HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
A 2-month-old infant contracts a disease through vertical transmission. Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?
Correct Answer: C
Rationale: Breastfeeding is a common method of vertical transmission. Certain infections in the mother can be passed to the infant through breast milk.
Therefore, if a 2-month-old infant contracts a disease that could be transmitted vertically, it would be important to investigate if the mother could be the source of the infection.
Question 2 of 5
A 42-year-old male client, who started experiencing mild flu-like symptoms 2 days ago, including an oral temperature of 101.2 °F (38.4 °C), came to the emergency department today due to increasing shortness of breath, cough, and chest pain. The client has no significant medical or surgical history. He occasionally drinks alcohol but denies smoking or drug use. He mentioned that he works in a government building and opened a package that was full of white powder. He may have inhaled some of the powder and coughed a few times but did not have any problems until a couple of days later. What actions should be taken?
Correct Answer: B
Rationale: Given the client's symptoms and potential exposure to an unknown substance, it is crucial to monitor his vital signs and cardiorespiratory status. This will help healthcare providers detect any changes in the client's condition and respond appropriately.
Question 3 of 5
A 5-year-old patient has been brought in for a routine check-up and vaccination update. The mother reports that the child has been having difficulty focusing in school and has shown a decreased appetite in recent weeks. What actions should the nurse take?
Correct Answer: D
Rationale: Given the child's symptoms of difficulty focusing in school and decreased appetite, it would be appropriate to recommend the parents to seek further medical evaluation for the child. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues.
Question 4 of 5
The public health nurse is investigating a report of several chickenpox (varicella virus) cases at a daycare center. The daycare worker mentions that five children have been sent home over the past two weeks with fever and itchy blisters. What should be the nurse's initial action?
Correct Answer: C
Rationale: The nurse's initial action should be to verify that the children sent home did indeed develop chickenpox. This is because chickenpox is a highly contagious disease caused by the varicella-zoster virus. Early identification and confirmation of the disease can help in implementing appropriate control measures to prevent further spread.
Question 5 of 5
The occupational health nurse in a mobile clinic is formulating an exposure control plan for blood-borne pathogens. Which topics should the nurse incorporate into this plan? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Puncture-resistant sharps containers, needleless medication delivery systems, vaccination schedule for Hepatitis B, and personal protective equipment (PPE) are all critical components of an exposure control plan for blood-borne pathogens. These measures directly reduce the risk of exposure and infection.