HESI RN
HESI Community Health Questions
Question 1 of 5
access t o heal thcare Downloaded by Dawson maxwell (maxwelldawson083@gmail.com) lOMoARcPSD|38437257 The nurse worki ng i n a community health clinic that serves recent Somali immi grants notes that most mothers refuse to give permi ssion for routine immunizati ons of thei r preschool ers. Which i ndi vidu al i s l ikel y to have the most i nfl uential on these women's perceptions about their chil dren's heal thcare needs?
Correct Answer: C
Rationale: In many cultures, older women, such as grandmothers or aunts, hold significant influence over health-related decisions and practices within the family.
Question 2 of 5
A client who is receiving intravenous heparin therapy has an activated partial thromboplastin time (aPTT) of 90 seconds. Which action should the nurse take?
Correct Answer: D
Rationale: An aPTT of 90 seconds is significantly elevated, indicating a high risk of bleeding due to excessive anticoagulation. In this case, the heparin infusion should be stopped immediately to prevent further anticoagulation and an increased bleeding risk. Notifying the healthcare provider is essential to discuss alternative anticoagulation strategies or interventions. Continuing heparin therapy without action could lead to severe bleeding complications. Decreasing or increasing the heparin infusion rate would exacerbate the risk of bleeding, making options A, B, and C incorrect.
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: Antihistamines help reduce pruritus by blocking histamine receptors and are often prescribed for clients with chronic kidney disease experiencing pruritus.
Question 4 of 5
access t o heal thcare Downloaded by Dawson maxwell (maxwelldawson083@gmail.com) lOMoARcPSD|38437257 The nurse worki ng i n a community health clinic that serves recent Somali immi grants notes that most mothers refuse to give permi ssion for routine immunizati ons of thei r preschool ers. Which i ndi vidu al i s l ikel y to have the most i nfl uential on these women's perceptions about their chil dren's heal thcare needs?
Correct Answer: C
Rationale: In many cultures, older women, such as grandmothers or aunts, hold significant influence over health-related decisions and practices within the family.
Question 5 of 5
The wife of an older adult man who has had diabetes mellitus for the past 10 years reports to the home health nurse that her husband fell yesterday while taking his daily walk in the neighborhood. He has a bruised hand and a small abrasion on his left knee. The nurse assesses that his neurologic vital signs are stable. To reduce risk for future falls, which assessment is most important for the nurse to obtain?
Correct Answer: B
Rationale: Assessing for paresthesia (numbness or tingling) in the feet can help determine if the client has a loss of sensation, which increases fall risk.
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