HESI RN
RN HESI Community Health with NGN Questions
Extract:
Question 1 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 2 of 5
A mother who is six weeks postpartum reports to the home health nurse that her milk supply seems to be diminishing. The nurse notices that the mother's 16-month-old child is constantly vying for her attention. What is the best advice the nurse can provide to help the mother with breastfeeding while also caring for a toddler?
Correct Answer: B
Rationale: Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.
Question 3 of 5
The nurse is caring for a patient with the sexually transmitted infection (STI) gonorrhea. The patient reports having multiple sexual partners. What response should the nurse provide?
Correct Answer: B
Rationale: Informing sexual partners about a gonorrhea diagnosis is crucial. Gonorrhea is a highly contagious infection that can be transmitted through sexual contact. If a person has been diagnosed with gonorrhea, their sexual partners may also be at risk and should be informed so they can seek testing and treatment if necessary.
Question 4 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 5 of 5
A 2-month-old infant contracts a disease through vertical transmission. Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?
Correct Answer: C
Rationale: Breastfeeding is a common method of vertical transmission. Certain infections in the mother can be passed to the infant through breast milk.
Therefore, if a 2-month-old infant contracts a disease that could be transmitted vertically, it would be important to investigate if the mother could be the source of the infection.