WGU D450 HESI STUDY GUIDE QUESTIONS AND
ANSWERS SET A+
✔✔Anthrax - ✔✔Cutaneous infections occur when the bacteria enter a cut or abrasion
on the skin, such as when handling contaminated wool, hides, leather or hair products
of infected animals. Skin infection begins as a raised itchy bump that resembles an
insect bite but within 1-2 days develops into a vesicle and then a painless ulcer.
✔✔Sexually transmitted infections - ✔✔Are reported to the Centers for Disease Control
and Prevention. The client's personal health information is confidential, and in the case
of an adolescent, does not need to be reported to the parents.
✔✔Scoliosis Screening - ✔✔Most applicable for prepubescent and adolescent female
clients and should be a part of the health screening.
✔✔End-of-Life for a client with AIDS - ✔✔Sensory neuropathies affect about 30% of
these clients. Weakness and paralysis progress and death occurs within 2-4 months.
✔✔American Heart Association - ✔✔A volunteer agency which focuses on the
prevention and early detection of cardiac disorders.
✔✔Characteristics that increase the likelihood for hospitalization - ✔✔Population
between the ages of 65 and 88 on a limited income. This population has limited
resources for food, supplies, and medication and is at a higher risk for chronic illnesses.
✔✔Sudden onset of behavior change - ✔✔Could indicate a drop in oxygen level.
Assess the client's oxygen saturation level.
✔✔Heat stroke - ✔✔Has the symptoms of leg cramps and red dry skin. The first action
to take is to get client out of the sun to a shady area and spray with cool water to help
bring down the body temperature.
, ✔✔Cholera - ✔✔A bacterial disease causing severe diarrhea and dehydration, usually
spread in water. For those who are experiencing symptoms that are not resolving with
adequate fluid intake, antibiotic therapy might be indicated. The nurse should notify the
Public Health Department with this information and the family physicians to discuss the
possible need for antibiotic therapy.
✔✔Breast cancer risk - ✔✔A delay in the onset of menopause is one risk factor.
✔✔Suspected Child Abuse - ✔✔Child comes to clinic to have an edematous forearm
evaluated. The nurse suspects the arm is broken and notes the child has a variety of
bruises over the other arm and both legs. The nurse evaluates whether the child is a
victim of abuse by assessing the child without the parent present. Examine the child
alone and ask if someone is harming them.
✔✔Tdap booster - ✔✔The tetanus, diptheria, and pertussis vaccination should be
provided at age 11 or 12 years to those who have completed the recommended
childhood DTaP vaccination series.
✔✔PPD test - ✔✔The maximum area of induration for a positive test is 15 mm in a
healthy client without risk factors. A PPD greater than 5 is considered positive in clients
with HIV, close contact with a person with active TB or in those taking
immunosuppressive medication. A PPD greater than 10 is considered positive for
people working in health care settings, people living in nursing homes, prisons or
homeless shelters, or in immigrants from an endemic area.
✔✔African Americans - ✔✔Have a higher morbidity and mortality rate related to
diabetes compared to the rest of the population. Screenings for diabetes would be
highly beneficial, as it would result in earlier treatment and potentially decrease disease-
related complications. Other screening programs appropriate for this population include
hypertension, metabolic syndrome, and cardiovascular disease. This population is also
at increased risk for breast, lung, prostate, and colorectal cancer.
✔✔Lead - ✔✔Is likely to be found in pipes and paint of buildings constructed before
1978.
✔✔HIV - ✔✔Considered a public health risk and must be reported to the local health
department. The department will contact the client's previous sexual partners to inform
them that they are at risk for having HIV. The public health department will not disclose
the name of the person who put them at risk for the disease.
✔✔DEXA Scan - ✔✔Used to detect osteoporosis and are recommended for all females
over age 65.
ANSWERS SET A+
✔✔Anthrax - ✔✔Cutaneous infections occur when the bacteria enter a cut or abrasion
on the skin, such as when handling contaminated wool, hides, leather or hair products
of infected animals. Skin infection begins as a raised itchy bump that resembles an
insect bite but within 1-2 days develops into a vesicle and then a painless ulcer.
✔✔Sexually transmitted infections - ✔✔Are reported to the Centers for Disease Control
and Prevention. The client's personal health information is confidential, and in the case
of an adolescent, does not need to be reported to the parents.
✔✔Scoliosis Screening - ✔✔Most applicable for prepubescent and adolescent female
clients and should be a part of the health screening.
✔✔End-of-Life for a client with AIDS - ✔✔Sensory neuropathies affect about 30% of
these clients. Weakness and paralysis progress and death occurs within 2-4 months.
✔✔American Heart Association - ✔✔A volunteer agency which focuses on the
prevention and early detection of cardiac disorders.
✔✔Characteristics that increase the likelihood for hospitalization - ✔✔Population
between the ages of 65 and 88 on a limited income. This population has limited
resources for food, supplies, and medication and is at a higher risk for chronic illnesses.
✔✔Sudden onset of behavior change - ✔✔Could indicate a drop in oxygen level.
Assess the client's oxygen saturation level.
✔✔Heat stroke - ✔✔Has the symptoms of leg cramps and red dry skin. The first action
to take is to get client out of the sun to a shady area and spray with cool water to help
bring down the body temperature.
, ✔✔Cholera - ✔✔A bacterial disease causing severe diarrhea and dehydration, usually
spread in water. For those who are experiencing symptoms that are not resolving with
adequate fluid intake, antibiotic therapy might be indicated. The nurse should notify the
Public Health Department with this information and the family physicians to discuss the
possible need for antibiotic therapy.
✔✔Breast cancer risk - ✔✔A delay in the onset of menopause is one risk factor.
✔✔Suspected Child Abuse - ✔✔Child comes to clinic to have an edematous forearm
evaluated. The nurse suspects the arm is broken and notes the child has a variety of
bruises over the other arm and both legs. The nurse evaluates whether the child is a
victim of abuse by assessing the child without the parent present. Examine the child
alone and ask if someone is harming them.
✔✔Tdap booster - ✔✔The tetanus, diptheria, and pertussis vaccination should be
provided at age 11 or 12 years to those who have completed the recommended
childhood DTaP vaccination series.
✔✔PPD test - ✔✔The maximum area of induration for a positive test is 15 mm in a
healthy client without risk factors. A PPD greater than 5 is considered positive in clients
with HIV, close contact with a person with active TB or in those taking
immunosuppressive medication. A PPD greater than 10 is considered positive for
people working in health care settings, people living in nursing homes, prisons or
homeless shelters, or in immigrants from an endemic area.
✔✔African Americans - ✔✔Have a higher morbidity and mortality rate related to
diabetes compared to the rest of the population. Screenings for diabetes would be
highly beneficial, as it would result in earlier treatment and potentially decrease disease-
related complications. Other screening programs appropriate for this population include
hypertension, metabolic syndrome, and cardiovascular disease. This population is also
at increased risk for breast, lung, prostate, and colorectal cancer.
✔✔Lead - ✔✔Is likely to be found in pipes and paint of buildings constructed before
1978.
✔✔HIV - ✔✔Considered a public health risk and must be reported to the local health
department. The department will contact the client's previous sexual partners to inform
them that they are at risk for having HIV. The public health department will not disclose
the name of the person who put them at risk for the disease.
✔✔DEXA Scan - ✔✔Used to detect osteoporosis and are recommended for all females
over age 65.
