HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
The nurse is collaborating with a Parent-Teacher Organization (PTO) to enhance safety for children walking to and from a nearby elementary school. Which action should the nurse include to achieve this goal?
Correct Answer: D
Rationale: Facilitating a discussion about the advantages of having designated safe houses located throughout the school neighborhood can significantly enhance the safety of children walking to and from school. Safe houses can provide a secure place for children to go if they feel threatened or in danger while walking to or from school.
Question 2 of 5
A student at an elementary school health fair reports having itchy circles on the lower legs. Which skin assessment finding should the nurse prioritize for immediate intervention?
Correct Answer: C
Rationale: Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.
Question 3 of 5
A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?
Correct Answer: D
Rationale: Fasting blood glucose average readings being 20% lower at the end of the classes is a direct and measurable outcome that indicates improved diabetes control. This suggests that the classes were effective in teaching clients how to better manage their type 2 diabetes.
Question 4 of 5
An older adult client has lost 5 lbs (2.3 kg) since their last check-up a month ago. The client maintains good hygiene, still drives, and lives alone. To which organization should the parish nurse refer this client?
Correct Answer: B
Rationale: The Senior Citizen Center offers a variety of services to older adults, including meal programs, health and wellness programs, and opportunities for social interaction. This could help address the client's weight loss and potential social isolation.
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.