HESI RN
Community Health HESI Questions
Question 1 of 5
The nurse is assessing a client with pneumonia. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Jugular vein distention indicates increased central venous pressure, which requires immediate intervention in a client with pneumonia.
Question 2 of 5
During a home visit, the nurse finds that an elderly client has multiple expired medications. What should the nurse do first?
Correct Answer: B
Rationale: Reviewing the client's current medication regimen helps identify any potential issues and ensures that the client is taking the correct medications.
Question 3 of 5
The healthcare provider is preparing to administer digoxin (Lanoxin) to a client. Which assessment finding should the healthcare provider report before administering the medication?
Correct Answer: D
Rationale: Seeing halos around lights is a classic symptom of digoxin toxicity, known as visual disturbances. This finding indicates an adverse effect of digoxin and should be reported immediately to the healthcare provider. Monitoring for visual changes is crucial as it can progress to more severe toxicity, leading to life-threatening dysrhythmias or other complications. Apical pulse, serum potassium level, and blood pressure are important assessments when administering digoxin, but the presence of visual disturbances, such as seeing halos around lights, takes precedence due to its direct association with digoxin toxicity. Changes in these other parameters should also be noted and addressed, but they are not the priority when compared to a symptom directly linked to potential toxicity.
Question 4 of 5
Following an emergency Cesarean delivery, the nurse encourages the new mother to breastfeed her newborn. The client asks why she should breastfeed now. Which information should the nurse provide?
Correct Answer: C
Rationale: When the infant suckles at the breast, oxytocin is released by the posterior pituitary to stimulate the 'letdown' reflex and contract the uterus to prevent uterine hemorrhage.
Question 5 of 5
The nurse is preparing a presentation on sexually transmitted infections (STIs) for a group of high school students. Which strategy is most effective for this age group?
Correct Answer: D
Rationale: Facilitating a discussion allows students to ask questions, share experiences, and engage with the topic in a meaningful way.
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