HESI Community Review Test Questions With Well Elaborated Solutions

HESI Community Review Test Questions With Well Elaborated Solutions The nurse at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, it is most important for the nurse to obtain which information as a part of a community assessment? a. Availability of fresh water for washing hands after work b. Air pollution levels in the surrounding community c. Number of hours of worker's exposure to direct sunlight d. Percentage of poisonous plants in the work fields - ANSWER -a. Availability of fresh water for washing hands after work 1. A teenage boy with a history of recurring atopic dermatitis (eczema) tells the school nurse that he wants to play high school football. Which action should the nurse take? a. Encourage the teenager to join the swim team instead of the football team b. Notify the parents of problems associated with perspiration for those with eczema c. Tell the teenager to shower with a non-perfumed soaps immediately after practice d. Inform the football coach of the teenager's skin condition and its manifestations. - ANSWER -c. Tell the teenager to shower with a non-perfumed soaps immediately after practice 1. The wife of an older adult man who has had diabetes mellitus for the past 10 years reports to the home health nurse that her husband fell yesterday while taking his daily walk in the neighborhood. He has a bruised hand and a small abrasion on his left knee. The nurse assess that his neurologic vital signs are stable. To reduce risk for future falls, which assessment is most important for the nurse to obtain? a. Current blood sugar level b. Degree of paresthesia in feet c. Wound healing of knee abrasion d. A1c glycosylated hemoglobin - ANSWER -b. Degree of paresthesia in feet 1. The home health nurse visits a young male client with AIDS who has Kaposi's sarcoma and peripheral neuropathies. His parents, who are the care-takers, tell the nurse that their son sleeps most of the times. The nurse assess that the client is semi-conscious with stable vital signs, cries out in pain when turned or moved, has a Duragesic pain patch in place, and skin lesions that are closed and dried. Which intervention should the nurse implement? a. Remove the Duragesic patch as directed by prescription b. Give a complete bed bath to further assess the client c. Discuss end-of-life decisions with the client's parents d. Call for ambulance transportation to the hospital immediately - ANSWER -c. Discuss end-of-life decisions with the client's parents 1. An assessment conducted last year of the health needs of children who attended a middle school indicated that bicycle injuries were a priority problem, so the nurse developed a bicycle safety program. Six weeks after completion of the program, a survey was sent to parents and students. Which finding is the best indicator that the program was effective? a. The number of students wearing bicycle helmets increased by 10% b. 50% of the parents reported that their children are aware of bicycle safety c. The number of students riding bicycles to school increased by 25% d. 80% of the parents identified the need for an annual bicycle safety program - ANSWER -a. The number of students wearing bicycle helmets increased by 10% 1. The nurse is planning a series of health screening programs for elderly African Americans. Which health problem should the nurse target for this population? a. Peripheral vascular disease b. Sickle cell anemia c. Decreased visual acuity d. High blood pressure - ANSWER -d. High blood pressure 1. The nurse is serving on a medical center committee to update goals and protocols based on current national standards. Which goal most directly addresses the Healthy People 2020 initiative? a. Decrease incidence of professional boundary violations b. Reduce emergency room wait times for indigent clients c. Encourage the use of the 5 rights of delegation d. Standardize communication for shift-to-shift report - ANSWER -b. Reduce emergency room wait times for indigent clients 1. A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin skin test was prescribed by the healthcare provider. What intervention is most important for the nurse to implement prior to discharge? a. Identify how the client will follow-up to have the results read. b. Give the client written information about the tuberculosis test c. Determine if the client understands the purpose of the tuberculin test d. Explain to the client results should be read between 48 and 72 hours - ANSWER -a. Identify how the client will follow-up to have the results read. 1. A Hispanic mother insists on using special candles to treat her child's ear infection. The nurse should demonstrate cultural accommodation by making which request? a. Use the prescribed antibiotics and if there is no improvement, use the candles b. Give the prescribed antibiotics in addition to using the candles. c. Do not use the candles because of the risk of fire and subsequent burns to the child. d. Provide the prescribed antibiotics instead of using the candles - ANSWER -b. Give the prescribed antibiotics in addition to using the candles. 1. The nurse is making a home visit to female client with end stage heart disease. She has a living will and states that she refuse to ever go back to a hospital. During the visit, the nurse notes that the client is pale and short of breath while speaking. The nurse discovers 3+ pitting edema in both ankles and bilateral pulmonary crackles. Which intervention should the nurse implement first? a. Explain the need for hospitalization b. Obtain a peripheral oxygen saturation level c. Elevate her feet above the level of her heart d. Apply 2L of oxygen per nasal cannula - ANSWER -b. Obtain a peripheral oxygen saturation level 1. The nurse must delegate some aspects of a homebound client's care to a home health aide. Which intervention should the nurse delegate to the home health aide? a. Evaluate a pressure sore b. Apply a prosthetic device c. Perform a sterile dressing change d. Assess the client's need for an elevated toilet seat - ANSWER -b. Apply a prosthetic device 1. After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and