HESI RN
HESI Community Health Questions
Question 1 of 5
A nurse is planning a community health fair to promote cardiovascular health. Which activity should be included to best engage participants?
Correct Answer: A
Rationale: In community health nursing, engaging participants in health promotion activities is crucial for successful outcomes. The correct answer is A) free blood pressure screenings because it is a hands-on, interactive activity that directly involves participants in assessing their cardiovascular health. This activity not only raises awareness but also provides immediate feedback, promoting early detection and prevention of cardiovascular issues. Option B) lectures on heart-healthy diets may be informative but may not be as engaging for all participants, as passive learning methods are not always as effective in community settings where diverse learning styles are present. Option C) distribution of pamphlets on heart disease is informative but lacks the interactive component needed to actively engage participants and may not ensure that the information is understood or retained. Option D) cooking demonstrations of healthy recipes, while beneficial, may not be as inclusive for all participants who may have dietary restrictions or preferences, limiting their engagement. By incorporating free blood pressure screenings, the nurse can create a more interactive and inclusive environment that promotes active participation and empowers individuals to take control of their cardiovascular health. This approach aligns with best practices in community health nursing by focusing on participant engagement and empowerment for better health outcomes.
Question 2 of 5
A nurse is planning a community event to raise awareness about mental health. Which activity should be included to best engage participants?
Correct Answer: B
Rationale: In community health nursing, it is essential to engage participants actively to raise awareness effectively. Interactive workshops on stress management (Option B) are the best activity to include in a community event about mental health. This option allows participants to actively participate, learn practical skills, share experiences, and interact with each other, fostering a supportive and engaging environment. It empowers individuals to manage their stress effectively, promoting mental well-being in the community. Lectures by mental health professionals (Option A) may be informative but can be passive and less engaging for participants. Distribution of mental health resources (Option C) is important but may not actively engage participants in the event. Screenings for depression and anxiety (Option D) are more suitable for individual assessments rather than a community event where engagement and participation are crucial for raising awareness effectively. By choosing interactive workshops on stress management, the nurse can create a dynamic and participatory learning environment that encourages active engagement, skill-building, and community support in addressing mental health concerns. This approach aligns with best practices in community health education, emphasizing empowerment and practical skill development for promoting mental well-being at the community level.
Question 3 of 5
A client with chronic kidney disease is experiencing pruritus. Which intervention should the nurse include in the plan of care?
Correct Answer: A
Rationale: In the case of a client with chronic kidney disease experiencing pruritus, the correct intervention to include in the plan of care is to administer antihistamines as prescribed (Option A). Pruritus, or severe itching, is a common symptom associated with chronic kidney disease due to the buildup of waste products in the blood that are normally filtered by the kidneys. Antihistamines can help relieve itching by blocking histamine, which is released in response to allergens or other triggers. Applying moisturizing lotion to the skin (Option B) can be soothing but does not address the underlying cause of pruritus in chronic kidney disease. Using cool water for bathing (Option C) can provide temporary relief but may not be as effective as medication in managing pruritus. Encouraging a high-protein diet (Option D) is not appropriate in this situation as excessive protein intake can further burden the kidneys and worsen the client's condition. In an educational context, understanding the pathophysiology of chronic kidney disease and its associated symptoms like pruritus is crucial for nurses caring for clients with this condition. Knowledge of appropriate interventions, such as administering antihistamines for pruritus, helps nurses provide comprehensive and evidence-based care to improve patient outcomes.
Question 4 of 5
The nurse is assessing a client with a suspected deep vein thrombosis (DVT). Which finding supports this diagnosis?
Correct Answer: D
Rationale: In assessing a client with suspected deep vein thrombosis (DVT), the finding that supports this diagnosis is "D) Redness and warmth in the affected leg." This is because redness and warmth are classic signs of inflammation that commonly occur in the presence of a DVT. Option A, a positive Homan's sign, is an outdated and unreliable test for DVT and is no longer recommended due to its potential to dislodge a clot. Option B, unilateral leg swelling, can be seen in DVT but is a less specific finding compared to redness and warmth. Option C, bilateral calf pain, is not typically associated with DVT, as DVT usually presents with unilateral symptoms. In an educational context, it is crucial for nursing students to understand the key clinical manifestations of DVT to ensure timely and accurate assessment and intervention. Recognizing signs like redness and warmth in the affected leg can prompt swift action to prevent complications such as pulmonary embolism. Students should also be aware of outdated practices like Homan's sign and understand the importance of evidence-based assessment techniques in modern nursing practice.
Question 5 of 5
A client with a history of alcohol abuse is admitted with acute pancreatitis. Which laboratory result requires immediate intervention?
Correct Answer: D
Rationale: In this scenario, the correct answer is option D) Blood glucose of 250 mg/dL, which requires immediate intervention. Acute pancreatitis in a client with a history of alcohol abuse can lead to significant metabolic disturbances, including hyperglycemia. Elevated blood glucose levels can indicate poor glycemic control, which is a concern as it can worsen the pancreatitis and lead to various complications. Option A) Amylase of 120 U/L and option B) Lipase of 150 U/L are both pancreatic enzyme levels that are often elevated in pancreatitis, but they do not indicate the need for immediate intervention in this case. These values are within a normal range and do not pose an immediate threat. Option C) Calcium of 8.5 mg/dL is within the normal calcium range and is not a priority concern in this context. While hypocalcemia can occur in pancreatitis, the value provided is not indicative of that complication. Educationally, this question tests the understanding of the complications of acute pancreatitis in a patient with a history of alcohol abuse. It highlights the importance of recognizing abnormal laboratory values and prioritizing interventions based on the urgency of the situation to provide timely and appropriate care to the patient.