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2023 -2024 RN COMMUNITY HEALTH HESI
(2 VERSIONS A & B) COMMUNITY HEALTH
RN HESI EXIT EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ GRADED A+
RN COMMUNITY HEALTH HESI 2023 -2024 VERSION A
The home health nurse is evaluating client who is receiving enteral feedings by nasogastric NG tube. Which assessment finding indicates to the nurse that a change to the client’s nutrition may be warranted for this client?
- Ulceration of .5 cm at left nares NG tube insertion site
- Intestinal migration of NG tube verified by aspirate ph. of 7.1
- Residual volume of 25 ml after each scheduled feeding
- Nausea occurs after each instillation of NG feeding - Correct Answer - D. Nausea
occurs after each instillation of NG feeding
The epidemiological triad can be used to frame strategies for the prevention of farm machinery injuries. Which action should the nurse take to focus on the agent?
- Teach farm workers not to smoke around farm equipment
- Translate written vehicle instructions into picture format
- Provide rehabilitation services to injured farm hands
- Work with legislators to mandate safe tractor design - Correct Answer - D. Work with
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legislators to mandate safe tractor design
pg. 2 A community hit by a hurricane has suffered mass destruction and flooding. Sewage facilities are nonfunctioning and the area is contaminated with human excreta. The nurse is developing a plan of care for clients diagnosed with cholera after an outbreak.Which intervention has the highest priority?
- Administer prophylactic antibiotics as prescribed
- Provide fluid and electrolyte replacement
- Isolate all infectious diarrhea victims
- Administer cholera vaccine - Correct Answer - B. Provide fluid and electrolyte
replacement
A prescription for discharge is written for an elderly female client who has asked to be discharged to her home. The client lives alone and is able to walk 10-15 feet with assistance. Which action should the nurse implement first?
- Arrange for a bedside commode to be delivered to the home
- Meet with case manager to plan a home safety evaluation
- Provide the client with information about medical alert devices
- Review the home medication schedule with the client and family - Correct Answer -
- Meet with case manager to plan a home safety evaluation
A male high school student is referred to the school nurse because he lost consciousness during gymnastics class. His neurological vital signs are with normal limits, and his blood pressure is 100/62. He is 6 ft 3 in tall wighs 135 pound and his body mass index is 16.9. which assessment data should the nurse obtain first?
- Serial bp reading every 30 minutes
- Twenty-four hour diet recall
- Use of performance enhancing drugs
- Recent exposure to allergens - Correct Answer - B. Twenty-four hour diet recall
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pg. 3 The nurse is planning to implement a health education program on breast screening for Hispanic women at a community center. Which component of the teaching plan best provides culturally competent care?
- Provide handouts and brochures in the English and Spanish languages
- Ask a Hispanic breast cancer survivor to present the educational class
- Include treatment modalities with survival statistics for Hispanic women
- Design flyers that target Hispanic women encouraging their attendance - Correct
Answer - A. Provide handouts and brochures in the English and Spanish
The nurse is planning a health education program for 10-year old. Which setting is most likely to increase the preadolescent's participation in the program?
- The school classroom
- Community center
- Home of one of the children
- A local place of worship - Correct Answer - A. The school classroom
The public health nurse receives grant funding to implement primary prevention strategies for migrant farm workers and their families. Which action should the nurse plan to include?
- Teach a class in providing first aid for heat exhaustion
- Organize free community wide tuberculosis screenings
- Distribute brochures on measures to avoid pesticide exposure
- Ask a physical therapist to speak about managing low back pain - Correct Answer -
- Distribute brochures on measures to avoid pesticide exposure
Which expected outcome statement is most relevant to the plan of care for an elderly female client who has a nursing problem of "altered nutrition less than body requirements related to social isolation" and lives alone in her own home? 3 / 4
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- Client will participate in daily meals at a senior nutrition center
- Client will describe a menu of well-balanced meals
- Client understands the need for placement in a long-term care facility
- Client will receive well-balanced diet from meals on wheels - Correct Answer - A.
Client will participate in daily meals at a senior nutrition center
A 4-year-old near drowning victim who is severely disabled due to anoxia that occurred during the incident is being transferred to a long-term care facility. When helping the parents select a treatment center for their child, which factor should the nurse encourage the parents to consider?
- Proximity of the facility to their home
- How many children are residents of the facility
- What type of home schooling is available at the facility
- Availability of medical care for emergencies - Correct Answer - A. Proximity of the
facility to their home
An older male client refuses a recommended annual influenza vaccination because it made him sick last year. He tells nurse the nurse that he will take his prescription for Amantadine if he develops symptoms of the flu. Which response should the nurse provide?
- Since the client received the vaccine last year this plan should be supported
- It is best for the client to take the influenza vaccine and avoid using Amantadine
- It is unlikely the vaccine will make the client sick in two consecutive years
- If symptoms of the flu develop the client should obtain the influenza vaccination -
Correct Answer - B. It is best for the client to take the influenza vaccine and avoid using amantadine
A male client comes to the public health clinic requesting information about which immunizations he should receive prior to visiting a developing nation. Which immunization should the nurse recommend as a priority for this client?
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