HESI RN
Community Health HESI Questions
Question 1 of 5
A client with a history of atrial fibrillation is receiving warfarin (Coumadin) therapy. Which laboratory result indicates that the therapy is effective?
Correct Answer: D
Rationale: An INR of 2.5 indicates that warfarin therapy is within the therapeutic range for a client with atrial fibrillation.
Question 2 of 5
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 3 of 5
The nurse is providing discharge teaching to a client with a new colostomy. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Changing the colostomy bag every week is not sufficient; it should be changed more frequently to prevent leakage and skin irritation.
Question 4 of 5
A client with type 2 diabetes mellitus is admitted with hyperosmolar hyperglycemic state (HHS). Which laboratory result requires immediate intervention?
Correct Answer: B
Rationale: A serum glucose level of 600 mg/dL is extremely high in a client with hyperosmolar hyperglycemic state (HHS) and poses a significant risk of serious complications such as dehydration, coma, and electrolyte imbalances. Rapid intervention is crucial to normalize the glucose level and prevent further deterioration. Serum osmolality of 320 mOsm/kg, serum potassium of 4.5 mEq/L, and serum sodium of 140 mEq/L, while important to monitor in HHS, do not represent an immediate life-threatening condition that requires urgent intervention compared to the critically high glucose level.
Question 5 of 5
A school nurse is developing a program to address bullying among students. Which component is most important to include?
Correct Answer: B
Rationale: Training for teachers equips them with the skills and knowledge to effectively intervene and handle bullying incidents, creating a safer school environment.
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