HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 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 2 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 3 of 5
The public health nurse is investigating a report of several chickenpox (varicella virus) cases at a daycare center. The daycare worker mentions that five children have been sent home over the past two weeks with fever and itchy blisters. What should be the nurse's initial action?
Correct Answer: C
Rationale: The nurse's initial action should be to verify that the children sent home did indeed develop chickenpox. This is because chickenpox is a highly contagious disease caused by the varicella-zoster virus. Early identification and confirmation of the disease can help in implementing appropriate control measures to prevent further spread.
Question 4 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 5 of 5
After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?
Correct Answer: D
Rationale: Regular monitoring of immunization levels is important after receiving the HBV series. This is because healthcare workers are at a higher risk of exposure to Hepatitis B, and ensuring immunity is crucial for their safety.