HESI RN
HESI Community Health
1. A nurse is planning a community health fair to promote cardiovascular health. Which activity should be included to best engage participants?
- A. free blood pressure screenings
 - B. lectures on heart-healthy diets
 - C. distribution of pamphlets on heart disease
 - D. cooking demonstrations of healthy recipes
 
Correct answer: A
Rationale: Offering free blood pressure screenings should be included in the community health fair to best engage participants. This activity provides immediate, valuable information about participants' cardiovascular health. Blood pressure screenings are interactive, engaging, and offer personalized insights that can motivate individuals to take action towards improving their heart health. Lectures on heart-healthy diets, distribution of pamphlets, and cooking demonstrations, although beneficial, may not have the same level of immediate impact and engagement as the hands-on experience of getting one's blood pressure checked.
2. The healthcare professional is providing education on healthy eating habits to a group of adolescents. Which strategy is most likely to be effective?
- A. lecturing about the dangers of unhealthy eating
 - B. distributing pamphlets on healthy food choices
 - C. involving the adolescents in meal planning and preparation
 - D. showing a documentary on the benefits of a healthy diet
 
Correct answer: C
Rationale: Involving adolescents in meal planning and preparation is a more effective strategy as it actively engages them in the learning process. This approach allows adolescents to have hands-on experience, make informed choices, and develop a sense of ownership over their dietary decisions. Lecturing about dangers or showing documentaries may not be as engaging or interactive, making it less likely for adolescents to retain and apply the information provided. Distributing pamphlets can be informative but lacks the interactive and experiential aspect that involving them in meal planning and preparation offers.
3. A client with a history of hypertension is prescribed enalapril (Vasotec). Which statement by the client indicates a need for further teaching?
- A. I will monitor my blood pressure regularly.
 - B. I will report any signs of infection to my healthcare provider.
 - C. I will avoid using salt substitutes.
 - D. I will increase my intake of potassium-rich foods.
 
Correct answer: D
Rationale: The correct answer is D. Increasing potassium intake can lead to hyperkalemia, especially in clients taking ACE inhibitors like enalapril. Hyperkalemia is a potential side effect of ACE inhibitors and can be exacerbated by consuming potassium-rich foods. Monitoring blood pressure regularly (A) is important when taking antihypertensive medications. Reporting signs of infection (B) is crucial as ACE inhibitors can lower the immune response. Avoiding salt substitutes (C) is necessary because they may contain potassium chloride, leading to increased potassium levels, which can be harmful in combination with ACE inhibitors.
4. The public health nurse is preparing to administer flu vaccines at a community center. Which group should the nurse prioritize for vaccination?
- A. children under 5 years old
 - B. adults aged 50-65
 - C. pregnant women
 - D. healthcare workers
 
Correct answer: C
Rationale: Pregnant women should be prioritized for flu vaccination as they are at higher risk for complications from the flu. During pregnancy, changes in the immune, heart, and lung functions make pregnant women more susceptible to severe illness from the flu. Vaccinating pregnant women not only protects them but also provides passive immunity to their newborns. Children under 5, adults aged 50-65, and healthcare workers are important groups for vaccination but do not have the same level of increased risk for flu complications as pregnant women.
5. A 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks the nurse, 'Why do you have to wear a gown and mask when you are in my room?' How should the nurse respond?
- A. To protect myself from your germs.
 - B. To protect you because you can get an infection very easily.
 - C. Until your white blood cell count increases.
 - D. To keep others from getting your infection.
 
Correct answer: B
Rationale: Reverse isolation precautions protect the client from exposure to microorganisms from others.
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