HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 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 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
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 4 of 5
The home health nurse assesses an older adult client and observes possible signs of abuse. Which resource should the nurse use to guide their decision regarding reporting these suspicions?
Correct Answer: C
Rationale: State law often provides specific guidelines on how and when to report suspected elder abuse.
Therefore, it would be the most appropriate resource for the nurse to use in this situation.
Question 5 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.