Community Health HESI 2023

Community Health HESI 2023 Related

Review Community Health HESI 2023 related questions and content

A female client with a history of chronic obstructive pulmonary disease (COPD) is being treated at home and is currently receiving oxygen at 2 liters via nasal cannula. The spouse, who is the caregiver, reports that the client requires assistance when ambulating short distances, including going to the bathroom. Which suggestion should the health care nurse provide to the caregiver?

  • A. disconnect oxygen when ambulating to the bathroom
  • B. administer a breathing treatment prior to ambulation
  • C. suggest obtaining a bedside commode for toileting
  • D. ask for additional assistance to reduce the risk of falls
Correct Answer: C

Rationale: For a client with COPD requiring assistance for short-distance ambulation, suggesting a bedside commode for toileting is the most appropriate intervention. This recommendation helps reduce the need for the client to walk long distances, thereby minimizing the risk of exertion and potential falls. Disconnecting oxygen during ambulation (Choice A) is not safe for a client with COPD, as oxygen therapy should be continuous. Administering a breathing treatment before ambulation (Choice B) may not directly address the client's need for assistance with toileting. Asking for additional assistance (Choice D) can be beneficial but providing a bedside commode specifically addresses the current issue of ambulating short distances for toileting.

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A community health nurse is developing a program to address the opioid crisis in the community. Which intervention should the nurse prioritize?

  • A. Providing education on the dangers of opioid use
  • B. Distributing naloxone kits to first responders
  • C. Offering support groups for individuals struggling with addiction
  • D. Partnering with local pharmacies to monitor prescriptions
Correct Answer: B

Rationale: The correct answer is B: Distributing naloxone kits to first responders. Naloxone is a medication that can rapidly reverse opioid overdose, potentially saving lives. In an opioid crisis scenario, providing naloxone kits to first responders equips them to act swiftly in emergencies. Choice A, providing education on the dangers of opioid use, is important but may not be as immediately life-saving as naloxone distribution. Choice C, offering support groups, is valuable for long-term recovery but may not address the acute crisis of overdoses. Choice D, partnering with local pharmacies to monitor prescriptions, focuses on prevention rather than immediate response to overdoses.

Because this year's demographics reflect that a large percentage of the population is less than 19 years of age, a community group proposes building a new well-child clinic. Which question indicates that the nurse understands the potential gaps in this data?

  • A. What percentage of the population was under 19 years of age in each of the previous 5 years?
  • B. What is the distribution of males to females within this population?
  • C. How can the income level of the families within the community be determined?
  • D. How will the large percentage under 19 years affect the community dependency ratio?
Correct Answer: A

Rationale: Option A is the correct answer because understanding the percentage of the population under 19 years of age in each of the previous five years helps to determine if the high percentage of youth is a consistent trend or a recent change. This information is crucial for assessing the need for a new well-child clinic. Choices B, C, and D are incorrect because they do not directly address the gaps in the data related to the age distribution trend over time, which is essential for making an informed decision about the necessity of the proposed clinic.

A client with a head injury is admitted to the hospital. Which finding indicates a need for immediate intervention?

  • A. Glasgow Coma Scale (GCS) score of 15.
  • B. Pupils are equal and reactive to light.
  • C. Client is drowsy but arousable.
  • D. Client does not remember the events leading to the injury.
Correct Answer: C

Rationale: In a client with a head injury, being drowsy but still arousable can be a sign of increased intracranial pressure, which necessitates immediate intervention. This presentation may indicate a deterioration in neurological status, requiring prompt assessment and management to prevent further complications. Choices A, B, and D are not indicative of an immediate need for intervention in this scenario. A Glasgow Coma Scale (GCS) score of 15 indicates the highest level of consciousness; pupils being equal and reactive to light suggest intact cranial nerve function, and memory loss about the injury event is common in head injuries and does not necessarily warrant immediate intervention.

The client with liver cirrhosis needs immediate intervention for which abnormal laboratory result?

  • A. Prothrombin time (PT) of 14 seconds.
  • B. Bilirubin of 1.2 mg/dL.
  • C. Albumin of 4 g/dL.
  • D. Ammonia level of 80 mcg/dL.
Correct Answer: D

Rationale: An elevated ammonia level of 80 mcg/dL indicates hepatic encephalopathy, a serious complication of liver cirrhosis that requires immediate intervention. Ammonia is a neurotoxin that accumulates in the blood due to impaired liver function, leading to cognitive impairment and altered mental status. Monitoring and lowering ammonia levels are crucial in managing hepatic encephalopathy to prevent further neurological deterioration. Prothrombin time, bilirubin, and albumin levels are important parameters in assessing liver function and overall health status in clients with liver cirrhosis, but an elevated ammonia level poses an immediate threat to neurological function and warrants prompt attention.

The healthcare provider is preparing to administer an intravenous (IV) medication to a client. Which action should the healthcare provider take first?

  • A. Verify the client's identity using two identifiers.
  • B. Check the client's allergy status.
  • C. Prepare the medication for administration.
  • D. Administer the medication at the prescribed rate.
Correct Answer: B

Rationale: Checking the client's allergy status is the priority before administering any medication, especially intravenously. This step helps identify any potential allergic reactions and prevents harm to the client. Verifying the client's identity using two identifiers is important but not the first step in medication administration. Preparing the medication for administration and administering the medication at the prescribed rate come after ensuring the client's safety by checking for allergies.

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