HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 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 2 of 5
The public health nurse is investigating a report of several chickenpox (varicella virus) cases at a daycare center. The daycare worker mentions that five children have been sent home over the past two weeks with fever and itchy blisters. What should be the nurse's initial action?
Correct Answer: C
Rationale: The nurse's initial action should be to verify that the children sent home did indeed develop chickenpox. This is because chickenpox is a highly contagious disease caused by the varicella-zoster virus. Early identification and confirmation of the disease can help in implementing appropriate control measures to prevent further spread.
Question 3 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 4 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 5 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.