HESI RN
HESI Community Health Questions
Question 1 of 9
The nurse is developing a community health program to address the high rates of hypertension in a neighborhood. Which intervention should the nurse prioritize?
Correct Answer: A
Rationale: Conducting free blood pressure screenings helps identify individuals with hypertension and connects them to necessary medical care.
Question 2 of 9
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 9
Which intervention by the community health nurse is an example of a secondary level of prevention?
Correct Answer: C
Rationale: Administering influenza vaccines is a secondary prevention method aimed at early detection and intervention.
Question 4 of 9
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 9
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 6 of 9
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 7 of 9
A client who is receiving intravenous heparin therapy has an activated partial thromboplastin time (aPTT) of 90 seconds. Which action should the nurse take?
Correct Answer: D
Rationale: An aPTT of 90 seconds is significantly elevated, indicating a high risk of bleeding due to excessive anticoagulation. In this case, the heparin infusion should be stopped immediately to prevent further anticoagulation and an increased bleeding risk. Notifying the healthcare provider is essential to discuss alternative anticoagulation strategies or interventions. Continuing heparin therapy without action could lead to severe bleeding complications. Decreasing or increasing the heparin infusion rate would exacerbate the risk of bleeding, making options A, B, and C incorrect.
Question 8 of 9
A nurse is developing a community health education program focused on preventing childhood obesity. Which intervention should be prioritized?
Correct Answer: A
Rationale: Creating a school-based exercise program directly targets increasing physical activity among children, which is essential in preventing obesity.
Question 9 of 9
The healthcare professional is developing a program to promote healthy eating habits in a community with high rates of obesity. Which strategy is most likely to be effective?
Correct Answer: B
Rationale: Offering cooking classes that focus on healthy recipes is the most effective strategy among the choices provided. These classes not only provide valuable knowledge about nutrition but also offer hands-on experience in preparing healthy meals. This practical approach can significantly impact participants' behavior and increase the likelihood of them adopting healthier eating habits. Distributing educational pamphlets may not have the same level of engagement and interaction as cooking classes. A social media campaign, while informative, may not result in direct behavioral changes. Providing free health screenings, though beneficial for early detection, does not directly address the promotion of healthy eating habits, unlike the hands-on approach of cooking classes.