HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 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 2 of 5
While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child. What should be the nurse's response to this observation?
Correct Answer: D
Rationale: Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child. This symptom could be indicative of various conditions, which would require further investigation.
Question 3 of 5
An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye. What is the most important for the clinic nurse to ask the client?
Correct Answer: A
Rationale: If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.
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
A client was admitted to the community palliative care unit ten years after being diagnosed with multiple sclerosis (MS). Which intervention should the nurse prioritize in the client's care plan?
Correct Answer: B
Rationale: Administering medication as needed for pain and anxiety should be prioritized in the care plan for a client with MS in a palliative care unit. MS can cause varying degrees of pain and anxiety, and managing these symptoms can significantly improve the client's quality of life during the advanced stages of the disease.