
Rationale: Reviewing the client's current medication regimen helps identify any potential issues and ensures that the client is taking the correct medications.
Question 5 of 9
A female client reports to the nurse that her sleep was interrupted by 'thoughts of anger towards my husband.' What type of thoughts is the client having?
Correct Answer: A
Rationale: Obsessive thoughts are thoughts that the client is unable to control.
Question 6 of 9
During a home health visit the nurse notices that an older male client with type 2 diabetes mellitus is wearing loose cloth slippers. The client reports that he cannot comfortably wear other shoes because his toenails get in the way. The nurse inspects the clients feet and finds long thick nails that curl down under some of the toes. Which action should the nurse take?
Correct Answer: C
Rationale: Scheduling an appointment with a podiatrist ensures that the client receives professional foot care.
Question 7 of 9
The nurse is assessing a client with pneumonia. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Jugular vein distention indicates increased central venous pressure, which requires immediate intervention in a client with pneumonia.
Question 8 of 9
The nurse is preparing a client for a scheduled surgical procedure. What client statement should the nurse report to the healthcare provider?
Correct Answer: B
Rationale: The client's intake of juice after midnight should be reported due to the increased risk of aspiration while under general anesthesia.
Question 9 of 9
Which annual screening should the nurse include when planning eye health programs at a preschool?
Correct Answer: A
Rationale: Screening for visual acuity helps identify children who may need corrective lenses or other interventions.