HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 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 2 of 5
The nurse is screening for hypertension at a local health fair. A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Assessing the client's lifestyle and other risk factors for hypertension, asking about current antihypertensive medications, obtaining another blood pressure reading to verify the first reading, and recommending further evaluation for possible pre-hypertension are all appropriate interventions for a client with a blood pressure reading of 138/80 mm Hg, which indicates possible pre-hypertension.
Question 3 of 5
The nurse is conducting a suicide awareness session for adults in the community. What information should the nurse include in the session?
Correct Answer: A
Rationale: Severe life stresses at any age can indeed increase the risk of suicide. Stressful life events can overwhelm an individual's coping mechanisms and lead to feelings of hopelessness and despair, which are significant risk factors for suicide.
Question 4 of 5
A teenager with a history of recurring atopic dermatitis (eczema) tells the school nurse of a desire to play high school sports. Which action should the nurse take?
Correct Answer: A
Rationale: Showering with non-perfumed soaps immediately after practice is a good practice for a teenager with a history of recurring atopic dermatitis (eczema) who wants to play high school sports. Heat and humidity can cause perspiration, which intensifies itching with atopic dermatitis (eczema), so the client should be encouraged to shower, using non-perfumed soaps, as soon as possible after physical activity to remove perspiration.
Question 5 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.