HESI RN TEST BANK
HESI Community Health
The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received one dose of the measles, mumps, rubella (MMR) vaccine. Which intervention should the nurse implement?
A. note in the student records that the second dose of the MMR vaccine should be administered prior to entering first grade
B. send notices home with the children on the first day of class advising that MMR vaccine series must be completed
C. contact kindergarten parents to remind them that the second dose of MMR is due at the start of the school year
D. speak at the next parent teacher association meeting to teach parents the benefits of immunizing their children
Correct Answer:
Rationale: Reminding parents about the second dose ensures that children receive the complete vaccination on time.
The occupational heal th nurse is completing a yearly sel f-evaluation. Which activity shoul d the nurse document as an example of profi cient performance criteria i n professionalism?
- A. contri butesmoney to a professional society or organizati on
- B. mai ntai ns chai rmanship of the hospital nursi ng council
- C. documents t he nursi ng process in care care management
- D. develops pol icy i niti ati ves that impact occupati onal heal th and safety -
Correct Answer: D
Rationale: This demonstrates leadership and proficiency in contributing to the field of occupational health and safety.
The nurse is preparing to administer an oral medication to a client with dysphagia. Which action should the nurse take?
- A. Crush the medication and mix it with applesauce.
- B. Have the client drink a full glass of water with the medication.
- C. Administer the medication with a small amount of pudding.
- D. Place the medication at the back of the client's tongue.
Correct Answer: C
Rationale: Administering the medication with a small amount of pudding helps prevent aspiration in clients with dysphagia.
A community health nurse is evaluating the effectiveness of a recent smoking cessation program. Which outcome indicates success?
- A. increased attendance at support group meetings
- B. reduced number of cigarettes smoked per day
- C. higher sales of nicotine replacement products
- D. lower relapse rate among participants
Correct Answer: D
Rationale: The correct answer is D: lower relapse rate among participants. A lower relapse rate indicates that participants are successfully quitting smoking and maintaining their cessation, which is the ultimate goal of a smoking cessation program. Increased attendance at support group meetings (choice A) may demonstrate engagement but does not necessarily indicate successful smoking cessation. Similarly, higher sales of nicotine replacement products (choice C) may reflect increased product usage but not necessarily successful smoking cessation. While reducing the number of cigarettes smoked per day (choice B) is a positive change, it does not guarantee successful smoking cessation or long-term abstinence.
The healthcare provider is assessing a client with a suspected stroke. Which finding requires immediate intervention?
- A. Blood pressure of 160/90 mm Hg.
- B. Blood glucose level of 180 mg/dL.
- C. Difficulty speaking.
- D. Temperature of 99.8°F (37.7°C).
Correct Answer: C
Rationale: Difficulty speaking is a classic symptom of stroke, suggesting a potential blockage of blood flow to the brain. Prompt intervention is crucial to minimize brain damage. Elevated blood pressure (Choice A) may need management but is not the most urgent concern in this scenario. A blood glucose level of 180 mg/dL (Choice B) is slightly elevated but does not require immediate intervention for a suspected stroke. A temperature of 99.8°F (37.7°C) (Choice D) is within normal range and not a critical finding in this context.