Questions 9

HESI RN

HESI RN Test Bank

Community Health HESI Questions

Question 1 of 5

During a home visit, the nurse observes that an elderly client has a cluttered living environment and poor lighting. What should the nurse do first?

Correct Answer: C

Rationale: Assessing the client's risk for falls is crucial as a cluttered environment and poor lighting increase the likelihood of falls.

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

Community health nurses are particularly concerned with the source of communicable diseases such as hepatitis A. Which group of individuals have a higher risk of contracting that type of hepatitis?

Correct Answer: B

Rationale: Hepatitis A is often spread through close personal contact and poor sanitary conditions, which are more common in low-income, cramped living situations.

Question 4 of 5

A public health nurse is planning a vaccination clinic for a rural community. Which vaccine should the nurse prioritize for adults in this area?

Correct Answer: B

Rationale: The correct answer is 'B: influenza.' Influenza vaccination is crucial for adults, particularly in rural areas where access to healthcare may be limited. Influenza can cause serious illness and complications, and vaccination helps protect individuals and prevent the spread of the virus. While vaccines for hepatitis A, varicella, and measles, mumps, rubella (MMR) are important, prioritizing influenza vaccination in this scenario is essential due to its seasonal prevalence and potential impact on public health.

Question 5 of 5

A public health nurse is planning an educational campaign to reduce the incidence of hypertension in the community. Which group should be the primary target of this campaign?

Correct Answer: C

Rationale: Middle-aged adults are at a higher risk for developing hypertension and can benefit most from preventive measures.

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