HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye. What is the most important for the clinic nurse to ask the client?
Correct Answer: A
Rationale: If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.
Question 2 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 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
Despite numerous instructions, an elderly patient with Parkinson's disease is unable to administer ophthalmic medication without assistance due to hand tremors. What is the best course of action for the nurse?
Correct Answer: B
Rationale: If a family member is available and willing to administer the medication, this could be an effective solution. The family member can be trained to administer the medication correctly, ensuring the patient receives their necessary treatment.
Question 5 of 5
The nurse is collaborating with a Parent-Teacher Organization (PTO) to enhance safety for children walking to and from a nearby elementary school. Which action should the nurse include to achieve this goal?
Correct Answer: D
Rationale: Facilitating a discussion about the advantages of having designated safe houses located throughout the school neighborhood can significantly enhance the safety of children walking to and from school. Safe houses can provide a secure place for children to go if they feel threatened or in danger while walking to or from school.