HESI RN COMMUNITY HEALTH PROCTORED EXAM

HESI RN COMMUNITY HEALTH PROCTORED EXAM

VERSION 9

A school nurse is discussing levels of prevention with a teacher. Which of the following activities should the nurse identify as a primary prevention strategy?

• provide nutritional counseling for students who have diabetes (3)
• report suspected child neglect to the proper authorities (2)
• conduct vision and hearing screening for kindergarten enrollment (2)
• demonstrate proper handwashing techniques

A school nurse is conducting hearing screening procedures in an elementary school. Which of the following instructions should the nurse provide when performing the Rinne test?

• "After I place the tuning fork on your scalp, tell me if you hear the sound

better in one ear or the same in both ears." (Weber)

• "Use your finger to close one ear while I whisper some numbers into your

other ear." (Whisper voice test)

• "After I place this tuning fork behind your ear, tell me when you no

longer hear the sound."

• "You'll wear headphones and press the button when you hear a sound."

(audiometry)

A palliative care nurse is teaching a client who has cancer about the services that are available for the client. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

• "If I begin palliative care, I will have to stop my chemotherapy."
• "I can begin palliative care when I have less than 6 months to live."
• "This type of care can help me with pain control."
• "My family will not be involved with this type of care program."

A nurse is assessing a new client. Which of the following info should the nurse include in the cultural portion of the assessment?

• food preferences 1 / 2

• employment status
• hx of illness
• sexual orientation

A nurse collecting demographic data as a part of a community assessment.Which of the following info should the nurse include?

• racial distribution
• family genograms
• number of open water sources
• presence of condemned buildings

A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following actions should the nurse take first?

• examine the client's oral mucous membranes
• encourage the client to consume 1.2-2.0 g/kg of protein daily
• recommend the client increase her daily calorie intake by 25%
• teach the client about findings that should be reported to the provider

A home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is coping effectively?

• inability to concentrate
• makes eye contact
• excessive sleeping
• lack of interest in food

A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first?

• a client who is 10 days postop following a mastectomy and needs to have

surgical staples removed

• a client who has DM and reports new erythema to the left foot
• a client who has COPD and needs a follow-up visit r/t home oxygen therapy
• a client in a hip spica cast who reports pruritus under the cast
• / 2