HESI RN
Community Health HESI Questions
Question 1 of 5
A home health nurse is reviewing the laboratory results for several clients with heart failure. Which client finding would the nurse report to the health care provider immediately?
Correct Answer: C
Rationale: An elevated B-type natriuretic peptide indicates worsening heart failure, which requires immediate attention.
Question 2 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. Which finding requires immediate intervention?
Correct Answer: D
Rationale: In a client with COPD admitted with pneumonia, a productive cough with green sputum indicates a potential bacterial infection. Green sputum is commonly associated with bacterial pneumonia, which requires immediate intervention with appropriate antibiotics. Monitoring oxygen saturation, respiratory rate, and heart rate are essential in COPD patients, but the presence of green sputum suggests an urgent need for targeted treatment to address the underlying infection. Oxygen saturation of 88% is concerning but may not directly indicate the need for immediate intervention in the absence of other critical symptoms. Respiratory rate of 24 breaths per minute and a heart rate of 90 beats per minute are within normal limits and may not be indicative of an acute issue requiring immediate intervention in this context.
Question 3 of 5
The nurse notices that the influenza immunization rate is much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in the underserved community groups?
Correct Answer: A
Rationale: Conveniently located clinics in target neighborhoods increase accessibility and are likely to boost immunization rates.
Question 4 of 5
During a follow-up visit, a client with hypertension reports that they often forget to take their medication. What should the nurse do first?
Correct Answer: B
Rationale: Understanding why the client forgets to take their medication helps the nurse address the underlying issues and find appropriate solutions.
Question 5 of 5
When assessing the health of a community, what is the most important information for the nurse to obtain?
Correct Answer: D
Rationale: Understanding the needs expressed by community members helps tailor health interventions to address their specific concerns.
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