The nurse is caring for a client with Addison's disease. Which finding requires immediate intervention?
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HESI RN · Community Health HESI
Question 2 of 55
A client with type 2 diabetes mellitus is admitted with hyperosmolar hyperglycemic state (HHS). Which laboratory result requires immediate intervention?
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HESI RN · Community Health HESI
Question 3 of 55
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. Which finding requires immediate intervention?
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HESI RN · Community Health HESI
Question 4 of 55
A public health nurse is planning a vaccination clinic for a rural community. Which vaccine should the nurse prioritize for adults in this area?
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HESI RN · Community Health HESI
Question 5 of 55
A public health nurse is developing a campaign to promote breast cancer screening. Which population should be the primary target of this campaign?
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HESI RN · Community Health HESI
Question 6 of 55
The healthcare provider is assessing a client with chronic obstructive pulmonary disease (COPD). Which finding requires immediate intervention?
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HESI RN · Community Health HESI
Question 7 of 55
The healthcare provider is preparing to administer digoxin (Lanoxin) to a client. Which assessment finding should the healthcare provider report before administering the medication?
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HESI RN · Community Health HESI
Question 8 of 55
The nurse is caring for a client with diabetic ketoacidosis (DKA). Which laboratory result requires immediate intervention?
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HESI RN · Community Health HESI
Question 9 of 55
A female client is admitted with a tentative diagnosis of Guillain-Barre syndrome. Which finding is most important for the nurse to report to the healthcare provider?
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HESI RN · Community Health HESI
Question 10 of 55
The nurse is assessing a client with pneumonia who is receiving oxygen therapy. Which finding indicates that the therapy is effective?
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HESI RN · Community Health HESI
Question 11 of 55
A client with hyperthyroidism is receiving radioactive iodine therapy. Which statement by the client indicates a need for further teaching?
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HESI RN · Community Health HESI
Question 12 of 55
The nurse is planning a community health fair to promote mental health awareness. Which activity is most likely to engage participants?
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HESI RN · Community Health HESI
Question 13 of 55
A school nurse is developing a program to address bullying among students. Which component is most important to include?
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HESI RN · Community Health HESI
Question 14 of 55
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?
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HESI RN · Community Health HESI
Question 15 of 55
The nurse is preparing a client for a scheduled surgical procedure. What client statement should the nurse report to the healthcare provider?
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HESI RN · Community Health HESI
Question 16 of 55
A female client reports to the nurse that her sleep was interrupted by 'thoughts of anger towards my husband.' What type of thoughts is the client having?
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HESI RN · Community Health HESI
Question 17 of 55
A public health nurse is planning a campaign to increase immunization rates among children in a low-income community. Which intervention should the nurse prioritize?
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HESI RN · Community Health HESI
Question 18 of 55
The nurse is preparing a presentation on sexually transmitted infections (STIs) for a group of high school students. Which strategy is most effective for this age group?
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HESI RN · Community Health HESI
Question 19 of 55
A public health nurse is planning an educational campaign to reduce the incidence of hypertension in the community. Which group should be the primary target of this campaign?
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HESI RN · Community Health HESI
Question 20 of 55
The nurse is teaching a group of new mothers about infant care. Which topic should the nurse prioritize?
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HESI RN · Community Health HESI
Question 21 of 55
Which annual screening should the nurse include when planning eye health programs at a preschool?
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HESI RN · Community Health HESI
Question 22 of 55
A school nurse is organizing a vaccination clinic for middle school students. Which vaccine is most important for the nurse to include?
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HESI RN · Community Health HESI
Question 23 of 55
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months. Which instruction should the nurse provide?
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HESI RN · Community Health HESI
Question 24 of 55
Following an emergency Cesarean delivery, the nurse encourages the new mother to breastfeed her newborn. The client asks why she should breastfeed now. Which information should the nurse provide?
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HESI RN · Community Health HESI
Question 25 of 55
A 6-year-old child is alert but quiet when brought to the emergency center with periorbital ecchymosis and ecchymosis behind the ears. The nurse suspects potential child abuse and continues to assess the child for additional manifestations of a basilar skull fracture. What assessment finding would be consistent with the basilar skull fracture?
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HESI RN · Community Health HESI
Question 26 of 55
The nurse notices that the influenza immunization rate is much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in the underserved community groups?
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HESI RN · Community Health HESI
Question 27 of 55
Community health nurses are particularly concerned with the source of communicable diseases such as hepatitis A. Which group of individuals have a higher risk of contracting that type of hepatitis?
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HESI RN · Community Health HESI
Question 28 of 55
A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?
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HESI RN · Community Health HESI
Question 29 of 55
A cl ient presents at a community-based cl inic wi th complaints of shortness of breath, headache, often uses a gasol ine-powered pressure w asher to clean equipment and farm bui ldi ngs. Which type of poi so ni ng i s the most l ikel y etiology of t his cli ent's symptoms?
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HESI RN · Community Health HESI
Question 30 of 55
The communi ty health nurse is planning a series of educational courses about the heal thcare system and meeti ng heal thcare needs for t he community center. Which adjunct issue shoul d the nurs e address for a group of ol der adul ts.
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HESI RN · Community Health HESI
Question 31 of 55
The nurse is planning an immunization campaign targeting the children of migrant farm workers in the community. Which data should the nurse review before exploring solution options when developing this program plan?
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HESI RN · Community Health HESI
Question 32 of 55
Which client has the highest risk for devel oping community-acquired pneumonia?
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HESI RN · Community Health HESI
Question 33 of 55
An older adult client visits the community health clinic and reports the onset of pain, redness, and swelling of the right eye. Which question is most important for the clinic nurse to ask the client?
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HESI RN · Community Health HESI
Question 34 of 55
When assessing the health of a community, what is the most important information for the nurse to obtain?
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HESI RN · Community Health HESI
Question 35 of 55
An older female client tells the home health nurse that she has no money, and since she does not deserve to eat, she has not asked anyone to bring her food. What information is most important for a nurse to obtain?
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HESI RN · Community Health HESI
Question 36 of 55
The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important for the community?
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HESI RN · Community Health HESI
Question 37 of 55
A home health nurse is reviewing the laboratory results for several clients with heart failure. Which client finding would the nurse report to the health care provider immediately?
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HESI RN · Community Health HESI
Question 38 of 55
During a home health visit the nurse notices that an older male client with type 2 diabetes mellitus is wearing loose cloth slippers. The client reports that he cannot comfortably wear other shoes because his toenails get in the way. The nurse inspects the clients feet and finds long thick nails that curl down under some of the toes. Which action should the nurse take?
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HESI RN · Community Health HESI
Question 39 of 55
During a 2 wk postoperative follow-up home visit, a female client who had gastric bypass surgery exhibits bad tenderness, shoulder pain, & describes feelings of malaise. Her vital signs are: T 101.8, BP 100/50, HR 104, and RR 18. Which action should the RN take?
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HESI RN · Community Health HESI
Question 40 of 55
During a home visit, the nurse finds that an elderly client has multiple expired medications. What should the nurse do first?
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HESI RN · Community Health HESI
Question 41 of 55
During a follow-up visit, a client with hypertension reports that they often forget to take their medication. What should the nurse do first?
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HESI RN · Community Health HESI
Question 42 of 55
During a home visit, the nurse observes that an elderly client has a cluttered living environment and poor lighting. What should the nurse do first?
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HESI RN · Community Health HESI
Question 43 of 55
During a follow-up visit, a client with diabetes reports difficulty maintaining a healthy diet. What should the nurse do first?
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HESI RN · Community Health HESI
Question 44 of 55
The nurse is caring for a client with a nasogastric tube to continuous suction. Which electrolyte imbalance should the nurse monitor for?
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HESI RN · Community Health HESI
Question 45 of 55
A client with a history of atrial fibrillation is receiving warfarin (Coumadin) therapy. Which laboratory result indicates that the therapy is effective?
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HESI RN · Community Health HESI
Question 46 of 55
The nurse is assessing a client with pneumonia. Which finding requires immediate intervention?
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HESI RN · Community Health HESI
Question 47 of 55
During a home visit, the nurse observes that a client with limited mobility has difficulty accessing the bathroom. What should the nurse do first?
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HESI RN · Community Health HESI
Question 48 of 55
A public health nurse is working with a community to improve access to mental health services. Which intervention is most likely to be effective?
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HESI RN · Community Health HESI
Question 49 of 55
The nurse is preparing to administer an oral medication to a client with dysphagia. Which action should the nurse take?
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HESI RN · Community Health HESI
Question 50 of 55
A client with a history of hypertension is admitted with a blood pressure of 200/120 mm Hg. Which medication should the nurse prepare to administer?
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HESI RN · Community Health HESI
Question 51 of 55
A client with a history of asthma is admitted with shortness of breath. Which finding requires immediate intervention?
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HESI RN · Community Health HESI
Question 52 of 55
A public health nurse is evaluating a program designed to reduce the incidence of diabetes in the community. Which outcome indicates that the program is successful?
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HESI RN · Community Health HESI
Question 53 of 55
A client with a history of diabetes mellitus is admitted with hypoglycemia. Which finding requires immediate intervention?
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HESI RN · Community Health HESI
Question 54 of 55
The nurse is providing discharge teaching to a client with a new colostomy. Which statement by the client indicates a need for further teaching?
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HESI RN · Community Health HESI
Question 55 of 55
The nurse is providing care for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate intervention?
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