HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
During a community health screening fair for older adults, a nurse notices a client with pale, bluish feet and sores on both lower extremities that are healing poorly. What should be the nurse's intervention be?
Correct Answer: C
Rationale: The client's symptoms of pale, bluish feet and sores on both lower extremities that are healing poorly suggest a severe and untreated medical condition, possibly related to circulation or skin integrity.
Therefore, the nurse should refer the client to a healthcare provider for a complete evaluation.
Question 2 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 3 of 5
A 2-month-old infant contracts a disease through vertical transmission. Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?
Correct Answer: C
Rationale: Breastfeeding is a common method of vertical transmission. Certain infections in the mother can be passed to the infant through breast milk.
Therefore, if a 2-month-old infant contracts a disease that could be transmitted vertically, it would be important to investigate if the mother could be the source of the infection.
Question 4 of 5
The nurse is screening for hypertension at a local health fair. A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Assessing the client's lifestyle and other risk factors for hypertension, asking about current antihypertensive medications, obtaining another blood pressure reading to verify the first reading, and recommending further evaluation for possible pre-hypertension are all appropriate interventions for a client with a blood pressure reading of 138/80 mm Hg, which indicates possible pre-hypertension.
Question 5 of 5
A mother who is six weeks postpartum reports to the home health nurse that her milk supply seems to be diminishing. The nurse notices that the mother's 16-month-old child is constantly vying for her attention. What is the best advice the nurse can provide to help the mother with breastfeeding while also caring for a toddler?
Correct Answer: B
Rationale: Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.