HESI RN
HESI Community Health
1. 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?
- A. return to the emergency room if flu-like symptoms develop within 42 days
- B. notify co-workers to get the anthrax vaccine at the public health department
- C. isolation from friends and family members is recommended for 3 weeks
- D. cleanse all surfaces touched with pre-moistened antibacterial wipes
Correct answer: A
Rationale: The correct answer is to instruct the client to return to the emergency room if flu-like symptoms develop within 42 days. Flu-like symptoms can be an early sign of inhalation anthrax, and prompt medical intervention is crucial. Choice B is incorrect because the focus should be on the affected individual seeking medical attention rather than vaccinating others. Choice C is incorrect as isolation from friends and family members is not a standard recommendation for inhalation anthrax. Choice D is also incorrect as cleansing surfaces is important for infection control but may not be the priority when facing potential exposure to anthrax.
2. The occupational health nurse is completing a yearly self-evaluation. Which activity should the nurse document as an example of proficient performance criteria in professionalism?
- A. contributes money to a professional society or organization
- B. maintains chairmanship of the hospital nursing council
- C. documents the nursing process in care management
- D. develops policy initiatives that impact occupational health and safety
Correct answer: D
Rationale: The correct answer is D because developing policy initiatives that impact occupational health and safety demonstrates leadership and proficiency in contributing to the field. Choices A, B, and C do not directly relate to professionalism criteria in the context of occupational health nursing. Contributing money to a professional society, maintaining chairmanship of a nursing council, or documenting the nursing process, while important, do not specifically highlight the nurse's impact on occupational health and safety through policy development.
3. A client with chronic kidney disease is experiencing pruritus. Which intervention should the nurse include in the plan of care?
- A. Administer antihistamines as prescribed.
- B. Apply moisturizing lotion to the skin.
- C. Use cool water for bathing.
- D. Encourage a high-protein diet.
Correct answer: A
Rationale: Correct. Administering antihistamines as prescribed is the appropriate intervention for a client with chronic kidney disease experiencing pruritus. Antihistamines can help reduce pruritus by blocking histamine receptors, which are often prescribed for such clients. Choice B, applying moisturizing lotion, may help with dry skin but will not directly address pruritus. Choice C, using cool water for bathing, may provide some relief but does not target the underlying cause of pruritus. Choice D, encouraging a high-protein diet, is not directly related to managing pruritus in chronic kidney disease.
4. A community health nurse is developing a program to increase physical activity among adults in the community. Which intervention is most likely to be successful?
- A. distributing flyers about the benefits of exercise
- B. organizing free community exercise classes
- C. partnering with local gyms to offer discounts
- D. hosting a health fair with information booths
Correct answer: B
Rationale: Organizing free community exercise classes is the most likely successful intervention as it provides a structured and accessible opportunity for adults to engage in physical activity. This choice directly offers a practical solution by providing a regular and organized setting for individuals to participate in physical activity. Distributing flyers about the benefits of exercise, while informative, may not lead to actual participation. Partnering with local gyms to offer discounts relies on individuals taking the initiative to sign up for gym memberships, which may not be feasible for everyone. Hosting a health fair with information booths is informative but may not directly address the need for increased physical activity among adults in the community.
5. A nurse is planning a community health fair to promote cancer awareness. Which activity should be included to best engage participants?
- A. free cancer screenings
- B. lectures on cancer prevention
- C. distribution of educational materials
- D. testimonials from cancer survivors
Correct answer: A
Rationale: Offering free cancer screenings should be included in the community health fair to best engage participants. This activity provides immediate, valuable information about participants' cancer risk, making it highly engaging and actionable. While lectures on cancer prevention and distribution of educational materials are informative, they may not offer the same level of immediate engagement and impact as free screenings. Testimonials from cancer survivors, although inspiring, do not provide participants with direct information about their own cancer risk, making them less effective in engaging participants actively.
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