Questions 9

HESI RN

HESI RN Test Bank

Community Health HESI Questions

Question 1 of 5

A male client who has been taking propranolol (Inderal) for 18 months tells the nurse the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months. Which instruction should the nurse provide?

Correct Answer: C

Rationale: Gradually tapering the dose over one to two weeks should be recommended to prevent rebound tachycardia, hypertension, and ventricular dysrhythmias.

Question 2 of 5

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 5

The nurse is caring for a client with diabetic ketoacidosis (DKA). Which laboratory result requires immediate intervention?

Correct Answer: D

Rationale: Corrected Rationale: An arterial blood pH of 7.30 indicates the client is in acidosis, which is a life-threatening condition in DKA. Immediate intervention is required to correct the acidosis and prevent further complications such as organ failure or coma. Blood glucose of 250 mg/dL is elevated but not an immediate threat to life in comparison to acidosis. Serum potassium of 3.5 mEq/L and serum sodium of 135 mEq/L are within normal ranges and do not warrant immediate intervention in the context of DKA.

Question 4 of 5

A public health nurse is planning a vaccination clinic for a rural community. Which vaccine should the nurse prioritize for adults in this area?

Correct Answer: B

Rationale: The correct answer is 'B: influenza.' Influenza vaccination is crucial for adults, particularly in rural areas where access to healthcare may be limited. Influenza can cause serious illness and complications, and vaccination helps protect individuals and prevent the spread of the virus. While vaccines for hepatitis A, varicella, and measles, mumps, rubella (MMR) are important, prioritizing influenza vaccination in this scenario is essential due to its seasonal prevalence and potential impact on public health.

Question 5 of 5

Following an emergency Cesarean delivery, the nurse encourages the new mother to breastfeed her newborn. The client asks why she should breastfeed now. Which information should the nurse provide?

Correct Answer: C

Rationale: When the infant suckles at the breast, oxytocin is released by the posterior pituitary to stimulate the 'letdown' reflex and contract the uterus to prevent uterine hemorrhage.

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