HESI RN
Community Health HESI
1. Which annual screening should the nurse include when planning eye health programs at a preschool?
- A. visual acuity
- B. red light reflex
- C. conjunctivitis
- D. glaucoma
Correct answer: A
Rationale: The correct answer is A: visual acuity. Screening for visual acuity is essential in preschoolers to identify any vision issues early on, such as nearsightedness or farsightedness, which may require corrective lenses or other interventions. Red light reflex (choice B) is a method used to assess the eyes for abnormalities, but it is not typically included in routine preschool eye health screenings. Conjunctivitis (choice C) is an eye infection and not a screening test. Glaucoma (choice D) is a condition more commonly associated with adults and the elderly, making it less relevant for preschool eye health programs.
2. The healthcare professional is developing a teaching plan for an adolescent with a Milwaukee brace. Which instruction should the healthcare professional include?
- A. Wear the brace over a T-shirt for 23 hours a day.
- B. Remove the brace while sleeping.
- C. Wear the brace directly against the skin.
- D. Remove the brace while eating.
Correct answer: A
Rationale: The correct answer is A. A Milwaukee brace should be worn over a T-shirt for 23 hours a day to reduce friction and chafing of the skin. This ensures that the brace is not directly against the skin, which can cause discomfort and skin irritation. Choice B is incorrect because the brace should typically be worn continuously, even while sleeping, unless otherwise instructed by a healthcare provider. Choice C is incorrect as wearing the brace directly against the skin can lead to skin issues. Choice D is incorrect since the brace should not be removed while eating to maintain the prescribed wear time.
3. A nurse is planning a community event to raise awareness about mental health. Which activity should be included to best engage participants?
- A. lectures by mental health professionals
- B. interactive workshops on stress management
- C. distribution of mental health resources
- D. screenings for depression and anxiety
Correct answer: B
Rationale: Interactive workshops on stress management should be included to best engage participants in a community event about mental health. Unlike lectures by mental health professionals, workshops actively involve participants, allowing for interaction and practical skill-building. While distributing mental health resources and providing screenings for depression and anxiety are important components, interactive workshops offer a more engaging and hands-on approach, empowering individuals with skills they can use to manage their mental health effectively.
4. The healthcare professional is developing a program to educate parents on childhood safety. Which topic should be prioritized?
- A. the benefits of car seats
- B. how to childproof the home
- C. the importance of helmet use
- D. ways to prevent drowning
Correct answer: B
Rationale: Prioritizing the topic of how to childproof the home is crucial as it provides a holistic approach to safeguarding children from various injuries within the home environment. Childproofing the home addresses a wide range of hazards such as falls, burns, poisoning, and choking incidents. While topics like the benefits of car seats, the importance of helmet use, and ways to prevent drowning are important, childproofing the home covers a broader spectrum of safety measures that can significantly reduce the risk of injuries for children.
5. The instructor is teaching a prenatal class about the importance of folic acid. Which outcome indicates that the teaching was effective?
- A. participants can list foods high in folic acid
- B. participants plan to take folic acid supplements daily
- C. participants understand the risks of folic acid deficiency
- D. participants demonstrate how to read nutrition labels for folic acid content
Correct answer: B
Rationale: The correct answer is B because planning to take folic acid supplements daily is a proactive step towards preventing folic acid deficiency and reducing the risk of neural tube defects in pregnancy. While choice A is important for dietary knowledge, the direct action of taking supplements is more effective. Choice C, understanding the risks, is good but does not ensure action. Choice D, reading nutrition labels, is helpful but doesn't guarantee intake of folic acid.
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