HESI RN
Community Health HESI 2023
1. The healthcare provider is conducting a health assessment for a family living in a high-crime area. Which intervention should the healthcare provider prioritize to ensure the family's safety?
- A. providing information on local crime statistics
- B. teaching the family self-defense techniques
- C. helping the family develop a safety plan
- D. encouraging the family to move to a safer neighborhood
Correct answer: C
Rationale: Developing a safety plan is the most appropriate intervention as it helps the family prepare for potential emergencies and enhances their overall sense of security. Providing information on local crime statistics may raise awareness but does not directly address safety planning. Teaching self-defense techniques may have limited effectiveness in a high-crime area where the family may face multiple threats. Encouraging the family to move to a safer neighborhood is not always feasible due to various reasons such as financial constraints or social ties to the current community.
2. A nurse is collecting data from a client who has hypocalcemia. Which of the following findings should the nurse expect?
- A. Decreased deep-tendon reflexes
- B. Skeletal muscle weakness
- C. Hypoactive bowel sounds
- D. Tingling of the lips
Correct answer: D
Rationale: The correct answer is D, tingling of the lips (perioral tingling). This is a common symptom of hypocalcemia due to increased neuromuscular excitability. Choice A, decreased deep-tendon reflexes, is more indicative of hypercalcemia. Choice B, skeletal muscle weakness, is associated with hypokalemia. Choice C, hypoactive bowel sounds, is not a typical finding in hypocalcemia.
3. The nurse is developing a community health program to address the high rates of hypertension in a neighborhood. Which intervention should the nurse prioritize?
- A. conducting free blood pressure screenings
- B. distributing educational materials on hypertension
- C. holding workshops on stress management
- D. partnering with local gyms to offer discounted memberships
Correct answer: A
Rationale: Conducting free blood pressure screenings should be prioritized as it helps identify individuals with hypertension who may not be aware of their condition. Early detection allows for timely medical intervention and management. While distributing educational materials, holding stress management workshops, and partnering with local gyms are valuable interventions, they may not directly address the immediate need for identifying undiagnosed cases of hypertension in the community.
4. Which structure maintains the uterus in an anteverted and anteflexed position?
- A. Round ligaments
- B. Broad ligaments
- C. Cardinal ligaments
- D. Pubocervical ligaments
Correct answer: A
Rationale: The correct answer is the Round ligaments. The round ligaments are responsible for maintaining the uterus in an anteverted and anteflexed position. These ligaments attach from the sides of the uterus and extend through the inguinal canal to the labia majora. The other choices, Broad ligaments, Cardinal ligaments, and Pubocervical ligaments, have different functions and attachments within the pelvis. Broad ligaments are a double layer of peritoneum that encloses the uterus and supports the uterine tubes. Cardinal ligaments provide support to the cervix and upper vagina. Pubocervical ligaments support the cervix and bladder.
5. A healthcare professional is working in an occupational health clinic when an employee walks in and states that he was struck by lightning while working in a truck. The client is alert but reports feeling faint. Which assessment will the healthcare professional perform first?
- A. Pulse characteristics
- B. Open airway
- C. Entrance and exit wounds
- D. Cervical spine injury
Correct answer: A
Rationale: When a person is struck by lightning, it can cause an electrical shock that may affect the heart rhythm. Therefore, assessing pulse characteristics is crucial as lightning can act as a natural defibrillator. Monitoring the pulse rate and regularity will help determine if there are any cardiac abnormalities that need immediate attention. Open airway, entrance and exit wounds, and cervical spine injury assessments are also important but assessing pulse characteristics takes precedence in this situation to address potential cardiac issues.