HESI RN
HESI Community Health Questions
Question 1 of 5
The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received one dose of the measles, mumps, rubella (MMR) vaccine. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Reminding parents about the second dose ensures that children receive the complete vaccination on time.
Question 2 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 3 of 5
During a follow-up home visit, the nurse observes that a client with chronic obstructive pulmonary disease (COPD) is using accessory muscles to breathe and has a pulse oximetry reading of 88%. What action should the nurse take first?
Correct Answer: C
Rationale: In this situation, the nurse should first instruct the client to perform pursed-lip breathing. Pursed-lip breathing helps improve oxygenation and decrease the work of breathing in clients with COPD. Administering a bronchodilator or increasing the oxygen flow rate may be necessary interventions but addressing the breathing technique through pursed-lip breathing is the initial action to optimize oxygenation. Notifying the healthcare provider immediately is not the first action indicated in this scenario; the nurse should intervene promptly to assist the client in improving breathing before escalating the situation.
Question 4 of 5
The nurse is preparing to administer a scheduled dose of digoxin (Lanoxin) to a client. Which assessment finding should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: Seeing halos around lights is a symptom of digoxin toxicity, which should be reported to the healthcare provider.
Question 5 of 5
A client with a history of peptic ulcer disease is admitted with severe epigastric pain. Which finding requires immediate intervention?
Correct Answer: D
Rationale: Rebound tenderness can indicate peritonitis, which requires immediate intervention.
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