HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
A child living in an inner city setting reports that there are no playgrounds or sidewalks in their area, so their grandmother does not allow them to go outside after school. The grandmother cooks traditional meals every evening. The child describes how they love their grandmother's cooking, and they get to use homemade tortillas instead of forks to pick up their food to eat. The child reports that they become short of breath easily when they are playing with their friends, and they have “a lot†of headaches. On a scale of 0 to 10, with 10 being very happy, how would you rate your happiness with your weight? The child reports “2.â€. What do you believe is one thing that you can change to help you lose some of your weight?
Correct Answer: D
Rationale: All of the above strategies - increasing physical activity, improving diet, and reducing portion sizes - are important for weight loss. They work together to create a calorie deficit, which is necessary for weight loss. It's also important to note that these strategies should be implemented as part of a sustainable lifestyle change, rather than a short-term diet.
Question 2 of 5
The nurse needs to delegate some tasks related to a homebound client's care to a home health aide. Which task should the nurse assign to the aide?
Correct Answer: B
Rationale: Evaluating the need for an elevated toilet seat involves assessing the client's mobility and safety in the bathroom, tasks that a home health aide could perform under the supervision of a nurse.
Question 3 of 5
An older adult is diagnosed with Parkinson's disease. What problems should the nurse expect to address in this client's home health care plan? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Feeding assistance, fragile skin, risk for falls, chronic pain, and depression are all potential problems for an older adult with Parkinson's disease. These issues arise due to motor symptoms, skin changes, balance impairment, muscle stiffness, and increased prevalence of depression.
Question 4 of 5
An older adult client has lost 5 lbs (2.3 kg) since their last check-up a month ago. The client maintains good hygiene, still drives, and lives alone. To which organization should the parish nurse refer this client?
Correct Answer: B
Rationale: The Senior Citizen Center offers a variety of services to older adults, including meal programs, health and wellness programs, and opportunities for social interaction. This could help address the client's weight loss and potential social isolation.
Question 5 of 5
The nurse is triaging victims of a tornado at an emergency shelter. An adult who has been wandering and crying comes to the nurse. Which action should the nurse take?
Correct Answer: D
Rationale: Directing the client to the shelter's nutrition center to obtain water and food is the best action in this situation. The client may be dehydrated or hungry, which could be contributing to their distress. Providing for these basic needs can help to calm the client and provide a sense of safety and stability.