Questions 9

HESI RN

HESI RN Test Bank

HESI Community Health Questions

Question 1 of 5

During a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse take?

Correct Answer: C

Rationale: In this scenario, the nurse should prioritize completing a physical and mental exam on the client. This action is crucial to assess the client's health status comprehensively and identify any underlying issues contributing to her unkempt appearance, odor of stale urine, and confusion. Calling the pharmacy to determine medications (Choice A) may be important but is not the immediate priority. Seeking family assistance (Choice B) can be helpful, but the client's condition requires a thorough assessment first. While adult protective services (Choice D) may be necessary in the future, the immediate action should be to assess the client's physical and mental health status.

Question 2 of 5

A community health nurse is planning a program to address the rising rates of obesity in the community. Which intervention should the nurse prioritize?

Correct Answer: A

Rationale: Organizing community exercise programs encourages physical activity, which is essential for weight management and reducing obesity rates.

Question 3 of 5

The healthcare provider is caring for a client with a chest tube. Which intervention is most important to include in the plan of care?

Correct Answer: D

Rationale: Keeping the collection chamber below the level of the chest is crucial in caring for a client with a chest tube. This positioning helps ensure proper drainage of fluids and prevents complications such as backflow of drainage into the chest cavity. Option A is incorrect as continuous suction can lead to excessive drainage and tissue damage. Option B is incorrect as clamping the chest tube during client movement can cause a buildup of pressure and compromise proper drainage. Option C is incorrect because clamping the chest tube for extended periods can impede the drainage process, leading to potential complications.

Question 4 of 5

Which bioterrorism agent is at high risk for use as a potential biological weapon that i s readily transmitted by several portals of entry?

Correct Answer: A

Rationale: Anthrax spores can be transmitted through inhalation, ingestion, or skin contact, making it a high-risk agent for bioterrorism.

Question 5 of 5

A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction. The nurse determines the client's apical pulse is 65 beats per minute. What action should the nurse implement next?

Correct Answer: C

Rationale: Atenolol, a beta-blocker, should be administered because the client's apical pulse is greater than 60.

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