HESI RN
HESI Community Health Questions
Question 1 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 2 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 3 of 9
The nurse is caring for a client with the sexually transmitted disease HPV. The client reports having had prior sexually transmitted infections. Which response should the nurse provide?
Correct Answer: B
Rationale: Notifying sexual partners is crucial to prevent the spread of the infection.
Question 4 of 9
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 5 of 9
An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago. She has not received any medical care. She smokes but denies any other substance use. What is the priority nursing action?
Correct Answer: B
Rationale: Prenatal care is crucial for monitoring the health of both the mother and the fetus.
Question 6 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.
Question 7 of 9
While assessing a client receiving a blood transfusion, which finding requires immediate intervention?
Correct Answer: C
Rationale: A heart rate of 90 beats per minute requires immediate intervention when assessing a client receiving a blood transfusion. This finding can indicate a potential transfusion reaction, such as a hemolytic reaction or fluid overload, which requires prompt evaluation and management to prevent serious complications. While a temperature of 100.4°F (38°C) may indicate a mild fever, it is not typically an immediate concern during a blood transfusion. A blood pressure of 110/70 mm Hg is within the normal range, and complaints of feeling cold can be addressed but do not indicate an urgent need for intervention compared to the critical nature of a potential transfusion reaction indicated by an elevated heart rate.
Question 8 of 9
A client with a history of heart failure is admitted with severe dyspnea. Which laboratory result requires immediate intervention?
Correct Answer: C
Rationale: A serum creatinine level of 1.0 mg/dL is within the normal range, but weight gain of 2 pounds in 24 hours indicates fluid retention and requires immediate intervention.
Question 9 of 9
The nurse is developing a workshop on cancer prevention for a group of adults at a wellness bar. Which recommendation should the nurse include in the workshop?
Correct Answer: B
Rationale: Maintaining a healthy weight and exercising regularly are key factors in cancer prevention.