RN HESI Community Health with NGN

Extract:

Question 1 of 5

The number of students seeking information about teenage pregnancy has risen by 259%. Two years ago, a nurse evaluated the health needs of high school students and identified student pregnancy as a significant issue. As a result, the nurse created a pregnancy prevention program for the entire school district. Which outcome is the strongest evidence of the program's success?

Correct Answer: D

Rationale: A decrease in the number of teenage pregnancies in the school district is the strongest evidence of the program's success. This outcome directly aligns with the goal of a pregnancy prevention program, which is to reduce the number of teenage pregnancies.

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?

A. Continue to reinforce the instructions to boost the patient's self-confidence. B. Determine if a family member is available and willing to administer the medication. C. Obtain a prescription for a visiting nurse to administer the medication twice a day. D. Document the patient's inability to administer the medication without assistance.

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

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?

A. Suggest that the patient get a walker. B. Encourage the patient to acquire a medical alert device. C. Ensure the patient's privacy while in the bathroom. D. Identify potential safety hazards in the home.

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 4 of 5

A home health nurse is examining the lab results of several patients with a history of heart failure (HF). Which patient's finding should the nurse immediately report to the healthcare provider?

A. Potassium level of 3.7 mEq/L (3.7 mmol/L). B. B-type natriuretic peptide (BNP) level of 550 pg/mL (550 ng/L). C. Total cholesterol level of 190 mg/dL (4.92 mmol/L). D. Glycosylated hemoglobin (A1C) level of 7%.

Correct Answer: B

Rationale: B-type natriuretic peptide (BNP) levels are used to diagnose and monitor heart failure. A BNP level of 550 pg/mL (550 ng/L) is significantly higher than the normal range, which is less than 100 pg/mL. High BNP levels indicate that the heart is working harder than normal, which is a common occurrence in heart failure.
Therefore, this result should be reported immediately to the healthcare provider.

Question 5 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?

A. The patient reports being teased by his friends for being â€œoverweight.â€. B. The patient prefers solitary play situations. C. The patient lives with his mother and younger brother in subsidized housing in an inner city setting. D. The patient reports becoming easily short of breath.

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.