Questions 9

HESI RN

HESI RN Test Bank

HESI Community Health Questions

Question 1 of 5

After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program?

Correct Answer: D

Rationale: Measuring the prevalence after four months provides data on the program's long-term effectiveness.

Question 2 of 5

After coronary artery bypass graft surgery, a male client is admitted to the coronary care unit. Which nursing diagnosis is of the highest priority?

Correct Answer: B

Rationale: Impaired gas exchange is the highest priority nursing diagnosis because it directly impacts the client's oxygenation. Following coronary artery bypass graft surgery, ensuring adequate oxygen exchange is crucial for the client's recovery. Ineffective breathing pattern, although important, may not be as critical as impaired gas exchange in the immediate postoperative period. Acute pain, while significant, can be managed effectively with appropriate interventions and is not as emergent as addressing impaired gas exchange. Risk for infection is also a valid concern post-surgery, but ensuring optimal gas exchange takes precedence to prevent complications associated with inadequate oxygenation.

Question 3 of 5

The occupational heal th nurse is completing a yearly sel f-evaluation. Which activity shoul d the nurse document as an example of profi cient performance criteria i n professionalism?

Correct Answer: D

Rationale: This demonstrates leadership and proficiency in contributing to the field of occupational health and safety.

Question 4 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 5 of 5

A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma?

Correct Answer: C

Rationale: The best antihypertensive agent for clients with asthma is metoprolol (Lopressor), a beta2 blocking agent which is also cardioselective and less likely to cause bronchoconstriction.

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