HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
After assessing the health needs of an elementary school, the nurse identifies that an increased incidence of bicycle injuries is a significant issue. The nurse develops a 2-month program with the goal of eliminating bicycle injuries in the school. The program includes educational pamphlets sent home to parents and two educational sessions conducted by the school nurse. What action should the nurse take to evaluate the effectiveness of the program?
Correct Answer: C
Rationale: Comparing the incidence of bicycle injuries at the beginning and end of the program directly measures the impact of the program on the issue it was designed to address. If the program is effective, there should be a noticeable decrease in the incidence of bicycle injuries.
Question 2 of 5
A client was admitted to the community palliative care unit ten years after being diagnosed with multiple sclerosis (MS). Which intervention should the nurse prioritize in the client's care plan?
Correct Answer: B
Rationale: Administering medication as needed for pain and anxiety should be prioritized in the care plan for a client with MS in a palliative care unit. MS can cause varying degrees of pain and anxiety, and managing these symptoms can significantly improve the client's quality of life during the advanced stages of the disease.
Question 3 of 5
A home health nurse is examining the lab results of several patients with a history of heart failure (HF). Which patient's finding should the nurse immediately report to the healthcare provider?
Correct Answer: B
Rationale: B-type natriuretic peptide (BNP) levels are used to diagnose and monitor heart failure. A BNP level of 550 pg/mL (550 ng/L) is significantly higher than the normal range, which is less than 100 pg/mL. High BNP levels indicate that the heart is working harder than normal, which is a common occurrence in heart failure.
Therefore, this result should be reported immediately to the healthcare provider.
Question 4 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 5 of 5
A student at an elementary school health fair reports having itchy circles on the lower legs. Which skin assessment finding should the nurse prioritize for immediate intervention?
Correct Answer: C
Rationale: Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.