HESI RN
Community Health HESI 2023 Questions
Question 1 of 5
A community health nurse is addressing the issue of domestic violence in the community. Which intervention should be prioritized?
Correct Answer: D
Rationale: Creating a confidential hotline for reporting abuse is the most critical intervention when addressing domestic violence. A hotline offers a safe and confidential way for individuals experiencing abuse to report incidents, seek help, and access support services. This intervention prioritizes immediate safety and support for victims. Providing education on the signs of domestic violence (Choice A) is important for prevention but may not address the urgent needs of individuals currently experiencing abuse. Setting up a support group for survivors (Choice B) is valuable for emotional support but may not reach those who are not yet identified as survivors. Partnering with local law enforcement to increase patrols (Choice C) focuses more on the law enforcement response rather than providing a direct avenue for victims to seek help and support.
Question 2 of 5
A community health nurse is addressing the issue of elder abuse in the community. Which intervention should be prioritized?
Correct Answer: D
Rationale: The prioritized intervention for addressing elder abuse in the community should be the creation of a confidential hotline for reporting abuse. A confidential hotline offers a safe and accessible way for individuals to report elder abuse and seek help promptly. Providing education on the signs of elder abuse (Choice A) is important but may not directly address immediate reporting and intervention needs. Setting up a support group for elder abuse survivors (Choice B) is beneficial for emotional support but may not address the primary need for reporting abuse. Partnering with local law enforcement to increase patrols (Choice C) focuses on prevention rather than providing a direct reporting mechanism for victims.
Question 3 of 5
A client with a history of myocardial infarction is prescribed aspirin therapy. Which instruction should the nurse include in the client's teaching plan?
Correct Answer: C
Rationale: The correct instruction for the nurse to include in the client's teaching plan is to avoid taking aspirin with alcohol. Combining aspirin with alcohol can increase the risk of gastrointestinal bleeding and other complications. Taking aspirin with food helps reduce stomach upset, but it is not the most crucial instruction in this scenario. While taking aspirin at the same time every day can help with consistency, it is not as critical as avoiding alcohol. Discontinuing aspirin if experiencing ringing in the ears is important to address potential side effects, but it is not directly related to preventing complications when combining with alcohol.
Question 4 of 5
The nurse is providing discharge teaching to a client with chronic obstructive pulmonary disease (COPD). Which statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: In this scenario, option A, "I will use my albuterol inhaler before exercising," indicates a need for further teaching. This statement is incorrect because using the albuterol inhaler before exercising is actually a recommended practice for individuals with COPD to help open up the airways and improve breathing during physical activity. Options B, C, and D are all correct statements for a client with COPD. Option B, "I will avoid secondhand smoke," is important because exposure to smoke can exacerbate COPD symptoms. Option C, "I will get a flu shot every year," is crucial as individuals with COPD are at higher risk of developing complications from the flu. Option D, "I will limit my fluid intake to 2 liters per day," is also a valid statement as excessive fluid intake can worsen symptoms in COPD patients with heart failure. Educationally, understanding the correct management strategies for COPD is vital for nurses working in community health settings. This question highlights the importance of thorough patient education to ensure optimal self-management and quality of life for individuals with chronic conditions like COPD.
Question 5 of 5
The client with liver cirrhosis needs immediate intervention for which abnormal laboratory result?
Correct Answer: D
Rationale: An elevated ammonia level of 80 mcg/dL indicates hepatic encephalopathy, a serious complication of liver cirrhosis that requires immediate intervention. Ammonia is a neurotoxin that accumulates in the blood due to impaired liver function, leading to cognitive impairment and altered mental status. Monitoring and lowering ammonia levels are crucial in managing hepatic encephalopathy to prevent further neurological deterioration. Prothrombin time, bilirubin, and albumin levels are important parameters in assessing liver function and overall health status in clients with liver cirrhosis, but an elevated ammonia level poses an immediate threat to neurological function and warrants prompt attention.