Questions 9

HESI RN

HESI RN Test Bank

HESI Community Health Questions

Question 1 of 5

When developing a presentation on injury prevention for high school students in a health education class, which topic is most important for the nurse to include?

Correct Answer: C

Rationale: Seat belt safety is crucial as it can significantly reduce the risk of injury or death in car accidents.

Question 2 of 5

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 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

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 5 of 5

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.

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