HESI RN
Community Health HESI 2023
1. When planning a scoliosis screening clinic, which age group should be included?
- A. early adolescent girls
- B. late adolescent boys
- C. 7-10 year old boys
- D. preschoolers of both genders
Correct answer: A
Rationale: The correct answer is early adolescent girls. Scoliosis is most commonly diagnosed during early adolescence, with girls being more affected than boys. Including early adolescent girls in the screening clinic aligns with the age group that is at higher risk for scoliosis. Late adolescent boys (choice B) are less likely to develop scoliosis compared to early adolescent girls. 7-10 year old boys (choice C) are typically younger than the age group where scoliosis is commonly diagnosed. Preschoolers of both genders (choice D) are too young for scoliosis screening as the condition usually manifests during adolescence.
2. A school nurse is providing education on the importance of physical activity to elementary school students. Which activity is most appropriate for this age group?
- A. a lecture on the benefits of exercise
- B. an interactive game that involves physical movement
- C. a worksheet about different types of physical activities
- D. a video presentation on famous athletes
Correct answer: B
Rationale: An interactive game that involves physical movement is the most appropriate activity for elementary school students when educating them on the importance of physical activity. This choice is preferred because it engages children directly in physical activity, making the learning experience fun, interactive, and memorable. Children at this age group learn best through hands-on experiences and active participation, which can be effectively facilitated through interactive games. Choices A, C, and D are less suitable for this age group as they do not actively involve children in physical movement or interactive learning experiences. A lecture may not be engaging enough for young children, a worksheet may not provide the required level of activity, and a video presentation may not offer the same level of direct engagement and participation as an interactive game.
3. 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 should be included in the community health fair to best engage participants. This activity provides immediate, valuable information about participants' cardiovascular health. Blood pressure screenings are interactive, engaging, and offer personalized insights that can motivate individuals to take action towards improving their heart health. Lectures on heart-healthy diets, distribution of pamphlets, and cooking demonstrations, although beneficial, may not have the same level of immediate impact and engagement as the hands-on experience of getting one's blood pressure checked.
4. The healthcare provider is caring for a client with hypokalemia. Which assessment finding requires immediate intervention?
- A. Muscle weakness.
- B. Irregular heart rate.
- C. Increased urinary output.
- D. Decreased deep tendon reflexes.
Correct answer: D
Rationale: Decreased deep tendon reflexes are a critical finding in hypokalemia that indicates severe potassium deficiency affecting neuromuscular function. Immediate intervention is necessary to prevent life-threatening complications such as respiratory failure or cardiac arrhythmias. Muscle weakness, irregular heart rate, and increased urinary output are also associated with hypokalemia but do not pose the same level of urgency as decreased deep tendon reflexes.
5. A nurse is planning a community event to raise awareness about mental health. Which activity should be included to best engage participants?
- A. lectures by mental health professionals
- B. interactive workshops on stress management
- C. distribution of mental health resources
- D. screenings for depression and anxiety
Correct answer: B
Rationale: Interactive workshops on stress management should be included to best engage participants in a community event about mental health. Unlike lectures by mental health professionals, workshops actively involve participants, allowing for interaction and practical skill-building. While distributing mental health resources and providing screenings for depression and anxiety are important components, interactive workshops offer a more engaging and hands-on approach, empowering individuals with skills they can use to manage their mental health effectively.
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