HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
During a two-week postoperative follow-up home visit, a client who had gastric bypass surgery exhibits abdominal tenderness, shoulder pain, and feelings of malaise. The client's vital signs are an oral temperature of 101.80F (38.8° C), a blood pressure of 100/50 mm Hg, a heart rate of 104 beats/minute, and a respiratory rate of 18 breaths/minute. What is the appropriate action for the nurse to take?
Correct Answer: B
Rationale: Having the client transported via ambulance to the hospital is the most appropriate action. The client's symptoms suggest possible complications that require immediate medical attention. Abdominal tenderness and shoulder pain could indicate a serious condition such as a perforation or infection.
Question 2 of 5
A nurse has developed a six-month program to address the increased incidence of hospital-acquired infections among clients in a long-term care facility. The program includes three mandatory classes on proper handwashing techniques and increases the availability of hand cleansers in the facility. Which measure provides the best indication of the program's effectiveness?
Correct Answer: B
Rationale: Comparing the incidence of infections before and after the program's implementation is the most direct and reliable measure of the program's effectiveness. A significant reduction in the rate of hospital-acquired infections after the implementation of the program would indicate that the program is effective.
Question 3 of 5
A healthcare provider requested a community health nurse to make weekly visits to a 10-year-old patient for weight reduction, monitoring fingerstick blood glucose levels, and severe headaches. The nurse is reviewing the patient's data. Which data warrants follow-up?
Correct Answer: D
Rationale: The patient reporting that they become easily short of breath is a significant concern. Shortness of breath could indicate a number of health issues, including asthma, heart conditions, or other respiratory problems. This warrants immediate follow-up.
Question 4 of 5
The school nurse is conducting an audit of incident reports for adolescent students. Which finding is the best indication that the Healthy People 2030 objectives are being addressed?
Correct Answer: D
Rationale: An improvement in the overall health of the student population is the best indication that the Healthy People 2030 objectives are being addressed. The Healthy People 2030 objectives aim to improve health and well-being nationwide.
Therefore, an improvement in the overall health of the student population suggests that these objectives are being met.
Question 5 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.