HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
During a home health visit, the nurse observes that an elderly client with type 2 diabetes mellitus is wearing loose cloth slippers. The client reports discomfort when wearing other shoes due to long toenails. Upon inspection, the nurse finds long, thick nails that curl under some of the client's toes. What should the nurse do in this situation?
Correct Answer: D
Rationale: Scheduling an appointment for the client with a podiatrist is the best option. A podiatrist is a healthcare professional who specializes in foot care. They can safely trim the client's long, thick toenails and assess for any other foot-related issues.
Question 2 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 3 of 5
The community health center has observed a significant increase in influenza cases compared to previous years. The nursing staff is tasked with reviewing outcome data to identify any trends in vaccination rates and reasons for any decline. What actions should the nursing team take to gather data for analysis?
Correct Answer: C
Rationale: Generating influenza immunization and case reports from the electronic record would provide direct data about the number of people who have been vaccinated and the number of influenza cases. This information could be used to identify trends and understand reasons for any decline in vaccination rates.
Question 4 of 5
The community health nurse collaborated with the American Heart Association to launch a comprehensive educational program about strokes and acute coronary syndrome. Which result indicates that the program was successful?
Correct Answer: C
Rationale: A decrease in cardiac-related fatalities by 109% six months after the program's presentation is a direct and measurable outcome that indicates the program was successful in its goal to prevent strokes and acute coronary syndrome.
Question 5 of 5
The nurse is caring for a patient with the sexually transmitted infection (STI) gonorrhea. The patient reports having multiple sexual partners. What response should the nurse provide?
Correct Answer: B
Rationale: Informing sexual partners about a gonorrhea diagnosis is crucial. Gonorrhea is a highly contagious infection that can be transmitted through sexual contact. If a person has been diagnosed with gonorrhea, their sexual partners may also be at risk and should be informed so they can seek testing and treatment if necessary.