HESI RN
HESI Community Health Questions
Question 1 of 9
The occupational heal th nurse is completing a yearly sel f-evaluation. Which activity shoul d the nurse document as an example of profi cient performance criteria i n professionalism?
Correct Answer: D
Rationale: This demonstrates leadership and proficiency in contributing to the field of occupational health and safety.
Question 2 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 3 of 9
A client with a history of heart failure is admitted with severe dyspnea. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Placing the client in a high Fowler's position helps improve breathing and oxygenation in clients with severe dyspnea.
Question 4 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 5 of 9
A client with chronic kidney disease is experiencing pruritus. Which intervention should the nurse include in the plan of care?
Correct Answer: A
Rationale: Antihistamines help reduce pruritus by blocking histamine receptors and are often prescribed for clients with chronic kidney disease experiencing pruritus.
Question 6 of 9
The healthcare provider is caring for a client with a chest tube following thoracic surgery. Which intervention should the healthcare provider include in the plan of care?
Correct Answer: D
Rationale: Ensuring that the chest tube is not clamped or kinked is essential to maintain proper drainage and prevent complications. Clamping the chest tube can lead to a buildup of pressure in the pleural space, causing potential harm to the client. Milking the chest tube is not recommended as it can cause damage to the delicate tubing. Keeping the drainage system at the level of the chest ensures proper drainage by gravity, preventing backflow of fluids, but ensuring the tube is not clamped or kinked takes precedence in this scenario.
Question 7 of 9
The healthcare professional is developing a teaching plan for an adolescent with a Milwaukee brace. Which instruction should the healthcare professional include?
Correct Answer: A
Rationale: The correct answer is A. A Milwaukee brace should be worn over a T-shirt for 23 hours a day to reduce friction and chafing of the skin. This ensures that the brace is not directly against the skin, which can cause discomfort and skin irritation. Choice B is incorrect because the brace should typically be worn continuously, even while sleeping, unless otherwise instructed by a healthcare provider. Choice C is incorrect as wearing the brace directly against the skin can lead to skin issues. Choice D is incorrect since the brace should not be removed while eating to maintain the prescribed wear time.
Question 8 of 9
When documenting assessment data, which statement should the nurse record in the narrative nursing notes?
Correct Answer: C
Rationale: The correct answer is C. When documenting assessment data in the narrative nursing notes, it is essential to include objective findings that are specific, clear, and descriptive. 'S1 murmur auscultated in supine position' provides a precise and objective assessment finding that can aid in accurately documenting the client's condition. Choices A, B, and D are more subjective statements that lack the specificity and clarity required for detailed documentation. 'Client appears anxious' and 'Client is resting quietly' are subjective observations, while 'Client's skin is warm and dry' is an objective finding but may not be as significant or relevant for comprehensive documentation as the auscultated murmur.
Question 9 of 9
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.