HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 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 2 of 5
The home health nurse visits a young adult client who has AIDS with Kaposi's sarcoma and peripheral neuropathies. The client's parents, who are the caretakers, tell the nurse that their child sleeps most of the time. The nurse assesses that the client is semi-conscious with stable vital signs, cries out in pain when turned or moved, has a fentanyl patch in place, and skin lesions that are closed and dried. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Discussing end-of-life decisions with the client's parents is the most appropriate intervention. The client is semi-conscious, sleeps most of the time, and is in significant pain. These symptoms suggest that the client's condition is deteriorating. It is important to have conversations about end-of-life care preferences and decisions to ensure that the client's wishes are respected and that the parents are prepared.
Question 3 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 4 of 5
A 23-year-old single mother of three visits the Department of Health walk-in clinic with symptoms of abdominal pain, painful urination, fever, and vaginal discharge. She states that these symptoms began three days ago and she initially thought it was a urinary tract infection (UTI) until the vaginal discharge became purulent and bloody. She reports having three sexual partners over the past 60 days. She has visited the clinic three times in the past 12 months for similar concerns, but no sexually transmitted infections were diagnosed on those three prior visits. Given the history of clinic visits over the past 12 months with similar concerns, the nurse determines that client education should focus on prevention. What type of preventive education should the nurse identify for this client?
Correct Answer: A
Rationale: Primary prevention includes measures that prevent the occurrence of a specific disease or health condition. In the context of sexually transmitted infections (STIs), primary prevention would involve education on safe sex practices. This could include information on the use of condoms, the importance of regular STI testing, and the risks associated with having multiple sexual partners.
Question 5 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.