HESI RN
Community Health HESI Quizlet
1. An elderly client with limited mobility reports feeling isolated and lonely. Which intervention should the nurse prioritize?
- A. Arrange for regular visits from a home health aide
- B. Suggest the client join a local senior center
- C. Refer the client to a support group for seniors
- D. Recommend that the client engage in a new hobby
Correct answer: B
Rationale: The correct answer is to suggest the client join a local senior center. Joining a local senior center provides the elderly client with opportunities for social interaction, engagement in activities, and access to support systems, which can significantly help alleviate feelings of isolation and loneliness. Regular visits from a home health aide (Choice A) may provide physical assistance but may not address the client's need for social connection. Referring the client to a support group for seniors (Choice C) is beneficial, but joining a senior center offers a wider range of activities and social opportunities. Recommending a new hobby (Choice D) may be helpful, but the priority should be addressing the client's immediate need for social interaction and support.
2. The healthcare provider is assessing a client who has returned from surgery. Which finding requires immediate intervention?
- A. Heart rate of 90 beats per minute.
- B. Oxygen saturation of 92%.
- C. Temperature of 99°F (37.2°C).
- D. Pain at the surgical site.
Correct answer: C
Rationale: A temperature of 99°F (37.2°C) in a postoperative client requires immediate intervention as it may indicate the presence of infection. Elevated temperature post-surgery can be a sign of surgical site infection or systemic infection, which can lead to serious complications if not addressed promptly. Monitoring and managing a fever in a postoperative client is crucial to prevent further complications. The other findings, such as a heart rate of 90 beats per minute, oxygen saturation of 92%, and pain at the surgical site, are common postoperative assessments that may not necessarily require immediate intervention unless they are significantly out of normal range or causing severe distress to the client.
3. A primipara with a breech presentation is in the transition phase of labor. The nurse visualizes the perineum and sees the umbilical cord extruding from the introitus. In which position should the nurse place the client?
- A. Supine with the foot of the bed raised.
- B. On the left side with legs elevated.
- C. On the right side with legs elevated.
- D. Prone with head elevated.
Correct answer: A
Rationale: In the scenario of a primipara with a breech presentation and a prolapsed umbilical cord, the nurse should place the client in the supine position with the foot of the bed raised (Trendelenburg position). This position helps alleviate gravitational pressure by the fetus on the cord, preventing compression and reducing the risk of cord prolapse complications. Placing the client on the left or right side with legs elevated or in a prone position with the head elevated would not be appropriate in this situation, as they do not effectively relieve the pressure on the umbilical cord.
4. A community health nurse is conducting a program evaluation for a diabetes management class. Which measure best indicates the program's effectiveness?
- A. Number of participants attending each session
- B. Participant satisfaction with the class
- C. Reduction in participants' average blood glucose levels
- D. Improvement in participants' knowledge about diabetes
Correct answer: C
Rationale: The most effective measure to indicate the program's effectiveness in a diabetes management class is the reduction in participants' average blood glucose levels. This measure directly reflects the impact of the program on managing diabetes and improving health outcomes. Choices A and B may provide valuable information but do not directly assess the program's impact on managing diabetes. Choice D, improvement in participants' knowledge about diabetes, is important but may not directly translate into improved diabetes management without actual health outcome measurements like blood glucose levels.
5. A public health nurse is evaluating a program designed to reduce the incidence of sexually transmitted infections (STIs) among teenagers. Which outcome indicates that the program is successful?
- A. increased attendance at educational sessions on STIs
- B. higher rates of condom use among teenagers
- C. more teenagers seeking testing for STIs
- D. greater knowledge of STI prevention methods
Correct answer: B
Rationale: The correct answer is B: higher rates of condom use among teenagers. This outcome indicates that the teenagers are adopting safer sexual practices, which can effectively reduce the incidence of STIs. Increased attendance at educational sessions (Choice A) may show interest but does not directly reflect behavior change. More teenagers seeking testing for STIs (Choice C) indicates awareness but not necessarily prevention. Greater knowledge of STI prevention methods (Choice D) is valuable but does not guarantee behavioral change like increased condom use.
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