HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
A nurse has developed a six-month program to address the increased incidence of hospital-acquired infections among clients in a long-term care facility. The program includes three mandatory classes on proper handwashing techniques and increases the availability of hand cleansers in the facility. Which measure provides the best indication of the program's effectiveness?
Correct Answer: B
Rationale: Comparing the incidence of infections before and after the program's implementation is the most direct and reliable measure of the program's effectiveness. A significant reduction in the rate of hospital-acquired infections after the implementation of the program would indicate that the program is effective.
Question 2 of 5
A client comes to the clinic for an annual physical exam. When asked about their influenza vaccine status, the client responds, “I never get the vaccine because I don't get the flu.â€. Which aspect of the Health Belief Model is the client demonstrating?
Correct Answer: A
Rationale: The client's decision not to get the flu vaccine because they don't get the flu demonstrates perceived barriers, one aspect of the Health Belief Model. The client may perceive that the potential discomfort or inconvenience of getting the vaccine outweighs the benefits.
Question 3 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.
Question 4 of 5
During a home visit, the nurse observes an elderly patient trying to walk to the bathroom. The patient appears unstable and clings to furniture while refusing any help. What action should the nurse take?
Correct Answer: D
Rationale: Identifying potential safety hazards in the home is the most immediate and effective action the nurse can take. By doing this, the nurse can work with the patient and their family to make necessary changes to improve safety and prevent falls.
Question 5 of 5
During a routine office visit, a nurse is obtaining an older adult client's vital signs and notices the caregiver is very quiet and withdrawn. When asked, the caregiver acknowledges feeling exhausted from caring for the client 24 hours a day. What is the best information for the nurse to provide?
Correct Answer: A
Rationale: Respite care is a service that provides temporary relief to primary caregivers, allowing them time to rest and take care of their own needs. It can be provided in the client's home, a healthcare facility, or an adult day care center. This service is especially beneficial for caregivers who are feeling exhausted, as it offers them a break while ensuring that their loved ones continue to receive care.