HESI RN TEST BANK
HESI Community Health
The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior to administering a scheduled dose of verapamil (Calan) for a client with atrial flutter. Which action should the nurse implement?
A. Administer the dose as prescribed.
B. Hold the medication.
C. Call the healthcare provider.
D. Repeat the vital signs in 30 minutes.
Correct Answer:
Rationale: Verapamil slows sinoatrial nodal automaticity and delays atrioventricular nodal conduction, which slows the ventricular rate.
A nurse is planning a community health fair to promote cardiovascular health. Which activity should be included to best engage participants?
- A. free blood pressure screenings
- B. lectures on heart-healthy diets
- C. distribution of pamphlets on heart disease
- D. cooking demonstrations of healthy recipes
Correct Answer: A
Rationale: Offering free blood pressure screenings provides participants with immediate, valuable information about their cardiovascular health.
A 6-year-old child is alert but quiet when brought to the emergency center with periorbital ecchymosis and ecchymosis behind the ears. The nurse suspects potential child abuse and continues to assess the child for additional manifestations of a basilar skull fracture. What assessment finding would be consistent with the basilar skull fracture?
- A. Blurred vision.
- B. Shoulder pain.
- C. Abdominal pain.
- D. Rhinorrhea or otorrhea with halo sign.
Correct Answer: D
Rationale: Raccoon eyes (periorbital ecchymosis) and Battle's sign (ecchymosis behind the ear) are signs of a basilar skull fracture, so the nurse should assess for possible meningeal tears that manifest as a halo sign with CSF leakage from the ears or nose.
The nurse is caring for a client with liver cirrhosis. Which assessment finding requires immediate intervention?
- A. Jaundice.
- B. Ascites.
- C. Peripheral edema.
- D. Spider angiomas.
Correct Answer: D
Rationale: Spider angiomas are abnormal clusters of blood vessels near the skin surface and can be indicative of an underlying liver condition. In the context of liver cirrhosis, spider angiomas can suggest portal hypertension and liver dysfunction, which requires immediate intervention. Jaundice (choice A) is a common manifestation of liver cirrhosis but not typically an immediate intervention priority unless severe. Ascites (choice B) and peripheral edema (choice C) are also common in liver cirrhosis but do not require immediate intervention unless they are causing respiratory compromise or other urgent issues.
The nurse is planning a health education session for teenagers on the importance of physical activity. Which strategy is most likely to be effective?
- A. lecturing about the benefits of physical activity
- B. showing videos of athletes
- C. organizing interactive physical activities
- D. distributing pamphlets on physical fitness
Correct Answer: C
Rationale: Organizing interactive physical activities engages teenagers and makes the learning experience more enjoyable and memorable.