Questions 9

HESI RN

HESI RN Test Bank

HESI Community Health Questions

Question 1 of 5

A client who is receiving intravenous heparin therapy has an activated partial thromboplastin time (aPTT) of 90 seconds. Which action should the nurse take?

Correct Answer: D

Rationale: An aPTT of 90 seconds is significantly elevated, indicating a high risk of bleeding due to excessive anticoagulation. In this case, the heparin infusion should be stopped immediately to prevent further anticoagulation and an increased bleeding risk. Notifying the healthcare provider is essential to discuss alternative anticoagulation strategies or interventions. Continuing heparin therapy without action could lead to severe bleeding complications. Decreasing or increasing the heparin infusion rate would exacerbate the risk of bleeding, making options A, B, and C incorrect.

Question 2 of 5

An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago. She has not received any medical care. She smokes but denies any other substance use. What is the priority nursing action?

Correct Answer: B

Rationale: Prenatal care is crucial for monitoring the health of both the mother and the fetus.

Question 3 of 5

During a follow-up home visit, the nurse observes that a client with chronic obstructive pulmonary disease (COPD) is using accessory muscles to breathe and has a pulse oximetry reading of 88%. What action should the nurse take first?

Correct Answer: C

Rationale: In this situation, the nurse should first instruct the client to perform pursed-lip breathing. Pursed-lip breathing helps improve oxygenation and decrease the work of breathing in clients with COPD. Administering a bronchodilator or increasing the oxygen flow rate may be necessary interventions but addressing the breathing technique through pursed-lip breathing is the initial action to optimize oxygenation. Notifying the healthcare provider immediately is not the first action indicated in this scenario; the nurse should intervene promptly to assist the client in improving breathing before escalating the situation.

Question 4 of 5

Which intervention by the community health nurse is an example of a secondary level of prevention?

Correct Answer: C

Rationale: Administering influenza vaccines is a secondary prevention method aimed at early detection and intervention.

Question 5 of 5

The healthcare professional is developing a program to promote healthy eating habits in a community with high rates of obesity. Which strategy is most likely to be effective?

Correct Answer: B

Rationale: Offering cooking classes that focus on healthy recipes is the most effective strategy among the choices provided. These classes not only provide valuable knowledge about nutrition but also offer hands-on experience in preparing healthy meals. This practical approach can significantly impact participants' behavior and increase the likelihood of them adopting healthier eating habits. Distributing educational pamphlets may not have the same level of engagement and interaction as cooking classes. A social media campaign, while informative, may not result in direct behavioral changes. Providing free health screenings, though beneficial for early detection, does not directly address the promotion of healthy eating habits, unlike the hands-on approach of cooking classes.

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