HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 of 5
The school nurse is reviewing adolescent students' incident reports. Which observation would best indicate that the objectives of Healthy People 2030 are being met?
Correct Answer: B
Rationale: A decrease in the number of firearms found on school premises could suggest improvements in school safety, one of the focus areas of Healthy People 2030.
Question 2 of 5
A teenager with a history of recurring atopic dermatitis (eczema) tells the school nurse of a desire to play high school sports. Which action should the nurse take?
Correct Answer: A
Rationale: Showering with non-perfumed soaps immediately after practice is a good practice for a teenager with a history of recurring atopic dermatitis (eczema) who wants to play high school sports. Heat and humidity can cause perspiration, which intensifies itching with atopic dermatitis (eczema), so the client should be encouraged to shower, using non-perfumed soaps, as soon as possible after physical activity to remove perspiration.
Question 3 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 4 of 5
Which community would benefit most from a lead poisoning education and screening program provided by the public health nurse?
Correct Answer: D
Rationale: Families with young children living primarily in 100-year-old farmhouses would likely benefit most from a lead poisoning education and screening program. Older homes, particularly those built before 1978, often contain lead-based paint, which can pose a significant risk for lead poisoning, especially in young children.
Question 5 of 5
The community health center has observed a significant increase in influenza cases compared to previous years. The nursing staff is tasked with reviewing outcome data to identify any trends in vaccination rates and reasons for any decline. What actions should the nursing team take to gather data for analysis?
Correct Answer: C
Rationale: Generating influenza immunization and case reports from the electronic record would provide direct data about the number of people who have been vaccinated and the number of influenza cases. This information could be used to identify trends and understand reasons for any decline in vaccination rates.