HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
The nurse is developing disaster plans for a community. Which situation is an example of a high-intensity and small-scope disaster?
Correct Answer: C
Rationale: A tornado that destroys 25 houses and uproots an interstate for 0.5 miles is an example of a high-intensity, small-scope disaster. The disaster is high-intensity due to the destructive nature of a tornado, but the scope is relatively small, affecting only a limited number of houses and a small section of an interstate.
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 client comes to the clinic for an annual physical exam. When asked about their influenza vaccine status, the client responds, “I never get the vaccine because I don't get the flu.â€. Which aspect of the Health Belief Model is the client demonstrating?
Correct Answer: A
Rationale: The client's decision not to get the flu vaccine because they don't get the flu demonstrates perceived barriers, one aspect of the Health Belief Model. The client may perceive that the potential discomfort or inconvenience of getting the vaccine outweighs the benefits.
Question 4 of 5
The Incident Command team discovers that over 30% of essential staff did not receive any communication. What should be done next?
Correct Answer: D
Rationale: All of the above actions should be taken to address the communication issue. The Incident Command team should identify the issue the facility is facing, determine actions to address the issue, and identify parameters to monitor to ensure all essential personnel are aware of the communication tree.
Question 5 of 5
A 42-year-old male client, who started experiencing mild flu-like symptoms 2 days ago, including an oral temperature of 101.2 °F (38.4 °C), came to the emergency department today due to increasing shortness of breath, cough, and chest pain. The client has no significant medical or surgical history. He occasionally drinks alcohol but denies smoking or drug use. He mentioned that he works in a government building and opened a package that was full of white powder. He may have inhaled some of the powder and coughed a few times but did not have any problems until a couple of days later. What actions should be taken?
Correct Answer: B
Rationale: Given the client's symptoms and potential exposure to an unknown substance, it is crucial to monitor his vital signs and cardiorespiratory status. This will help healthcare providers detect any changes in the client's condition and respond appropriately.