HESI Community Questions And Answers

HESI Community Questions And
Answers

1.yAy93-year-oldyclientywithyaynumberyofyco-
morbiditiesyisyassessedybyytheyhomeyhealthynurse.yWhatyproblemyisymostyimportantyforyth
eynurseytoyinvestigateyfurther?
a.ySocialyisolation
b.yMedicationyinteractions
c.yUrinaryyincontinences
d.yCaregiverystressy-yCORRECTyyANSWER-b.yMedicationyinteractions

1.yAyclientyisyadmittedytoytheyemergencyydepartmentywithyflu-
likeysymptoms.yWhichyinterventionyshouldytheynurseytoyobtainytoyruleyoutyexposureytoyanth
rax-spores?
a.yDetermineytheyclient'syoccupation
b.yInquireyaboutypreviousyvaccinationyforysmallpox.
c.yObtainyaytwenty-fourydietyhistory
d.yIdentifyytheyclient'sypersonalycontactsyoverytheypastyweeky-yCORRECTyyANSWER-
a.yDetermineytheyclient'syoccupation

1.yAycommunityygroupyproposesybuildingyaynewywell-
childyclinicybecauseythisyyear'sydemographicsyreflectythatyaylargeypercentageyofytheypopul
ationyisylessythany19yyearsyofyage.yWhichyquestionyindicatesythatytheynurseyunderstandsyt
heypotentialygapsyinytheseydata?
a.yWhatyisytheydistributionyofymalesytoyfemalesywithinythisypopulation?
b.yWhatypercentageyofytheypopulationywasyundery19yyearsyofyageyinyeachyofythey5ypreviou
syyears?
c.yHowywillytheylargeypercentageyofyundery19-year-
oldsyaffectytheycommunity'sydependencyyration?
d.yHowycanytheyincomeylevelyofytheyfamiliesywithinytheycommunityybeydetermined?y-
yCORRECTyyANSWER-

b.yWhatypercentageyofytheypopulationywasyundery19yyearsyofyageyinyeachyofythey5ypreviou
syyears?

1.yAyHispanicymotheryinsistsyonyusingyspecialycandlesytoytreatyherychild'syearyinfection.yTh
eynurseyshouldydemonstrateyculturalyaccommodationybyymakingywhichyrequest?
a.yUseytheyprescribedyantibioticsyandyifythereyisynoyimprovement,yuseytheycandles
b.yGiveytheyprescribedyantibioticsyinyadditionytoyusingytheycandles.
c.yDoynotyuseytheycandlesybecauseyofytheyriskyofyfireyandysubsequentyburnsytoytheychild.

, d.yProvideytheyprescribedyantibioticsyinsteadyofyusingytheycandlesy-
yCORRECTyyANSWER-b.yGiveytheyprescribedyantibioticsyinyadditionytoyusingytheycandles.



1.yAyhomeyhealthynurseyisyreviewingytheylaboratoryyresultsyforyseveralyclientsywithyayhistor
yyofyheartyfailurey(HF).yWhichyclientyfindingyshouldytheynurseyreportytoytheyhealthcareyprovi
deryimmediately?
a.yTotalycholesteroly190ymg/dl.
b.yB-typeynatriureticypeptidey550ypg/ml.
c.yGlycosylatedyHemoglobinyofy7%
d.yPotassiumy3.7ymEq/Ly-yCORRECTyyANSWER-b.yB-typeynatriureticypeptidey550ypg/ml.

1.yAyhomelessyclientywithyalcoholydependencyywillybeydismissedyfromytheyemergencyydep
artmentyiny24yhours.yTheynurseynotesythatyaytuberculinyskinytestywasyprescribedybyytheyhe
althcareyprovider.yWhatyinterventionyisymostyimportantyforytheynurseytoyimplementypriorytoy
discharge?
a.yIdentifyyhowytheyclientywillyfollow-upytoyhaveytheyresultsyread.
b.yGiveytheyclientywrittenyinformationyaboutytheytuberculosisytest
c.yDetermineyifytheyclientyunderstandsytheypurposeyofytheytuberculinytest
d.yExplainytoytheyclientyresultsyshouldybeyreadybetweeny48yandy72yhoursy-
yCORRECTyyANSWER-a.yIdentifyyhowytheyclientywillyfollow-upytoyhaveytheyresultsyread.



1.yAymaleymigrantyfarmyworkerywhoylivesyinyaymobileyhomeywithyseveralyotheryworkersyvisi
tsytheyMigrantyHealthyCareyCenter.yHeyreportsyincreasingyepisodesyofydizziness,yheadach
es,yabdominalycramps,yandydifficultyybreathing.yWhatynursingyactionyhasytheyhighestypriori
ty?
a.yAskyaboutytheylengthyofyhisyworkdayyandyfrequencyyofyrestybreaks
b.yGatheryinformationyaboutytheyclient'syrecentyexposureytoypesticides
c.yDetermineytheynumberyandyageyofypersonsylivingyinytheymobileyhome
Obtainyaybloodysampleytoyassessyforypossibleyleadypainyexposurey-
yCORRECTyyANSWER-

b.yGatheryinformationyaboutytheyclient'syrecentyexposureytoypesticides

1.yAynewlyyhiredyschoolynurseyconductsyay"windshield"ysurveyyofytheygeographicyareayser
vedybyytheyschool.yWhichymethodyisybestyforytheynurseytoyuseytoyobjectivelyyvalidateytheyfi
ndingsyobtained?
a.yObtainymortalityydatayforytheygeographicyarea
b.yTalkywithyteachersyaboutytheiryconcernsyforytheystudents
c.yDiscussywithytheyPTAyboardytheiryperceptionyofyschoolyevents
d.yReviewytheypreviousyschoolynurse'syanecdotalydocuments.y-yCORRECTyyANSWER-
d.yReviewytheypreviousyschoolynurse'syanecdotalydocuments.

1.yAynurseydesignsyayseriesyofyfouryweeklyyclassesyforyclientywithyTypey2ydiabetes.yWhichyi
nformationyshouldytheynurseyuseyasyanyoutcomeyevaluationyforytheyclasses?
a.yParkingyconvenienceyforyattendeesycontinuedytoybeyaymajoryconcern
b.yDemonstratingybyytheyuseyofyaybloodyglucoseymeterywasyanyeffectiveyteachingystrategy
c.yFastingybloodyglucoseyaverageyreadingsywerey20%yloweryatytheyendyofytheyclasses