Questions 9

HESI RN

HESI RN Test Bank

Community Health HESI Questions

Question 1 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.

Question 2 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 3 of 5

The healthcare provider is preparing to administer digoxin (Lanoxin) to a client. Which assessment finding should the healthcare provider report before administering the medication?

Correct Answer: D

Rationale: Seeing halos around lights is a classic symptom of digoxin toxicity, known as visual disturbances. This finding indicates an adverse effect of digoxin and should be reported immediately to the healthcare provider. Monitoring for visual changes is crucial as it can progress to more severe toxicity, leading to life-threatening dysrhythmias or other complications. Apical pulse, serum potassium level, and blood pressure are important assessments when administering digoxin, but the presence of visual disturbances, such as seeing halos around lights, takes precedence due to its direct association with digoxin toxicity. Changes in these other parameters should also be noted and addressed, but they are not the priority when compared to a symptom directly linked to potential toxicity.

Question 4 of 5

The nurse is assessing a client with pneumonia. Which finding requires immediate intervention?

Correct Answer: C

Rationale: Jugular vein distention indicates increased central venous pressure, which requires immediate intervention in a client with pneumonia.

Question 5 of 5

A public health nurse is working with a community to improve access to mental health services. Which intervention is most likely to be effective?

Correct Answer: A

Rationale: Setting up mental health clinics in accessible locations makes it easier for community members to access the care they need.

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