HESI RN
HESI Community Health Questions
Question 1 of 5
During a follow-up home visit, the nurse observes that a client with chronic obstructive pulmonary disease (COPD) is using accessory muscles to breathe and has a pulse oximetry reading of 88%. What action should the nurse take first?
Correct Answer: C
Rationale: In this situation, the nurse should first instruct the client to perform pursed-lip breathing. Pursed-lip breathing helps improve oxygenation and decrease the work of breathing in clients with COPD. Administering a bronchodilator or increasing the oxygen flow rate may be necessary interventions but addressing the breathing technique through pursed-lip breathing is the initial action to optimize oxygenation. Notifying the healthcare provider immediately is not the first action indicated in this scenario; the nurse should intervene promptly to assist the client in improving breathing before escalating the situation.
Question 2 of 5
During a home visit, a nurse observes an older client who is attempting to ambulate to the bathroom and notes that the client is unsteady and holds on to the furniture while refusing any assistance. Which action should the nurse implement?
Correct Answer: A
Rationale: Identifying and mitigating home safety hazards can help prevent falls and injuries.
Question 3 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: Offering free blood pressure screenings provides participants with immediate, valuable information about their cardiovascular health.
Question 4 of 5
A nurse is planning a community health fair to promote cancer awareness. Which activity should be included to best engage participants?
Correct Answer: A
Rationale: Offering free cancer screenings provides participants with immediate, valuable information about their cancer risk.
Question 5 of 5
The healthcare professional is developing a community health program to address the high rates of childhood asthma in a neighborhood. Which intervention should the healthcare professional prioritize?
Correct Answer: A
Rationale: The healthcare professional should prioritize conducting home visits to identify asthma triggers as it is crucial for reducing asthma attacks in children. By identifying triggers in the home environment, interventions can be implemented to create a safer living space for children with asthma. Distributing asthma education materials at schools may be helpful, but addressing triggers at the source is more direct and impactful. Holding workshops on asthma management for parents is valuable, but identifying triggers should come first to prevent asthma exacerbations. Partnering with local healthcare providers to offer free asthma screenings focuses on detection rather than prevention through trigger identification.
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