HESI community 2 (study my friend)
A 4-year old near drowning victim who is severely disabled due to anoxia that occurred during
the incident is being transferred to a long term care facility. When helping the parents select a
treatment center for their child, which factor should the nurse encourage the parents to
consider?
Proximity of the facility to their home
How many children are residents of the facility
What type of home schooling is available at the facility
Availability of medical care for emergencies - ANS - Proximity of the facility to their home
\A community health nurse is applying for a federal grant to support a smoking cessation
educational program. In which order should the nurse prioritize these nursing activities? Arrange
in order top to bottom
Determine the target aggregate that will be served by the program
Consider pros and cons of different methods of data gathering
Select and train the data collection personnel
Review and analyze the data - ANS - Determine the target aggregate that will be served by the
program
Consider pros and cons of different methods of data gathering
Select and train the data collection personnel
Review and analyze the data
\A community hit by a hurricane has suffered mass destruction and flooding. Sewage facilities
are non functioning and the area is contaminated with human excreta. The nurse is developing
a plan of care for clients diagnosed with cholera after an outbreak. Which intervention has the
highest priority?
Administer prophylactic antibiotics as prescribed
Provide fluid and electrolyte replacement
Isolate all infectious diarrhea victims
Administer cholera vaccine - ANS - Provide fluid and electrolyte replacement
\A government office worker is seen in the emergency room after opening an envelope
containing a powder like substance which is being tested for anthrax. Which discharge
instruction should the nurse provide the client concerning inhalation anthrax?
Return to the emergency room if flu like symptoms develop within 42 days
Notify co-workers to get the anthrax vaccine at the public health department
Isolation from friends and family members is recommended for 3 weeks
Cleanse all surfaces touched with pre-moistened anti-bacterial wipes - ANS - Return to the
emergency room if flu like symptoms develop within 42 days
\A graduate nursing student requests information, including laboratory findings and chest x-ray
results, about all clients with symptoms of h1n1 who have been seen during the last month in a
community health clinic. Which action should the charge nurse take?
Ask if permission has been obtained from the research committee
Ask the student to sign a standard waiver form
, Obtain written authorization from clients to release the information
Provide the information for research purposes only - ANS - Obtain written authorization from
clients to release the information
\A male client comes to the public health clinic requesting information about which
immunizations he should receive prior to visiting a developing nation. Which immunization
should the nurse recommend as a priority for this client?
Tetanus toxoid vaccine
Influenza vaccine
Hepatitis b vaccine
Hepatitis a vaccine - ANS - Hepatitis a vaccine
\A male construction worker presents at the industrial clinic with a fever and a cough. He states I
think I have that sudden acute respiratory syndrome that's been in the news. What is important
for the nurse to do first
Take the clients temperature and a pulse rate
Place a surgical mask on the client and nurse
Ask the client about recent travel or exposure
Obtain a description of his sputum and cough - ANS - Ask the client about recent travel or
exposure
\A male high school student is referred to the school nurse because he lost consciousness
during gymnastics class. His neurological vital signs are with normal limits, and his blood
pressure is 100/62. He is 6 ft 3 in tall wighs 135 pound and his body mass index is 16.9. which
assessment data should the nurse obtain first?
Serial bp reading every 30 minutes
Twenty-four hour diet recall
Use of performance enhancing drugs
Recent exposure to allergens - ANS - Twenty-four hour diet recall
\A male migrant farm worker who lives in a mobile home with several other workers visits the
migrant health care center. He reports increasing episodes of dizziness headaches abdominal
cramps and difficulty breathing what nursing action has the highest priority?
Gather information about clients recent exposure to pesticides
Obtain a blood sample to assess for lead paint exposure
Determine the number and age of persons living in the mobile home
Ask about the length of his workday and frequency of rest breaks - ANS - Gather information
about clients recent exposure to pesticides
\A middle aged male client presents for his annual health visit at a community clinic. He is 5 ft
10 in tall weighs 250 pounds, and works as an accountant. He smokes at least one pack of
cigarettes every day for the last 15 years. Which secondary prevention measure should the
nurse recommend the client to follow?
Compliance with antihypertensive and lipid lowering agents.
Increase physical activity and diet low in saturated fat
Smoking cessation
Blood pressure and lipid screening - ANS - Blood pressure and lipid screening
A 4-year old near drowning victim who is severely disabled due to anoxia that occurred during
the incident is being transferred to a long term care facility. When helping the parents select a
treatment center for their child, which factor should the nurse encourage the parents to
consider?
Proximity of the facility to their home
How many children are residents of the facility
What type of home schooling is available at the facility
Availability of medical care for emergencies - ANS - Proximity of the facility to their home
\A community health nurse is applying for a federal grant to support a smoking cessation
educational program. In which order should the nurse prioritize these nursing activities? Arrange
in order top to bottom
Determine the target aggregate that will be served by the program
Consider pros and cons of different methods of data gathering
Select and train the data collection personnel
Review and analyze the data - ANS - Determine the target aggregate that will be served by the
program
Consider pros and cons of different methods of data gathering
Select and train the data collection personnel
Review and analyze the data
\A community hit by a hurricane has suffered mass destruction and flooding. Sewage facilities
are non functioning and the area is contaminated with human excreta. The nurse is developing
a plan of care for clients diagnosed with cholera after an outbreak. Which intervention has the
highest priority?
Administer prophylactic antibiotics as prescribed
Provide fluid and electrolyte replacement
Isolate all infectious diarrhea victims
Administer cholera vaccine - ANS - Provide fluid and electrolyte replacement
\A government office worker is seen in the emergency room after opening an envelope
containing a powder like substance which is being tested for anthrax. Which discharge
instruction should the nurse provide the client concerning inhalation anthrax?
Return to the emergency room if flu like symptoms develop within 42 days
Notify co-workers to get the anthrax vaccine at the public health department
Isolation from friends and family members is recommended for 3 weeks
Cleanse all surfaces touched with pre-moistened anti-bacterial wipes - ANS - Return to the
emergency room if flu like symptoms develop within 42 days
\A graduate nursing student requests information, including laboratory findings and chest x-ray
results, about all clients with symptoms of h1n1 who have been seen during the last month in a
community health clinic. Which action should the charge nurse take?
Ask if permission has been obtained from the research committee
Ask the student to sign a standard waiver form
, Obtain written authorization from clients to release the information
Provide the information for research purposes only - ANS - Obtain written authorization from
clients to release the information
\A male client comes to the public health clinic requesting information about which
immunizations he should receive prior to visiting a developing nation. Which immunization
should the nurse recommend as a priority for this client?
Tetanus toxoid vaccine
Influenza vaccine
Hepatitis b vaccine
Hepatitis a vaccine - ANS - Hepatitis a vaccine
\A male construction worker presents at the industrial clinic with a fever and a cough. He states I
think I have that sudden acute respiratory syndrome that's been in the news. What is important
for the nurse to do first
Take the clients temperature and a pulse rate
Place a surgical mask on the client and nurse
Ask the client about recent travel or exposure
Obtain a description of his sputum and cough - ANS - Ask the client about recent travel or
exposure
\A male high school student is referred to the school nurse because he lost consciousness
during gymnastics class. His neurological vital signs are with normal limits, and his blood
pressure is 100/62. He is 6 ft 3 in tall wighs 135 pound and his body mass index is 16.9. which
assessment data should the nurse obtain first?
Serial bp reading every 30 minutes
Twenty-four hour diet recall
Use of performance enhancing drugs
Recent exposure to allergens - ANS - Twenty-four hour diet recall
\A male migrant farm worker who lives in a mobile home with several other workers visits the
migrant health care center. He reports increasing episodes of dizziness headaches abdominal
cramps and difficulty breathing what nursing action has the highest priority?
Gather information about clients recent exposure to pesticides
Obtain a blood sample to assess for lead paint exposure
Determine the number and age of persons living in the mobile home
Ask about the length of his workday and frequency of rest breaks - ANS - Gather information
about clients recent exposure to pesticides
\A middle aged male client presents for his annual health visit at a community clinic. He is 5 ft
10 in tall weighs 250 pounds, and works as an accountant. He smokes at least one pack of
cigarettes every day for the last 15 years. Which secondary prevention measure should the
nurse recommend the client to follow?
Compliance with antihypertensive and lipid lowering agents.
Increase physical activity and diet low in saturated fat
Smoking cessation
Blood pressure and lipid screening - ANS - Blood pressure and lipid screening
