HESI COMP #2 REVIEW
Which biological practices are federally regulated for healthcare workers? (Select all that apply.)
A. Standard precautions.
B. N-95 tuberculosis standard.
C. Blood-borne pathogen standard.
D. Biological product exposure limit (BPEL).
E. Resource Conservation and Recovery Act (RCRA).
F. As Low as Reasonably Allowable standard (ALARA). - (ANSWER)A, B, C, and E.
Basic standards for healthcare workers, as delineated by Occupational Safety and Health Administration
(OSHA), include standard precautions (A), droplet precautions using N-95 respiratory particulate masks
(B) when caring for a client who is positive for tuberculosis, and required annual updates for healthcare
workers about blood-borne pathogen transmission (C), methods of minimizing exposure, and employee
rights. (E) requires labeling, storage, transportation, and disposal of biological waste according to federal
standards. (F) is an occupational health concept implemented to minimize employee and environmental
exposures and may not be consistent with an OSHA recommendation. (D) is not an applicable mandate.
Category: Community Health
Which contextual factors are considered external environmental influences in the framework for
occupational health programs and services? (Select all that apply.)
A. Economics.
B. Workforce.
C. Technology.
D. Interventions.
E. Socio-economic status.
F. Legislation/regulation. - (ANSWER)A, C, and F.
,HESI COMP #2 REVIEW
(A) affects the health of the company and its workforce productivity, in terms of profitability, growth,
and expansion. (C) adds to an industry's capacity to develop and implement new or improved work
processes. (F) in the workplace, such as the blood-borne pathogen standard, affects the workforce in
terms of requirements, administration, and control strategies. Occupational safety programs are built
around the workforce (B) to strive for maximum internal productivity. (D) are internal environmental
influences of an occupational health and safety program. (E) is a demographic variable commonly used
in epidemiology. Category: Community Health
A client with terminal pancreatic cancer is receiving hospice care at home and reports increasing
shortness of breath and associated anxiety. Which prescription should the nurse implement first?
A. Prednisone (Deltasone) 10 mg PO.
B. Albuterol (Proventil) 0.5% solution per nebulizer.
C. Morphine sulfate (Roxanol) 5 to 10 mg SL as needed.
D. Oxygen 2 to 6 liters per minute using a nasal cannula. - (ANSWER)C.
Comfort and pain management using an effective analgesic-sedative such as morphine (C), is the most
important standard of care therapy in hospice home care to ensure comfort and enhance the quality of
life for a client with a life expectancy of less than six months, as in this case. Adjunct therapy that
promotes a sense of well-being, including prednisone (A), and provides adequate oxygenation (B and D)
work to supplement morphine in easing a client's discomfort, associated shortness of breath, and
anxiety during a terminal illness. Category: Community Health
During the initial home visit, the nurse performs a family assessment. Which component is most
important for the nurse to consider?
A. The legal definition of family in the United States.
B. Members of the group that are direct descendents or bonded by marriage.
,HESI COMP #2 REVIEW
C. An exploration of the group relationships, structure, functions, and roles. Correct
D. Cultural differences among members of the extended family. - (ANSWER)C.
Part of understanding an individual is determining the family members' relationships, functions, and
roles (C) with one another in the group structure. Although (A, B, and D) provide additional data about
the family members' relationships, the functions of the members in the group provides clarification
about decision making and responsibilities. Category: Community Health
Designated funds are received to address the healthcare needs of a community's vulnerable
populations. Which group qualifies for this funding?
A. African-American women who are 30 to 35 years of age.
B. Survivors of violence that occurred at least 5 years ago. Correct
C. Active armed forces reserve unit returning from Europe.
D. Full-time students who are attending public colleges. - (ANSWER)B.
Vulnerable populations are those groups who have an increased risk of developing adverse health
outcomes. Survivors of violence (B), even though the violence occurred more than 5 years ago, have an
increased risk for adverse health outcomes. (A, C, and D) describe demographic groups. Category:
Community Health
Which intervention should the school nurse implement to decrease the incidence of hepatitis A in a
preschool setting?
A. Promote hygiene by ensuring that children's faces and hair are kept clean.
B. Ensure that all enrolled children have been immunized for Hepatitis A.
C. Put a strip bandage on bleeding injuries to prevent contamination of others.
, HESI COMP #2 REVIEW
D. Teach children the correct handwashing technique to use after toileting. - (ANSWER)B.
The CDC recommended immunization schedule for children includes the hepatitis A vaccine (HAV), so
follow-up of enrolled children's immunization status with HAV or human-immune gamma globulin
should be implemented (B). Preschoolers should be taught the importance of hygiene practices, such as
(A and D), but hepatitis A is transmitted via the fecal-oral route and immunization provides the best
universal protection. Hepatitis A is not transmitted through blood contact (C). Category: Community
Health
When examining the wound of a client who had abdominal surgery yesterday, the nurse finds that the
wound edges are close together, there is no sign of redness, and there is a slight amount of bright red
blood oozing from the incision. What action should the nurse take?
A. Record these findings in the client's record.
B. Observe closely for possible dehiscence.
C. Notify the healthcare provider that the client's wound is producing a sanguineous drainage.
D. Increase the IV fluid rate and encourage the client to eat more ice chips. - (ANSWER)A.
These are normal findings for one-day postoperative and indicate that the wound is healing by primary
intention (A). Dehiscence (B) is separation of a surgical incision, and there is no indication that this is a
possibility at this time. Serosanguineous drainage is thin and red and is composed of serum and blood,
and this client is not exhibiting this finding, and even if the wound was producing this drainage, the
finding does not warrant (C). There is no indication of dehydration, so (D) is not indicated at this time.
Category: Fundamentals
When culturing a wound, the nurse should obtain the sample from which part of the wound?
A. The outer edges of the wound.
Which biological practices are federally regulated for healthcare workers? (Select all that apply.)
A. Standard precautions.
B. N-95 tuberculosis standard.
C. Blood-borne pathogen standard.
D. Biological product exposure limit (BPEL).
E. Resource Conservation and Recovery Act (RCRA).
F. As Low as Reasonably Allowable standard (ALARA). - (ANSWER)A, B, C, and E.
Basic standards for healthcare workers, as delineated by Occupational Safety and Health Administration
(OSHA), include standard precautions (A), droplet precautions using N-95 respiratory particulate masks
(B) when caring for a client who is positive for tuberculosis, and required annual updates for healthcare
workers about blood-borne pathogen transmission (C), methods of minimizing exposure, and employee
rights. (E) requires labeling, storage, transportation, and disposal of biological waste according to federal
standards. (F) is an occupational health concept implemented to minimize employee and environmental
exposures and may not be consistent with an OSHA recommendation. (D) is not an applicable mandate.
Category: Community Health
Which contextual factors are considered external environmental influences in the framework for
occupational health programs and services? (Select all that apply.)
A. Economics.
B. Workforce.
C. Technology.
D. Interventions.
E. Socio-economic status.
F. Legislation/regulation. - (ANSWER)A, C, and F.
,HESI COMP #2 REVIEW
(A) affects the health of the company and its workforce productivity, in terms of profitability, growth,
and expansion. (C) adds to an industry's capacity to develop and implement new or improved work
processes. (F) in the workplace, such as the blood-borne pathogen standard, affects the workforce in
terms of requirements, administration, and control strategies. Occupational safety programs are built
around the workforce (B) to strive for maximum internal productivity. (D) are internal environmental
influences of an occupational health and safety program. (E) is a demographic variable commonly used
in epidemiology. Category: Community Health
A client with terminal pancreatic cancer is receiving hospice care at home and reports increasing
shortness of breath and associated anxiety. Which prescription should the nurse implement first?
A. Prednisone (Deltasone) 10 mg PO.
B. Albuterol (Proventil) 0.5% solution per nebulizer.
C. Morphine sulfate (Roxanol) 5 to 10 mg SL as needed.
D. Oxygen 2 to 6 liters per minute using a nasal cannula. - (ANSWER)C.
Comfort and pain management using an effective analgesic-sedative such as morphine (C), is the most
important standard of care therapy in hospice home care to ensure comfort and enhance the quality of
life for a client with a life expectancy of less than six months, as in this case. Adjunct therapy that
promotes a sense of well-being, including prednisone (A), and provides adequate oxygenation (B and D)
work to supplement morphine in easing a client's discomfort, associated shortness of breath, and
anxiety during a terminal illness. Category: Community Health
During the initial home visit, the nurse performs a family assessment. Which component is most
important for the nurse to consider?
A. The legal definition of family in the United States.
B. Members of the group that are direct descendents or bonded by marriage.
,HESI COMP #2 REVIEW
C. An exploration of the group relationships, structure, functions, and roles. Correct
D. Cultural differences among members of the extended family. - (ANSWER)C.
Part of understanding an individual is determining the family members' relationships, functions, and
roles (C) with one another in the group structure. Although (A, B, and D) provide additional data about
the family members' relationships, the functions of the members in the group provides clarification
about decision making and responsibilities. Category: Community Health
Designated funds are received to address the healthcare needs of a community's vulnerable
populations. Which group qualifies for this funding?
A. African-American women who are 30 to 35 years of age.
B. Survivors of violence that occurred at least 5 years ago. Correct
C. Active armed forces reserve unit returning from Europe.
D. Full-time students who are attending public colleges. - (ANSWER)B.
Vulnerable populations are those groups who have an increased risk of developing adverse health
outcomes. Survivors of violence (B), even though the violence occurred more than 5 years ago, have an
increased risk for adverse health outcomes. (A, C, and D) describe demographic groups. Category:
Community Health
Which intervention should the school nurse implement to decrease the incidence of hepatitis A in a
preschool setting?
A. Promote hygiene by ensuring that children's faces and hair are kept clean.
B. Ensure that all enrolled children have been immunized for Hepatitis A.
C. Put a strip bandage on bleeding injuries to prevent contamination of others.
, HESI COMP #2 REVIEW
D. Teach children the correct handwashing technique to use after toileting. - (ANSWER)B.
The CDC recommended immunization schedule for children includes the hepatitis A vaccine (HAV), so
follow-up of enrolled children's immunization status with HAV or human-immune gamma globulin
should be implemented (B). Preschoolers should be taught the importance of hygiene practices, such as
(A and D), but hepatitis A is transmitted via the fecal-oral route and immunization provides the best
universal protection. Hepatitis A is not transmitted through blood contact (C). Category: Community
Health
When examining the wound of a client who had abdominal surgery yesterday, the nurse finds that the
wound edges are close together, there is no sign of redness, and there is a slight amount of bright red
blood oozing from the incision. What action should the nurse take?
A. Record these findings in the client's record.
B. Observe closely for possible dehiscence.
C. Notify the healthcare provider that the client's wound is producing a sanguineous drainage.
D. Increase the IV fluid rate and encourage the client to eat more ice chips. - (ANSWER)A.
These are normal findings for one-day postoperative and indicate that the wound is healing by primary
intention (A). Dehiscence (B) is separation of a surgical incision, and there is no indication that this is a
possibility at this time. Serosanguineous drainage is thin and red and is composed of serum and blood,
and this client is not exhibiting this finding, and even if the wound was producing this drainage, the
finding does not warrant (C). There is no indication of dehydration, so (D) is not indicated at this time.
Category: Fundamentals
When culturing a wound, the nurse should obtain the sample from which part of the wound?
A. The outer edges of the wound.
